Literature Review

Florida health-care workers exhausted as Hurricane Milton approaches The Washington Post; by David Ovalle and Sabrina Malhi; 10/8/24The storm shutters are up at Stephen Johnson’s house near the water in North Fort Myers, Fla. ... But  Jones won’t be home when Hurricane Milton is expected to thunder ashore this week along the Gulf Coast. Instead, the paramedic — like thousands of health-care workers across Florida — intends to ride out the storm at work, then jump into action when the winds die down, the waters recede and people seek medical assistance. ... “It gets stressful. You don’t know if you’re going to come back to a home,” Johnson, 28, of Brewster Ambulance Service, said during a brief break Tuesday after two straight days of organizing evacuations of patients from hospitals and assisted-living facilities across Lee County in southwest Florida while surviving on granola bars and energy drinks. ... By Tuesday afternoon, Florida health officials had deployed nearly 600 ambulances, buses and other transport vehicles to ferry patients out of harm’s way. More than 200 health-care facilities — including 115 assisted-living facilities, 10 hospitals and five hospice providers — have reported evacuations, according to the state’s health department.

Twin Cities nonprofit fighting senior loneliness with flowers CBS Minnesota; by Susan-Elizabeth Littlefield; 10/6/24 One in four senior Americans is living in isolation. And according to the National Institute of Health, 43% of seniors struggle with loneliness. But a group of Twin Cities women are fighting that trend with flowers. Bluebirds & Blooms in Edina looks like a floral shop, and in a way, it is. But workers there aren't making money. Instead, they're making joy. It's a mission so celebrated that they have an overflow of volunteers. Bluebirds & Blooms started in 2018 after one of the creators saw a news story about a charity in Idaho that re-purposed flowers for hospice patients. They decided to create something similar, delivering to senior centers and hospices around Minnesota.

VIA Health Partners - NC & SC: Donate to Hurricane Helene Relief Fund VIA Health Partners, formerly Hospice & Palliative Care of Charlotte, NC; contact Tara Connelly, VP & Chief Growth Officer; 10/7/24 At VIA Health Partners our people are our strength.  Recently, so many of our people – hospice & palliative care patients, their families, staff members, and volunteers – have experienced unimaginable hardship at the hands of Hurricane Helene. Our clinical staff continue to serve their patients despite ongoing challenges to themselves and their respective families. In response to this growing need, VIA Health Partners has launched a Hurricane Helene Relief Fund. Donations will be used to support patients, families, and staff members directly impacted by the storm. To help us in our response, please consider donating today. Editor's Note: See this page for a map of the 9 counties in North Carolina and 21 counties in South Carolina counties in VIA's service area that are impacted by Hurricane Helene. On a personal note, Hospice & Palliative Care of Charlotte provided palliative and hospice care to my Dad through his death, with significant bereavement care for my Mom. Thank you VIA Health Partners for your hospice services past, present and future.

Comfort home in Scottsville reopens after four-year hiatus NBC News 10, Rochester, NY; by Eriketa Cost; 9/27/24 A local hospice home in Scottsville re-opened, after four years of rebuilding from the inside out. You may recall how much of an effect COVID-19 had on these services. The home, Patrick Place, was unable to hold fundraisers. Dozens of volunteers stepped down out of fear for the virus, and it took time to bring them back. The emails and phone calls didn’t stop during the downtime, though, said Cissy Leblanc, secretary on the board for Patrick Place. Organizers were eager to open again, but it took hard work. Along the way, the team built a new deck and furnished the basement, adding a conference room and special area for training volunteers. These, are all projects that couldn’t have happened with someone living there, said chairman Patrick Hanley. The home opened in early September with 55 volunteers. The goal is to reach 75. ...

Employee engagement can define senior living’s value proposition: panel McKnights Senior Living, Washington, DC; by Kimberly Bonvissuto; 9/26/24 The senior living industry knew it had workforce challenges at least 15 years before COVID-19 hit, but it didn’t do enough about them. Today, the sector has the opportunity to be proactive and build a workforce to meet the rapidly increasing demand for senior living and care services by investing in workers and improving employee engagement. ... [Senior living leaders described the] pivotal role that cultivating a satisfied, engaged workforce plays in organizational success as well as the ability to significantly enhance operational efficiency, resident satisfaction and the bottom line through culture. Two-thirds of Fortune 500 companies invest resources in employee engagement, according to Todd Kiziminski, vice president of talent acquisition at Trilogy Health Services, who said they recognize the link between engagement strategies and the bottom line.

East Lansing caregiver sentenced for role in freezing death of elderly womanOIG press release; 9/17/24Colleen Kelly O’Connor, 58, of East Lansing, was sentenced to two years of probation with the first 6-months in jail by Judge Cori E. Barkman of the 29th Circuit Court in Clinton County for her role in the death of an 82-year-old woman in December 2022, announced Michigan Attorney General Dana Nessel. O’Conner was convicted in June by a Clinton County jury of one count of Vulnerable Adult Abuse — Second Degree. The victim, who was under O’Connor’s care at Vista Springs Imperial Park at Timber Ridge, an assisted living facility in Clinton County, died of exposure after being left unsupervised. O’Connor was also ordered to pay $1,115.00 in restitution to the daughter of the victim... During the very early morning hours of December 23, 2022, O’Connor twice observed the victim attempt to go outside without appropriate attire into a blizzard with single-digit temperatures, subzero windchill, and blowing and drifting snow. As a caregiver, O’Connor recklessly failed to act to prevent the victim from going outdoors into the storm, resulting in her death. A snowplow driver found the victim in the parking lot around 7 a.m., partially buried in snow.

[UK] End-of-life care demand for dementia patients set to surge, study warns Jersey Evening Post, United Kingdom; by UK News; 9/16/24 The number of people living with dementia who require end-of-life care is set to “substantially increase” in the coming years, according to a study. ... Researchers said: “Previous projections of the number of people with dementia who will have palliative care needs in England and Wales were based only on the number of people who died with dementia, and did not take into account people living with dementia. Thus, it is likely that the prevalence of palliative care needs among people with dementia in England and Wales has been considerably underestimated. Our analysis shows that even if dementia incidence declines between 2018 and 2040, the number of people living with dementia in England and Wales who have palliative care needs will increase substantially by 2040, reaching levels far greater than previous estimates based on mortality data.”Editor's note: How do these projection processes in the UK compare or contrast with the USA data you use? For more immediate information about current resources, click here for the Alzheimer's Assocation "Support for People Living With Dementia" and click here for 

National Health Statistics Reports: Overview of Post-acute and Long-term Care Providers  and Services Users in the United States, 2020 CDC U.S. Centers for Disease Control and Prevention; by Jessica P. Lendon, Ph.D., Christine Caffrey, Ph.D., Amanuel Melekin, Ph.D., Priyanka Singh, M.P.H., Zhaohui Lu, M.S., and Manisha Sengupta, Ph.D; dated 8/27/24, released 9/7/24 Objective: This report presents national results from the National Post-acute and Long-term Care Study to describe providers and services users in seven major settings of paid, regulated post-acute and long-term care services in the United States. Methods - Data Sources: Data include about 11,400 home health agencies, 5,200 hospices, 1,200 inpatient rehabilitation facilities, 350 long-term care hospitals, and 15,300 nursing homes. Results:

AHCA’s Access to Care report provides grim assessment of nursing home trends McKnights Long-Term Care News; by Jessica R. Towhey; 8/22/24 Nearly 800 nursing homes closed between February 2020 and July 2024, displacing nearly 30,000 residents, according to a new report from the sector’s largest provider advocacy group. The American Health Care Association/National Center for Assisted Living added in its annual Access to Care report that the consequences to rural communities have been devastating. “It’s not hyperbole to say access to care is a national crisis,” Mark Parkinson, president and CEO of AHCA/NCAL, said in a press release announcing the report on Thursday. “Nursing homes are closing at a rate much faster than they are opening, and yet with each passing day, our nation grows older. Providers are doing everything they can to protect and expand access to care, but without support from policymakers, access to care remains under threat.”

Between the hospital and the street: Addressing a crucial gap in care healthleaders.com; by Eric Wisklund; 8/23/24 A unique program in Salt Lake City is managing care for underserved patients who live on the street or in an unsafe location, and helping hospitals reduce ED crowding, improve care coordination and reduce costs in the process. The INN Between is a nine-year-old program that began as a 16-bed Catholic convent and is now an 80-bed “assisted living facility” of sorts, offering everything from hospice care to rehabilitation and care management services. The organization addresses a significant care gap for health systems and hospitals who see these patients in their Emergency Departments and ICUs—and who often discharge them to an uncertain care landscape. ... The INN Between, which operates year-to-year on a budget of $1.6 million (recently cut down from $2 million), exists on a mishmash of charitable donations, grants, and the occasional federal or state subsidy. Editor's Note: Pair this compassionate solution with the scathing article about hospice fraud and abuse of homeless persons, Fraudulent hospices reportedly target homeless people, methadone patients to pad census, by Jim Parker at Hospice News.

“What I wish I knew about dementia”: A caregiving only child’s experience The Healthy; by Dr. Patricia Varacallo, DO; 8/20/24 It's no secret dementia affects the brain of the patient, and tests the hearts of their loved ones. Through one woman's personal journey, experts advise on the emotional, medical, and financial aspects of caregiving for dementia. ... Drawing from Ann’s caregiving journey and insights from Dr. Wint and Lucille Carriere, PhD, Cleveland Clinic Angie Ruvo Endowed Caregiving Chair, we share their collective wisdom on what they wish more people knew about dementia.

Future trends in aged care careers Intelligent Living; by Jennifer Barns; 8/21/24Medical advances have increased the average life expectancy. By 2050, older people—or those above 60 years—are expected to comprise 22% of the global population, almost twice compared to 2015, according to the World Health Organization. As the population ages, the demand for skilled professionals in the aged care sector is also going through the roof. ... Editor's Note: This article provides statistics and user-friendly language that might be helpful for your employee recruitment strategies.

Factors associated with Do Not Resuscitate status and palliative care in hospitalized patients: A national inpatient sample analysis Palliative Medicine Reports; by Jean-Sebastien Rachoin, Nicole Debski, Krystal Hunter, Elizabeth CerceoIn the United States, the proportion of hospitalized patients with DNR, PC, and DNR with PC increased from 2016 to 2019. Overall, inpatient mortality and LOS fell, but hospital charges per patient increased. Significant gender and ethnic differences emerged. Black patients and males were less likely to have DNR status and had higher inpatient mortality, LOS, and hospital charges.