Literature Review

MD Anderson’s Dr. Eduardo Bruera: Educate hospital execs on palliative care’s outcomes, cost savingsHospice News, by Audrie Martin; 1/22/24Dr. Eduardo Bruera is a true pioneer in the field of palliative care. ... In this interview, Palliative Care News sits down with Bruera to discuss the landscape of palliative care and what he sees for the future of the field.Publisher's note: If there's one article you click on, read in its entirety (2 min), and figure out how to implement in this issue - maybe in this month - perhaps this is it...

A study of how Americans die may improve their end of lifeMedical Xpress, by Rutgers University; 1/24/24A Rutgers Health analysis of millions of Medicare records has laid the groundwork for improving end-of-life care by demonstrating that nearly all older Americans follow one of nine trajectories in their last three years of life.

Evaluation of the Medicare Care Choices Model: Annual / Final reportCMMI Evaluation Digest, 1/25/24The six-year Medicare Care Choices Model (MCCM) tested whether offering eligible fee-for-service Medicare beneficiaries the option to receive supportive and palliative care services through hospice providers without forgoing payment for the treatment of their terminal conditions (which is required to enroll in the Medicare hospice benefit) improved beneficiaries’ quality of life and care, increased their satisfaction, and reduced Medicare expenditures.

A guide to paying for hospice care at homeMediaFeed.org, by Claire Samuels; 1/23/24 According to the Centers for Medicare & Medicaid Services, which sets benchmarks for hospice care costs based on the payments they make to providers, here’s what two types of in-home hospice care will cost in 2024’s fiscal year ... [Additional descriptions include insurance, Medicare, Medicaid, VA health care, private health insurance.]

Sunday NewslettersTop read stories of the last week (in order) is the focus of Sunday newsletters - enjoy!

A survey of state correctional health care providers on advance care planning: Opportunity for collaboration with correctionsAmerican Journal of Hospice and Palliative Medicine, by Susan O’Conner-Von, PhD, RN-BC, CNE, FNAP; Rebecca Shlafer, PhD, MPH; Paul Galchutt, MPH, MDiv, BCC; Sara Kettering, MPH; Ali Bouterse, BA; Rebecca Freese, MS; and Patricia Berry, PhD, APRN, CNP, FAAN; 1/27/24Prison populations are rapidly aging. Persons in prison age quicker and suffer more chronic illness and disability than their nonincarcerated peers, posing challenges to caring for prisoners who are chronically ill and dying. The goal of our study was to describe state prisons’ practices and policies addressing persons in prison with advanced chronic and life limiting illness through a national web-based survey of state-level prison health care professionals.

Place of care in the last three years of life for Medicare beneficiariesBMC Geriatrics, by Haiqun Lin, Irina B. Grafova, Anum Zafar, Soko Setoguchi, Jason Roy, Fred A. Kobylarz, Ethan A. Halm & Olga F. Jarrín; 1/25/24Most older adults prefer aging in place; however, patients with advanced illness often need institutional care. Understanding place of care trajectory patterns may inform patient-centered care planning and health policy decisions. The purpose of this study was to characterize place of care trajectories during the last three years of life.

Specialist palliative care use and end-of-life care in patients with metastatic cancerJournal of Pain and Symptom Management, by May Hua MD, MS; Ling Guo MS; Caleb Ing MD, MS; Deven Lackraj MPH; Shuang Wang PhD; R. Sean Morrison MD; 1/24/24For patients with advanced cancer, high intensity treatment at the end of life is measured as a reflection of the quality of care. Use of specialist palliative care has been promoted to improve care quality, but whether its use is associated with decreased treatment intensity on a population-level is unknown. On a population-level, use of specialist palliative care was associated with improved metrics for quality end-of-life care for patients dying with metastatic cancer, underscoring the importance of its integration into cancer care.

Healthcare contact days among older adults living with dementiaJournal of the American Geriatrics Society, by Emma D. Chant PhD; Christine S. Ritchie MD, MSPH; E. John Orav PhD; Ishani Ganguli MD, MPH; 1/23/24For older adults with dementia and their care partners, accessing health care outside the home involves substantial time, direct and indirect costs, and other burdens. While prior studies have estimated days spent by these individuals in or out of hospitals and nursing homes, ambulatory care burdens are likely substantial yet poorly understand. Therefore, we characterized “health care contact days”—days spent receiving ambulatory or institutional care—in this population. Older adults with dementia spent 31 days a year accessing care which was mostly ambulatory.Publisher's note: Also see Health care contact days among older adults in Traditional Medicare.

Saturday NewslettersResearch literature is the focus of Saturday newsletters - enjoy!

Alternative therapies for pain management in senior careMedCity News, by Bent Philipson; by 1/30/24Chronic pain, an enduring concern for many older adults, is no longer confined to the traditional realm of pharmaceuticals. While traditional pain management methods like medication were once the go-to approach, alternative therapies are emerging as a viable and holistic approach to addressing this issue.

Timely dementia diagnosis, specialized long-term care limited for members of minority groups: studyMcKnights Senior Living, by Kimberly Bonvissuto; 2/1/24Researchers from University of California-Davis Health and Oregon Health & Science University said that members of minority groups fall victim to systemic oppression that leads to a higher risk of hospitalization and more aggressive life-sustaining treatment in end-of-life care. Their research, published in Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association, analyzed 71 studies between 2000 and 2022 that examined healthcare access and quality for people living with dementia and their caregivers.

Nurses' encounters with patients having end-of-life dreams and visions in an acute care setting - A cross-sectional survey studyJ Adv Nurse, by Alison Hession, Tim Luckett, David Currow, Michael Barbato; 1/31/24Results: Fifty-seven nurses participated from a workforce of 169 (34% response rate), of whom 35 (61%) reported they had encountered end-of-life dreams and visions. The nature of end-of-life dreams and visions encountered was similar to those reported in previous studies by patients and clinicians. Nurses generally held positive attitudes towards end-of-life dreams and visions but identified an unmet need for education and training on this aspect of end-of-life care.Editor's Note: This research was in Australia, yet has global applications. For U.S. leaders, call on your chaplains, many of whom are trained pastoral counselors to sensitively support and explore patient's "dreams and visions," in non-manipulative ways.