Literature Review

A dream comes true: Hospice patient rides in hot air balloonSedalia Democrat; by Faith Bemiss-McKinney; 6/10/24A long-time dream came true for an area woman with a long-term illness on Friday, June 7, with a tethered hot air balloon ride [courtesy of Crossroads Hospice & Palliative Care].Publisher's Note: Subscription may be required to read full article.

Building bridges before loved ones pass - personal perspective: The loss of a loved one Psychology Today; by Sarah Rayner; 6/10/24 ... Last year I lost my mother ...  The only parent I have left is my stepmother. We have had our rows over the years, as she would leap to defend my father so swiftly. Now I appreciate that this was because she loved him deeply and committedly. ... From what I can see, she is going to be with us for a few years. She is an intellectual force of nature and at 88 was granted an honorary doctorate. ... “Wow,” I said, impressed. “You are an inspiration.” She brushed off the compliment. “I’m nothing. You should see my friend, Pam, she is 100! We all have to die sometime," she said. "We have to make way for the next generation." ... t's worth building bridges before loved ones pass. But whether you love or hate your parents, I believe it is often worth building bridges before they pass away, for the sake of both parties. Few people want to look back on the final encounter they had with a loved one regretting all the words left unsaid.

‘The last option’: Why doctor, resident unions continue to growModern Healthcare; by Mari Devereaux; 6/6/24A wave of labor organization continues among doctors, residents and fellows as more than 3,000 have joined unions so far this year, driven by worries about burnout, administrative burden and inadequate patient care. Doctors and support staff are seeking contracts across organizations that ensure reduced workloads and more one-on-one patient care time. However, where doctors want more decision-making power, residents are pushing for better benefits and higher pay.

The Aging Revolution: Growing old in America becoming more dignified, but with senior population booming, is nation’s health system prepared?BusinesssWire; 6/4/24A half-century after renowned gerontologist, psychiatrist and author Dr. Robert Butler ridiculed the nation’s medical establishment for ignoring the suffering of older Americans, Northwell Health today announced the publication of The Aging Revolution: The History of Geriatric Health Care and What Really Matters to Older Adults, which chronicles the significant advancements made in improving the physical and emotional health of the nation’s rapidly aging population. 

EPCSO, Hospice of El Paso make dream come true for teen facing terminal illnessABC KVIA; by Tyaun Marshburn; 5/29/24Evan Molina was sworn in Wednesday by El Paso County Sheriff Richard Wiles to be honorary Sheriff of El Paso for the day. Molina is a pediatric patient at Hospice of El Paso. He said he has always wanted to be a sheriff, and today the El Paso County Sheriff's Office and Hospice of El Paso made that wish come true.

Over 400 physicians from Delaware’s ChristianaCare move to unionize Portside; by Jennifer Henderson / MedPageToday; 5/28/24 More than 400 physicians from Delaware's Christiana Hospital, Wilmington Hospital, and Middletown Free-standing Emergency Department -- all part of the ChristianaCare health system -- filed to unionize with Doctors Council SEIU Local 10MD. "If successful, this will be the first physician union in Delaware and the first union of any kind at ChristianaCare," Doctors Council SEIU said in an announcement of the filing, which pointed to the ongoing corporatization of medicine as driving the physicians' efforts. Some of the specific concerns that physicians detailed in regard to their filing included understaffing and inadequate resources, corporate influence on medical decision making, limited input in matters affecting patient care and physician safety and autonomy, and moral injury caused by pressure to place profit over patients. Editor's Note: These "specific concerns" reflect consistent themes with other, recent healthcare unionization and strikes throughout the nation, within the scope of one's practice (e.g., physicians vs. nurses). 

22 top hospitals and systems, 15K+ open jobs Becker's Hospital Review; by Kelly Gooch; 5/24/24 Hospitals and health systems continue to grapple with workforce challenges, including recruiting top talent in a competitive environment. Below are the number of job openings at hospitals and health systems that are among those named to the U.S. News & World Report's 2023-24 Best Hospitals Honor Roll.  ... The numbers are from job boards as of May 24. [Click on the title's link for this list.]

Caring for an aging US population—the good news and the bad newsJAMA Health Forum; by Stuart M. Butler; 5/23/24The US is a rapidly aging society. The proportion of the population older than the retirement age is increasing, and more people will reach very old age. The proportion of people older than 65 years of age is projected to increase from 18% today to 23% by 2054, with the number of individuals older than 100 years of age quadrupling. This trend poses enormous challenges for the health care system and the social structure of the US. For instance, aging is associated with loss of social connections, which is linked to accelerating mental and physical deterioration, including dementia. Caring for very old people with dementia and other chronic conditions is costly, compounded by a desperate shortage of care workers. In 2023, the yearly average cost was more than $116 000 for a private room at a nursing home and the cost was more than $75 000 for a home health aide. Affordable housing options continue to be in short supply. Community and health service organizations are bracing for a major increase in older people experiencing homeless, especially among those with dementia and mental illness. An increasing number of older people may have to move into Medicaid-financed nursing homes as their private resources are depleted, which would also place increasing strain on state and federal budgets. However, there is some good news regarding innovations in health care, technology, and housing...

25 best places to live: US NewsBecker's Hospital Review; by Alan Condon; 5/21/24Naples, Fla., is the best place to live in the country, with Boise, Idaho, following closely behind, according to U.S. News & World Report's "150 best places to live in the U.S. in 2024-25" list, published May 21. U.S. News & World Report ranked 150 major U.S. cities across four indexes: quality of life (including crime rates, well-being scores, and availability of healthcare), value (including housing availability and price parity), desirability (including weather temperateness and net migration levels) and the job market (including average salary and unemployment rate).

21 hospitals, health systems raising workers' pay Becker's Hospital Review; by Kelly Gooch; 5/20/24 The following hospitals and health systems have announced or shared plans for raising workers' pay this year. Note: This is not an exhaustive list. This webpage was last updated May 20. [Click on the title's link for the detailed list.]

Optum Rx puts emphasis on predictability with new pricing model Fierce Healthcare; by Paige Minemyer; 5/20/24 Optum Rx is rolling out a new pharmacy model that seeks to make drug costs more predictable and transparent for clients. The Optum Rx Clear Trend Guarantee aligns guarantees into single per member cost, encompassing retail, home delivery, specialty drug and rebate components in one guarantee. It provides an alternative to Optum's Cost Made Clear offering, which includes pass-through models and cost-plus pricing. ... Clear Trend Guarantee will be available on Jan. 1 alongside the existing Cost Made Clear program, Optum said.

Recognizing the physical and emotional toll that caring for a loved one with a chronic condition has on the caregiverMedical Xpress; by American Heart Association; 5/15/24Living with a chronic medical condition after surviving a heart attack or stroke may come with additional health and personal care needs. Often survivors must rely on a family member or close friend to help. However, there's a growing body of scientific research that shows people who serve as unpaid caregivers may not be getting the care they need to live longer, healthier lives, according to the American Heart Association...

I Kept CryingJAMA Network; by Alexis Harmon; 4/15[Opinion] “The patient is a 31-week infant born via crash C-section in the setting of placental abruption.” How many times have I said that sentence as a physician? It seems like a million, or at least enough times that it became routine. At one point during my intern year, my colleagues and I cared for 3 sets of twin neonates all born between 30 and 31 weeks’ gestation. I remember finishing that rotation and feeling like caring for this population no longer felt “scary.” As pediatric residents, we knew how to prepare for these newborns and fully expected that they would have excellent outcomes medically. All this changed when I was curled in the fetal position, midcontraction, my thigh throbbing from a betamethasone injection and my spine burning from a lidocaine injection...Publisher's Note: A reminder that personal experience changes everything...