Literature Review

More legislation in Illinois deals with ending a person’s life The Center Square - Illinois; by Kevin Bessler; 5/1/24 Another bill has been introduced in Springfield dealing with end of life options for the terminally ill. Illinois state Sen. Julie Morrison’s Senate Bill 2644 would establish a statewide electronic registry that would contain Physician Orders for Life Sustaining Treatment (POLST) forms, which detail what type of medical treatment a critically ill patient does and does not want. “How much or how little treatment a person receives at the end of their life should be up to each individual instead of the one-size-fits-all approach,” said Morrison, D-Lake Forest, during a news conference Wednesday. “This measure will enable physicians to access forms detailing patients wishes in a single, accessible location.” 

Nurse pleads guilty to 22 counts of patient murder, attempted murder Becker's Hospital Review; by Mariah Taylor; 5/2/24 Heather Pressdee, a Pennsylvania nurse, pleaded guilty to three counts of first-degree murder and 19 counts of attempted homicide, the Pittsburgh Post-Gazette reported May 1. Ms. Pressdee pleaded guilty on May 2 in an ongoing hearing that is expected to go until May 3. She was given three consecutive life sentences and 380 to 760 years consecutively. Ms. Pressdee, 41, was first charged in May 2023 in connection with the mistreatment of three nursing home patients while working at Quality Life Services in Chicora, Pa., including two counts of homicide and one count of attempted murder. In November, she was charged in connection with the mistreatment of 19 additional patients that were in her care at five different facilities since 2020. 

Nurses have reservations about use of AI on the job: survey McKnights Senior Living; by Kathleen Steele Gaivin; 4/29/24More than half of the nurses responding to a new survey by Cross Country Healthcare said they have reservations about the potential benefits of artificial intelligence in the nursing field. The online survey of 1,127 nursing professionals and students at hospitals and other healthcare facilities was conducted Jan. 18 to March 11. Respondents who said they are uncomfortable using AI expressed concerns about the potential absence of empathy and diminished patient connection. Those who said that they are comfortable with using AI on the job expressed a belief that the technology enhances efficiency, documentation, data analysis and research, upskilling opportunities and automated monitoring systems.

To stay open, rural nursing homes in the Midwest prioritize nurses NPR KCUR 89.3; by Aaron Bonderson; 5/1/24... Not enough nurses. Nursing home closures are creeping across Nebraska and other parts of the Midwest. Since 2020, 13 Nebraska nursing homes have shuttered, according to the American Health Care Association (AHCA). During that time, 25 Kansas nursing homes, 27 in Missouri, and 36 in Iowa closed their doors. According to the Center for Medicare Advocacy (CMA), 22 nursing homes in Iowa closed in 2022 alone because of poor quality of care and low occupancy. ... Staffing shortages and quality of care concerns are the leading reasons long-term care facilities shut down, according to the AHCA and the CMA. The pandemic didn’t help matters, stretching employees and resources to their limits.Editor's Note: Click on the title's link and scroll down for a US map of states with data for rank, nurse staff hours per resident per day (HRPD), total nurses, and total providers.

A hospice doctor on deathbed visions #shorts #tedx Tedx Talks; by Dr. Christopher Kerr; 4/29/24"When it comes to end-of-life experiences, most of the reports were based on anecdotal reporting. In other words, nobody had asked patients directly or attempted to quantify or measure. So that's what we've done. What we found is that the vast majority, over 80%, reported at least one pre-death dream and vision, described as more real than real and distinct from normal dreaming. 

Hospice Claims Edits for Certifying PhysiciansCenters for Medicare & Medicaid Services (CMS); Related CR Release Date 4/18/24; Effective Date: 5/1/24; Implementation Date: 10/7/24Related CR Title: Additional Implementation Edits on Hospice Claims for Hospice Certifying Physician Medicare EnrollmentStarting May 1, 2024, we’ll deny hospice claims if the certifying physician, including hospice physician and hospice attending physician, isn’t on our PECOS hospice ordering and referring files. This addresses hospice program integrity and quality of care per Section 6405 of the Affordable Care Act.

How Avow Hospice used triage to boost quality, reduce turnoverHospice News; by Jim Parker; 4/26/24Avow Hospice has implemented a triage system that has resulted in improved quality scores and reduced turnover. The Florida-based provider uses an acuity system that draws data from its electronic medical record (EMR) system to help stratify patients based on their most likely immediate needs. To complement these efforts, Avow also revamped its approach to night time and weekend visits, Rebecca Gatian, COO of Avow Hospice, said at the National Hospice and Palliative Care Organization’s Virtual Interdisciplinary Conference. 

Palliative care nursing: Podcast with Betty Ferrell about ELNECGeriPal Podcast; by Alex Smith, Eric Widera, and Betty Ferrell; 4/26/24As Betty Ferrell says on our podcast today, nurses play an essential role in care of people with serious illness. Who spends the most time with the patient in the infusion center? Doing home care? Hospice visits? In the ICU at the bedside? Nurses. ELNEC (End-of-Life Nursing Education Consortium) celebrates it’s 25th anniversary in 2025. We talk today with Betty Ferrell, who has been a nurse for 47 years, and is the founder and PI of ELNEC.

1st state passes law to decriminalize medical errors Becker's Hospital Review; by Erica Carbajal; 4/25/24Kentucky Gov. Andy Beshear recently signed a bill into law that shields healthcare providers from being criminally charged for medical errors, making it the first state to do so. HB 159 ensures that healthcare providers, including nurses, "shall be immune from criminal liability for any harm or damages alleged to arise from an act or omission relating to the provision of health services." It includes exceptions for negligence and intentional harm. ... In wake of [this article's cited] case, nurses and medical groups nationwide — including the American Nurses Association and the Institute for Healthcare Improvement — have called for systemwide workforce and safety reforms to focus on harm prevention, arguing that the criminalization of errors would discourage workers from reporting mistakes. ... The Kentucky Hospital Association said it supports the new law.

AI could play role in preventing prescribing of unnecessary drugs in older adults McKnights Senior Living, by Kristen Fischer; 4/22/24 A new study finds that artificial intelligence could encourage doctors to stop prescribing drugs that aren’t necessary — especially in older adults, who tend to be on multiple medications. The report was published 4/18 in the Journal of Medical Systems. More than 40% of older adults are taking five or more prescription medications, a rate that raises their risk for potentially harmful drug interactions. ... AI isn’t a perfect tool compared with having an actual doctor. For instance, it tended not to pay much attention to a person’s pain level, suggesting that the patient stop taking pain medications but not others for clinical ailments such as high cholesterol or high blood pressure, the authors reported.

Nurses protest AI at Kaiser Permanente Becker's Health IT, by Giles Bruce; 4/22/24 Hundreds of nurses gathered April 22 to protest the use of artificial intelligence at Oakland, Calif.-based Kaiser Permanente. The California Nurses Association held the demonstration at Kaiser Permanente's San Francisco Medical Center to coincide with the beginning of KP International's Integrated Care Experience conference. "It is deeply troubling to see Kaiser promote itself as a leader in AI in healthcare, when we know their use of these technologies comes at the expense of patient care, all in service of boosting profits," said Michelle Gutierrez Vo, BSN, RN, a president of the California Nursing Association and registered nurse at Kaiser Permanente Fremont (Calif.) Medical Center, in a statement. ...

Skepticism is healthy, but in medicine, it can be dangerous The New York Times, Guest Essay, by Dr. Daniela J. Lamas; 4/24/24 I arrived at the hospital one recent morning to find a team of doctors gathered just outside a patient room. The patient was struggling — his breaths too fast and too shallow. For days we had been trying to walk the line between treating the pain caused by his rapidly growing cancer and prolonging his life. [The author describes interactions with the family.] ... We are at a crossroads in medicine when it comes to public trust. After a pandemic that twisted science for political gain, it is not surprising that confidence in medicine is eroding. ... Our medical system relies on trust — in face-to-face meetings as well as public health bulletins. Distrust can lead doctors to burnout and can encourage avoidable negative outcomes for our patients.Editor's Note: For a patient/caregiver/family to agree to a hospice admission, they must first trust the physician who refers them to your organization. Before that, the referring physician must trust your organization. Too often, "trust" is diluted as a "soft skill." "Trust"--as described in this article--is a cornerstone, a foundation of strength, endurance, and integrity in the hardest, most conflicted times of decisions about living and dying that a person (and family) might face.