Literature Review
All posts tagged with “Education | Clinical.”
Commentary: The coat my mother never wore
12/12/24 at 03:00 AMCommentary: The coat my mother never wore National Public Radio - WBUR, Boston, MA; by Karen Propp; 12/11/24 Shortly before Thanksgiving 2018, I bought my 87-year-old mother a winter coat — a silvery-gray one that matched her hair. None of us could remember the last time she had left the house, spoken in full sentences or walked without assistance, but my father hoped that a new ultra-light coat might change things. ... Having been close to others with progressive or terminal illnesses, I did not share his optimism. But it felt cruel to dash my father’s hope, so I hung the coat in the front hall closet, as if it were a talisman that could bring us a miracle. My mother died peacefully, late in the morning that December 24. By the time the men from the funeral home arrived, it was already dark outside. ...Editor's note: Click on the title's link to read how this simple coat evoked a daughter's grief, coping, and realization of her mother's qualities within herself. Non-clinical leaders: in case you're not aware, the extensive body of grief research reveals that grief does not have a last "stage" of "acceptance." Rather, mourning begins with a first step or "task" of accepting realities of the loss (Worden), with another step or "task" of establishing enduring connection (Worden)--which this daughter found within herself. These are not stages. Rather, they are ongoing cycles (mini and macro), with other identified, individualized dynamics.
Kimberly Duchossois donates $2 million to The HAP Foundation for Palliative Care Education
12/10/24 at 03:00 AMKimberly Duchossois donates $2 million to The HAP Foundation for Palliative Care Education The HAP Foundation - Hospice & Palliative Care Research & Education; by Rachel French; 12/9/24 The HAP Foundation receives a major gift from philanthropist and Board of Trustee Kimberly Duchossois to grow education on palliative care and increase collaboration among health care systems to ensure access to care for all. ... “Ms. Duchossois’ commitment to community and making an impact for families is inspiring and humbling. She has been a leader throughout the health care field and is always willing to listen and lead. With this gift, The HAP Foundation will strengthen our existing palliative care education programming and foster relationships for collaboration among health systems in Illinois." ...
Embracing well-being at the end of life
12/09/24 at 03:00 AMEmbracing well-being at the end of life Phaneuf Funeral Homes & Crematorium; by Phaneuf; 12/5/24At the 29th Annual Fall Hospice & Palliative Care Conference, Dr. Ira Byock delivered a thought-provoking keynote challenging the misconceptions surrounding hospice and palliative care and illuminating a brighter path forward for individuals, families, and caregivers. ... Far too often, hospice and palliative care services are seen as a last resort or equated with “giving up.” Dr. Byock pushed back against this notion, emphasizing that hospice and palliative care are not about death but about life. “Hospice and palliative care are about living as fully and as well as possible through the end of human life,” Dr. Byock said. Rather than signifying the end of healthcare options, palliative care provides comfort, dignity, and even joy for individuals facing life-limiting conditions. Dr. Byock shared that families often express relief and gratitude after beginning hospice care, lamenting that they hadn’t learned about it sooner. These experiences highlight a common issue: Hospice care is often introduced too late, preventing families and patients from reaping its full benefits.
Key differences between palliative and hospice care in California
12/05/24 at 03:00 AMKey differences between palliative and hospice care in California Psychology Today; by Bob Uslander, MD; 12/3/24 ... Key Difference Between Palliative and Hospice Care in California: Whether you’re looking for support early in an illness or need end-of-life care, Californians have resources available to help. California also has some unique programs and resources, such as palliative care programs for people covered by Medi-Cal, California’s Medicaid program. Additionally, California has strict laws to protect patients’ rights, ensuring that people are fully informed about your care options and can make choices that align with your personal values and cultural beliefs. Below are some of the key differences highlighted to help you make the best choice possible for you and your family when the time comes. [Click on the title's link for more information.]Editor's note: Through recent years, too many hospice agencies have eliminated references to end-of-life care, a life-expectancy of six months or less, and references to dying, death, or grief. Various fraud and abuse cases have described that persons/caregivers did not even realize they had signed up for "hospice" care. Ethically, this is untenable. Key differences between palliative and hospice care--with applications to the person--are significant.
2025 BrightSpring brighter futures and hospice nursing scholarships now open
12/05/24 at 02:00 AM2025 BrightSpring brighter futures and hospice nursing scholarships now open BrightSpring Health Services - Careers; 12/3/24 Applications are being accepted from now through Friday, February 28, 2025, at 5 p.m. ET. For more information and to apply, visit https://cflouisville.awardspring.com/Home/Scholarships. ... The BrightSpring Brighter Futures Scholarship awards one $10,000 per year scholarship, renewable for up to four years as long as the student maintains good academic standing with their college or university. ... The BrightSpring Hospice Nursing Scholarship awards four $5,000 per year scholarships, renewable for up to two years as long as the student maintains good academic standing with their college or university.Editor's note: How might your hospice organization partner with universities/colleges to provide a similar program for professional career growth?
How to manage sibling relationships strained by family caregiving
11/26/24 at 03:00 AMHow to manage sibling relationships strained by family caregiving AARP; by Christine A. Di Pasquale; 11/25/24 ... Conflict around caregiving is not unusual, especially between sisters, says Megan Gilligan, Ph.D., an associate professor of Human Development & Family Science at the University of Missouri. Gilligan is a co-author of the longitudinal Within-Family Differences Study that looks at understanding the “relationships between parents and their adult children and grandchildren, as well as between siblings in adulthood.” Gilligan and her colleagues found that sisters tend to be more critical of one another than sons when it comes to parental caregiving. “Daughters are raised with a sense of expectation, obligation, of wanting to provide that care and wanting that care to look a certain way,” she explains. “And we found that when multiple daughters were involved in care, maybe sometimes they’re kind of stepping on each other’s toes whereas … sons were more likely to kind of step back and let sisters navigate that,” she says. ... Gilligan suggests that we replace the idea of equality with equity in caregiving. Siblings should ask what the parents want each child to do and then divide that work equitably if not equally in order to reduce sources of stress for the ailing parent and among siblings.
Health professions students’ reflections about principles of interprofessional collaboration after shadowing interprofessional palliative care rounds
11/23/24 at 03:35 AMHealth professions students’ reflections about principles of interprofessional collaboration after shadowing interprofessional palliative care roundsAmerican Journal of Hospice and Palliative Medicine; Jeannette Kates, PhD, APRN, FPCN; Ceasia Brown, BA; Jenna Campolieto, BA; Maria Brucato, PhD; 10/24Future healthcare professionals are educated on collaborative practice methods through interventions that may include shadowing. While shadowing allows students to learn from and about other health professions, it often fails to offer an opportunity for the student to work and collaborate with other health professionals. These results suggest that shadowing offers an opportunity to identify and learn interprofessional competencies in interprofessional palliative care curricula, as made evident through student reflection assignments.
MUSC working to spread awareness about palliative care
11/20/24 at 02:30 AMMUSC working to spread awareness about palliative care WCSC 5, Charleston, SC; by Autumn Klein; 11/19/24 The Medical University of South Carolina is prioritizing palliative care education for both MUSC students, faculty and patients. The month of November is recognized as National Hospice and Palliative Care Month. ... Dr. Carrie Cormack is a professor at MUSC and leads the palliative care faculty. She says that treating a patient for the mental and emotional strain that comes with an illness can be just as important as treating the illness itself. ... At MUSC, they are pushing the importance of palliative care education. They are weaving palliative care into the educational curriculum for nursing students while also offering palliative care programs. The palliative care team also works hand in hand with primary care providers. At MUSC, they are even talking with international leaders and traveling internationally to offer palliative care education. Cormack just returned from an international trip offering palliative care education.
Expert advocates for timely palliative care for patients experiencing heart failure during address to URI College of Nursing
11/18/24 at 03:00 AMExpert advocates for timely palliative care for patients experiencing heart failure during address to URI College of Nursing The University of Rhode Island. Kingston, RI; by Patrick Luce; 11/14/24 While palliative care is common for patients diagnosed with life-threatening conditions like cancer or Alzheimer’s Disease, it is less commonly prescribed to patients suffering from heart failure, a missed opportunity to provide enhanced care for those critical patients, according to Yale University Professor Shelli Feder, who addressed Rhode Island nurses, students and professors during [the URI College of Nursing Distinguished Lecture] on Nov. 13. ... Feder detailed a study ... that shows access to palliative care varies widely among patients suffering from heart failure. Reasons vary from heart failure often being diagnosed late, rendering palliative care irrelevant, to some local hospital systems lacking processes to refer cardiovascular patients to palliative care providers. Feder urges medical facilities to adopt specific policies for referring patients to palliative care to help guide providers’ behavior toward timely referral to palliative experts.
Carolina Caring celebrates fourth graduating class of CNA Training and Job Placement Program
11/15/24 at 03:00 AMCarolina Caring celebrates fourth graduating class of CNA Training and Job Placement Program Focus, Newton, NC; 11/13/24 On the evening of Thursday, October 24th, Carolina Caring recognized the seven graduates of its latest Certified Nurse Aide (CNA) Training and Job Placement Program. ... This state-approved CNA Training Program runs for eight weeks at Carolina Caring’s Newton campus on 3975 Robinson Road. Led by licensed nursing instructors, these courses provide expert hands-on education which prepares students to pass the intensive North Carolina Nurse Aide certification exam. Students receive financial aid throughout the program, and all graduates who successfully complete their certifications are offered positions with Carolina Caring. ... “Carolina Caring blessed me by selecting me for this program and providing me with an opportunity that I otherwise would not have been able to financially invest in at this current moment,” said Allison Ackley, class valedictorian. “They poured into me, and so I’m going to be pouring back into them.”Editor's note from Carolina Caring's website: "In 1979, Carolina Caring was established as one of North Carolina’s original three hospice providers. We were a small group of grassroots volunteers with a mission: to help our parents, grandparents and neighbors walk through their final moments with dignity and respect." We congratulate you on this innovative, mission-driven educational and staffing initiative.
How health system palliative providers can leverage data to gain more resources
11/13/24 at 03:00 AMHow health system palliative providers can leverage data to gain more resources Hospice News; by Jim Parker; 11/12/24 Palliative care clinicians in health systems can apply research to lobby administrators for additional resources. In doing so, they may get a profile boost due to the COVID-19 pandemic. Palliative care’s reputation grew during the pandemic, with more patients and health care organizations recognizing its benefits and value. Stakeholders can leverage this in discussions with organization leaders, according to Dr. Tamara Vesel, chief of the Palliative Care Division at Tufts Medical Center and associate professor of medicine and pediatrics, Tufts University School of Medicine. ... When approaching organization leaders to advocate for palliative care, the importance of data cannot be overstated, according to study co-author Dr. Bernice Burkarth, chief medical officer of Tufts Medicine Care at Home and assistant professor of medicine at Tufts University School of Medicine.Editor's note: Reminder, our newsletter's Saturday edition always compiles relevant, timely research articles for you. To me, the word "research" means to "re-search," as in to search again--now--for the best information and appliciations available, today. We do alot of the work for you, re-searching and re-searching topics, pairing timely hospice and palliative challenges with formal research's background needs, research methods, data, references, conclusions, applications, and needs for further examination.
High-risk medications in persons living with dementia-A randomized clinical trial
11/09/24 at 03:15 AMHigh-risk medications in persons living with dementia-A randomized clinical trialJAMA Internal Medicine; Sonal Singh, MD, MPH; Xiaojuan Li, PhD, MSPH; Noelle M. Cocoros, DSc, MPH; Mary T. Antonelli, PhD, RN, MPH; Ramya Avula, MS; Sybil L. Crawford, PhD; Inna Dashevsky, MS; Hassan Fouayzi, PhD, MS; Thomas P. Harkins, MA, MPH; Kathleen M. Mazor, EdD; Ashley I. Michnick, PharmD, PhD; Lauren Parlett, PhD; Mark Paullin, MS; Richard Platt, MD, MSc; Paula A. Rochon, MD, MPH; Cassandra Saphirak, MA; Mia Si, MS; Yunping Zhou, MS; Jerry H. Gurwitz, MD; 10/24Question: Does a one-time mailed educational intervention to patients and their clinicians reduce prescribing of antipsychotics, sedative-hypnotics, and strong anticholinergic agents in community-dwelling persons living with Alzheimer disease (AD) or AD-related dementias (ADRD)? In this randomized clinical trial of 12,787 patients, there were no clinically meaningful or statistically significant differences from the mailed educational intervention compared with usual care in continued use of medications targeted for deprescribing. These findings suggest medication-specific educational mailings targeting patients with AD or ADRD and their clinicians are not effective in reducing the use of high-risk medications.
Aging studies researchers receive $1.8M to educate dementia care providers on palliative care
11/01/24 at 03:00 AMAging studies researchers receive $1.8M to educate dementia care providers on palliative care University of South Florida - College of Behavioral and Community Sciences; by School of Aging Studies; 10/30/24Faculty in the School of Aging Studies have been awarded $1.8 million from the National Institutes of Health (NIH): National Institute on Aging to support their work of implementing and analyzing the impact of a palliative care education intervention for staff in assisted living facilities caring for people living with dementia. Debra Dobbs, PhD, is the principal investigator on the project, and Lindsay Peterson, PhD, Hongdao Meng, MD, PhD, MPH, and William Haley, PhD, will serve as co-investigators. The team will also be collaborating with investigators from UNC-Chapel Hill, Miami University, Penn State, University of Iowa, Workforce & Quality Innovations, and community hospices from Chapters Health Systems and Empath Health.
A moral code: Ethical dilemmas in medicine — three physicians face crossroads in patient care
10/29/24 at 03:00 AMA moral code: Ethical dilemmas in medicine — three physicians face crossroads in patient care MedPage Today; podcast by Genevieve Friedman, Perspectives Editor; 10/25/24 We are back for another episode of our medical podcast, which we hope isn't really a podcast about medicine, but a podcast about life, death, dilemma, the challenges, and sometimes the joys of medicine. ... Now, medicine is complicated because a lot of times there aren't hard and fast rules ... One treatment isn't always right or wrong for someone. One surgery isn't always successful or unsuccessful, and one diagnosis isn't always correct. Decisions aren't black and white, they're varying shades of gray. So we come up with principles to help handle this -- codes if you will. But even those get a bit marred by complexity at times. As you'll hear in this episode of Anamnesis with the theme of "A Moral Code: Ethical Dilemmas in Medicine," one of our biggest codes is "do no harm." But what is harm? Who decides what harm is, what happens if we disagree?
What is narrative medicine? Finding humanity in health care
10/28/24 at 03:00 AMWhat is narrative medicine? Finding humanity in health care Rheumatology Advisor; by Matthew Eck, MS; 10/25/24 Health care requires humanity. At its roots, narrative medicine embodies this ideology. Coined in 2000 by internist and scholar Rita Charon, MD, PhD, the field is “medicine practiced with the narrative competence to recognize, interpret, and be moved to action by the predicament of others.” ... Narrative medicine is less a specific practice and more a theoretical framework that equips caregivers and health care professionals with tools to provide more holistic care. These tools stem from storytelling principles and literature, which can hone our empathic and listening skills. ... Medical schools across the country are increasingly tailoring their curricula to include humanities-focused aspects, ... Conclusion: Regardless of one’s feelings about health care infrastructure in the United States, narrative medicine illuminates a profound truth — more can be done to accommodate patients of different backgrounds. Narrative medicine can offer health care providers a new way of thinking, attending, and recognizing. It could bring us closer to the human condition than ever before.
‘Let patients lead the way’: Hospice veterans’ advice for new nurses
10/28/24 at 03:00 AM‘Let patients lead the way’: Hospice veterans’ advice for new nurses Hospice News; by Jim Parker; 10/25/24 ... A key barrier to building [the hospice and palliative care] workforce is that, with some exceptions, most clinicians receive little to no exposure to those types of care during their training. Nurses who are new to the hospice space often face a learning curve, according to Briana Hilmer, an Iowa-based admissions nurse for St. Croix Hospice.
Diagnosed with disease he studied, Stanford doctor puts his personal story at center of new class.
10/28/24 at 02:00 AMDiagnosed with disease he studied, Stanford doctor puts his personal story at center of new class. NBC Bay Area; 10/24/24 Stanford Medicine physician Dr. Bryant Lin is the perfect professor to teach the course “From Diagnosis to Dialogue: A Doctor's Real-Time Battle with Cancer” at Stanford. And that’s not necessarily a good thing. The class focuses on the cancer journey of a non-smoking patient diagnosed with lung cancer. Dr. Lin is that patient. “I want to take something that is obviously very negative to me personally and get some benefit out of it for at least for other people,” Dr. Lin said. 20 years ago, Dr. Lin chose a career in medicine for a simple reason. “I wanted that personal connection and that satisfaction from helping people on a day-to-day basis,” Dr, Lin said. This same motivation led Dr. Lin to co-found Stanford’s Center for Asian Health Research and Education in 2018, with a particular focus on lung cancer in non-smokers. This is why Dr. Lin was (and in a way was not) surprised when earlier this year he found himself part of the 20% of lung cancer patients who have never smoked. ... [Click on the title's link to continue reading this inspirational story.]
Patient, staff satisfaction biggest ROIs of trauma-informed hospice care
10/25/24 at 03:00 AMPatient, staff satisfaction biggest ROIs of trauma-informed hospice care Hospice News; by Holly Vossel; 10/23/24 Improved patient and staff satisfaction are among the most significant returns on investment for hospices that are pouring greater resources into trauma-informed training. The ability to build a trusting relationship with patients and their families is a key skill set for any hospice professional to possess, but one that takes on a profoundly different meaning when caring for survivors of abuse, violence and trauma. This is according to Amber Ash, pediatric hospice and palliative care social worker at Ohio-based Hospice of the Western Reserve. Trauma-informed education should be a normalized part of hospice’s interdisciplinary training to help staff recognize and respond to a range of experiences, Ash indicated. This type of training can help provide opportunities for improved goal-concordant care while also aligning with staff’s professional goals and personal values, she stated.
Victim of hospice nurse wonders how she could've stolen from them
10/25/24 at 03:00 AMVictim of hospice nurse wonders how she could've stolen from them NBC News KUSA-TV 9, Denver, CO; Newscast video, reported by Rhea Jha; 10/24/24 A home care hospice nurse has been sentenced to 32 years in prison for stealing more than $100,00 from multiple patients. Victims are wondering how this happened. ... "That loss of trust, I don't know how you recover from that." Editor's note: This news story identified "All Generations Home Care" as the agency involved, and that they did not respond for comment.
Advance Directives: How to make sure your end-of-life decisions are followed
10/25/24 at 03:00 AMAdvance Directives: How to make sure your end-of-life decisions are followed Bottom Line Inc; by Mathew D. Pauley, JD; 10/24/24 Nearly 40% of older Americans have some form of advance directives, such as a living will to communicate wishes about life-saving treatment…or a medical power of attorney appointing a loved one as proxy if they’re incapacitated. Problem: Your wishes may not always be followed in real-world situations. Examples: Emergency paramedics typically provide CPR to restart a patient’s heart even if that patient’s living will says otherwise. And complex medical circumstances at the end of life often arise that force your loved ones to make judgment calls about what you really want. Bottom Line Personal spoke to clinical ethicist Mathew Pauley about how to make sure hospitals, medical providers and family members follow your medical wishes.
De-Escalating angry people: A critical safety skill in education and healthcare
10/23/24 at 02:00 AMDe-Escalating angry people: A critical safety skill in education and healthcare Campus Safety; by Jacob Milner; 10/15/24 These five de-escalation disciplines will help you effectively deal with angry students, family members, visitors, and patients. ... But before we dive into de-escalation itself. It’s crucial to remember that no matter the situation, your primary goal should always be safety, then de-escalation. If you don’t feel safe attempting to de-escalate someone, then don’t. But if you feel that you are in a situation where de-escalation can be attempted, carry on. Now that being said, let’s get into it. ...
Palliative and hospice care in the prehospital setting
10/11/24 at 03:00 AMPalliative and hospice care in the prehospital setting
Free access to Spanish digital nursing text--Oct 10 to 20--celebrating World Hospice and Palliative Care Day
10/11/24 at 03:00 AMFree access to Spanish digital nursing text: Oct 10-20, honoring World Hospice and Palliative Care DayLife and Death Matters (Canada); Kath Murray; 10/10/24Life and Death Matters is giving free access to our digital nursing text Lo Esencial en Cuidedos Paliativos: Un Recurso Practico en Enfermeria (Spanish) and companion workbook to health care providers. October 12th to celebrate WHPCD. Register and sign up below for free access to the digital text! [Updates, not on the webpage] Free access is being extended to healthcare clinicians and leaders throughout the United States, from October 10-20, 2024. Click here to register for free access. Edits from Kath Murray, CEO/Founder of Life and Death Matters, updated information from this webpage:]
University of Maryland bolstering palliative care workforce via master’s degree, certification program
10/08/24 at 03:00 AMUniversity of Maryland bolstering palliative care workforce via master’s degree, certification program Hospice News; by Molly Bookner; 10/7/24 The University of Maryland, Baltimore (UMB) School of Pharmacy is seeking to address the dearth of palliative care-trained clinicians and improve care among seriously ill patients. By 2060, the demand for palliative care is expected to nearly double, according to the World Health Organization. Yet, despite this need, significant gaps in training remain, with many professionals lacking exposure to hospice or palliative care during their schooling. UMB seeks to bolster the palliative care workforce through its online Graduate Studies in Palliative Care program, launched in 2017. While most palliative care clinical education programs see small cohorts of five or fewer students, UMB is seeing a larger crowd of professionals enter the workforce. Of the Class of 2024, 36 students received their Master of Science degree and seven received a graduate certificate. “We have an amazing diversity of students,” Mary Lynn McPherson, professor in the Department of Practice, Sciences, and Health Outcomes Research at the School of Pharmacy and executive program director of Graduate Studies in Palliative Care, told Palliative Care News.
Caring for Hindu patients at the end-of-life: A narrative review
10/07/24 at 03:00 AMCaring for Hindu patients at the end-of-life: A narrative review Cambridge University Press; by Brinda Raval Raniga, MD, Savannah Kumar, MD, Rebecca McAteer Martin, MD, and Craig D. Blinderman, MD; 10/3/24 This paper reviews the existing literature to identify specific challenges that may arise in the context of providing palliative and end-of-life (EOL) care for Hindu patients in the physical, psychological, and spiritual domains. We offer practical strategies where appropriate to mitigate some of these challenges. We review how the Hindu faith impacts EOL decision-making, including the role of the family in decision-making, completion of advance directives, pain management, and decisions around artificial nutrition and hydration (ANH) and cardiopulmonary resuscitation (CPR).