Literature Review
Conversations today to empower tomorrow: VITAS Healthcare elevates National Healthcare Decisions Day
04/10/25 at 02:00 AMConversations today to empower tomorrow: VITAS Healthcare elevates National Healthcare Decisions Day VITAS Healthcare; Press Release; 4/7/25 Only one in three adults in the United States have a written advance directive, a document critical in providing guidance to medical teams regarding one’s end-of-life wishes. As a pioneer and national leader in hospice and palliative care, VITAS Healthcare advocates for National Healthcare Decisions Day (April 16) and advance care planning––regardless of a person’s age or health status.... On April 16, VITAS will host a free webinar, Advance Directives and Advanced Care Planning, exploring the history, application and types of advance directives. VITAS Regional Medical Director Heather Veeder, MD, will provide practical advice to help healthcare professionals engage in difficult but necessary conversations with patients and families/caregivers. [Continue reading ...]
What role do immigrants play in the direct long-term care workforce?
04/10/25 at 02:00 AMWhat role do immigrants play in the direct long-term care workforce? KFF; by Priya Chidambaram and Drishti Pillai; 4/2/25 President Trump has made a slew of immigration policy changes focused on restricting entry at the border and increasing interior enforcement efforts to support mass deportation. While these actions are focused on undocumented immigrants, they likely will have ripple effects across immigrants of all statuses and millions more people living in immigrant families. Mass deportations could negatively impact the U.S. economy and workforce, given the role immigrants play, particularly in certain industries. ...
Art meets history, grief, boots and landscapes at First Friday Artwalk
04/09/25 at 03:00 AMArt meets history, grief, boots and landscapes at First Friday Artwalk Steamboat Pilot & Today, Northwest Colorado; by John Componeschi; 4/3/25 April’s First Friday Artwalk will celebrate artistic diversity and storytelling, both of which form the framework of the Yampa Valley’s creative arts community. [Published 4/3/25, before Fri. 4/4/25] ... An emotionally powerful exhibit entitled “Good Grief” will open at the Depot Art Center, ... The works of Krystal Mackey will be presented in partnership with Northwest Colorado Health’s Hospice program. Mackey, who has a background in design and architecture, created the series as an emotional coping outlet. Her pastel on sanded paper and digital drawing pieces offer the viewer an honest and vulnerable exploration of grief. Selected works were displayed during “Tuesdays with Morrie” at Perry-Mansfield in March. “Grief may be scary, sad and hard to look at,” said Mackey. “But it’s worth it.” Influenced by artists Chagall, Kandinsky, Warhol and Lichtenstein, Mackey’s style combines vibrant color with feeling- and grief-based introspection. The exhibit invites viewers to reflect on whether grief has affected them and if they would benefit from talking about their experiences with it.
Today's Encouragement: Whoever is careless with the truth in small matters ...
04/09/25 at 03:00 AMWhoever is careless with the truth in small matters cannot be trusted with important matters. ~ Albert Einstein
Transitions Hospice opens new location to expand service
04/09/25 at 03:00 AMTransitions Hospice opens new location to expand service WIFR News, Rockford, IL; by Anna Sieg; 4/4/25 Transitions Hospice cuts the ribbon on a new location as they expand their service area to Freeport, DeKalb and Sycamore. The new location was officially opened with a ribbon-cutting ceremony April 3 ... Transitions Hospice offers Palliative Care for patients with chronic illness in a home-based setting, and End of Life Care, to ensure “no one transitions alone,” according to their website. ... Transitions has five other locations, serving residents across Illinois. The expansion focuses on getting their services to rural residents who may not have hospice care as easily accessible, ... [Continue reading ...]
Senior living demand hits all-time high: NIC
04/09/25 at 03:00 AMSenior living demand hits all-time high: NIC McKnights Senior Living; by Kimberly Bonvissuto; 4/3/25 The demand for senior living is at an all-time high, with the first quarter seeing a record number of occupied units, almost 621,000, the National Investment Center for Seniors Housing & Care said Thursday afternoon [4/3]. Senior living occupancy rates increased 0.3 percentage points to 87.4% in the first quarter, up from 87.1% in the fourth quarter of 2024, according to the latest NIC MAP Senior Housing Market Fundamentals report. Independent living occupancy rose to 89%, up from 88.6% in the fourth quarter, whereas assisted living rates increased to 85.8% compared with 85.5% in the fourth quarter.
Housing instability complicates end-of-life care for aging unhoused populations
04/09/25 at 03:00 AMHousing instability complicates end-of-life care for aging unhoused populations The Conversation; by Pilar Ingle, University of Denver; 4/7/25 Research estimates that one-third or more of the unhoused population in the U.S. is age 50 or older. Unhoused people of all ages face high rates of chronic and serious illness. They also die at younger ages compared with people who are not unhoused. Yet, there are few options for palliative and end-of-life care for unhoused people. ... In 2024, Colorado saw a 30% increase in the number of people experiencing homelessness from the year before. Nationally, 771,480 people — the highest number ever recorded — experienced homelessness last year. As the number of people experiencing homelessness in the U.S. grows, so too does the need for palliative and end-of-life care for these individuals. ... [Continue reading ...]
Most people pursue a toxic type of purpose in life—but if you do this instead, ‘there is no way to fail’
04/09/25 at 03:00 AMMost people pursue a toxic type of purpose in life—but if you do this instead, ‘there is no way to fail’ CNBC Make It; by Dr. Joran Grumet, contributor/hospice medical director; 4/4/25 It took me many years and quite a bit of emotional heartache to realize a life-changing fact: When it comes to purpose, bigger is not better. Most of our anxiety stems from what I call “big P” Purpose, which is overly focused on the outcome or destination. ... [Dr. Grumet describes what he calls "big P" Purpose vs. "little P" Purpose.] I’ve found that most people end up pursuing the former, toxic type of purpose. It’s the easiest kind to choose, because it means meeting society’s expectations and following in the footsteps of the herd. The harder decision by far is to do the internal work to discover what really lights you up — and find a way to pursue it in the world. This all takes effort, but it’s worth it. ... Little P purpose embraces an abundance mentality. There is room for everyone — I mean everyone — to pursue that which brings them inner joy and happiness. This pursuit will never rely on whether someone else is succeeding or failing. ... [Continue reading ...]
Seeking human empathy, health insurers turn to AI
04/09/25 at 03:00 AMSeeking human empathy, health insurers turn to AI Modern Healthcare; by Nona Tepper; 3/27/25 When Florida Blue wanted its call center employees to demonstrate greater emotional intelligence when dealing with customers, the nonprofit health insurance company enlisted a tutor incapable of emotion. A generative artificial intelligence, or genAI, chatbot instructs 30 Florida Blue customer service representatives on how to behave like human beings when interacting with other human beings. The chatbot guides workers on human behaviors, such as when to slow their speech, when to hasten a call to its conclusion and what to recommend to policyholders. The company plans to expand this pilot program to its entire 1,600-person call center team this year. [Continue reading ... access may be limited]Editor's note: Is this backwards? What happened to human kindness? Courtesy and core respect? I am a lifelong lover of new technologies. Still, I am surprised at this seemingly-backwards twist. For whatever works, may we learn and grow in "[behaving] like human beings when interacting with other human beings."
Global study finds 1 in 5 people with dementia receive no care
04/09/25 at 03:00 AMGlobal study finds 1 in 5 people with dementia receive no care McKnights Long-Term Care News; by Donna Shryer; 4/7/25 A comprehensive global study led by Yale School of Public Health researchers has revealed that at least 20% of people living with dementia receive no care helping them with daily living, regardless of their country’s wealth or development status. As the world’s population rapidly ages, this alarming care gap has persisted for years, creating what researchers describe as “a public health crisis.” The study analyzed data from over 10,000 individuals across the United States, England, 18 European nations, Israel and China. [Continue reading ...]
Home care aides largest occupation in US as of last May, BLS reports
04/09/25 at 03:00 AMHome care aides largest occupation in US as of last May, BLS reports McKnights Home Care; by Adam Healy; 4/7/25 As of May 2024, home health and personal care aides made up the largest single occupation in the US with 4 million workers, according to the Bureau of Labor Statistics’ Occupational Employment and Wages Summary report released Wednesday. The next highest groups were retail salespeople and fast food counter workers, which each had 3.8 million. Registered nurses also were among the top 10 largest US occupations, and they were one of only two top 10 workforces that earned above-average wages. RNs’ average salary in May 2024 was just over $98,000. Meanwhile, home health and personal care aides earned an average yearly salary of $35,000, or about $17 per hour.
2 nursing staff practices tied to safety risks: Study
04/09/25 at 03:00 AM2 nursing staff practices tied to safety risks: Study Becker's Clinical Leadership, Washington, DC; by Mariah Taylor; 4/3/25 Washington, D.C.-based George Washington University and Premier researchers found overreliance on agency nurses and nurse overtime was associated with lower patient safety. The study, published April 2 in JAMA Network Open, analyzed data on quality measures for pressure ulcers and nurse staff overtime and agency use from 70 U.S. hospitals from January 2019 through December 2022. Researchers found that nearly half of the hospitals in the study utilized more nurse overtime and agency hours than was safe. The average hours exceeding safe thresholds for agency staff reached 140% and 63.6% for nurse overtime. Overuse of agency nurses and overtime hours was associated with increased rates of pressure ulcers. [Continue reading ...]
Helios Care gets major grant for palliative care program
04/09/25 at 03:00 AMHelios Care gets major grant for palliative care program ALLOTSEGO, Oneonta, NY; Press Release; 4/3/25 Helios Care has received a grant of $195,000.00 from the Mother Cabrini Health Foundation to support its Choices Program, officials announced on Friday, February 14. According to a media release, the Choices Program, which supports patients in Delaware, Otsego, and Schoharie counties, was created to bring in-home palliative care services to older adults who are facing a serious illness. ... “Choices has evolved thanks to the longstanding relationship between Helios Care and the Mother Cabrini Health Foundation,” said Kelly McGraw, who played a key role in launching and developing this program at Helios Care. “With this grant, Choices brings in-home person-centered care to patients, addressing their emotional, social, and physical needs.” [Continue reading ...]
A dying wish: Man with terminal cancer travels to volunteer in all 50 states
04/09/25 at 03:00 AMA dying wish: Man with terminal cancer travels to volunteer in all 50 states ABC-7 News, Bay Area, CA; by 4/6/25 When Doug Ruch was told he had just 12 to 18 months to live, he didn't choose to stay home. Instead, he hit the road - on a mission to help as many people as possible while he still can. "I thought to myself, I have two choices. I can sit at home and wait to die, or I can go out and live," he told ABC7 News. [Continue reading ...] Editor's note: For more, visit Doug's website, www.dyingtoserve.com.
Leaders’ past experiences bring fresh perspectives to home-based care
04/09/25 at 03:00 AMLeaders’ past experiences bring fresh perspectives to home-based care Home Health Care News; by Joyce Famakinwa; 4/2/25 ... Home Instead isn’t the only home-based care company that has an eye for recruiting and leveraging outside talent. Multiple home-based care C-suite executives began their careers outside of health care and are now leveraging these past experiences to bring fresh ideas and strategies to their operations. Finance, journalism and fast food corporations are just a few examples of the industries that line the resumes of home-based care’s top executives. Home Health Care News heard from four home-based care executives and leaders who detailed their experiences working outside of health care, and the lessons they brought with them to benefit the industry. ...
Leaders on leadership: 10 valuable lessons that will make you think
04/09/25 at 03:00 AMLeaders on leadership: 10 valuable lessons that will make you think Forbes; by Esther K. Choy; 3/6/25 In the last eight years as a Forbes columnist, I have interviewed leaders who have shared a great deal of insights on successful leadership. Here are 10 quotes on leadership that illuminate the concrete actions that successful leaders "do," not just "think" or "believe." These quotations are from leaders with a variety of backgrounds and business sectors — tech, finance, design, education, and research — but one thing that rings true through all their perspectives — successful leadership is about connection. [Quotes address these themes:]
10 healthiest, unhealthiest cities in 2025
04/09/25 at 02:00 AM10 healthiest, unhealthiest cities in 2025 Becker's Hospital Review; by Mariah Taylor; 3/31/25 San Francisco is the healthiest city in the U.S. while Brownsville, Texas, is the unhealthiest city, WalletHub found. WalletHub compared 182 cities, including the 150 most populated cities in the U.S. plus at least two of the most populated cities in each state, across four dimensions: healthcare, food, fitness and green space. ...
Nurse honor guard hoping to grow in South Dakota
04/08/25 at 03:15 AMNurse honor guard hoping to grow in South Dakota Sisseton Courier, Sisston, SD; by Brenner Cariveau; 4/4/25Nurse Honor Guard is a national organization which aims to honor the life of a nurse in funeral services. Traveling home, health and hospice nurse Laura Frankenhoff said the ceremonies help highlight the career of the nurses and is a way to ensure they are recognized for the work they have done as a nurse. Nurse Honor Guard has been performing ceremonies to honor the lives of nurses nationwide since their inception in the 1980s, Frankenhoff said. Regarding the honor guard, the base is made up of volunteers, according to Frankenhoff. "It's a volunteer chapter. You can make a chapter anywhere." Editor's note: Especially for pioneer hospice organizations--typically non-profits but definitely not all--do you honor those who laid the foundations for the work you're able to do now? If not, how can you? While nurses are absolutely core, how might you also honor your aides, social workers, chaplains, grief counselors, executives, office staff, and others who invested their talents and years in hospice care? May we remember. May we humbly thank and honor them.
Trump administration continues to defend nursing home staffing mandate in court
04/08/25 at 03:00 AMTrump administration continues to defend nursing home staffing mandate in court McKnights Long-Term Care News; by Kimberly Marselas; 4/7/25 The federal government continues to defend a national nursing home staffing mandate in court, despite several members of the new presidential administration having expressed major concerns about the rule finalized in 2024. Department of Justice attorneys on Thursday again outlined their justification for the rule, telling the Eighth Circuit Court of Appeals that the Centers for Medicare & Medicaid Services did not exceed its legal authority in dictating 24-hour registered nurse coverage and 3.48 hours a day of direct patient care from every US skilled nursing facility.
Home hacks for geriatric dogs and cats
04/08/25 at 03:00 AMHome hacks for geriatric dogs and cats dvm360; by Tyler Carmack, DVM, CVA, CVFT, CHPV, CTPEP, CVPP; 4/4/25 As pets grow older, they encounter mobility, comfort, and overall well-being challenges that can significantly affect their quality of life. Anticipating and addressing these issues early can profoundly impact their later years. As a house call veterinarian dedicated to hospice and palliative care, the first thing I take note of when entering a new home is all the challenges that the patient faces to simply navigate their daily routine. Often, families are aware of some of these difficulties, but others often go overlooked or unnoticed. ... Here are some valuable "home hacks" to share with clients, ensuring their aging dogs and cats enjoy improved day-to-day comfort. ...
Today's Encouragement: The scars you share become ...
04/08/25 at 03:00 AMThe scars you share become lighthouses for other people who are headed for the same rocks you hit. ~ Jon Acuff
Build sustainable schedules to support physician well-being
04/08/25 at 03:00 AMBuild sustainable schedules to support physician well-beingAmerican Medical Association (AMA) - Physician Health; by Sara Berg, MS; 4/1/25Physician schedules often fail to block off the time required to complete nonpatient-facing tasks such as clinical documentation, patient messages and chart review. If this hidden time were accounted for, doctors could show that they have vastly reduced patient availability, given the amount of time that is required to complete these nonclinical tasks. ”Rather than reduce patients’ access to a doctor by blocking their schedules, it makes much more sense to delegate various tasks,” said R. John Sawyer, PhD, a neuropsychologist at Ochsner Health. [Continue reading ...]
Strong social connections improve older adults’ well-being regardless of setting, study finds
04/08/25 at 03:00 AMStrong social connections improve older adults’ well-being regardless of setting, study finds McKnights Long-Term Care News; by Donna Shryer; 4/7/25 Social connections, trust in others in their community and community cohesion significantly improve elderly well-being whether seniors live at home or in nursing facilities, according to a new comparative study published in BMC Public Health. However, researchers found that nursing home residents generally reported lower subjective well-being compared to their community-dwelling counterparts, even after accounting for health status and demographic factors. ... According to the authors, these findings “indicate the necessity for tailored interventions that address the unique needs of each care environment to promote healthier aging experiences. [Continue reading ...]
National Volunteer Week - April 20-26, 2025
04/08/25 at 03:00 AMNational Volunteer Week - April 20-26, 2025 National Volunteer Week is celebrated annually during the third week of April and this year it will be observed from April 20 to 26. This week-long celebration is about placing a spotlight on inspiring figures whose invaluable seeds of kindness through volunteering are bettering the community and our world in general. This significant celebration which was established in 1974 provides the perfect opportunity to say thank you. It also challenges us to do better and look for ways to be active participants, joining hands to impact our local communities and calling for more support. [Continue reading ...]
How unexpected empathy for the incarcerated inspired the Bonnie Raitt ballad she found difficult to sing
04/08/25 at 03:00 AMHow unexpected empathy for the incarcerated inspired the Bonnie Raitt ballad she found difficult to singAmerican Songwriter; by Tina Benitez-Eves; 4/3/25 Bonnie Raitt was moved to tears by a story she read in The New York Times Magazine in May of 2018. The article spotlighted a prison hospice program in Vacaville, California, where inmates work as caregivers for fellow terminal convicts. Raitt was surprised by her reaction to the intimate photographs and stories of volunteers devoting their time to those incarcerated at the end of their lives and began writing a story about some of the people who weren’t forgotten at the end of their lives, despite their crimes. [From] “Down the Hall” ...: I asked if they let family in / She said not really at the end / Truth is a lot don’t have someone, no friends or next of kin / The thought of those guys going out alone, it hit me somewhere deep / I asked could go sit with them, for some comfort and relief. [Continue reading ...]