Literature Review

Palliative patients can die peacefully at home with paramedic support, claims proposed frameworkRiotack - Australia; by James Day; 5/6/24A proposed national framework suggests paramedics could help ease pressure on emergency departments by supporting palliative care patients who wish to die at home. Published in the leading international peer reviewed journal Palliative Medicine, the framework seeks to embed palliative care into paramedics’ core business and reduce needless transports to hospital. ... Lead author and trained paramedic Dr. Madeleine Juhrmann developed the framework in consultation with paramedics, palliative care doctors, GPs, carers with lived experience and others. The expert group – representing six countries and all the states of Australia – agreed on the framework’s 32 service changes to standardise best practice for paramedics delivering palliative care in community-based settings.Pair this with a USA article in today's newsletter, "Stranded in the ER, seniors await hospital care and suffer avoidable harm." 

Elder abuse is easy to missNextAvenue; by Leida Snow; 5/6/24 Here is what to look for if you suspect a caregiver--whether a relative or a professional--is mistreating a loved one. ... People are living longer in their own homes outside of nursing homes or other institutional settings, which means that at some point each of us is likely to be a caregiver or looking for continuing health care for a loved one or ourselves. ... "My husband was in home hospice for the last months of his life." ... [A bereaved caregiver describes incidents with her husband's care.]  Then I ... went to the other room and called the agency's 24-hour number. 'I want her out of here,' I said. 'Please send someone else as soon as you can.' Lou briefly rallied the next morning, but he died later that day. Did the aide hasten his death? I believe she did."

E-book: "Combating loneliness in senior living residents: A call to action"McKnights Senior Living; 4/24/24Discover in [this] e-book:

5 things to know about the Waud capital-backed Senior Helpers Home Health Care News, by Andrew Donlan; 4/8/24 One of the biggest home-based care deals of the year thus far was Waud Capital’s acquisition of Senior Helpers. The Maryland-based franchise – which was previously owned by the health system Advocate Health – will be the foundation of Waud Capital’s home care platform moving forward. Overseeing that platform will be Steve Jakubcanin, the home-based care veteran and former CEO of Cornerstone Healthcare Group. Here are five important things to know about Senior Helpers as it takes a different direction under new ownership.

Personal health companies up for sale as costs rise Modern Healthcare, by Diane Eastabrook; 3/26/25 Labor shortages, tighter access to capital and low reimbursements from some payers could force more healthcare providers to shed non-core operations, such as personal care and post-acute care, according to analysts. ... More than three-quarters of 51 active buyers of home health, hospice and personal care companies said they planned to increase acquisitions in 2024, ...

Workplace Violence Prevention Plan Implementation: Answers to Frequently Asked QuestionsLCW, California Public Agency Labor & Employment Bolg; 3/13/24With the enactment of [California] Senate Bill (“SB”) 553, the legislature amended Labor Code section 6401.7 and added Labor Code section 6401.9, requiring employers to adopt and implement a Workplace Violence Prevention Plan (“WVPP”) and corresponding training for their employees by July 1, 2024. ... Since the enactment of the bill, employers have had questions regarding the WVPP and the training requirements. Below are some common questions and the responses to them: ... [Click on the article's title to view]

Costs of long-term care: ‘Financial ruin is baked into the system’ KFF Health News, by Jordan Rau and Reed Abelson; 3/9/24 Thousands of readers reacted to the articles in the “Dying Broke” series about the financial burden of long-term care in the United States. They offered their assessments for the government and market failures that have drained the lifetime savings of so many American families. And some offered possible solutions. In more than 4,200 comments, readers shared their struggles in caring for spouses, older parents, and grandparents. They expressed anxieties about getting older themselves and needing help to stay at home or in institutions like nursing homes or assisted living facilities.

Scientists reveal that nearly all older Americans follow one of nine trajectories in their last three years of life SciTechDaily, by Rutgers University; 3/2/24A Rutgers Health analysis of millions of Medicare records has laid the groundwork for improving end-of-life care by demonstrating that nearly all older Americans follow one of nine trajectories in their last three years of life. “Identifying which paths people actually take is a necessary precursor to identifying which factors send different people down different paths and designing interventions that send more people down whatever path is right for them,” said Olga Jarrín, the Hunterdon Professor of Nursing Research at Rutgers and corresponding author of the study published in BMC Geriatrics.

3 predictions for the future of post-acute careBecker's Hospital Review, by Mariah Taylor; 2/28/24Robust in-home care, advances in technology and seamless access to nursing facilities are some of the ways leaders anticipate post-acute care may change in the next 50 years. Here, three leaders give their predictions and hopes for the industry in the future.

Nationwide PACE program helps seniors avoid nursing homesThe Lake County Star, by Cathie Crew; 1/17/24The Program for All Inclusive Care of the Elderly, or PACE, provides care and services to nursing home-eligible seniors and disabled individuals, enabling them to remain in their home far longer than they might otherwise be able to do. 

Survey shows 2024 to be a "Year of Efficiency" for Care at Home OrganizationsHomeCare News; 1/16/24To improve their bottom line and operations, care-at-home organizations plan to focus on shoring up operational processes and how they manage staffing and scheduling, according to the just-released 2024 Industry Trends Report. ... The focus on having more efficient operations was reflected in the top concerns from respondents: staffing, and addressing the changing payment dynamics and new regulations and oversight in the care at-home industry.

America's health system isn't ready for the surge of seniors with disabilitiesCalifornia Healthline, by Judith Graham; 1/17/24The number of older adults with disabilities — difficulty with walking, seeing, hearing, memory, cognition, or performing daily tasks such as bathing or using the bathroom — will soar in the decades ahead, as baby boomers enter their 70s, 80s, and 90s.

A looming crisis: Millennials caring for aging parentsFalls Church News-Press, by Brian Reach; 1/11/24... Millennials, born between 1981 and 1996, comprise roughly 73 million Americans. By 2030, all boomers, and over 70 million Americans in total, will be ages 65 and older. This represents an at least 25 percent increase in the number of senior citizens — in just over five years.