Literature Review

Engaging the hospice community in end-of-life care in prisons (Part 2)ehospice; by Barry R. Ashpole; 1/21/25Part 1 offered a broad overview of the potential role community hospices can play to improve end-of-life care (EoLC) for a particularly vulnerable and underserved population. As has been widely acknowledged, prisons and correctional facilities are caught between the proverbial “rock and a hard place,” between issues of security and public safety and the civil rights of the prison inmates to healthcare comparable to what is available to the populace-at-large. Part 2 takes a closer look at specific initiatives by some community hospices to support prison inmates towards the end of life. Prior to conducting research for its 2020 report, ‘Dying Behind Bars: How can we better support people in prison at the end-of-life,’ Hospice UK had only anecdotal evidence of the important work that some hospices were engaged in to support prison inmates at the end of life. The scope of this support had not been established at a national level. After conducting a survey of hospice services across England, researchers found that 25 hospices – representing approximately 15% of hospices in the country – are indeed providing this care and support, working with 34 different prisons.Publisher's note: Also see: Engaging the hospice community in end-of-life care in prisons (Part 1) that was also discussed in Hospice News' Global challenges persist in bringing hospice care to incarcerated populations.

Healthcare Industry Team 2024 Year in Review JD Supra; by Claire Bass, S. Derek Bauer, Kevin Bradberry, Ernessa Brawley, Sarah Browning, Charlotte Combre, Payal Cramer, Emily Crosby, Vimala Devassy, Shareef Farag, Amy Fouts, Winston Kirton, Caroline Landt, Charlene McGinty, Justin Murphy, Lynn Sessions, Gregory Tanner; 1/22/25As we begin a year that will once again be transformative for the industry, we are excited to present our comprehensive 2024 year-in-review, highlighting all that has happened and the trends that will shape 2025. [Downloadable PDF from BakerHostetler, bakerlaw.com. Large categories include the following:]

Caring for communities in needHospice Foundation of America email; 1/22/25Hospices can play a significant role in supporting communities in the aftermath of natural disasters and other tragic situations. This program will feature speakers from western North Carolina, who will share lessons learned and response strategies they employed to support families, patients, staff, and first responders while faced with death, flooding, mudslides, property destruction, and communication and power outages caused by Hurricane Helene.Presenters include Chris Comeaux, Vern Grindstaff, and Sheila Crane.

Care Dimensions receives $10,000 grant from ACM Lifting Lives to support music therapy program MassNonprofit News; 1/22/25Care Dimensions, the largest hospice and palliative care provider in Massachusetts, is proud to announce receiving a $10,000 grant from ACM Lifting Lives®, the philanthropic partner of the Academy of Country Music. ... “Dealing with memory loss can be such an unmooring experience,” noted Care Dimensions Creative Arts Therapy Coordinator Li Kynvi, who is a board-certified music therapist. “One of the magical things about music therapy, especially for those with dementia, is that music lives in them in a whole different way than even the last five minutes does, which enables them to not only engage with a song, but engage with the person sharing it, and delivers a feeling of connection and competence often difficult for dementia patients to experience.”Editor's note: Providing patient care from a board certified music therapist is far superior to simply having a musician perform. Music therapy focuses on the person: physically, mentally, emotionally, socially, spiritually. Music therapy engages memories and meanings for the present moment, and ahead. For more information, examine the Certification Board for Music Therapy. Click here for their directory.

Some wary of Providence home health joint venture with for-profit company Herald Net, Everett, WA; by Jenna Peterson; 1/23/25 Some nurses in the state say an upcoming joint venture between Providence Home and Community Care and Compassus, a for-profit company with private equity ownership, could have an adverse effect on health care. The deal, expected to be finalized in Washington early this year, ... impacts locations in five U.S. states. ... Boyle and Compassus spokesperson Dana Coleman said there will be no changes in care or staffing under the joint venture. But some nursing advocates, like Ian Mikusko, worry that a for-profit, private equity influence could be harmful for health care.“Private equity is somewhat more extractive because there’s a pressure to provide large dividend payments to investors,” said Mikusko, strategic researcher with the Washington State Nurses Association. Mikusko cited research that shows quality of care diminishes when private equity companies become involved in health care, such as a 2023 study from the Center for Economic and Policy Research.

How it feels to be a hospice nurse Post Independent; by Oanh Hoang, Hospice of the Valley; 1/22/25 If someone had asked me this question seven years ago, when I was a new graduate nurse, I would have said it felt terrifying, depressing, frightening, and sad. However, my feelings have changed since I became a hospice nurse 4.5 years ago. ... If someone were to ask me how it feels to be a hospice nurse now, I would tell them to grab a soda, popcorn, and snacks, and get comfortable because I could talk for hours about what it’s like. My feelings start with gratitude. I am grateful to be a part of the final phase of my patients’ lives, walking alongside them and their families toward a peaceful end. For all my hospice patients, time is the most valuable thing they have. ... Along with all these rewarding feelings, I also feel sadness when my patients pass away. But this sadness is different from the sadness I felt seven years ago. 

Los Angeles wildfires leave older patients vulnerable Direct Relief - California Wildfires; by Talya Meyers; 1/22/25 The radio announcer said nursing home residents were being evacuated to the Pasadena Convention Center, so Dr. Laura Mosqueda headed over. Older adults were arriving at the evacuation shelter with hair and hospital gowns covered in ash. People urgently needed to be on oxygen — in a large convention hall with few electrical outlets — or their catheters were getting full but responders didn’t have gloves. ... Some patients were in hospice and end-of-life care, and getting them placed more comfortably was an urgent priority. ... The wildfires that ripped across Southern California communities this month will hurt the health of millions — causing everything from short-term respiratory symptoms to long-term adverse outcomes from chronic disease — but older adults will likely be among the most vulnerable. ... [And with that,] Dr. Mosqueda cautioned that while older adults may be more likely to be medically fragile, many aren’t. Many have perspectives that help them navigate frightening, uncertain situations like the wildfires. “Older adults…were among the most calm and circumspect people I spoke with,” she recalled. “They just had a lot of wisdom and life experience, and they weren’t getting freaked out. They had so many internal resources.”

Hospice of Santa Barbara surpasses $1 million  Legacy of Compassion Campaign goal Santa Barbara Independent, Santa Barbara, CA; by Hospice of Santa Barbara; 1/21/25 Hospice of Santa Barbara (HSB) is thrilled to announce that it has reached and surpassed its 2024 Legacy of Compassion Campaign goal raising $1,155,410 during the year-long campaign which launched, in part, in celebration of the organization’s 50th anniversary. The campaign initiated a multi-stage effort to ensure the continued sustainability of HSB’s free compassionate care services, helping to meet current demand while building a stronger foundation for years to come. 

TCN podcast: The need for innovation with Meg Pekarske Teleios Collaborative Network (TCN); hosted by Chris Comeaux; 1/22/25 In this episode of TCNtalks, host Chris Comeaux interviews Meg Pekarske, a partner and head of the Hospice and Palliative Care Practice Group at Husch Blackwell.  They discuss Meg's extensive expertise in Hospice Care, the significant challenges, and promising opportunities for growth and diversification.  Meg makes it clear that strategic planning is essential.  Adapting to shifts in the payer market and implementing legal restructuring to support new care models are critical to success.  The conversation boldly addresses the need for innovation and collaboration to navigate the ever-changing landscape of Hospice and Palliative care.  It also touches on surprising facets that reveal Meg's unique approach—she is not your average attorney.[Teleios Collaborative Network is a sponsor of our newsletter.]

Trump freezes HHS communications: report Modern Healthcare Alert; by Bridget Early; 1/22/25 The Health and Human Services Department and its agencies are going silent for now, according to the Washington Post. On Tuesday, the day after President Donald Trump's inauguration, HHS received an order to halt all outbound communications, including health advisories, weekly reports, research, website updates and social media posts, the newspaper reported. The Washington Post reports that the pause has no definitive end date and that the decree does not specify whether exceptions will be made for disease outbreaks or other urgent situations. The directive applies to agencies such as the Centers for Medicare and Medicaid Services, the Food and Drug Administration, the Health Resources and Services Administration, the Centers for Disease Control and Prevention, the National Institutes of Health and the Substance Abuse and Mental Health Services Administration.

Spread some love to seniors this Valentines Day WKBN Youngstown, OH; by Dave Sess; 1/21/25 As you’re making Valentine’s Day plans, consider spreading some love to local seniors. You can make special cards or buy a thoughtful card and share the love. Home Instead is organizing the collection again this year. It has three schools already committed to making cards as it hopes to double last year’s total of 1,000. Each of the Valentine’s Day cards will carry a heartfelt message to seniors in nursing homes and assisted living communities that they’re loved, appreciated and remembered. ... The seniors will also receive flowers from Harmony Hospice. “These seniors appreciate anything from a simple smile to a card or a flower and just a simple hello,” said Sara Stevens with Harmony Hospice.Editor's note: Calling community outreach professionals--what a simple, meaningful way to engage your community for meaningful, intergenerational engagement and support. Now's the time! What can you do?

If the world seems cold to you, kindle fires to warm it. ~ Lucy Larcom

Where have all the doctors gone?AARP Magazine; by Howard Zucker; 1/8/25The average wait for new patients to see a physician is 26 days, and that's for most healthy people. In a medical emergency, the situation can become even more frightening: twenty-two percent of acutely ill patients 65 or older who sought medical attention had to wait six days or more for an appointment...Publisher's note: An interesting article that may be behind a paywall for some readers.