Literature Review
Over 1,200 medical marijuana cards issued ahead of Qualla Boundary dispensary opening
04/18/24 at 03:00 AMOver 1,200 medical marijuana cards issued ahead of Qualla Boundary dispensary opening Blue Ridge Public Radio News, by Lilly Knoepp; 4/16/24 This Saturday, North Carolina will become the 39th state with access to medical marijuana as the Eastern Band of Cherokee opens the first marijuana dispensary in the state. The Great Smoky Cannabis Company will host a ribbon cutting ceremony followed by a grand opening at 10 a.m. A spokesperson for ECBI said preparations for the opening have involved a variety of stakeholders. ... In March, ... a total of 1,200 cards had been issued. Now, he says, there have been 3,000 applications submitted to the board.
Longevity: Why are we all so focused on living longer instead of living better?
04/18/24 at 03:00 AMLongevity: Why are we all so focused on living longer instead of living better? The Montecito Journal, by Deann Zampelli; 4/16/24 I admit it. I am an obit reader. I look at the photo first to see if I know them and then almost reflexively at their age. 89? Not bad. 76? Too early. 56. ... Recently I had a client who came to see me because she wanted to live the next chapter of her life on her own terms, not as her mother did in the last decade of life before dying at the age of 93; bed pans, caregivers, wheelchairs, numerous medications, memory loss and the utter decimation of her life savings. ... In many cultures the elders are revered and live with their families until they die. They aren’t just included, they are needed, consulted, and cherished. Not surprisingly, these are often the same cultures that enjoy the healthiest and longest lives. Sadly, Americans are not among them. ...
Defining metrics for assessing end-of-life care quality in children with cancer
04/18/24 at 03:00 AMDefining metrics for assessing end-of-life care quality in children with cancer Physician's Weekly; 4/16/24 In this study, the researchers sought to define the target population for applying newly developed quality measures in end-of-life (EOL) care for children with cancer. Through a series of nominal groups, panelists addressed the question: “Which children, diagnoses, conditions, or prognoses should be included when examining the quality of EOL care for children with cancer?” ... A team of pediatric oncology and palliative care clinician-scientists developed a coding structure to analyze responses and identify associated themes and subthemes.
AACN spotlights innovative tool for palliative care consultations
04/18/24 at 03:00 AMAACN spotlights innovative tool for palliative care consultations
Death is a part of life – so let's talk about it
04/18/24 at 03:00 AMDeath is a part of life – so let's talk about itNow Then - A Magazine for Sheffield [UK], by Sam Walby; 4/17/24 The Sheffield Life, Loss and Death Festival takes place this May with a mission to break through taboos, awkwardness and anxiety about death and dying. Here's why it's important. Death is universal. We will all die and we are all likely to experience grief at the loss of loved ones. So why are we so squeamish about talking about it? ... The festival, which comes to Sheffield this May, uses all kinds of event formats and venues to engage people in the topic, from exhibitions and 'death cafes' to music performances and open mics.
The association between social connectedness and euthanasia and assisted suicide and related constructs: systematic review
04/18/24 at 03:00 AMThe association between social connectedness and euthanasia and assisted suicide and related constructs: systematic review BMC Public Health, by Emma Corcoran, Molly Bird, Rachel Batchelor, Nafiso Ahmed, Rebecca Nowland, and Alexandra Pitman; 4/16/24 Background ... Methods ... Results ...Conclusions: Our findings for all age groups are consistent with a those of a previous systematic review focussed on older adults and suggest that poor social connectedness is not a clear risk factor for EAS or for measures more distally related to EAS. ...
Fairhope Hospice & Palliative Care, Inc. buys building to expand services
04/18/24 at 03:00 AMFairhope Hospice & Palliative Care, Inc. buys building to expand services Perry County Tribune; 4/17/24 FairhopeHospice & Palliative Care, Inc. [Lancaster, OH] announced Monday that it has purchased a building at 1319 E. Main St., Lancaster. The building will allow Fairhope to expand its palliative care services by opening a clinic specifically designed for palliative patients. ... Currently, Fairhope serves 300 palliative care patients.
5 steps to cutting the red tape that adds to doctor burnout
04/18/24 at 03:00 AM5 steps to cutting the red tape that adds to doctor burnout American Medical Association (AMA), by Sara Berge, MS; 4/16/24 ... Reducing burnout is essential to high-quality patient care and a sustainable health system. The AMA measures and responds to physician burnout, helping drive solutions and interventions. ... Dr. [Kevin] Hopkins identified the five steps below to get rid of regulatory make-work that interferes with patient care and contributes to physician burnout.
Care for Alzheimer's on Medicaid is unorganized, frustrating, inhuman
04/18/24 at 03:00 AMCare for Alzheimer's on Medicaid is unorganized, frustrating, inhumanThe Indianapolis Star, by Darcy Metcalfe; 4/14/24What it is like to die of Alzheimer’s in America? Without a doubt, it is nothing as it is portrayed on NBC’s hit series This is Us. At the end of this series, the character Rebecca dies from Alzheimer’s and falls peacefully asleep, snuggly tucked in her warm bed at home, surrounded by family and 24-hour skilled nursing care. Throughout the six seasons of This is Us, I simultaneously witnessed my father’s slow dying from Alzheimer’s in a reality that was worlds away from Rebecca’s. ...
Health care workers aid community members with end-of-life care directives
04/18/24 at 03:00 AMHealth care workers aid community members with end-of-life care directives The Journal - Martinsburg, WV; by Tom Markland; 4/16/24Health care workers from Berkeley Medical Center and Hospice of the Panhandle came together on Tuesday to help members of the community learn and assemble various advanced directives concerning end-of-life care. According to a study by the University of Chicago, only 22% of U.S. adults have completed any advanced directive for their end-of-life care. Tuesday’s event aimed to help boost that that number in the Eastern Panhandle. As of 2 p.m. on Tuesday afternoon, more than 35 people had been through the program, completing paperwork for their medical power of attorney, living will or both for free.Editor's Note: We thank and celebrate all hospice and palliative organizations that participated in the National Healthcare Decisions Day, Tuesday April 16, 2024! Collectively, what supportive connections you have made. Individually for each person and with their families, these conversations and advance directives will continue to unfold through years ahead, when needed most.
Emory University receives $3.1 million NIH grant to improve quality of life for people with cystic fibrosis
04/18/24 at 03:00 AMEmory University receives $3.1 million NIH grant to improve quality of life for people with cystic fibrosis Emory University, by Brian Katzowitz; 4/16/24... A new five-year, $3.1 million grant from the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health (NIH) will help Emory researchers undertake a novel study combining biological, social, and clinical research methods to better understand the underlying processes of these symptoms – and identify opportunities to improve quality of life. ... Dio Kavalieratos, PhD, [is the] director of research for the Emory Palliative Care Center and the study’s principal investigator ...
Today's Encouragement: Thursday mornings ...
04/18/24 at 03:00 AMThursday mornings are like a Rubik’s Cube. You’re not sure how it got this complicated, but you’re determined to solve it. - Anonymous
Home care sees largest price jump in history, BLS report finds
04/18/24 at 03:00 AMHome care sees largest price jump in history, BLS report finds McKnights Home Care, by Adam Healy; 4/15/24The cost of home care rose faster than ever in the last year, far outpacing inflation across every other healthcare spending category, according to the Bureau of Labor Statistics’ latest Consumer Price Index report. Home care costs rose 14.2% between March 2023 and March 2024 — its most rapid growth since BLS began tracking data for the segment in 2005, according to the CPI. ... During the same period, standard inflation for all medical care services was 2.1%. The costs of hospital services — outpatient hospital services (8.3%), general hospital services (7.5%) and inpatient hospital services (6.9%) — saw the next-highest inflation rates since March 2023, eclipsed only by home care services. Meanwhile, prices for nursing home and adult day service rose by about 3.9%.Editor's Note: This article did not report cost changes for hospice care.
New hospice care facility set to open its doors in Virginia Beach
04/18/24 at 03:00 AMNew hospice care facility set to open its doors in Virginia Beach13NewsNow, Virginia Beach; 4/16/24, updated 4/17/24 ... The growing need for hospice care was addressed in Old Dominion University's "The State of the Region" report, which noted that Hampton Roads needs 45 beds to care for thousands of residents with life-limiting illnesses every year. ... Dozoretz [Hospice House of Hampton Roads] will provide 12 beds, as well as a bereavement center and grief support groups for families. ... The City of Virginia Beach donated 2.5 acres of land on Upton Drive for the $10,930,000 project. ... Construction on the facility began in March 2023. A ribbon-cutting ceremony is scheduled for next week. ... The senior living community Westminster-Canterbury on Chesapeake Bay is partnering with Beth Sholom Village to operate and manage the hospice house.
Terminally ill ask more states for physician-assisted death
04/18/24 at 03:00 AMTerminally ill ask more states for physician-assisted death Napa Valley Reigster, Asociated Press; 4/16/24 ... At least 12 states currently have bills that would legalize physician-assisted death. Eight states and Washington, D.C., already allow it, but only for their own residents. Vermont and Oregon permit any qualifying American to travel to their state for the practice. ... Two states have gone in the opposite direction. Kansas has a bill to further criminalize those who help someone with their physician-assisted death. West Virginia is asking voters to enshrine its current ban into the state constitution. ... The issue is contentious. Opponents have moral objections with the very concept of someone ending their life. Even with safeguards in place, they argue, the decision could be made for the wrong reasons, including depression or pressure from family burdened by their caretaking. ...
CT Hospice says it can’t provide home care under bill to protect healthcare workers
04/18/24 at 02:15 AMCT Hospice says it can’t provide home care under bill to protect healthcare workersCT News Junkie, by John Ferraro; 4/16/24Connecticut Hospice has warned lawmakers it will be unable to care for gravely ill patients in their homes under a proposed law aimed at protecting home healthcare workers. At issue is Senate Bill 1, which would require organizations that care for people in their homes to conduct background checks on the clients and anyone in the location where care is being given. ... Barbara Pearce, the chief executive officer of Connecticut Hospice, urged lawmakers to remove Connecticut Hospice from entities that would be required to conduct those background checks, noting that the organization which provides end-of-life care is typically called into homes when a patient has days left to live. “Our national hospice organization could find no similar bill in any other state,” Pearce wrote in testimony to the Public Health Committee. “This bill is too broad, too unclear as to requirements, not guaranteed to achieve its aims, duplicative of other procedures required in hospice care, and contradictory to certain regulations of Medicare.” ...Editor's Note: See the previous article in our newsletter today, After death of nurses, CT lawmakers look for solutions: 'We just cannot ignore that risk'.
After death of nurses, CT lawmakers look for solutions: 'We just cannot ignore that risk'
04/18/24 at 02:00 AMAfter death of nurses, CT lawmakers look for solutions: 'We just cannot ignore that risk' CT Insider, by Ken Dixon, 3/19/24 Home health agencies would have to find out more background information about their patients, and would be reimbursed for providing visiting nurses with escorts to certain homes and neighborhoods under legislation pushed Monday by Senate President Pro Tempore Martin Looney. ... It was inspired in part by the murder last year of Joyce Grayson of Brooklyn, Connecticut who was killed in a halfway house for sex offenders in Willimantic, as well as the January death of Ototegile Morulane, a live-in caregiver and citizen of the Republican of Botswana who died in an East Lyme house fire. Editor's Note: Though this article was appeared in the CT Insider 3/19/24, we are posting it today for context of our next article, "CT Hospice says it can't provide home care under bill to protect healthcare workers," published 4/16/24.
Health care system eats away at the doctor-patient relationship
04/18/24 at 02:00 AMHealth care system eats away at the doctor-patient relationship The Boston Globe; updated 4/17/24... The system economically rewards throughput (the number of patients seen per unit time) and procedures rather than the time needed to develop an open and communicative doctor-patient relationship. While a good physician might understand the tests and evaluations that are indicated by a presenting medical problem, the excellent clinician knows which tests and evaluations should not be done. This is primarily ascertained by delving into details of the patient’s physical, psychological, social, family, and economic history. This process, as James highlights, can lead to collaborative and more effective care. ...Editor's Note: This article highlights "Dr. Thea James’s remarkable work at Boston Medical Center in addressing structural inequity in medical care as a means of enhancing outcomes brings up an underlying structural problem across the entire medical care system (“Her health equity message being heard,” April 13, 2024.)
Primrose Hospice utilising Minecraft to help children through bereavement
04/17/24 at 03:15 AMPrimrose Hospice utilising Minecraft to help children through bereavement Redditch Standard, UK; 4/13/24 The Primrose Hospice has been delving into the online gaming world to support children and young people who have someone close to them with a life-limiting illness or are bereaved. Alongside the regular support the popular game Minecraft is used to provide extra therapy. ... The Primrose has received training provided by Ellie Finch who specializes in counselling through video games, such as Minecraft.
'I'm dying, you're not': Those terminally ill ask more states to legalize physician-assisted death
04/17/24 at 03:00 AM'I'm dying, you're not': Those terminally ill ask more states to legalize physician-assisted death The Washington Post, by Jesse Bedayn, AP; 4/12/24 On a brisk day at a restaurant outside Chicago, Deb Robertson sat with her teenage grandson to talk about her death. She’ll probably miss his high school graduation. ... “Medical aid in dying is not me choosing to die,” she says she told her 17-year-old grandson. “I am going to die. But it is my way of having a little bit more control over what it looks like in the end.” ... At least 12 states currently have bills that would legalize physician-assisted death. ... Two states have gone in the opposite direction. ...
Houston hospital says doctor’s changes to a database made patients ineligible for liver transplants
04/17/24 at 03:00 AMHouston hospital says doctor’s changes to a database made patients ineligible for liver transplants NBC News 13; by Jamie Stengle and Carla K. Johnson, The Associated Press; 4/12/24 A Houston hospital has halted its liver and kidney transplant programs after it says a doctor manipulated a database for liver transplant patients, making them ineligible to receive a new organ. ... Data from OPTN [The Organ Procurement and Transplantation Network] shows that four patients died or became too ill for a transplant in 2021, 11 in 2022, 14 in 2023, and so far this year, that number was at five.
Hospices call on Government to help fund rising staff bill
04/17/24 at 03:00 AMHospices call on Government to help fund rising staff bill ShropshireStar.com, United Kingdom; 4/14/24 Hospices are facing a huge cash shortfall because of a rising staff bill which is putting services at risk, a charity has warned. Hospice UK said the Government must provide cash urgently after its analysis showed hospices will need £120 million to match upcoming pay rises in the NHS. ... Hospice UK said rising costs, such as energy and food prices, together with squeezed donations as people cope with an increased cost of living, mean hospices are currently budgeting for a total deficit of £186 million this year.Editor's Note: Increasingly, we are seeing more articles for hospice community fundraisers throughout the UK: England, Ireland, Scotland, and Wales. Repeatedly, the tone is dire; requests are urgent.
Remote SNF monitoring partnership promises 25 percent rehospitalization reduction
04/17/24 at 03:00 AMRemote SNF monitoring partnership promises 25 percent rehospitalization reduction McKnights Senior Living, by Josh Henreckson; 4/15/24 A new partnership between technology company Circadia Health and 81 skilled nursing facilities operated by Ciena Healthcare aims to significantly improve preventive care and reduce preventable rehospitalizations. Circadia’s C100 remote monitoring devices ... will be installed in residents’ rooms. They are capable of continuously monitoring key vital signs like residents’ breathing rate, heart rate and unusual motions and compare them with personalized profiles.
Experts say Shannen Doherty’s approach to cancer ciagnosis can be helpful
04/17/24 at 03:00 AMExperts say Shannen Doherty’s approach to cancer ciagnosis can be helpfulToday Headline; 4/16/24Shannen Doherty, the actor best known for her role in “Beverly Hills, 90210,” has stage 4 cancer. She’s getting rid of her material possessions so she can focus on spending time with her mother. On an episode of her podcast, “Let’s Be Clear With Shannen Doherty,” released on April 1, the actor said she wants to sell off some of her stuff so her mother doesn’t have to worry about dealing with it if she dies. ... She also said she hopes to use that money to travel with her mom without dipping into her savings.
Medi Home Health and Hospice comes to Culpeper
04/17/24 at 03:00 AMMedi Home Health and Hospice comes to CulpeperCulpeper Star-Exponent, by Richard Horner; 4/13/24Medi Home Health and Hospice held a grand opening celebration for its new Culpeper (VA) location on Tuesday. Sponsored by the Culpeper County Chamber of Commerce, Medi is an arm of Medical Services of America, which offers home health and hospice care. It had several locations throughout the mid-Atlantic region of the United States, including Virginia. According to Ashley McDonald, director of marketing for Medi, the business offers in-home care, including various forms of therapy and nursing care. Medi also offers hospice and palliative care.
