Literature Review
Tele-palliative care benefits veterans with cardiac, pulmonary diseases
03/28/24 at 03:00 AMTele-palliative care benefits veterans with cardiac, pulmonary diseases Hospice News, by Jim Parker; 3/26/24 Patients with cardiac and pulmonary conditions see improvements in their quality of life after receiving palliative care via telehealth. A randomized clinical trial with 306 participants who suffered from chronic obstructive pulmonary disease (COPD), heart failure (HF), and interstitial lung disease (ILD) found that palliative telehealth resulted in significant improvements. The results were published in the Journal of the American Medical Association.
Hosparus affiliate opens $11 million PACE Center
03/28/24 at 03:00 AMHosparus affiliate opens $11 million PACE Center Louisville Business First, by Shea Van Hoy; 3/26/24 Care Guide Partners, an affiliate of Hosparus Health, has opened the PACE center ... in Elizabethtown, KY. Care Guide Partners' PACE required $11 million in startup costs, with $3 million to come from fundraising and donor support. The Schmidt Family Foundation’s naming opportunity contribution marks a significant milestone in helping reach this fundraising goal.
Private equity more common in Massachusetts health care
03/28/24 at 03:00 AMPrivate equity more common in Massachusetts health care: Steward crisis has state on hunt for possible legislative response 22 News WWLP.com; by Ashley Shook, Alison Kuznitz, Chirs Lisinski; 3/26/24 The pressure points inflicted by private equity ownership in health care extend far beyond Steward Health Care, and lawmakers have a long menu of policy reforms they can consider to erect new guardrails in a changing environment, experts said Monday. Pushed into public-facing action after a long-simmering financial crisis at Steward burst into public view this year, lawmakers convened a public hearing to explore how deeply private equity has taken root in the Bay State’s health care system and what policymakers should do to prevent harm to patient care.
A nurse practitioner-driven palliative and supportive care service in nursing homes: Evaluation of a quality improvement project
03/28/24 at 03:00 AMA nurse practitioner-driven palliative and supportive care service in nursing homes: Evaluation of a quality improvement projectJournal of Hospice & Palliative Nursing; by Joan G Carpenter, Julianne Murthi, Molly Langford, Ruth Palan Lopez; 3/26/24, online ahead of print This article describes a quality improvement project implemented by a national postacute long-term care organization aimed at enhancing the provision of palliative care to nursing home residents. ... Most common symptoms that were managed included pain, delirium, and dyspnea; most common diagnoses cared for were dementia and chronic organ failure (eg, cardiac, lung, renal, and neurological diseases).
Social Work Awareness Month: A spotlight of AOSW
03/28/24 at 03:00 AMSocial Work Awareness Month: A spotlight of AOSW Association of Cancer Care Centers (ACCC); ACCBuzz Interview with Michael L. Grignon, AOSW President; 3/26/24AOSW is the world’s largest professional organization entirely dedicated to the psychosocial care of people affected by cancer. ... In recognition of March as Social Work Month, ACCCBuzz spoke with AOSW president Michael L. Grignon, LMSW, CCM, MBA, about the importance of oncology social workers, and his vision for the Association during his tenure. ... Why is recognizing Social Work Month important? ...
Here’s what a doctor says actually happens when you die
03/28/24 at 03:00 AMHere’s what a doctor says actually happens when you die United Business Journal, by Nidhi Dhote; 3/26/24Death is the great equalizer; it’s a subject that intrigues and terrifies us in equal measure. Throughout human history, we’ve pondered what lies beyond the threshold of life, seeking answers in religion, philosophy, and science. Yet, despite all our advancements, the mystery of death remains largely intact. ... In this article, we’ll delve into what happens to our bodies when we die, as explained by medical professionals.
Palliative care in the cardiovascular intensive care unit: A systematic review of current literature
03/28/24 at 03:00 AMPalliative care in the cardiovascular intensive care unit: A systematic review of current literatureCardiovascular Revascularization Medicine, by Agastya D Belur, Aryan Mehta, Mridul Bansal, Patrick M Wieruszewski, Rachna Kataria, Marwan Saad, Annaliese Clancy, Daniel J Levine, Neel R Sodha, Douglas M Burtt, Gregory S Rachu, J Dawn Abbott, Saraschandra Vallabhajosyula; 3/24/24, online ahead of print Results: Of 5711 citations, 30 studies were included. All studies were published in the last seven years and 90 % originated in the United States. Heart failure was the most frequent diagnosis (47 %), and in-hospital mortality was reported in 67 % of studies. There was heterogeneity in the timing, frequency, and background of the care team that determined palliative care consultation. In two randomized trials, there appeared to be improvement in quality of life without an impact on mortality.
Today's Encouragement: "Basketball ..."
03/28/24 at 03:00 AMBasketball doesn't build character, it reveals it. - James Naismith, Coach University of Kansas Jayhawks (1898-1907)
Community convening aims to guide solutions to inequities in caregiving
03/28/24 at 03:00 AMCommunity convening aims to guide solutions to inequities in caregiving UMass Chan Medical School, by Susan E.W. Spencer; 3/26/24Jennifer Tjia, MD, MSCE, knows from her experience as a researcher and geriatrician how demanding the role of caregiver can be and how structural barriers impact patient outcomes. She wants to see research that drives solutions to health inequities. The second community convening of the Equity in Caregiving Project, a $3.8 million, five-year grant from the National Institutes of Health, which Dr. Tjia, professor of population & quantitative health sciences, co-leads, aims to advance the conversation about what challenges family and clinical caregivers of people with serious illness are experiencing.
Alzheimer’s deaths expected to grow and industry not prepared with workers, report shows
03/28/24 at 02:00 AMAlzheimer’s deaths expected to grow and industry not prepared with workers, report show Journal-News, by Samantha Wildow; 3/26/24The number of Alzheimer’s deaths in the U.S. more than doubled between 2000 and 2021, the Alzheimer’s Association says in its latest report, which details how about half of health care workers say their industry is not fully equipped to handle the growing population of people with dementia. ... Multiple factors play into why deaths to Alzheimer’s disease and other forms of dementia are increasing, including how the health care system is getting better at treating other things like heart disease and cancer, one local doctor said.
Harvard Thinking: Facing death with dignity
03/28/24 at 02:00 AMHarvard Thinking: Facing death with dignityThe Harvard Gazette, podcast and transcript; moderated by Samantha Laine Perfas; 3/27/24In podcast episode, a chaplain, a bioethicist, and a doctor talk about end-of-life care.
Hospice of Santa Barbara offers insights into family grieving
03/28/24 at 02:00 AMHospice of Santa Barbara offers insights into family grievingSanta Barbara Independent, by Hospice of Santa Barbara; 3/26/24Grieving the loss of a family member is a deeply intricate emotional journey. Shared bonds and histories make family grief especially unique. Family grief extends beyond the individual and intertwines with the collective fabric of shared experiences, roles and responsibilities. ... It is common for death to change the family dynamic. This can be a result of several factors, including age, relationship, role, difference in coping mechanisms, heightened stress and emotions, and unresolved family issues which can lead to the resurfacing of past grievances.Editor's Note: CMS Hospice COPs §418.3 defines: "Bereavement counseling means emotional, psychosocial, and spiritual support and services provided before and after the death of the patient to assist with issues related to grief, loss, and adjustment." The interdisciplinary team needs to understand individual and family grief, within the scope of their roles and responsibilities with family members.
Medical marijuana patients report lasting quality of life benefits
03/27/24 at 03:45 AMMedical marijuana patients report lasting quality of life benefits Forbes, by A.J. Herrington; 3/25/24 Medical marijuana patients report sustained improvements in quality of life, according to the results of a recently published study. ... The results showed that many of the patients experienced improvements in physical and social functioning, energy levels and emotional well-being within the first 30 days of using medical marijuana (MMJ). Patients also reported significant decreases in pain levels, fatigue and emotional limitations.
ND HHS launches program for relatives providing care
03/27/24 at 03:30 AM[Pediatrics] North Dakota Health and Human Services announces new pilot program CBS KX News, by Nathaniel House; 3/26/24 North Dakota Health and Human Services (HHS) has announced that family members who provide extraordinary care to either a child or adult enrolled in an eligible North Dakota (ND) Medicaid 1915(c) waiver may receive payments from the state through the new Family Paid Caregiver pilot program. State funding for the pilot program was approved from the passage of Senate Bill 2276 during the 2023 legislative session. Eligible ND Medicaid 1915(c) waivers include the Autism Spectrum Disorder Birth Through 17 Waiver, Children with Medically Fragile Needs Home and Community-Based Services Waiver, Children’s Hospice Home and Community-Based Services Waiver and the Traditional Individual with Intellectual Disabilities and Developmental Disabilities Home and Community-Based Services Waiver.
The grief you feel is real
03/27/24 at 03:00 AMThe grief you feel is realPsychology Today, by Rosemary K.M. Sword and Philip Zimbardo PhD; 3/25/24We might think grief is all the same. But there are many kinds. [This articles briefly identifies various kinds of grief, including the following:]
5 weeks of uncertainty: How the Change breach has unfolded
03/27/24 at 03:00 AM5 weeks of uncertainty: How the Change breach has unfolded Modern Healthcare, by Tim Broderick; 3/25/24 The healthcare industry is starting to play catch-up following a cyberattack on UnitedHealth Group’s Change Healthcare subsidiary nearly five weeks ago that forced the company to disconnect its vital everyday systems. Change Healthcare processes about 50% of medical claims and manages prior authorization requests and reimbursement processes. The unprecedented network outage has forced hospitals, nursing homes, pharmacies and other providers to scramble as they try to mitigate operational and financial challenges. ... Here's a closer look at the fallout from the Change Healthcare cyberattack.
Full-time Las Vegas hospice employees working 32-hours a week. How does the nation compare?
03/27/24 at 03:00 AMFull-time Las Vegas hospice employees working 32-hours a week. How does the nation compare? Fox 5 KVVU-TV, by Miles Friess and Nkiruka Azuka; 3/25/24Working four days a week, but getting paid for five. ... “This is a true four day work week,” said Owen Lawrie, one of the owners of Uplift Hospice.” It’s four [eight hour days], not four [ten hour days]. So it really is an extra 52 days off a year.” Uplift Hospice is a company that provides at-home hospice care. He says the schedule is not only beneficial to employees, but to their patients as well. “Because they are so appreciative of that extra day, the teamwork’s even better and then the quality of care just continues to be excellent,” he said.
Dr. Kevorkian was convicted of murder 25 years ago today: Examining the mixed legacy of a fighter for patient autonomy
03/27/24 at 03:00 AMDr. Kevorkian was convicted of murder 25 years ago today: Examining the mixed legacy of a fighter for patient autonomy Reason, by Jeffrey A. Singer; 3/26/24Today marks the 25th anniversary of Dr. Jack Kevorkian's conviction of second-degree murder for performing euthanasia on Thomas Youk, a Michigan man suffering from amyotrophic lateral sclerosis, or Lou Gehrig's Disease. ... Kevorkian, a medical pathologist, had been defying state laws by engaging in assisted suicide—he claimed to help more than 130 people die— often using machines. But this was different. Kevorkian was not assisting a suicide. Kevorkian videotaped himself injecting Youk with lethal chemicals. He was doing all the work. And despite having received Youk's informed consent, the Michigan Court considered it murder. ... Today, physician-assisted suicide is legal in 11 jurisdictions: California, Colorado, the District of Columbia, Hawaii, Montana, Maine, New Jersey, New Mexico, Oregon, Vermont, and Washington. ... Autonomous adults have the right to govern their bodies freely, provided they respect the equal rights of others. ... Active and passive euthanasia are grim exercises for physicians like me who decided to become doctors because we wanted to save lives. ... Editor's Note: Read more from this article that provides significant contexts for today's conflicts: historical, legal, medical, ethical, and geographical (USA and international) .
Today's Encouragement: Teamwork ...
03/27/24 at 03:00 AMTeamwork: Simply stated, it is less me and more we." - Anonymous
USF Health College of Nursing launches new Hospice and Palliative Care Graduate Certificate Program for nurses
03/27/24 at 03:00 AMUSF Health College of Nursing launches new Hospice and Palliative Care Graduate Certificate Program for nurses USF Health - University of South Florida; 3/25/24In response to the increasing need for skilled professionals in end-of-life care, USF Health College of Nursing has launched a graduate certificate program in Hospice and Palliative Care. This program will equip registered nurses with the education, training, and clinical hours required to take the Certified Hospice and Palliative Nurse (CHPN®) exam. The USF Health College of Nursing Hospice and Palliative Care Certificate is an online training program consisting of six courses taken over three semesters.
How CoxHealth flattened nurse turnover
03/27/24 at 03:00 AMHow CoxHealth flattened nurse turnover Becker's Health IT, by Naomi Diaz; 3/22/24 CoxHealth was able to reduce its turnover rate from around 25% to around 11%, which is more than a 50% decrease after its virtual nursing program was able to bring back the passion for its staff members. The Springfield, MO-based health system started its virtual nursing program after it was facing reduced staffing levels after the COVID-19 pandemic.
Palliative care improves quality of life for bone marrow transplant patients
03/27/24 at 03:00 AMPalliative care improves quality of life for bone marrow transplant patients Duke Health News & Media, by Alexis Porter; 3/25/24 ... Researchers tested the effectiveness of an integrated palliative care intervention across diverse settings. They enrolled 360 adults undergoing bone marrow transplants at three academic medical centers, including Duke University Hospital, Massachusetts General Hospital and the Fred Hutch Cancer Center at the University of Washington. ... Patients receiving the palliative care intervention reported better quality of life, defined by the degree to which an individual is healthy, comfortable, and able to participate in life events. They also had lower depression, PTSD and fatigue symptoms compared to those receiving usual care.
Nearly half of health systems are considering dropping Medicare Advantage plans
03/27/24 at 03:00 AMNearly half of health systems are considering dropping Medicare Advantage plans Becker's Hospital CFO Report, by Andrew Cass; 3/22/24 ... "HFMA Health System CFO Pain Points Study 2024" is based on a survey of 135 health system CFOs conducted in January. According to the report, 16% of health systems are planning to stop accepting one or more Medicare Advantage plans in the next two years. Another 45% said they are considering the same but have not made a final decision.
Eisenhower Health purchases Neuro Vitality Center in Palm Springs [for new PACE Center]
03/27/24 at 03:00 AMEisenhower Health purchases Neuro Vitality Center in Palm Springs [for new PACE Center] InvestorsObserver, PR Newswire; 3/25/24Made possible through generous philanthropic support, Eisenhower Health has purchased the Neuro Vitality Center (formerly the Stroke Recovery Center). In partnership with Los Angeles Jewish Health (LAJHealth), Eisenhower will provide a Program of All-Inclusive Care for the Elderly (PACE) at the former Neuro Vitality Center location. After a renovation, the site is expected to open with a new name and focus in the next 12 to 18 months. "Eisenhower Health is committed to addressing the long-term health care needs for low-income seniors through this new Center and PACE program," says Martin Massiello, President and Chief Executive Officer, Eisenhower Health.