Literature Review
The state of paid sick leave: 6 notes
05/14/24 at 03:00 AMThe state of paid sick leave: 6 notes Becker's Hospital Review; by Kelly Gooch; 5/9/24 Paid sick leave has expanded across the U.S. as more states pass laws related to the issue. Here are six notes about the efforts: ... [Click on the title's link for details.]
Two documentaries could bring attention, not all of it wanted
05/14/24 at 03:00 AMTwo documentaries could bring attention, not all of it wantedMcKnights Senior Living - Editors' Columns; by Lois A. Bowers; 5/13/24 The past couple of weeks have brought news of two upcoming documentaries that promise to shine a spotlight on senior living, warts and all. One, “Caregiving,” will focus on professional and family caregivers “as the United States’ long-term care system threatens to tip into crisis,” according to public media station WETA. The two-hour film will debut on PBS in spring 2025. No doubt the project will draw attention because one of the executive producers is Bradley Cooper, who was a caregiver to his late father when he had lung cancer. "That was a wake-up call for me, ..." he said ... Another project premieres sooner — [today 5/14], in fact — on Paramount+. Whereas “Caregiving” includes someone famous, “Pillowcase Murders” centers on someone infamous, at least to the readers of McKnight’s Senior Living. The three-part docuseries is about the actions of convicted killer Billy Chemirmir, who was sentenced for two murders and suspected in the deaths of more than two dozen older adults in Texas, most of whom were women residents of senior living communities.
Why Walmart’s exit from healthcare is a wake-up call to providers
05/14/24 at 03:00 AMWhy Walmart’s exit from healthcare is a wake-up call to providers Modern Healthcare; by Marty Bonick; 5/10/24 Marty Bonick is president and CEO of Nashville, Tennessee-based Ardent Health. Try healthcare, they said. It will be easy. There's so much to improve, they said. We can do it better. While "they" — the retailers and disruptors once keen to transform healthcare — weren't completely wrong, there's no doubt this thinking has shifted in recent months. ... Walmart's decision to shutter its health clinics and virtual care services is the latest high-profile exit in the retail health sector. Already this year, Walgreens has announced plans to close 160 VillageMD clinics while Amazon cut jobs within its One Medical unit and Optum is closing its telehealth business.
Treasury extends Medicare insolvency date, citing savings from home health
05/14/24 at 03:00 AMTreasury extends Medicare insolvency date, citing savings from home health McKnights Home Care; by Adam Healy; 5/13/24 Medicare insolvency received a five-year extension — and part of the reprieve can be attributed to the cost of home health. Myriad factors, including job growth and low unemployment rate, contributed to the extension. The projections were also partly influenced by home health spending which has been “significantly lower than estimated prior to the pandemic,” according to the Social Security and Medicare Trustees report. “As a result of the recent home health staffing shortages, the trustees continue to consider the spending level for this service to be suppressed,” they said in the report. “Thus, they have increased their home health spending growth factor by 2.9 percentage points in each of the next 3 years.”
African Palliative Care Association: Annual Report 2022-2023
05/14/24 at 03:00 AMAfrican Palliative Care Association: Annual Report 2022-2023African Palliative Care Association; 5/10/24 View and download the APCA Atlas of Palliative Care in Africa. It includes the following 5 "Impact Areas":
Design and death: palliative care needs more creativity
05/14/24 at 03:00 AMDesign and death: palliative care needs more creativity AAP - Australian Associated Press; by Cassandra Morgan; 5/10/24 At the Caritas Christi palliative care unit, "homeliness" is sprawling crayon lines and scribbled messages of "get well soon", drawn by children in its arts room. It's the sense of quiet, the soft carpet underfoot, and the ability for patients to simply open a window, or walk outside their rooms and touch a tree or feel the soil. Architectural expert Rebecca McLaughlan says homeliness is more about what a space allows people to do than how it looks. ... "In subtle ways, these facilities do affect the quality of time and the quantity of time that people spend with their loved ones." ... The researcher is among experts advocating for greater design innovation in the palliative care sector - a concept often dismissed as incongruous with the reality of evolving health and safety regulations.
A narrative review of risk mitigation strategies in the management of opioids for chronic pain and palliative care in older adults: Interprofessional collaboration with the pharmacist
05/14/24 at 03:00 AMA narrative review of risk mitigation strategies in the management of opioids for chronic pain and palliative care in older adults: interprofessional collaboration with the pharmacist Annals of Palliative Medicine; by Insaf Mohammad, Candice L Garwood, Lisa Binns-Emerick Key content and findings: A variety of risk mitigation strategies to improve safety for older adults using opioids exist. They include risk assessment, tapering opioids, reducing high-risk concomitant medications, utilizing non-opioid therapies, screening for and treatment of opioid use disorder (OUD), toxicology testing, co-prescribing naloxone, utilizing controlled substance agreements, reviewing prescription drug monitoring program data, prescriber and patient education, and collaboration with pharmacists and palliative care specialists.
Investing in employee engagement can add a competitive advantage
05/14/24 at 03:00 AMInvesting in employee engagement can add a competitive advantageHomeCare; by Jeffrey Knapp; 5/9/24You cannot pay people enough to care. But it is possible to attract and retain great talent and bring out the best in them by fully engaging employees in a shared purpose, giving them a sense that their work is worthwhile and that they are making a difference in the world. That is the culture effect on health care staffing. ... For leaders who want either to start building or to invest more in a culture infrastructure, do not forget these essential steps:
Around the nation: Steward Health Care puts hospitals up for sale following bankruptcy
05/14/24 at 03:00 AMAround the nation: Steward Health Care puts hospitals up for sale following bankruptcyAdvisory Board; 5/10/24Steward Health Care, which filed for chapter 11 bankruptcy on Monday, has placed all its 31 hospitals in the United States up for sale in hopes of finalizing transactions by the end of the summer to address its $9 billion debt, in today's bite-sized hospital and health industry news from Georgia, Illinois, and Texas.
Hospice pivotal to Enhabit’s growth strategy as a standalone company
05/14/24 at 02:00 AMHospice pivotal to Enhabit’s growth strategy as a standalone company Hospice News; by Holly Vossel; 5/9/24Hospice will remain a core piece of Enhabit Inc.’s (NYSE: EHAB) strategic growth plans following its recent announcements to remain a standalone business. The company was mum about its strategic decision not to sell in Thursday’s earnings call, but executives elaborated on its home health and hospice focal points.
Vitas Healthcare names four leaders to its executive team: Melad, Escueta, Dr. Loftis, Durkin
05/14/24 at 02:00 AMVitas Healthcare names four leaders to its executive team: Melad, Escueta, Dr. Loftis, DurkinInvestorsObserver; 5/13/24Vitas Healthcare proudly announces the addition of four new leaders to its executive management team, including the promotions of Jennifer Melad, Martin Escueta and Lauren Loftis, MD. The hospice company also welcomes Vicky Durkin as its latest newly hired executive. Healthcare proudly announces the addition of four new leaders to its executive management team, including the promotions of Jennifer Melad, Martin Escueta and Lauren Loftis, MD. The hospice company also welcomes Vicky Durkin as its latest newly hired executive.
Sharp Hospicecare breaks ground on Moore Mountainview Hospice in Poway
05/13/24 at 03:30 AMSharp Hospicecare breaks ground on Moore Mountainview Hospice in Poway East County Magazine (CA); 5/9/24 Sharp HospiceCare broke ground on the Moore MountainView Hospice Home in Poway Tuesday, marking the introduction of its fourth hospice residence within San Diego County. Slated to open in early 2025, this homelike facility is designed to provide comfort and specialized care to patients and their families. ... The Moore MountainView Hospice Home is named in recognition of a significant donation from Lori Moore, registered nurse, and her family, founders of the Cushman Foundation. Five generations of the Cushman family have been instrumental in volunteer leadership and philanthropy since the founding of Sharp HealthCare. This enduring legacy continues to impact numerous lives and now extends to Sharp HospiceCare.
Nurse Practitioner care, scope of practice, and end-of-life outcomes for nursing home residents with dementia
05/13/24 at 03:30 AMNurse Practitioner care, scope of practice, and end-of-life outcomes for nursing home residents with dementia JAMA Health Forum - JAMA Network; by Cyrus M. Kosar, PhD; Bishnu B. Thapa, MPA, PhD; Ulrike Muench, RN, PhD; Christopher Santostefano, RN, MPH; Emily A. Gadbois, PhD; Hyesung Oh, MA, MBA; Pedro L. Gozalo, PhD; Momotazur Rahman, PhD; Elizabeth M. White, APRN, PhD; 5/10/24 Question: Is nurse practitioner (NP) care associated with end-of-life outcomes for nursing home residents with Alzheimer disease and related dementias (ADRD), and do these associations differ between states with full vs restrictive NP scope of practice regulations? Findings: The results of this cohort study including 334 618 US nursing home residents with ADRD indicated that decedents with greater NP involvement at end of life had fewer hospitalizations and higher hospice use. The adjusted differences in outcomes between decedents with extensive vs minimal NP care were larger in states with full scope of practice regulations than in states with restrictive regulations.
Congresswoman Ayanna Pressley and activist Denella Clark join forces to help women giving care to terminally ill loved ones
05/13/24 at 03:00 AMCongresswoman Ayanna Pressley and activist Denella Clark join forces to help women giving care to terminally ill loved ones MSN / The Boston Globe; by Adrian Walker; 5/11/24 Ayanna Pressley and Denella James Clark are sisters in a sorority no one wants to join. The congresswoman and the educator-activist are both women who have lost their mothers. Or, more precisely, women who have shared the experience of being principal caregivers to mothers who are terminally ill. ... As they supported each other in the process of grieving, Pressley and Clark thought of the many people — especially the many women — who act as caregivers to their loved ones in the final stages of their lives. So this Mother’s Day Weekend they are launching the Pressley-James Lovin’ Gestures Fund, which will provide financial help to people providing care to terminally ill close relatives. ...
Top ten tips palliative care clinicians should know about the psychiatric manifestations of nonpsychiatric serious illness and treatments
05/13/24 at 03:00 AMTop ten tips palliative care clinicians should know about the psychiatric manifestations of nonpsychiatric serious illness and treatments Journal of Palliative Medicine; by Gregg A Robbins-Welty, Paul A Riordan, Daniel Shalev, Danielle Chammas, Paul Noufi, Keri O Brenner, Joshua Briscoe, William E Rosa, Jason A Webb; 5/10/24... Among patients receiving palliative care (PC), psychiatric comorbidities are common and impact patient quality of life. ... This article, created collaboratively with a team of psychiatric-palliative care experts, is the second in a two-part series examining the bidirectional relationship between medical and psychiatric illness in PC. This article explores 10 prevalent psychiatric manifestations associated with severe illness and its treatment. [Additional access requires journal subscription or additional payment]
Can virtual reality help ease the end of life?
05/13/24 at 03:00 AMCan virtual reality help ease the end of life? MDLinx; Originally published on Université de Montréal News; 5/10/24 A sunny beach under an azure sky in Mexico, a bustling market in Reykjavik, a sparkling lake in Quebec’s Laurentians, a string quartet playing Bach… What if we could offer individuals in palliative care a whole range of peaceful, familiar or exhilarating experiences that they could enjoy from the comfort of their chair? What if such experiences could not only allow them to travel, discover, explore and relax, but also decrease their anxiety and physical pain? Neuropsychologist Jhon Alexander Moreno, a professor in Université de Montréal’s Department of Psychology and a researcher at the Montreal University Institute of Geriatrics Research Centre, decided to take up the challenge.
Planning ahead: How Medicare services at home differ from at-home Medicaid
05/13/24 at 03:00 AMPlanning ahead: How Medicare services at home differ from at-home Medicaid The Mercury; by Janet Colliton; 5/10/24 When asked how they would like to receive long-term care services many consumers, probably most, indicate they would like to receive them at home. Expectations for extensive help at home with government support often exceed what is available and this, considering shortages in available health care workers and limited funding is likely to continue. However, knowing the differences between what is offered under Medicare versus Medicaid is extremely helpful. ... [Click on the title's link for practical, user-friendly descriptions of Medicare versus Medicaid at home, for short term rehab, hospice, and more.]
WSNA files unfair labor practice charge against PeaceHealth Southwest after 14 bargaining sessions
05/13/24 at 03:00 AMWSNA files unfair labor practice charge against PeaceHealth Southwest after 14 bargaining sessions WSNA - Washington State Nurses Association; 5/9/24 After 14 negotiation sessions for a new contract, WSNA filed unfair labor practice charges against PeaceHealth Southwest Medical Center on behalf of the 1,465 nurses the association represents at the facility. Nearly four months after bargaining began, the parties remain far apart on core contract issues like wages, sick leave benefits, and workplace violence prevention. Their previous contract expired on Feb. 28, 2024. ... One of the key issues over which PeaceHealth Southwest has refused to compromise is pay equity for home health and hospice nurses in the bargaining unit. ... PeaceHealth’s proposal would put home health and hospice nurses up to 5% behind their coworkers working at the hospital.
Racial disparities in hospitalization outcomes among women with metastatic breast cancer in the United States by palliative care utilization
05/13/24 at 03:00 AM60 racial disparities in hospitalization outcomes among women With metastatic breast cancer in the United States by palliative care utilizationCancer Network; by Debu Tripathy, MD; 5/10/24 Background: While studies have reported that members of racial and minority populations hospitalized with metastatic breast cancer (MBC) have lower palliative care use than non-Hispanic White women, disparities in hospital-associated outcomes among inpatients have not been explored in this population. We examined the racial disparities in hospitalization outcomes among adult women with a diagnosis of MBC, stratified by receipt of palliative care. Conclusions: Despite the improvement in palliative care use over the years, members of racial minority populations continue to have poorer outcomes. However, patients who are Black with MBC who received palliative care had similar in-hospital mortality and were less likely to be discharged to a facility when compared with their White counterparts.
Ridgewood author's book explores the mishaps and inspiration in caring for Mom full-time
05/13/24 at 03:00 AMRidgewood author's book explores the mishaps and inspiration in caring for Mom full-time Daily Record; by Marsha A. Stoltz; 5/10/24 How do you cope when the mother and child roles get reversed? In his book, "A Cup of Tea on the Commode," Ridgewood native Mark Porro recounts his 3½ years of caring for his 89-year-old mother, Genevieve, ... Porro was the least likely of Genevieve's six children to assume charge of her care ... "[A] sense of humor is necessary, no matter how dark," he said. Hence the book's title, a reference to serving his mother a cup of tea "to make Mom's adventures on the commode a tad more pleasant." ...
Today's Encouragement: My mother had a great deal of trouble with me ...
05/13/24 at 03:00 AM[Preface to Mother's Day 2025 ...] My mother had a great deal of trouble with me, but I think she enoyed it. - Mark Twain
At age 99, Jimmy Carter is still exercising his right to vote
05/13/24 at 03:00 AMAt age 99, Jimmy Carter is still exercising his right to vote Story by CNN and Atlanta News First; 5/10/24 Former President Jimmy Carter, age 99, is still exercising his right to vote. Carter’s grandson, Jason Carter, said the nation’s 39th president cast a mail-in ballot this week for the May 21 Georgia primary, emphasizing his grandfather is not going to miss an election. The former president entered hospice care more than a year ago in his hometown of Plains, Georgia. Since then he celebrated his 99th birthday last October and attended the annual Peanut Festival, which celebrates the region’s cash crop. He also mourned the loss of his wife, Rosalynn Carter, who died in November at the age of 96. To date, that has been Jimmy Carter’s last public appearance.
House Committee vote gives hope to extending telehealth, hospital at home waivers
05/13/24 at 03:00 AMHouse Committee vote gives hope to extending telehealth, hospital at home waivers Health Leaders; by Eric Wicklund; 5/9/24 The House Ways and Means Committee has voted to advance the Preserving Telehealth, Hospital and Ambulance Access Act (HR 8261), which would, among other things, continue pandemic-era Medicare waivers enacted by the Centers for Medicare and Medicaid Services (CMS) for telehealth access and coverage through 2026 and extend the CMS Acute Hospital Care at Home waiver for an additional five years, to the end of 2029.
Impact of implementing serious illness conversations across a comprehensive cancer center using an interdisciplinary approach
05/13/24 at 03:00 AMImpact of implementing serious illness conversations across a comprehensive cancer center using an interdisciplinary approach The American Journal of Hospice & Palliative Care; by Karen Guo, Garrett Wasp, Maxwell Vergo, Matthew Wilson, Megan M Holthoff, Madge E Buus-Frank, James J Perry, Amelia M Cullinan; 5/10/24Objectives: (1) Increase Serious Illness Conversation (SIC) use across oncology teams via an interdisciplinary quality improvement (QI) approach and (2) assess patient reported shared decision making (SDM) experiences with clinicians engaged in SIC implementation.Results: Oncology teams screened a total of 538 patients, identified 278 eligible patients, and completed 144 SIC conversations. The teams improved the proportion of documented SIC among eligible patients from near 0% to a collective frequency of 52%.
VA expands burial benefits for veterans
05/13/24 at 03:00 AMVA expands burial benefits for veterans VFW - Veterans of Foreign Wars; by Dave Spiva; 5/10/24The VA last year announced new burial allowance rates for veterans who have died in nonservice-related incidents since October. ... For nonservice-related deaths, VA will pay a $948 burial allowance and $948 for a plot if the veteran died on or after Oct. 1, 2023. If the veteran died between Jan. 5, 2023, and Oct. 1, 2023, VA would pay an $893 burial allowance and $893 for a plot. Learn more about allowance rates at https://www.va.gov/burials-memorials/veterans-burial-allowance.
