Literature Review

Caregivers more financially burdened, less prepared for large emergency expensesMcKnight’s Senior LivingDecember 19, 2023Caregivers are more likely to be burdened by finances and less likely to be prepared than noncaregivers for large emergency expenses, according to data from the Employee Benefit Research Institute. ... The report noted that caregivers are predominantly women and minorities. They tend to be older, single workers as well, compared to the workforce at large. ... Still, according to the data, caregivers are more likely to find themselves in a pickle when emergency expenses arise, such as a costly prescription or a medical expense exceeding $5,000.

Largest nursing home in St. Louis closes suddenly, forcing out 170 residentsAssociated PressDecember 18, 2023St. Louis, MO—The largest skilled nursing facility in St. Louis has closed suddenly, forcing about 170 residents to be bused to other care centers. Many left with nothing but the clothes they were wearing. The abrupt shutdown of Northview Village Nursing Home on Friday came after workers learned they might not be paid and walked out, confusing residents and their relatives. Many family members gathered through the day Saturday outside the facility on the city’s north side. Some didn’t immediately know where their loved ones were taken. 

Family caregiving doesn’t always mean poor mental health, study findsMcKnight’s Long Term Care NewsDecember 15, 2023Caregiving may be stressful for some people, but it can have mental health benefits for others, according to a new study. The author said people should not automatically categorize caregiving as a chronic stressor and would like to see more balance in the way it’s portrayed. 

Study uncovers racial inequalities in hospice utilization, length of stayMcKnight’s Home Care DailyDecember 12, 2023Blacks and Hispanics are less likely to use hospice services, and those who do often have shorter lengths of stay than white patients, according to a new study published in JAMA Health Forum. ... Minority patients also generally experienced shorter hospice lengths of stay. Hispanic patients in particular were more than twice as likely to stay in hospice care for seven days or less, compared to the average white Medicaid beneficiary. Still, short length of stay was relatively common across the board at about 40%, which suggests “room for improvement in referring all Medicaid recipients to hospice earlier in the course of terminal illness,” the study’s authors wrote. As to possible reasons for these disparities, the researchers noted that language barriers, mistrust of hospice programs or cultural differences might be at play. But also, the inequity might also reflect “potential racial biases that affect who a physician is more likely to refer to hospice,” according to the study. Specific, targeted efforts to encourage hospice services for Medicaid and dual-eligible beneficiaries who show low rates of utilization may help to overcome these disparities.

Lessons in CaregivingBy Lisa B. SamalonisNext AvenueDecember 4, 2023... When my parents, in their late 70s, became ill with several chronic and terminal health ailments, my sisters and I worked to support them and honor their wishes to age in their home. ... Like many adult children and family friends new to this process, we were unaware of everything we did not know about the complexity of safely aging in place and the available resources. ... Often, coordination of care is very challenging. ... Being a vocal advocate can help your loved one immensely. ... Yet, taking care of oneself allows one to care for others.[Editor’s Note: The author is a writer and editor based in New Jersey. She writes about health, parenting, books and personal finance.]