Literature Review

Is extending life by weeks worth the toll some cancer drugs take? Doctors push for 'common-sense oncology' CBC News, by Amina Zafar and Christine Birak; 3/11/24 People may celebrate a 2-week improvement in survival without acknowledging costs. When a treatment buys a few weeks or months but comes with with a lot of side-effects, then the perspectives of people with cancer may differ, says Dr. Christopher Booth. ... The goal of what they call "common-sense oncology" is to prioritize treatments that meaningfully improve survival and quality of life. They aim to address what they see as problems in the field, such as a lack of critical thinking in oncology training, falling standards for drug approvals and avoidance of end-of-life discussions.

Spiritual care key to addressing disparities among underserved black communities Hospice News, by Holly Vossel; 3/11/24Spiritual hospice care providers are an important link to building bridges of access and trust among underserved African American populations. ... Having a historical context of understanding around the faith-based barriers among African American populations is a significant part of improving utilization, according to Wayman Scott, associate director of diversity, equity, inclusion and community relations at Maryland-based Gilchrist. Scott also has a background in hospice chaplaincy and serves as chair of the diversity committee at the Hospice & Palliative Network of Maryland.

Costs of long-term care: ‘Financial ruin is baked into the system’ KFF Health News, by Jordan Rau and Reed Abelson; 3/9/24 Thousands of readers reacted to the articles in the “Dying Broke” series about the financial burden of long-term care in the United States. They offered their assessments for the government and market failures that have drained the lifetime savings of so many American families. And some offered possible solutions. In more than 4,200 comments, readers shared their struggles in caring for spouses, older parents, and grandparents. They expressed anxieties about getting older themselves and needing help to stay at home or in institutions like nursing homes or assisted living facilities.

Hospice provider experience underscores urgency of program integrity efforts: Findings reveal current audit process' shortcomings HomeCare News; 3/12/24 Following a series of meetings with the Centers for Medicare & Medicaid Services (CMS) and Members of Congress on efforts to improve and protect hospice program integrity, four national hospice organizations—LeadingAge, the National Association for Home Care & Hospice (NAHC), the National Hospice and Palliative Care Organization (NHPCO) and the National Partnership for Healthcare and Hospice Innovation (NPHI)—released findings of a hospice provider survey that the organizations say underscores the urgency and need for CMS and Congress to act. 

When health care is woven in our family fabric, we find support in unexpected places Oncology Nursing Society (ONS) Voice, by Suzanne M. Mahon, DNS, RN, AOCN®, AGN-BC, FAAN; 3/7/24... We have a built-in support system in our family. We understand all of those feelings and stressors in each other. We just get it. ... Where is your dinner table of support? Who is your go-to person who just gets it and listens? My husband and daughters support me, and I also have friends from nursing school, the workplace, and ONS who support me. They make all the difference in the world. Today, take time to thank your own support team.

CT bill would create a statewide pediatric hospice program: 'Make this a reality for our children' The Darien Times, by Cris Villalonga-Vivoni; 3/11/24There are only a handful of agencies specifically providing end-of-life care to children in the state, said Moss, who is also the founder of Connecticut Children’s Hospital palliative care team, the Sunflower Kids. “Every dying child in the state of Connecticut deserves this expertise and support of the hospice program,” Moss said. “It is time we make this a reality for our children.” The need for pediatric hospice care is felt throughout the state, even if the volume of people seeking out these services is often low, said Tracy Wodatch, president and chief executive officer of the Connecticut Association for Healthcare at Home.

Pennsylvania health systems are partnering up Becker's Hospital Review, by Andrew Cass; 3/8/24Kittanning, Pa.-based Armstrong County Memorial Hospital signed a definitive agreement March 6 to join Pennsylvania Mountains Care Network, marking the latest in a series of partnerships, mergers and acquisitions between hospitals and health systems in the Keystone State.

Operating in the red: Half of rural hospitals are losing money, as many cut servicesSource NM, by Jazmin Orozoco Rodriguez (KFF Health News); 3/7/24As half of rural hospitals lose money, many are cutting services

Some report images and manifestations of departed loved ones Chicaog Daily Herald, by Susan Anderson-Khleif; 3/9/24Not often, but sometimes, a person sees an image of a beloved or dear friend. A visual manifestation of their spirit, one you can actually see while awake. It could be very clear or more in a fog. It happened to me the middle of the night, two years ago. ... I had friends and readers who’ve told me of such happenings — of seeing images of dear ones — sometimes during times of stress, sometimes for seemingly no reason. It could be a voice rather than an image. Or some other sign that assures you they are around. Editor's Note: Susan Anderson-Khleif has a doctorate in family sociology from Harvard, taughts at Wellesley College, and is retired.

Roscommon nurse sets out on epic cycle to Australia Roscommon Herald; 3/10/24 A 25-year-old County Roscommon nurse set out on his 23,000km cycle from his home in Arigna to Australia this morning, Sunday, March 10th. Fergal Guihen began his 23,000km cycle from Roscommon to Australia this morning. It will take him a total of 11 months to complete the challenge. Fergal, a general nurse at Sligo General Hospital, will reach Australia in February of 2025. In the process, he’s raising funds for  Mayo Roscommon Hospice Foundation.Editor's Note: 23,000km = 14,300 miles. This translates to approximately 5.12 bike rides between New York City and Los Angeles. 

Opportunity uncovered: How COVID-19 accelerated healthcare transformation Managed Healthcare Executive; by Patrick Horine, MHA; 3/6/24The COVID-19 pandemic left an indelible mark on the healthcare landscape, spotlighting critical areas for improvement while accelerating transformations that were already underway. From addressing disparities in equity and access to adopting digital health strategies, the pandemic has forced healthcare to move swiftly to meet urgent needs. First, let us look at some of the issues we had been facing and how these were changed by the unprecedented challenges of the pandemic. ...

‘100 Men’ group donates $10K to Oceanside Hospice Society Parksville Qualicum Beach News; 3/10/24 Men have given more than $170K to charity since group’s inception. At its quarterly meeting on March 6, the 100 Men of Oceanside group awarded $10,000 to the Oceanside Hospice Society. ...  According to a new release, the latest donation from the group will enable the hospice society to launch a new initiative designed to assist men who have suffered the death of a loved one to effectively grieve their loss.