Literature Review

Hospice facility “House of Goshen” opening in Flossmoor in April Crusader Staff; 3/29/24 House of Goshen has announced a dedication and ribbon-cutting ceremony for its new 14-bed, 14,000-square-foot inpatient Hospice House, scheduled for Thursday, April 11, at 4 p.m. The facility broke ground at 19810 Governors Highway in March 2023. The upcoming April ceremony marks a milestone in the organization’s commitment to enhancing end-of-life care in the Village of Flossmoor, Illinois. ... The new facility will operate under the umbrella of Oasis Hospice.

The Workforce Management Playbook: How Mercy is empowering nurses, saving premium labor costs + improving care Becker's Hospital Review in collaboration with Trusted Health; 3/29/24 At Becker’s 11th Annual CEO + CFO Roundtable, in a session sponsored by Trusted Health, two leaders from Mercy (St. Louis) — Cheryl Matejka, CFO, and Betty Jo Rocchio, DNP, senior vice president and system chief nursing officer — discussed how the right workforce management platform can help organizations redesign their staffing models in tune with nurses’ evolving needs, while saving costs and improving operational efficiency. In Mercy’s presentation to over roughly 100 hospital executives there were three major themes.

Palliative and hospice care in hospitals and clinics: the good, the bad, and the ugly MedPageToday's KevinMD.com; by Earl Stewart, Jr., MD and Miguel Villagra, MD; 4/1/24 I walk into the patient’s hospital room during evening rounds. He looks pale and tired, having recently completed a round of chemotherapy for his stage IV pancreatic cancer. His wife is at the bedside, scared and concerned about her husband’s rapid decline. I sit down to discuss goals of care when the patient immediately says, “I can’t do this anymore.” His wife responds immediately to the patient: “Of course you can.” ...

“Personhood,” not “Patienthood”:  Tips on dignity-conserving practice in palliative careIAHPC, by Kim Adzich, MD; 4/1/24 One of Dame Cicely Saunders’ foundational tenets of palliative care is embodied in her words, “You matter because you are you, and you matter until the last moment of your life.” Dignity is the inherent worthiness of being human, of mattering until that last breath. But how do we ensure that we reflect that inherent dignity back to those in our care? Dr. Harvey Max Chochinov, having dedicated decades to researching and teaching dignity-conserving care, ... [offers] a few thoughts on how we can foster that sense of dignity and uniqueness in those we care for as they near the end of life. 

Autism & Grief Project helps autistic adults navigate death and lossCision PRWeb, by Autism & Grief Project; 4/1/24 Launched by the Hospice Foundation of America and supported by the NLM Family Foundation, the project bridges resource gaps for adults on the autism spectrum. The Autism & Grief Project is an online platform supporting autistic adults as they navigate the complexities of grief arising from death and loss. Visitors can access free resources for adults, their families, professional support providers, and clergy members: austismandgrief.org.

Cancer patients often want ‘one more round.’ Should doctors say no? The Washington Post, by Mikkael A. Sekeres, MD; 3/31/24 My patient was in his early 30s and his leukemia had returned again following yet another round of treatment. He was a poster child for the recently reported rise in cancer rates in the young, and had just asked me what chemotherapy cocktail I could devise for him next, to try to rid him of his cancer. I hesitated before answering. Oncologists are notorious for always being willing to recommend to our patients one more course of treatment, even when the chances of success are negligible.  

Interruptions: Bad for hospitalists and their patientsThe Hospitalist, by Larry Beresford; 4/1/24More than 10 years ago this magazine published an article by Winthrop Whitcomb, MD, MHM, a pioneer of hospital medicine and co-founder of the Society of Hospital Medicine, warning of the hazards of workflow interruptions for hospitalists, which he labeled a career satisfaction issue for clinicians but a safety and quality risk for their patients. A decade later, the problem has surely gotten worse as hospital financial pressures and staff shortfalls push caseloads higher and job stresses drive burnout and premature retirement for doctors who have been pulled in too many directions in their work. 

By failing to prepare, you're preparing to fail. - Benjamin Franklin

As home care workers unionize, key questions come into play for providers Home Health Care News, by Andrew Donlan; 3/29/24 Generally, employers aren’t thrilled at the idea of their workforces unionizing. In home-based care, that’s particularly the case.

UT Tyler School of Medicine receives $400k gift from anonymous donor [for hospice and palliative medicine fellowship] The Gilmer Mirror; 4/1/24The University of Texas at Tyler School of Medicine received a  $400,000 gift from an anonymous donor to support the hospice and palliative medicine  fellowship. The purpose of the gift is to retain physicians in the East Texas region. 

April 21-27, 2024 National Volunteer Week: NHPCO's outreach suggestions & recognition ideasNHPCO website, for April 21-27, 2024The U.S. hospice movement was founded by dedicated volunteers and volunteer commitment continues to be a core part of the Medicare Hospice Benefit today. This National Volunteer Week, April 21 – 27, 2024, we’re shining a light on the dedicated, compassionate volunteers who brighten the lives of the patients and families we collectively serve.Editor's Note: Download and use NHPCO's pdf for numerous In-Person Recognition Ideas and Virtual Recognition Ideas.

North Carolina restaurant fulfills woman’s dying wishABC News WGNO, by Raven Payne; 4/1/24It’s an act of kindness that cleared away a cloud of grief, crossing state lines. A North Carolina restaurant owner drove six hours to deliver what ended up being the last meal for a woman on her death bed. ... On her deathbed, Bowers had one last wish, a pork plate from Outer Banks restaurant Mama Kwans. But Simmons wondered how they could make it happen. After all, they lived six hours away in West Virginia.

Code status discussions; difficult but necessary The Hospitalist, by Mark Menet, MD, MPH; 4/1/24 I thought it was just where I practiced, but it turns out that, in the medical field, we’re really bad about having code discussions, which is a significant issue. When some of my patients revealed that no one had ever asked them about their code status before, I decided to conduct some research on this topic. It turns out that, at most, 41% of patients recall discussions about their code status, however, the 10.3% as documented by another study seems much more accurate.