Literature Review

All posts tagged with “Research News.”



In praise of hospice

05/11/24 at 03:00 AM

In praise of hospiceJAMA; by James R. Nicholas, MD; 4/24... Joan did what she wanted to do: she, with the help of hospice, made her dying as easy as possible for me and our children. I have the same wish for myself. I doubt if I will achieve it as well as did Joan, but I will have her as a guide. And I hope I will have the kind of hospice team that Joan had.

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Does assisted living provide assistance and promote living?

05/11/24 at 03:00 AM

Does assisted living provide assistance and promote living?Health Affairs; by Sheryl Zimmerman, Robyn Stone, Paula Carder, Kali Thomas; 5/24Assisted living has promised assistance and quality of living to older adults for more than eighty years. ... As assisted living has evolved, the needs of residents have become more challenging; staffing shortages have worsened; regulations have become complex; the need for consumer support, education, and advocacy has grown; and financing and accessibility have become insufficient. Together, these factors have limited the extent to which today’s assisted living adequately provides assistance and promotes living, with negative consequences for aging in place and well-being. This Commentary provides recommendations in four areas to help assisted living meet its promise: workforce; regulations and government; consumer needs and roles; and financing and accessibility. Policies that may be helpful include those that would increase staffing and boost wages and training; establish staffing standards with appropriate skill mix; promulgate state regulations that enable greater use of third-party services; encourage uniform data reporting; provide funds supporting family involvement; make community disclosure statements more accessible; and offer owners and operators incentives to facilitate access for consumers with fewer resources. Attention to these and other recommendations may help assisted living live up to its name.Publisher's note: Many of these ALF recommendations may be helpful in hospice, too...

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The value of screening for a history of incarceration in the palliative care setting

05/11/24 at 03:00 AM

The value of screening for a history of incarceration in the palliative care settingAmerican Journal of Hospice and Palliative Medicine; by Joseph Michael Schnitter, Joshua Hauser; 5/24In this article, we explore existing literature that highlights the unique physical, cognitive, and psychosocial challenges that formerly incarcerated patients face. We proceed to argue that palliative care providers should screen for a history of incarceration to identify and address the needs of this patient population. We also offer strategies to create a safe, welcoming environment to discuss past traumas related to these patients’ time in prison.

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Retraumatization when an adult child cares for the parent who harmed them through serious illness or the end of life

05/11/24 at 03:00 AM

Retraumatization when an adult child cares for the parent who harmed them through serious illness or the end of lifeJournal of Pain and Symptom Management; by Jaime Goldberg, Jooyoung Kong; 5/24Adult children caring for a parent who harmed them through the parent's serious illness or the end of life are at high risk for experiencing retraumatization. This session will offer trauma-informed, culturally responsive, person-centered tools and techniques hospice and palliative care professionals can use to effectively identify, assess, and intervene with this often-overlooked population of caregivers.Publisher's note: This current article summary is for an upcoming AAHPM conference workshop. The study was previously published in JPSM 5/24 here.

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Textures of Black sound and affect: Life and death in New Orleans

04/27/24 at 03:00 AM

Textures of Black sound and affect: Life and death in New OrleansAmerican Anthropologist; by Matt Sakakeeny; 6/24In a traditional New Orleans jazz funeral, the characteristic shift from mourning to joy is propelled by brass band musicians weaving melodies and rhythms together. This article is about how these thickly layered textures of sound elicit shared sentiments of lament and of joy.

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Eleology‐ A modest proposal

04/27/24 at 03:00 AM

Eleology‐ A modest proposalAmerican Journal of Hospice and Palliative Medicine; by Caleb Knisley, MD, Steven J. Baumrucker, MD; 6/24Words matter. This is a simple but profound truth. ... Since the titles we are known by carry so much weight, misunderstanding and misnomers can be incredibly frustrating. Practitioners of Hospice and Palliative Medicine (HPM) (more on that mouthful in a moment) are uniquely aware of this frustration. ... The name “Hospice and Palliative Medicine” is therefore not an entirely accurate representation of the specialty it represents. ... Eleos is the word for “mercy” in both classical Greek authors and the writings that make up the Greek New Testament of the Christian Bible. ... Eleology, therefore, is a fitting name for the medical specialty uniquely dedicated to relieving suffering through mercy and compassion.

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Making end-of-life health disparities in the U.S. visible through family bereavement narratives

04/27/24 at 03:00 AM

Making end-of-life health disparities in the U.S. visible through family bereavement narrativesPEC Innovation; by Cassidy Taladay-Carter; 4/24End-of-life experiences can have important implications for the meaning-making and communication of bereaved family members, particularly due to (in)access to formal healthcare services (i.e., palliative care and hospice). Grounded in Communicated Narrative Sense-Making theory, this study extends knowledge about how the stories told about end-of-life by bereaved family members affect and reflect their sense-making, well-being and importantly, potential disparities in end-of-life care. ... Four themes illustrated the continuum of communication that families engaged in when making sense of end-of-life experiences, including reflections on silence, tempered frustrations, comfort with care, and support from beyond.

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End-of-life and palliative care for lesbian, gay, bisexual, transgender, queer or questioning, or another diverse gender identity older adults

04/27/24 at 03:00 AM

End-of-life and palliative care for lesbian, gay, bisexual, transgender, queer or questioning, or another diverse gender identity older adultsClinics in Geriatric Medicine; by Evie Kalmar MD, MS, Jeffrey Mariano MD; 5/24Lesbian, gay, bisexual, transgender, queer or questioning, or another diverse gender identity (LGBTQ+) people are more likely to have alternative family structures. It is important to engage in advance care planning to understand their values, clarify surrogate decision makers, and contribute to goal-concordant care at the end of life. Clinicians can follow recommendations in this article to ensure they are providing LGBTQ-inclusive palliative and hospice care.

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"It's a heavy thing to carry": Internal medicine and pediatric resident experiences caring for dying patients

04/27/24 at 03:00 AM

"It's a heavy thing to carry": Internal medicine and pediatric resident experiences caring for dying patientsAmerican Journal of Hospice and Palliative Medicine; by Lindsay M Gibbon, Laura Buck, Lauren Schmidt, Jori F Bogetz, Amy Trowbridge; 5/24Our data suggests a model for the process by which residents learn affective skills critical to EOL care: residents (1) notice strong emotion, (2) reflect on the meaning of the emotion, and (3) crystallize this reflection into a new perspective or skill. Educators can use this model to develop educational methods that emphasize normalization of physician emotions and space for processing and professional identity formation.

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Environmental comfort in promoting sleep in critically ill patients: A scoping review

04/27/24 at 03:00 AM

Environmental comfort in promoting sleep in critically ill patients: A scoping review[Portugal] Dimensions of Critical Care Nursing; by Derek Braga Moura, Débora de Fátima Sousa Andrade, Carla Rodrigues Silva, Igor Emanuel Soares-Pinto; 5/24It is important to understand the concept of comfort as a whole to build an assistance intervention plan that meets the person's needs. Therefore, it is necessary to monitor and assess the person's sleep by considering the surrounding environment, to provide a comfortable environment that is quiet and provides privacy, especially in contexts of difficult management of environmental factors in the approach to the person in critical condition.Publisher's note: 

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Time to rethink assisted dying?

04/27/24 at 03:00 AM

Time to rethink assisted dying?Bioethics; by Udo Schuklenk; 5/24... But who should be tasked with the provision of such services [assisted suicide and / or voluntary euthanasia], given that it would no longer be the case that only people defined as patients would be eligible for an assisted death. Healthcare professionals might object to providing such services to people who aren't patients. Different societies could decide to introduce permissive assisted dying regimes tasking different professionals with the provision of such services. If doctors are the profession tasked with the provision of such services in a particular jurisdiction, they ought to provide it to those eligible in that society. However, it is worth considering whether a newly created assisted dying profession, that is equally tightly regulated, may be a preferable way forward.

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Keeping life in our patients’ years toward the end of our patients’ lives

04/27/24 at 03:00 AM

Keeping life in our patients’ years toward the end of our patients’ livesAnnals of Surgery; by Courtney Collins, Ronnie A Rosenthal; 5/24As surgeons we are trained, some may say indoctrinated, to care about traditional benchmarks like wound infections, the need for critical care, 30-day readmissions, and (of course) mortality. These factors are obsessively collected and analyzed looking for any and all possible opportunities to move the needle of surgical quality by even the tiniest amount (as long as it is statistically significant). To be sure, this approach has yielded vast improvements in how we care for our patients and correspondingly, surgical outcomes have continued to improve over time. This intriguing analysis by Keney et al asks us to consider that in our pursuit of perfection by standard definitions, we may be missing something even more critical: what “good” looks like from the patient’s point of view.

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Hospice satisfaction among patients, family, and caregivers: A systematic review of the literature

04/27/24 at 03:00 AM

Hospice satisfaction among patients, family, and caregivers: A systematic review of the literatureAmerican Journal of Hospice and Palliative Medicine; Timothy Hoff, PhD, Kathryn Trovato, MPH, Aliya Kitsakos, BA; 6/24Thirty-eight studies were included in the review. Key findings were: (a) higher levels of hospice care satisfaction among patients, families, and other caregivers; and (b) correlates of hospice care satisfaction falling into the categories of communication, comfort, and support. The published literature had fewer findings related to demographic correlates of satisfaction such as age or race/ethnicity and was lacking in comparative research examining satisfaction across different types of hospice care settings.

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Measuring decision aid effectiveness for end-of-life care: A systematic review

04/27/24 at 02:00 AM

Measuring decision aid effectiveness for end-of-life care: A systematic reviewPEC Innovation; M. Courtney Hughes, Erin Vernon, Chinenye Egwuonwu, Oluwatoyosi Afolabi; 4/24A total of 715 articles were initially identified, with 43 meeting the inclusion criteria. Outcome measures identified included decisional conflict, less aggressive care desired, knowledge improvements, communication improvements, tool satisfaction, patient anxiety and well-being, and less aggressive care action completed. The majority of studies reported positive outcomes especially when the decision aid development included International Patient Decision Aid Standards.

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Dana-Farber retracts string of studies in systematic review of data integrity

04/24/24 at 03:00 AM

Dana-Farber retracts string of studies in systematic review of data integritySTAT+, by Angus Chen; 4/18/24An ongoing investigation into data integrity at Dana-Farber Cancer Institute has resulted in a string of retractions, the latest of which is a 2006 Science paper co-authored by institute president and CEO Laurie Glimcher. The retraction notice, published in Science on Thursday, noted that the authors had become aware of discrepancies in key scientific images that led them to lose confidence in key figures in the study, although the study’s lead author opposed the retraction. The issues with this paper, along with concerns with more than 50 other articles co-authored by four of Dana-Farber's top researchers, were highlighted in a January blog post by the scientific sleuth Sholto David.

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Rural-urban disparities and trends in utilization of palliative care services among US patients with metastatic breast cancer

04/20/24 at 03:00 AM

Rural-urban disparities and trends in utilization of palliative care services among US patients with metastatic breast cancerJournal of Rural Health, by Jincong Q Freeman, Adam W Scott, Ted O Akhiwu; 2/24In this national, racially diverse sample of patients with metastatic breast cancer, the utilization of palliative care services increased over time, though remained suboptimal. Further, our findings highlight rural-urban disparities in palliative care use and suggest the potential need to promote these services while addressing geographic access inequities for this patient population.

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How do people in prison access palliative care? A scoping review of models of palliative care delivery for people in prison in high-income countries

04/20/24 at 03:00 AM

How do people in prison access palliative care? A scoping review of models of palliative care delivery for people in prison in high-income countriesPalliative Medicine, by Emma Gilbert, Nick De Viggiani, Joana de Sousa Martins, Tanuka Palit, Jessica Sears, Daniel Knights, Audrey Roulston, Mary Turner, Lucy E Selman; 4/24We identified a typology of three models of care delivery for people in prison in high-income countries: (1) Embedded hospice model, typified by an interdisciplinary team and volunteer caregivers providing care on-site; (2) Outsourcing Care model, in which end-of-life care is provided outside the prison; (3) Collaborative community model, which involves prisons engagement with other healthcare facilities or practitioners. ... Embedded hospice models in the USA are prevalent and demonstrate promising evidence for enhancing the care experience for recipients and peer caregivers. Chaplains, social workers and peer caregivers provide psychosocial support, yet documented assessment and strategies for managing the distinctive needs of this group and their families are lacking, despite their acknowledged complexity.

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Automated electronic health record score to predict mortality risk at the US Department of Veterans Affairs

04/20/24 at 03:00 AM

Automated electronic health record score to predict mortality risk at the US Department of Veterans AffairsAmerican Journal of Hospice and Palliative Medicine, by Thomas F Osborne, Zachary P Veigulis, Anna Ware, David M Arreola, Catherine Curtin, Marianne Yeung; 4/24A readily available risk score, automatically calculated from EHR data, was able to identify patients at high risk for 30-day mortality in the acute care setting. Next steps will be to assess how the CAN score can be utilized to in improve end of life care for high-risk hospitalized Veterans.

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Strategies to enhance the affordability of hospice and palliative care services

04/20/24 at 03:00 AM

Strategies to enhance the affordability of hospice and palliative care servicesDigital Commons @ University of South Florida - Annual Undergraduate Research Conference, by Jhanav Sabharwali, Roy Chen, Valerie Vargas Ardila (mentor Dr. Irene Hurst); 4/24This research aims to find efficient solutions to aid affordability in vulnerable populations, specifically the hospice and palliative care population.Publisher's note: Interesting topic for an undergraduate research conference!

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Value of a multidisciplinary geriatric oncology committee on patient care in a community-based, academic cancer center

04/20/24 at 03:00 AM

Value of a multidisciplinary geriatric oncology committee on patient care in a community-based, academic cancer centerJournal of Geriatric Oncology, by Gurbani Singh, Lena Morant, McKenzie Bedra, Jennifer Emel, Kelly Harris, Yudhishtra Markan, Christopher de Borja, Monica Tong, Patrice Downs, Cherif Boutros; 5/24The present study demonstrates the profound impact that the complexities in health status and frailty among older individuals can have during cancer management. The Geriatric Oncology Program at the University of Maryland Baltimore Washington Medical Center maximized treatment outcomes for older adults through the provision of standard oncologic care therapies and optimization services, while also minimizing unnecessary interventions on an individual patient-centric level.

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Formal training in palliative care for the trauma surgeon: Hospice and Palliative Medicine Fellowship

04/20/24 at 03:00 AM

Formal training in palliative care for the trauma surgeon: Hospice and Palliative Medicine FellowshipCurrent Trauma Reports, by Alison Haruta, Ian McCurry, Allyson Cook Chapman; 4/24Palliative care aims to alleviate suffering across multiple domains and treat the patient and family as a unit to provide goal concordant care. Utilization of palliative care principles in trauma surgery has emerged as a crucial component of comprehensive patient care. We discuss formal hospice and palliative medicine training, the benefits of this fellowship, and how surgeons integrate this into their careers.

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Diary of a Family Physician

04/20/24 at 03:00 AM

Diary of a Family PhysicianAmerican Family Physician, by Elizabeth Philippe, Jennifer Nielsen Fan; 4/24Publisher's note: This is part of a series of "a day in the life of...". It's interesting to view the world through someone else's perspective, and what might the "Diary of a Hospice Physician" say?

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Journal of Religion & Health Issues Research Articles in April 2024 Edition

04/20/24 at 03:00 AM

Journal of Religion & Health Issues Research Articles in April 2024 Edition Targeted News Service posts list of titles; 4/18/24; Journal published by SpringerThe Journal of Religion and Health, a journal that says it explores modes of religious and spiritual thought with emphasis on their relevance to current medical and psychological research, published research articles on the following topics in its April 2024 edition (Vol. 63, Issue 2): [Click on the title's link]Classification/Subject: Religion (96%), Muslims & Islam (92%), Suicide (91%), Assisted Suicide (90%), Death & Dying (90%), Diseases & Disorders (90%), Ethics (90%), Medicine & Health (90%), Psychology (90%), Research Reports (90%), Cancer (89%), Novels & Short Stories (89%), Associations & Organizations (87%), Indigenous Peoples (79%), Adolescents & Teens (78%), Alternative Medicine (78%), Bioethics (78%), Health Care Professionals (78%), ...Editor's Note: Click here for access to the journal.

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Factors associated with early palliative care among patients with heart failure

04/20/24 at 02:05 AM

Factors associated with early palliative care among patients with heart failurePalliative Medicine, by Caroline P Meehan, Emily White, Alexander CVitan, Lan Jiang, Wen-Chih Wu, Mitchell Wice, Jensy Stafford, James L Rudolph; 4/24While more than 20% of HF patients in our cohort had PC well in advance of death, more than half died without PC. PC involvement seemed to be driven by comorbidities rather than HF. Effective collaboration with Cardiology is needed to identify patients who would benefit from earlier PC involvement.

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Cultural values influence on rural family caregivers' decision-making for ill older adult loved ones

04/20/24 at 02:00 AM

Cultural values influence on rural family caregivers' decision-making for ill older adult loved onesShena Gazaway, PhD, RN; J. Nicholas Odom, PhD, RN; Ivan Herbey, MD, MPH; Margaret Armstrong, MSN; Felicia Underwood, LICSW, MPA; T. Vantrice Heard, PhD; Ashley Allen, BSN, RN; Christiana Ekelem, BS; Marie A. Bakitas, DNSc, CRNP; Ronit Elk, PhDRural older adult Americans receive more intense treatment at end of life. Studies indicate that those who participate in goals of care conversations receive care more concordant with their values. Yet, rates of documented goals of care discussions are lower in rural and Black communities. Although multi-factorial, the role that rural family caregivers play in decision-making for ill loved ones is understudied.

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