Literature Review

Delivery driver’s heartbreaking realization after he picks up hospital job Newsweek Life; by Lydia Patrick; 2/13/25 A food delivery driver's shift took an unexpected and poignant turn when he accepted a hospital order that carried a heartbreaking significance. Reddit user u/ondasher808, who chose to remain anonymous, shared that delivering to hospitals is common, as many staff members place orders. However, this particular request included a room number in the ICU, which does not allow direct deliveries. ... He called the customer upon arrival. ... The woman who answered thanked him and assured him that someone would come down to retrieve the food. Then, she added something that left him stunned-it was "someone's final meal." ... Five minutes later, a nurse arrived to collect the bag. ... "I noticed that the bag contained a Happy Meal and that was a bit of a shock because I didn't expect it." ... Later that night, he turned to Reddit to process his emotions, surprised by the outpouring of support from fellow drivers, customers who had ordered final meals for loved ones, and health-care workers who had witnessed similar moments.

What do you say to a friend who is dying Equity Atlas; 2/12/25 It’s a situation no one wants to find themselves in – facing the imminent death of a friend. The emotions that come with this can be overwhelming, leaving you at a loss for words. You may find yourself grappling with what to say, how to act, and how to provide support during such a difficult time. In this article, we will explore some insights on what to say to a friend who is dying, as well as provide guidance on how to navigate this delicate and heartbreaking situation.

Family caregivers who support older relatives are on the rise due to aging-in-place preferences HousingWire; by Chris Clow; 2/5/25 The number of family caregivers who support older relatives in either home-based or residential care settings increased by 32% between 2011 and 2022 ... Researchers also say this could be partially tied to rising preferences for aging in place. This is according to a joint study from the Johns Hopkins Bloomberg School of Public Health and the University of Michigan’s Institute for Social Research. Additional support came from the National Institute on Aging, a division of the National Institutes of Health (NIH). The raw number increase went from 18.2 million in 2011 to 24.1 million in 2022. The study also found that the number of care hours provided by family and other unpaid caregivers increased by 50% during that time. The average number of weekly hours for such care stood at 21.4 in 2011, but it jumped to 31 in 2022, nine hours short of what is widely considered a full-time weekly work schedule.

Advice on navigating complex caregiving Philadelphia Corporation for Aging; by Jay Nachman; 2/3/25 The biggest challenge for someone taking care of a parent or loved one is “accepting your loved one for who they are now. Not who you knew them to be,” said Dr. Kiplee Bell, an internal medicine physician who has created a practice focused on caregiving. ... It’s not uncommon, according to Bell, for minority community members to live in multi-generational households. Additionally, in some homes, grandparents are raising grandchildren. Then there is the flipside, where young children are helping to take care of their older family members. And when English is not a native tongue, language barriers can preclude an adequate understanding of how to navigate the social service and health care systems. ...

Behind the scenes: Caring for the caregivers Harvard Magazine; by Lydialyel Gibson; 1/30/25 When I was in seventh grade, my best friend’s father was diagnosed with early onset Alzheimer’s. He was in his late 50s. ... My sharpest memories from that time are of my friend’s shock and grief as her father deteriorated, and of her mother’s incredible stamina. ... That was more than 30 years ago. ... [When] I heard about the work of Christine Ritchie, a geriatrician and palliative care physician who studies the caregiver experience, I knew I wanted to talk to her. Ritchie directs the Dementia Care Collaborative at Massachusetts General Hospital (MGH) and teaches at Harvard Medical School, and has been doing this research for decades. ... The caregivers are the heart of this story. Across the country there are more than 11 million other people like them, who continue to fill these difficult, precious, necessary roles. [Click on the title's link to continue reading this important article.]

Hospice of Savannah awarded grant for safety improvements NBC WSAV Savannah News, Savannah, GA; by Eric Dorsch; 1/27/25 Hospice of Savannah Inc. (HSI) has announced it has been awarded a grant for repairs and home modifications. HSI will receive $1,999,111 in Older Adults Home Modification Program grant funding to complete safety and functional home modifications and limited repairs in the primary residences of two hundred eligible homeowners and renters over age 62 with low income. The work aims to improve general safety, increase accessibility, reduce falls, and improve residents’ functional abilities in the home for their safe and successful aging in place. 

Transforming care: Spencer Health Solutions and Pharmerica partner to simplify medication management and improve lives The MarCom Journal, Morrisville, NC; by Leigh White, PharMerica and Daphne Earley, Spencer Health Solutions; 1/21/25In a move set to redefine how medication is managed, Spencer Health Solutions (SHS), a leader in innovative healthcare technology, and PharMerica, one of the nation’s largest and most trusted long-term care pharmacy services provider, are joining forces. This transformative partnership aims to make managing medications easier and more reliable for individuals with complex medication needs, senior living communities, and payers nationwide. ... Spencer Health Solutions (SHS) is dedicated to transforming medication management through innovative healthcare technology. ... PharMerica ... serves the long-term care, senior living, hospital, home infusion, hospice, behavioral, specialty and oncology pharmacy markets. 

DeKalb library to host memorial pillow workshops Jan. 25 Shaw Local News Network, Dekalb, IL; by Kate Santillan; 1/19/25 The DeKalb Public Library will partner with Northern Illinois Hospice to host two workshop sessions for patrons to create pillows out of a loved one’s shirt. ... Participants can create up to two pillows out of a T-shirt or button-down shirt. Seamsters will be available to assist. Attendees should not bring jackets, thick fabrics or denim. Bereavement support and information will be provided.Editor's note: Do you know that healing grief actually begins with "accepting realities" and its later, ongoing "Task of Mourning" is to develop "enduring connections" or "continuing bonds" with the person or thing that has been lost? [J. William Worden, Grief Counseling & Grief Therapy; 5 editions since 1982] Similar memorials have been created by other hospices using the deceased person's clothing (ie., teddy bears, etc.). This simple, practical method can be adapted easily, with years of meaningful connection and generations of storytelling ahead.

‘Those who have made death their life’ Part 2: Family The Daily Yonder - Keep It Rural; by Hannah Clark; 1/16/25 Hannah Clark spent six months riding along with the nurses and certified nursing assistants (CNAs) of Hearth Hospice who provide in-home care to those living in Northwest Georgia and Southeast Tennessee. These hospice workers often drive up to a hundred miles a day to visit a handful of patients scattered across the Appalachian landscape in both rural towns and urban centers. What will follow this introductory essay is her photo reportage in three parts, documenting what she has witnessed accompanying these caregivers. The intimate portraits and vignettes show tender moments at different stages towards the end of one’s life. Their beauty lies in the companionship Clark captured in moments of need and vulnerability. Editor's note: Click here for Part 1, which we posted 1/16/25. 

Knoxville nurses bring wedding to UT Medical Center for bride’s dying mother WATE Knoxville, TN; by Molly O'Brien; 1/15/25 Nurses on the Progressive Care Unit at UT Medical Center planned a wedding for one of their patient’s daughter. Samantha Barry and her now husband, Phillip Bastelica, were supposed to get married in a few months. Barry, like most daughters, always planned on her mother being at her wedding day. Her mother, Lynn, is battling a terminal illness and was recently released from the Progressive Care Unit to hospice. ... It seemed unlikely that Lynn would be able to attend the wedding planned for August, so Barry and Bastelica decided to move the day up. ... The nurses who cared for Lynn jumped into action to plan a wedding for Barry.

Home … where we all want to be The Journal; Dr. Sarah Phillips, Medical Director Hospice of the Panhandle; 1/12/25 Two days before Christmas, I arrived at the home of a patient who had been recently admitted to Hospice services. ... [Story of the patient being on a ventilator in a hospital.] This courageous and self-determined woman expressed the desire to be free from pain, suffering, and the complications and progression of her disease. Knowing that the ventilator was life-sustaining and essentially breathing for her, she made the decision to stop it. To ensure her comfort during discontinuation of the ventilator, the hospice team was present before, during, and after the procedure. Medications were used to ease shortness of breath, pain, and anxiety. ... “It’s a Wonderful Life” was playing on the TV, the Christmas tree was lit. I looked over and see the daughter wiping away her mother’s tears. Each reassured the other that everything will be OK and that they are at peace with this decision. As the medications took effect, the patient drifted off to sleep. The ventilator was stopped. Next, something happens that I will never forget. The daughter leans in and whispers to the patient, “Mom, the ventilator is off now, you are back in total control. This was profound to me on many levels. It certainly spoke to the power and importance of autonomy, the ability to make independent decisions that are aligned with one’s values and goals. ... Despite working in end-of-life care for over a decade, I still have these moments of being overwhelmed by the human spirit.

[Italy] Features of the nurse-patient relationship: Insights from a qualitative review using artificial intelligence interpretationCurrent Oncology; Elsa Vitale, Luana Conte, Roberto Lupo, Stefano Botti, Annarita Fanizzi, Raffaella Massafra, Giorgio De Nunzio; 12/24This qualitative literature review explored the intersection of art, creativity, and the nurse-patient relationship in the context of oncology nursing. It delved into the perceptions and reflections of nurses as captured by Generative Artificial Intelligence (GAI) analysis from two specialized nursing databases. The analysis revealed profound considerations regarding the role of nurses in oncology and palliative patient care. Nurses acknowledged the spiritual dimension through religious and spiritual practices, while emphasizing authentic presence and empathic communication. The insights from the GAI interpretation underscored the significance of empathy, creativity, and artistry in nurturing meaningful nurse-patient connections. 

[United Kingdom]  'My son died at 24 - now I'm doing his bucket list' BBC News; by Adam Eley and Alison Holt; 12/16/24 Alex Spencer's son Declan - who had Duchenne muscular dystrophy - died last year at the age of 24, and she admits she has still not gone a day without crying. "I think society has a misconception that a carer gets their life back [when a loved one dies]," she said. Declan had drawn up a bucket list but died before he could finish it. Now Alex, who wants to raise awareness of the difficulties disabled people face in getting the right care, is taking up the challenge - including visiting Paris, getting a tattoo Declan designed and taking his adapted van around a famous German race track.