Literature Review

How wonderful it is that nobody need wait a single moment before starting to improve the world. ~ Anne Frank

What role do immigrants play in the direct long-term care workforce? KFF; by Priya Chidambaram and Drishti Pillai; 4/2/25 President Trump has made a slew of immigration policy changes focused on restricting entry at the border and increasing interior enforcement efforts to support mass deportation. While these actions are focused on undocumented immigrants, they likely will have ripple effects across immigrants of all statuses and millions more people living in immigrant families. Mass deportations could negatively impact the U.S. economy and workforce, given the role immigrants play, particularly in certain industries. ...

Las Vegas’ non-profit urges families to research hospice care after facilities see surge of transfers, neglect Fox-5 KVVU-TV, Las Vegas, NV; by Jaclyn Schultz; 4/9/25 The Las Vegas Valley’s only non-profit hospice is among many facilities urging families to thoroughly research their choice of hospice care, after doctors see a rise in patients seeking transfers after suffering from neglect or poor care somewhere else. FOX5 told you how numerous doctors called for tougher hospice care standards across Nevada, as Assembly Bill 161 progresses through the Legislature. Nathan Adelson Hospice tells FOX5, from 2022 to 2024 alone, the non-profit took in more than 150 transfers from other facilities across the Las Vegas Valley. The rise coincides with another trend: more than 250 new facilities opening up across the Las Vegas Valley, as other neighboring states enact tougher regulations. [Continue reading ...]

Global study finds 1 in 5 people with dementia receive no care McKnights Long-Term Care News; by Donna Shryer; 4/7/25 A comprehensive global study led by Yale School of Public Health researchers has revealed that at least 20% of people living with dementia receive no care helping them with daily living, regardless of their country’s wealth or development status. As the world’s population rapidly ages, this alarming care gap has persisted for years, creating what researchers describe as “a public health crisis.” The study analyzed data from over 10,000 individuals across the United States, England, 18 European nations, Israel and China. [Continue reading ...]

Helios Care gets major grant for palliative care program ALLOTSEGO, Oneonta, NY; Press Release; 4/3/25 Helios Care has received a grant of $195,000.00 from the Mother Cabrini Health Foundation to support its Choices Program, officials announced on Friday, February 14. According to a media release, the Choices Program, which supports patients in Delaware, Otsego, and Schoharie counties, was created to bring in-home palliative care services to older adults who are facing a serious illness. ... “Choices has evolved thanks to the longstanding relationship between Helios Care and the Mother Cabrini Health Foundation,” said Kelly McGraw, who played a key role in launching and developing this program at Helios Care. “With this grant, Choices brings in-home person-centered care to patients, addressing their emotional, social, and physical needs.” [Continue reading ...]

Leaders on leadership: 10 valuable lessons that will make you think Forbes; by Esther K. Choy; 3/6/25 In the last eight years as a Forbes columnist, I have interviewed leaders who have shared a great deal of insights on successful leadership. Here are 10 quotes on leadership that illuminate the concrete actions that successful leaders "do," not just "think" or "believe." These quotations are from leaders with a variety of backgrounds and business sectors — tech, finance, design, education, and research — but one thing that rings true through all their perspectives — successful leadership is about connection. [Quotes address these themes:]

Most people pursue a toxic type of purpose in life—but if you do this instead, ‘there is no way to fail’ CNBC Make It; by Dr. Joran Grumet, contributor/hospice medical director; 4/4/25 It took me many years and quite a bit of emotional heartache to realize a life-changing fact: When it comes to purpose, bigger is not better. Most of our anxiety stems from what I call “big P” Purpose, which is overly focused on the outcome or destination. ... [Dr. Grumet describes what he calls "big P" Purpose vs. "little P" Purpose.] I’ve found that most people end up pursuing the former, toxic type of purpose. It’s the easiest kind to choose, because it means meeting society’s expectations and following in the footsteps of the herd. The harder decision by far is to do the internal work to discover what really lights you up — and find a way to pursue it in the world. This all takes effort, but it’s worth it. ... Little P purpose embraces an abundance mentality. There is room for everyone — I mean everyone — to pursue that which brings them inner joy and happiness. This pursuit will never rely on whether someone else is succeeding or failing. ... [Continue reading ...]

2 nursing staff practices tied to safety risks: Study Becker's Clinical Leadership, Washington, DC; by Mariah Taylor; 4/3/25 Washington, D.C.-based George Washington University and Premier researchers found overreliance on agency nurses and nurse overtime was associated with lower patient safety. The study, published April 2 in JAMA Network Open, analyzed data on quality measures for pressure ulcers and nurse staff overtime and agency use from 70 U.S. hospitals from January 2019 through December 2022. Researchers found that nearly half of the hospitals in the study utilized more nurse overtime and agency hours than was safe. The average hours exceeding safe thresholds for agency staff reached 140% and 63.6% for nurse overtime. Overuse of agency nurses and overtime hours was associated with increased rates of pressure ulcers. [Continue reading ...]

Seeking human empathy, health insurers turn to AI Modern Healthcare; by Nona Tepper; 3/27/25 When Florida Blue wanted its call center employees to demonstrate greater emotional intelligence when dealing with customers, the nonprofit health insurance company enlisted a tutor incapable of emotion. A generative artificial intelligence, or genAI, chatbot instructs 30 Florida Blue customer service representatives on how to behave like human beings when interacting with other human beings. The chatbot guides workers on human behaviors, such as when to slow their speech, when to hasten a call to its conclusion and what to recommend to policyholders. The company plans to expand this pilot program to its entire 1,600-person call center team this year. [Continue reading ... access may be limited]Editor's note: Is this backwards? What happened to human kindness? Courtesy and core respect? I am a lifelong lover of new technologies. Still, I am surprised at this seemingly-backwards twist. For whatever works, may we learn and grow in "[behaving] like human beings when interacting with other human beings."

Housing instability complicates end-of-life care for aging unhoused populations The Conversation; by Pilar Ingle, University of Denver; 4/7/25 Research estimates that one-third or more of the unhoused population in the U.S. is age 50 or older. Unhoused people of all ages face high rates of chronic and serious illness. They also die at younger ages compared with people who are not unhoused. Yet, there are few options for palliative and end-of-life care for unhoused people. ... In 2024, Colorado saw a 30% increase in the number of people experiencing homelessness from the year before. Nationally, 771,480 people — the highest number ever recorded — experienced homelessness last year. As the number of people experiencing homelessness in the U.S. grows, so too does the need for palliative and end-of-life care for these individuals. ... [Continue reading ...]

Nurse honor guard hoping to grow in South Dakota Sisseton Courier, Sisston, SD; by Brenner Cariveau; 4/4/25Nurse Honor Guard is a national organization which aims to honor the life of a nurse in funeral services. Traveling home, health and hospice nurse Laura Frankenhoff said the ceremonies help highlight the career of the nurses and is a way to ensure they are recognized for the work they have done as a nurse. Nurse Honor Guard has been performing ceremonies to honor the lives of nurses nationwide since their inception in the 1980s, Frankenhoff said. Regarding the honor guard, the base is made up of volunteers, according to Frankenhoff. "It's a volunteer chapter. You can make a chapter anywhere." Editor's note: Especially for pioneer hospice organizations--typically non-profits but definitely not all--do you honor those who laid the foundations for the work you're able to do now? If not, how can you? While nurses are absolutely core, how might you also honor your aides, social workers, chaplains, grief counselors, executives, office staff, and others who invested their talents and years in hospice care? May we remember. May we humbly thank and honor them.

Home hacks for geriatric dogs and cats dvm360; by Tyler Carmack, DVM, CVA, CVFT, CHPV, CTPEP, CVPP; 4/4/25 As pets grow older, they encounter mobility, comfort, and overall well-being challenges that can significantly affect their quality of life. Anticipating and addressing these issues early can profoundly impact their later years. As a house call veterinarian dedicated to hospice and palliative care, the first thing I take note of when entering a new home is all the challenges that the patient faces to simply navigate their daily routine. Often, families are aware of some of these difficulties, but others often go overlooked or unnoticed. ... Here are some valuable "home hacks" to share with clients, ensuring their aging dogs and cats enjoy improved day-to-day comfort. ...

The scars you share become lighthouses for other people who are headed for the same rocks you hit. ~ Jon Acuff