Literature Review

Homecare Homebase opens nominations for 2024 Home Care Aide Scholarship Program PRNewswire-PRWeb; 7/23/24 Homecare Homebase (HCHB) ... and the National Association for Home Care & Hospice (NAHC) are proud to announce the opening of nominations for the 2024 Home Care Aide Scholarship Program. This annual program awards $1,000 scholarships to 15 deserving home care aides across the country, recognizing their dedication to providing exceptional care and supporting their professional development. The scholarship program helps address the growing need for aides in the home care workforce, enabling these essential workers to pursue further education and advance their careers. ... Nominations for the 2024 Home Care Aide Scholarship Program are now open and will be accepted through September 30th, 2024.

Emory receives $5 million grant to improve geriatric care and education Saporta Report; by Emory University, Atlanta, GA; 7/16/24 Emory University has been awarded a $5 million cooperative agreement by the U.S. Health Resources and Services Administration (HRSA) to enhance geriatric care and education for health care workers in Georgia’s urban and rural areas. This five-year funding will support Georgia Gear (Geriatrics Workforce Enhancement Program), operated through the Department of Family and Preventive Medicine at Emory University School of Medicine. ... The Georgia Gear program will partner with organizations including Georgia Memory Net, the Georgia Department of Public Health, Georgia Area Health Education Center, the Technical College System of Georgia, Emory Healthcare, the Atlanta VA Health Care System, and the American Academy of Hospice and Palliative Medicine (AAHPM).

Pain management in the wake of the opioid crisis Forbes; by Web Golinkin; 7/15/24 Pain is the single most frequent reason for patient visits in the United States. An estimated 20 percent of adults experience chronic pain, and nearly seven percent experience a level of chronic pain that limits their daily activities. However, most doctors and other healthcare professionals have very little education in pain management, according to Scott Fishman, MD, an internationally recognized expert in pain management, ... This lack of education was one of the main causes of the Opioid Crisis, Fishman says ... of the part of the crisis that was caused by the over-prescribing of opioids, many clinicians have become so wary of the medical-legal issues surrounding pain management that they have gone from an overly liberal approach to a restrictive one in which some prescribers are effectively abandoning patients who need to have their symptoms treated. Both extremes are frequently fueled by lack of knowledge and training, according to Fishman. ... The solution is to close the education gap ...

What is palliative care, and can you get it at home?

Penn Health CEO on piecing together the healthcare hiring puzzle Becker's Hospital Review - Leadership & Management; by Madeline Ashley; 6/17/24 ... Penn Medicine has introduced programs to students and young people that will not only inspire them to join the healthcare industry, but prepare and train them for the opportunities that lie ahead. "I think the world needs mission oriented people," Kevin Mahoney [CEO of Philadelphia-based University of Pennsylvania Health System] told Becker's. "You've got to believe in where you're working, otherwise you're just punching the clock." In late May, the health system partnered with Heights Philadelphia, an organization that connects middle schoolers and up with career and college opportunities, and Philadelphia City Council majority leader Katherine Richardson to hold a career event. ... "By introducing students to the field, we’re creating a pathway to careers that enrich lives and make a difference in others. Encouraging careers in health care also helps to strengthen the field overall, ensuring a pipeline poised to answer the needs of the future." [Click on the title's link to read more of this innovative solution, and other student-oriented programs.] 

A palliative care curriculum may promote resident self-reflection and address moral injury The Journal of Surgical Research; by Shruti Koti, Lyudmyla Demyan, Danielle Deperalta, Sophia Tam, Gary Deutsch; 6/22/24 online ahead of print Introduction: There is a lack of formal palliative care education for surgical trainees, and the demanding nature of surgical training and exposure to challenging clinical scenarios can contribute to moral injury. We developed a palliative care curriculum to promote self-reflection, aiming to address moral injury in residents.Conclusions: The described palliative care curriculum accomplishes several goals as follows: it educates residents on palliative care topics, teaches communication tools, encourages self-reflection, and provides space for building peer relationships. The ease of implementation makes this curriculum applicable across various types of institutions, offering the potential to positively impact surgical training on a national scale.

Project ECHO: 5 years of fostering learning in your community Dartmouth Health; by Connections Magazine and modified for the web; 6/25/24 Teach, teach, learn, learn. That is the model Project ECHO® at Dartmouth Health uses to connect people and their communities in a virtual setting, sharing knowledge between participants and subject matter experts. The program is especially helpful for rural communities seeking expertise on a broad range of health and medical issues. ... ECHO is an acronym for Extension for Community Healthcare Outcomes. ... The past three cohorts of the Palliative Care ECHO have been very successful, and the program content has continued to evolve over time. The sessions have had an average of 70 participants and have received high scores on feedback metrics. Fifty percent of participants were repeat attendees. “Our mission is to improve palliative care throughout our region, and our leadership is committed to the model,” Kathleen Broglio, DNP says. “This was the culmination of what I hoped to do in my career.” Editor's Note: Memorable quote from this article, "“Everyone is a teacher, and everyone is a learner,” says Kathleen Broglio, DNP, associate professor of medicine and a nurse practitioner of palliative medicine. Broglio has co-led the Palliative Care ECHO with Robin Larson, MD, MPH through three courses (cohorts) and with the support of the Project ECHO team at Dartmouth Health.

Lawmakers remain committed to passing hospice workforce bill Hospice News; by Jim Parker; 6/24/24 Federal legislators plan to continue to work on passing a bill designed to bolster the hospice and palliative care workforce. The Palliative Care and Hospice Education Training Act (PCHETA) has come before Congress several times but has not yet been passed. The bill’s most recent development occurred in July 2023, when it was reintroduced by Sens. Tammy Baldwin (D-Wisc.) and Shelley Moore Capito (R-W.Va.). Capito has indicated that the senators are not giving up on the legislation as they seek to ensure that hospice and palliative care providers are able to meet growing demand. ... The legislation would establish fellowships through new palliative care and hospice education centers to provide short-term, intensive training, as well as incentivized award programs across all the relevant disciplines. It also would support programs to develop career paths within the field.

Hospice of Marion County trains first responders to care for dementia patients Hospice News; by Jim Parker; 6/18/24 Florida-based Hospice of Marion County, an affiliate of Empath Health, is training first responders in its community on how to treat dementia patients. For several years, the nonprofit hospice has been educating family caregivers and others in their community about the experiences of dementia patients and how to better interact with them. More recently, Hospice of Marion County [Ocala, Florida] has been expanding that training to include local law enforcement and fire departments, as well as medical students and staff at assisted living facilities, among others. The training uses a series of tools to simulate symptoms of dementia, related to visual, tactile, auditory senses, their ability to process information and perform certain tasks. The education helps first responders address the unique challenges associated with caring for dementia patients, according to Dr. Mery Lossada, chief medical officer of Hospice of Marion County.Editor's Note: Bravo, Hospice of Marion County!

When your parents die: Becoming an adult orphan The Montecito Journal; by Deann Zampelli; 6/18/24 Shortly after I got married, my 64-year-old mother lost her battle with breast cancer. Seven years later my father joined her. The loss isn’t any less painful just because you are a grown-up. ... Many don’t realize that grief isn’t linear. We don’t go through a neat little phase, checking off each stage as we complete it. The famous (and somewhat debunked) five stages of grief introduced by Elisabeth Kübler-Ross in the 1960s (Denial, Anger, Bargaining, Depression, Acceptance) were from a study she did on the emotional states of patients who were dying. It was their stages she was referencing, not ours. ... I came to a frightening realization. ...  It suddenly dawned on me that my siblings and I were next in line to kick it. [Click on the title's link to continue reading.]Editor's Note: While serving in your hospice leadership roles, you experience the ongoing aging, changes and likely even deaths of your own family members, friends, and mentors. Do you, your hospice communications, and/or your grief services rely on the outdated "Stages of Grief" model? These "stages" opened the door in the 1960's for talking about death and dying, but became overpopularizd for surviving and healing after the loss. These have been replaced with extensive bereavement/loss/grief research, clinical best practices, and more. For expert information, resources, and bereavement professionals, examine www.adec.org,  the Association for Death Education and Counseling. 

Hope in oncology: Where art and science collide Medscape; by Sharon Worcester, MA; 6/12/24 Carlos, a 21-year-old, laid in a hospital bed, barely clinging to life. Following a stem cell transplant for leukemia, Carlos had developed a life-threatening case of graft-vs-host disease. But Carlos' mother had faith. "I have hope things will get better," she said, via interpreter, to Richard Leiter, MD, a palliative care doctor in training at that time. "I hope they will," Leiter told her. "I should have stopped there," said Leiter, recounting an early-career lesson on hope during the ASCO Voices session at the American Society of Clinical Oncology (ASCO) 2024 annual meeting. "But in my eagerness to show my attending and myself that I could handle this conversation, I kept going, mistakenly." ... Carlos' mother looked Leiter in the eye. "You want him to die," she said. ...Editor's Note: Click on the title's link to continue reading this insightful reflection and discussion about the importance of "hope." Engage your oncology/palliative/hospice chaplains (hopefully CPE trained and Board Certified) with your medical team members to explore this core belief in "hope." Alert: AI referrals for palliative and hospice care are increasing exponentially. Clinicians must be sensitive to the human dimensions and dynamics of "hope" (which shift and change), and not be driven just by technological data.

The Aging Revolution: Growing old in America becoming more dignified, but with senior population booming, is nation’s health system prepared?BusinesssWire; 6/4/24A half-century after renowned gerontologist, psychiatrist and author Dr. Robert Butler ridiculed the nation’s medical establishment for ignoring the suffering of older Americans, Northwell Health today announced the publication of The Aging Revolution: The History of Geriatric Health Care and What Really Matters to Older Adults, which chronicles the significant advancements made in improving the physical and emotional health of the nation’s rapidly aging population.