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All posts tagged with “Clinical News | Physician & Nursing News.”
New law will fast-track completion of hospice death certificates
05/23/25 at 03:00 AMNew law will fast-track completion of hospice death certificatesFlorida Politics; by Drew Wilson; 5/21/25 Grieving families will spend less time waiting on paperwork come July 1.Gov. Ron DeSantis has signed legislation that would take some stress off palliative care physicians who guide patients through their final hours, as well as the grieving families they leave behind. Sponsored by Republican Rep. Dana Trabulsy, HB 647 would allow Advanced Practice Registered Nurses (APRNs) to complete and file death certificates for hospice care patients. Valid death certificates must record both time of death and cause of death before the deceased’s remains can be turned over to a funeral director. Under current law, a doctor must determine the cause of death and sign the certificate. That will remain the case after Trabulsy’s bill goes into effect July 1 for non-hospice deaths.
Proposed California budget calls for prior authorization for hospice in Medicaid
05/23/25 at 03:00 AMProposed California budget calls for prior authorization for hospice in Medicaid Hospice News; by Jim Parker; 5/22/25 The proposed California budget would require prior authorizations for hospice care within the state’s Medicaid program. Currently, Medicaid managed care plans who provide coverage through the state’s Medicaid system, Medi-Cal, may not perform prior authorizations for hospice. California’s Department of Health Care Services (DHCS) indicated in a 2025-2026 budget revision that this could save $25 million over the next two years and more than $50 million in the long term. If enacted, this would make California the first state in the nation to implement such a rule, according to the California Hospice & Palliative Care Association (CHAPCA). The association contends that the anticipated $25 million in cost savings is “speculative and fails to account for the downstream costs and systemic burdens this proposal would create,” according to a position paper shared with Hospice News. ... CHAPCA recommended to the state government three alternative approaches: ...
‘Wake-up call’: Aggressive cancer care common at end of life, supportive care lacking
05/23/25 at 03:00 AM‘Wake-up call’: Aggressive cancer care common at end of life, supportive care lackingHealio; by Josh Friedman; 5/22/25Nearly half of people with advanced cancer receive aggressive care at the end of life, a rate little changed from a decade ago. At the same time, use of palliative or supportive care remains rare, despite increasing evidence that they are a key component of high-quality, patient-centered care. ... Meanwhile, two other studies showed oncologists’ individual practice patterns and institutional resources can play a significant role in determining which patients receive systemic therapy or early palliative care at the end of life.
‘Marathon’ effort to refine end-of-life wound coding runs on
05/23/25 at 03:00 AM‘Marathon’ effort to refine end-of-life wound coding runs on McKnights Long-Term Care News; by Kimberly Marselas; 5/28/25 Two key wound care groups are finalizing a proposal for new codes that would help skilled nursing providers avoid newly created diagnoses gaps for end-of-life skin breakdown that could lead to missed reimbursement and potential liability risks. The push comes a year and a half after nursing homes won the right to stop coding wounds that occur as part of dying as pressure injuries, which can hurt their quality ratings. But they also lost any way to code or acknowledge treatment of such skin failure in the Minimum Data Set. ...
Hospice nurse fired after granddaughter shares video of alleged misconduct
05/22/25 at 03:00 AMHospice nurse fired after granddaughter shares video of alleged misconduct NBC WJAR-10, Providence, RI; by Leanna Faulk; 5/16/25 A hospice nurse has been fired after a Facebook video posted by the granddaughter of a terminally ill man allegedly caught the nurse verbally abusing him inside HopeHealth Hospice & Palliative Care on Main Street in Providence. Aryanna Pecoraro said she was visiting her 69-year-old grandfather, John Carney, during the early morning hours of May 3 when she overheard a nurse speaking aggressively to him through the closed door of his room. Carney had been admitted to the hospice center on April 30 and was in the late stages of emphysema. “I hear her say to my grandfather, ‘I’m not coming back into this room. I don’t care if you fall out of the bed onto the floor. I’m tired of your BS," Pecoraro said in an interview with NBC 10. “She also mocked him while he groaned in pain. I couldn’t believe someone could be that cruel to a person who couldn’t defend himself.” ... HopeHealth issued the following statement in response to the video and allegations: ...
White coats, heavy hearts: What to expect as a med student after your first patient death
05/22/25 at 03:00 AMWhite coats, heavy hearts: What to expect as a med student after your first patient death Medscape; by David Brzostowicki; 5/21/25 The first death of a patient represents a profound emotional turning point that reverberates throughout one’s career as a physician. In that critical moment, the shield of clinical detachment gives way to inevitable self-reflection. Daryl Eber, MD, recalls a jarring case of an intubated patient who extubated himself and quickly died after coding. The incident occurred in 2005 while Eber was doing rounds as a medical student at Shands Jacksonville Medical Center (renamed UF Health Jacksonville) in Jacksonville, Florida. Although the patient was not in his direct care, the swiftness with which death took the man has lingered with Eber for two decades.
Q&A: Addressing palliative care in dialysis settings
05/22/25 at 03:00 AMQ&A: Addressing palliative care in dialysis settings Physician's Weekly; interview with Jane O. Schell, MD; 5/20/25 Jane O. Schell, MD, discusses factors that impact use of palliative care in dialysis settings for patients in the United States, as well as potential solutions.
Hospice visits and perceived hospice quality among Assisted Living residents
05/21/25 at 03:00 AMHospice visits and perceived hospice quality among Assisted Living residents Journal of the American Geriatrics Society; by Wenhan Guo, Shubing Cai, Yue Li, Brian E. McGarry, Thomas V. Caprio, Helena Temkin-Greener; 5/19/25 Background: Hospice services are widely used by assisted living residents at the end of life, yet concerns exist about the adequacy and quality of hospice care in this setting. Conclusions: Higher frequency of hospice staff visits was associated with better perceived hospice quality. Policies supporting greater hospice staff engagement, including nonclinical staff, may enhance end-of-life care experiences for assisted living residents.
Yes, you can die from a broken heart
05/21/25 at 02:00 AMYes, you can die from a broken heartMedscape; by F. Perry Wilson, MD, MSCE; 5/14/25 A patient comes crashing into the emergency room with severe chest pain. The EKG looks like this: A patient comes crashing into the emergency room with severe chest pain. The EKG looks like this: [graphic]. As a doctor, if you see this, you’re calling the cardiac cath lab. This is an ST-elevation myocardial infarction — the big one — indicative of a blood clot blocking blood flow to a large section of the heart. The sooner you get that blood clot out, the better chance the patient has to survive. So the patient is rushed to the cath lab, and they find… nothing. Clear coronaries. No blood clot. Further questioning reveals that the patient, an older woman, lost her husband recently. This is stress-induced cardiomyopathy, medically known as Takotsubo cardiomyopathy (TC). It’s the pathophysiologic manifestation of a broken heart. First described in 1991, Takotsubo syndrome occurs in the setting of deep psychological, emotional, or physical stress.
What is it like to die? University of Minnesota’s VR experience offers some answers.
05/20/25 at 03:00 AMWhat is it like to die? University of Minnesota’s VR experience offers some answers. The Minnesota Star Tribune; by Richard Chin; 5/2/25 Our reporter returned from the Embodied Labs experience with some thoughts on what he’d like his last hours to look like. When the University of Minnesota offered to let me experience what it’s like to die, naturally I said yes. Aren’t we all morbidly curious about the undiscovered country, as Hamlet put it, from which no traveler returns? Except this time, happily, I would get to return because it would be a virtual death, an experience in a VR studio that’s part of the university’s Health Sciences Library system.
Blessing hands, healing hearts: CHP honors nurses with special ceremony
05/19/25 at 03:00 AMBlessing hands, healing hearts: CHP honors nurses with special ceremony Hometown Stations - ABC, FOX, NBC, CBS, Delphos, OH (WLIO); by Todd Cummins; 5/15/25 A local nonprofit agency is recognizing the dedication of its staff with a special blessing ceremony. In honor of National Nurses Week, the staff of CHP Home Care and Hospice participated in a “blessing of the hands” — a centuries-old tradition meant to honor the vital role nurses play in healing and compassion. The idea came from Colleen Quickery, the administrator of Hearth & Home in Van Wert. Chaplain Steve Haddix said he has performed about 240 blessings for staff across Paulding and Van Wert counties, as well as the Lima and Delphos offices. This marks the first year CHP has offered the ceremony, and it has had a powerful impact on many who received it.Editor's note: Reminder that CNA Week is June 12-18, 2025.
Unintended, percolated work: Overlooked collaborative opportunities during end-of-life care
05/16/25 at 03:00 AMExploring overlooked collaborative opportunities during end-of-life care Medical Xpress; by Institute of Science Tokyo; 5/14/25 [This study's researchers describe:] "Bereaved family members broadly recollected the mixed regretful actions and decisions that should have been taken during the end-of-life care process. Coordination and cooperation challenges that existed between health care professionals and family caregivers emerged as factors that impeded these actions at the time." [They identified three types of] unintended, percolated work (UPW). ...
The future of dying with Dr. Ira Byock | Pop 1205
05/16/25 at 03:00 AMThe future of dying with Dr. Ira Byock | Pop 1205 Practice of the Practice; podcast by Joe Sanok with Dr. Ira Byock; 5/14/25 How can we embrace conversations about death and dying? What is the healing power of forgiveness and connection in end-of-life care? When we face morality, how can we transform fear into meaningful connections? In this podcast episode, Joe Sanok speaks about the future of dying with Dr. Ira Byock. .. In this podcast:
[United Kingdom] For, against, undecided: Three GPs give their views on assisted dying
05/16/25 at 03:00 AM[United Kingdom] For, against, undecided: Three GPs give their views on assisted dying BBC News; by Catherine Burns and Vicki Loader; 5/13/25 If you ask these three doctors about being GPs, their answers are remarkably similar. "It can be the best job in the world," one tells me. It's "a privilege" another says. They all talk about how they love getting to know their patients and their families. But all three have different views on assisted dying. Right now, the law here is clear: medics cannot help patients to take their own lives. But that could change. The Terminally Ill Adults (End of Life) Bill is being debated in Parliament. And if it goes through, it will give some terminally ill patients in England and Wales the option of an assisted death. Here, three doctors - Abdul Farooq, Susi Caesar and Gurpreet Khaira, who all have a different view on assisted dying - tell us how they feel about the proposals.
Palliative and end-of-life care during critical cardiovascular illness: A scientific statement from the American Heart Association
05/16/25 at 02:00 AMPalliative and end-of-life care during critical cardiovascular illness: A scientific statement from the American Heart Association American Heart Association; by Erin A. Bohula, MD, DPhil, Michael J. Landzberg, MD, Venu Menon, MD, FAHA, Carlos L. Alviar, MD, Gregory W. Barsness, MD, FAHA, Daniela R. Crousillat, MD, Nelia Jain, MD, MA, Robert Page II, PharmD, MSPH, FAHA, Rachel Wells, PhD, MSN, and Abdulla A. Damluji, MD, PhD, MBA, FAHA on behalf of the American Heart Association Acute Cardiac Care and General Cardiology Committee of the Council on Clinical Cardiology; and Council on Cardiovascular and Stroke Nursing; 5/15/25 Abstract: Cardiac intensive care units are witnessing a demographic shift, characterized by patients with increasingly complex or end-stage cardiovascular disease with a greater burden of concomitant comorbid noncardiovascular disease. Despite technical advances in care that may be offered, many critically ill cardiovascular patients will nevertheless experience significant morbidity and mortality during the acute decompensation, including physical and psychological suffering. Palliative care, with its specialized focus on alleviating suffering, aligns treatments with patient and caregiver values and improves overall care planning. Integrating palliative care into cardiovascular disease management extends the therapeutic approach beyond life-sustaining measures to encompass life-enhancing goals, addressing the physical, emotional, psychosocial, and spiritual needs of critically ill patients. This American Heart Association scientific statement aims to explore the definitions and conceptual framework of palliative care and to suggest strategies to integrate palliative care principles into the management of patients with critical cardiovascular illness.
How grief transformed a psychiatrist’s approach to patient care
05/15/25 at 03:00 AMHow grief transformed a psychiatrist’s approach to patient care MedPageToday's KevinMD.com [reposted in AAHPM's newsletter]; by Devina Maya Wadhawa, MD; 5/12/25It is a routine Saturday morning—I am sitting in my office, looking at the snowflakes dropping outside my window. As I sip on my cup of Earl Grey tea preparing my psyche for a busy day of managing an on-call shift on an acute care psychiatry floor, I am suddenly washed over by grief. A very similar Saturday a year ago, I was saying goodbye to my father as he was being taken off life support in the intensive care unit after suffering a massive posterior myocardial infarction and ending up with a cardiac arrest at the very young age of 62. The year has been nothing short of trying, a year of firsts. ...
Virtual nursing at Hackensack Meridian Health is making nurses and patients happy
05/15/25 at 02:15 AMVirtual nursing at Hackensack Meridian Health is making nurses and patients happy Healthcare IT News; by Bill Siwicki; 5/12/25 In-hospital nurses can focus on more critical tasks and direct patient care while virtual nurses handle the routine monitoring and documentation tasks. Patients appreciate more personalized support and the overall hospital experience. Hackensack Meridian Health has made a conscious effort to identify ways to streamline administrative tasks for its bedside teams, minimizing non-clinical burdens for frontline staff. ... Early results show virtual nursing supports faster discharging procedures, coordinated care planning and optimization of in-unit nursing time through the shifting of the documentation burden.
Roughly 40 percent of nurses plan to leave profession within 5 years, survey finds
05/15/25 at 02:00 AMRoughly 40 percent of nurses plan to leave profession within 5 years, survey finds McKnights Home Care; by Adam Healy; 5/13/25 The nursing workforce today is more stable than it was during the height of the COVID-19 pandemic, but a significant share of nurses still plan to leave the profession behind in the next five years, according to the 2024 National Nursing Workforce Survey published in the Journal of Nursing Regulation. ... Approximately 40% of RNs, LPNs and LVNs surveyed said that they planned to leave nursing sometime in the next five years. In 2022, roughly 26% of nurses said the same. The most common reasons nurses cited for wanting to leave their jobs included retirement, stress or burnout, workloads and pressures caused by understaffing, the report noted.
AI tool uses face photos to estimate biological age and predict cancer outcomes
05/14/25 at 03:00 AMAI tool uses face photos to estimate biological age and predict cancer outcomes Mass General Brigham - Technology & Innovation - Research; by Hugo Alerts, Ray Mak, Dennis Bontempi, Osbert Zalay, Danielle S. Bitterman, Fridolin Haugg, Jack M. Qian, Hannah Roberts, Subha Perni, Vasco Prudente, Suraj Pai, Christian Guthier, Tracy Balboni, Laura Warren, Monica Krishan, and Benjamin H. Kann; 5/8/25 Mass General Brigham findings suggest FaceAge tool could provide objective data to help inform treatment decisions in cancer care and other chronic diseases. Eyes may be the window to the soul, but a person’s biological age could be reflected in their facial characteristics. Investigators from Mass General Brigham developed a deep learning algorithm called FaceAge that uses a photo of a person’s face to predict biological age and survival outcomes for patients with cancer. They found that patients with cancer, on average, had a higher FaceAge than those without and appeared about five years older than their chronological age. Older FaceAge predictions were associated with worse overall survival outcomes across multiple cancer types. They also found that FaceAge outperformed clinicians in predicting short-term life expectancies of patients receiving palliative radiotherapy. Their results are published in The Lancet Digital Health.Editor's note: This summary article is published by the main source, Mass General Brigham. Various articles are being written about this new use of AI.
Team work makes the dream work for hospice veteran
05/14/25 at 03:00 AMTeam work makes the dream work for hospice veteran Veterans Administration, VA.gov; by Douglas A. Etter; 5/12/25 When Marine Corps Veteran Ivson Shelley came to the Lebanon VA Medical Center for a follow-up visit with his oncologist, Suhail Ali, MD, the staff was concerned about how much the former New York resident had declined since his last appointment. They didn’t think he could be cared for at home any longer, so a decision was made with the family to admit him to the medical center’s hospice unit Thursday afternoon. Once there, the Marine shared a heartfelt wish with the staff – he wanted to marry his lifelong love, Wanda Rivera. The couple had dated more than 50 years ago and rekindled their relationship 10 years ago. Upon hearing the Vietnam Veteran’s wish, the VA team, lead by Hospice Nurse Manager Jessica Himes, RN and Hospice Social Worker, Erin Miller, MSW, LCSW quickly came together to make it happen. Palliative care nurse Melissa Buchinski, RN began to research what the requirements were to secure a marriage license for the couple. ... [Continue reading this inspirational story.]
He was dying, Alabama sent him back to prison anyway
05/14/25 at 03:00 AMHe was dying, Alabama sent him back to prison anyway AdvanceLocal - AL.com - Alabama Media Group; by Renuka Rayasam; 5/12/25 Brian Rigsby was lying with his right wrist shackled to a hospital bed in Montgomery, Alabama, when he learned he didn’t have long to live. ... Rigsby decided to stop efforts to treat his illness and to decline lifesaving care, a decision he made with his parents. And Rigsby’s mother, Pamela Moser, tried to get her son released to hospice care through Alabama’s medical furlough policy, so that their family could manage his end-of-life care as they saw fit. But there wasn’t enough time for the furlough request to be considered. After learning that Rigsby was on palliative care, the staff at YesCare, a private prison health company that has a $1 billion contract with the Alabama Department of Corrections, told the hospital it would stop paying for his stay and then transferred him back to Staton Correctional Facility in Elmore, according to the hospital record his mom provided to KFF Health News. Moser never saw or spoke to her son again. “The last day I went to see him in the hospital, I was hoping he would take his last breath,” said Moser, a former hospice nurse. “That is how bad I didn’t want him to go to the infirmary” at the prison. A week later, Rigsby died ... in the infirmary, according to his autopsy report. Officials at the corrections department and YesCare did not respond to requests for comment.
John Whyte, MD, MPH, selected as the AMA’s new CEO
05/13/25 at 03:00 AMJohn Whyte, MD, MPH, selected as the AMA’s new CEO American Medical Association (AMA), Chicago, IL; by Staff News Writer; 5/9/25 The AMA Board of Trustees has chosen John Whyte, MD, MPH, a nationally renowned public health advocate, physician executive, corporate strategist and communication expert, as its next executive vice president and CEO. Dr. Whyte ushers in a new era of leadership for the 178-year-old institution amid strong membership growth and a renewed focus on solving challenges that affect physicians and patients. Dr. Whyte’s tenure will begin July 1. Dr. Whyte brings extensive corporate, governmental and clinical experience to his role leading the day-to-day operations of the AMA. A board-certified internal medicine physician for nearly 30 years, Dr. Whyte joins the AMA from WebMD, where he has served as chief medical officer (CMO) since 2018 and helped grow the media company’s strategic partnerships, influence and vision.
Celebrating National Nurses Month with 62 years of nursing excellence: Meet Alma Flowers, hospice nurse
05/13/25 at 03:00 AMCelebrating National Nurses Month with 62 years of nursing excellence: Meet Alma Flowers, hospice nurse Jacksonville News - JAXChamber, Jacksonville, FL; 4/30/25 This month, we are proud to spotlight Ms. Alma Flowers, a dedicated Registered Nurse at Community Hospice & Palliative Care, whose remarkable career spans an impressive 62 years. Alma's journey began at the Brewster Duval School of Nursing in Jacksonville in 1959, marking the start of a lifelong commitment to compassionate care and professional excellence. Alma's career has been a testament to the evolution of nursing, encompassing diverse roles from acute psychiatric units to the compassionate realm of hospice care. Throughout her journey, Alma has adapted to and contributed to advancements in healthcare practices and policies. ... As we celebrate National Nurses Month, we are reminded of nurses' profound impact on patient care, healthcare innovation, and community well-being. Alma Flowers' journey is a testament to the enduring spirit of nursing excellence at Community Hospice & Palliative Care.Editor's note: What a beautiful tribute to Alma, especially when describing her journey as a "testament to the evolution of nursing." Imagine changes ahead for today's student nurses: 62 years from now will be the year 2087. While we struggle to keep up with the current barrage of nursing workforce challenges, we can draw inspiration from Alma's life-long commitments, flexibility, and immeasurable contributions.
Visiting Nurses Foundation awards over $23K in scholarships to future health care professionals
05/12/25 at 03:00 AMVisiting Nurses Foundation awards over $23K in scholarships to future health care professionals The Chronicle, Centralia, WA; Press Release; 5/7/25 The Visiting Nurses Foundation will award a total of $23,250 of its annual scholarship awards to support local students pursuing careers in health care. These scholarships are a reflection of the foundation's ongoing mission to fund education and assistance for Home Health and Hospice patients and their families. Each scholarship recipient demonstrated not only academic excellence but a deep sense of purpose, a desire to care for others, strengthen communities and make a lasting impact in the lives of patients and families, according to a Visiting Nurses Foundation news release.
It's time to talk about LGBTQ+ elder care
05/12/25 at 02:15 AMIt's time to talk about LGBTQ+ elder care Psychology Today - Caregiving; by Stephanie Sarazin, M.P.P.; 5/6/25 A once-hidden story is helping us think about queer kinship and caregiving. Key points: