June, 2022

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The Case for Integrating Social Determinants Into Palliative Care

Hospice News

Individually, palliative care and social determinants programs both have the potential to improve quality of life and reduce costs — but that potential may be greater when the two are combined. Social determinants are non-medical needs that can have a significant impact on the trajectory of patients’ health, such as nutrition, transportation, social or caregiver support, and housing, among others.

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How infusion providers can create effective and fair scheduling for nurses with the right software system

AlayaCare

Infusion nurses -- a specialty most certainly on the rise -- are not only health-care professionals but serve as educators and resources to the clients they see on a regular basis. Infusion nurses are highly adaptable specialists who can work in any practice setting where IV therapy is delivered, which is increasingly performed inside special clinics and the homes of patients.

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Five Lessons I Learned from Dad on Our Last Journey Together

Sustainable Caregiving

Dad, a teacher by profession and a lifelong learner, was always there to offer advice and support throughout my upbringing. … Five Lessons I Learned from Dad on Our Last Journey Together Read More ». The post Five Lessons I Learned from Dad on Our Last Journey Together appeared first on Sustainable Caregiving™.

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How to be a compassionate, LGBTQ-inclusive PSW/nurse/professional in palliative care

Life & Death Matters

Moving a loved one to a long-term care (LTC) facility can be stressful and difficult for all involved. Family may struggle to acknowledge they can no longer meet the person’s care needs, and that the person’s health will continue to decline. For a person who identifies as LGBTQ, and their family, there are added concerns, […]. The post How to be a compassionate, LGBTQ-inclusive PSW/nurse/professional in palliative care appeared first on Life and Death Matters.

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The Ultimate Guide to Improving Caregiver Engagement & Retention

Want to learn how to retain your caregivers & improve caregiver retention X3? The home care industry is experiencing turnover rates of over 80%. How are you ensuring your agency is retaining caregivers? This FREE eBook from Smartcare Software is packed with industry secrets needed to keep your caregivers happy, engaged, and retained, unlocking the full potential of your agency.

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We Are All Just Walking Each Other Home. Don’t Miss the Chance to Talk About It!

Caregiver Warrior

Get to know the people who help you care for your loved ones. Connecting through our stories brings us all closer. The post We Are All Just Walking Each Other Home. Don’t Miss the Chance to Talk About It! appeared first on Caregiver Warrior.

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Managing Urinary Symptoms and UTI’s in Older Adults

GeriPal

Summary Transcript Summary. There are a lot of old myths out there about managing urinary tract symptoms and UTI’s in older adults. For example, we once thought that the lower urinary tract was sterile, but we now know it has its own microbiome, which may even provide protection against infections. So giving antibiotics for a positive urine culture or unclear symptoms may actually cause more harm than good.

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Gray is a Color of the Rainbow

Aging Life Care Association

This Pride Month, Aging Life Care Professionals across the country join in celebrating and honoring LGBTQ+ elders. Included in this celebration is understanding the unique needs of LGBTQ+ elders and creating care plans that support and enhance their individual lifestyles. According to SAGE, LGBTQ+ elders are: Twice as likely to be single and live alone … Continue reading Gray is a Color of the Rainbow → The post Gray is a Color of the Rainbow appeared first on Aging Life Care Associa

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What is pediatric hospice care, and how is it different for kids?

HopeHealth

When a child is facing serious illness, they need a special approach to care – and their family does too. Pediatric hospice is here to help. The post What is pediatric hospice care, and how is it different for kids? appeared first on HopeHealth.

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Writing in bars

Hospice Volunteering

Hello to my readers and followers! It’s been a long time since I posted here! I wanted to share my latest publication, which has very little to do with hospice volunteering (except that I sometimes wrote in bars about my experiences at hospice!) I hope it gives you a few laughs! [link].

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5 tips to improve and better utilize your home care plans [Free tip sheet]

AlayaCare

The caregiver employment crisis has the home care industry on its toes looking for solutions to employee churn. One of those solutions is to evaluate the top complaints caregivers have on the job and improve them to increase employee retention. In 2021, poorly managed care plans were in the top 10 complaints from care providers and nurses in home care organizations, according to Home Care Pulse.

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Dementia and high risk surgery: Joel Weissman and Samir Shah

GeriPal

Summary Transcript Summary. You have a patient with dementia severe enough that she cannot recognize relatives. She falls and breaks her hip. Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? Should she be treated non-operatively, with aggressive symptom management? A huge part of this decision rests on (1) her previously stated wishes, values, and goals (prior to the onset of dementia); and (2) the outcomes of sur

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U.S. Senators Call on CMS to Boost Palliative Care Resources

Hospice News

A bipartisan group of nine U.S. Senators have written to U.S. Centers for Medicare and Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure, calling for a payment model demonstration designed to support greater access to palliative care. The lawmakers urged the Center for Medicare & Medicaid Innovation (CMMI) to develop a dedicated community-based palliative care benefit, which has been a longstanding goal for providers and industry advocacy groups.

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Loss from Nurse Attrition Goes Deeper than Numbers

AJN Off the Charts

On watching familiar colleagues leave your unit. . Photo by Javier Allegue/ Unsplash. It feels as though every week, I hear of yet another one to two colleagues who are leaving our pediatric ICU (PICU). Reasons colleagues leave. They’ve been at all kinds of experience levels. Some have only been in our unit for a couple of years, and some have been with us for anywhere from eight to 15 years.

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How to be present with a loved one at the end of life

HopeHealth

When your loved one is nearing the end of life, here are tips for what to say and do – and how to simply be present with them. The post How to be present with a loved one at the end of life appeared first on HopeHealth.

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Now and Always, Nurses Need to be Advocates for Health Equity

Daily Nurse

Changes in the status of women’s reproductive health and protections have been at the forefront of new headlines in recent weeks. The leaked Supreme Court documents indicating that the justices are on the precipice of turning over 50 years worth of reproductive health precedent has a lot of people pausing to consider the implications of […].

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5 tips to improve and better utilize your home care plans [Free tip sheet]

AlayaCare

The caregiver employment crisis has the home care industry on its toes looking for solutions to employee churn. One of those solutions is to evaluate the top complaints caregivers have on the job and improve them to increase employee retention. In 2021, poorly managed care plans were in the top 10 complaints from care providers and nurses in home care organizations, according to Home Care Pulse.

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What We Now Know About COVID Prevention and Treatment: A Podcast with Monica Gandhi

GeriPal

Summary Transcript Summary. We are two and a half years into the COVID pandemic. We’ve lived through lockdowns, toilet paper shortages, mask mandates, hospital surges where ICU’s overflowed, a million COVID deaths, prolonged school closures, development and roll out of novel vaccines, an explosion of social isolation and loneliness, and the invention of the “zoom meeting.” .

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Hospices Pay a High Price For Physician Burnout

Hospice News

Physician burnout costs hospices — both literally and figuratively — whether it occurs among their own medical staff or with their referral partners. One of the most damaging effects is higher turnover. Burnout causes a sizable contingent of physicians to leave their jobs and has only grown more prevalent during the pandemic. This not only contributes to hospices’ own labor shortages, but disrupts relationships with other providers.

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Monkeypox: The Basics for Nurses

AJN Off the Charts

In the past, cases of monkeypox only occasionally occurred outside of central and western Africa, where the disease is endemic, and it was virtually always related to travel or to the inappropriate relocation of wild animals. (In the US in 2003, 71 cases of monkeypox in six states were traced to pet prairie dogs that had been imported in the “exotic animals” trade.

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I think therefore I am? – If You Had A Choice

Palliverse

Photo by Vladislav Babienko on Unsplash. At a palliative care conference years ago the audience was asked to choose between two options. Would you rather die instantly without warning or would you rather know about it and die more gradually? We were instructed to think through both options for a few minutes before a show of hands was counted for each option.

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Understanding social determinants of health and rehab

Rehab Realities by Renee Kinder

Renee Kinder. Social determinants of health, understanding what they are, their impact on patient care, and their influence on effective transitions across care settings are all essential for rehab providers. This area is also gaining an increased appreciation from the Center for Medicare & Medicaid Services, as noted in multiple forms in this year’s proposed rule.

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The Future of Telehealth and Nursing

Nurse.com

There’s no question about it — telehealth is quickly becoming an industry standard rather than an added option. Medical institutions across the country are discovering the array of benefits telehealth nursing provides and are incorporating the practice into their operations as quickly as possible. While telehealth has been around for decades, it has made leaps and bounds in recent years as patients and providers have embraced the service’s potential to improve healthcare.

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Who should get Palliative Care? Kate Courtright

GeriPal

Summary Transcript Summary. In the US, geriatrics “grew up” as an academic profession with a heavy research base. This was in part due to the tremendous support of the National Institute on Aging. Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . Palliative care, in contrast, saw explosive growth in US hospitals.

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Health Care Orgs Face Liability If End-of-Life Wishes Not Upheld

Hospice News

One of the defining principles of hospice care is honoring the wishes of terminally ill patients. Now, with increasing frequency, a health care provider’s failure to honor those directives can lead to litigation or penalties by regulators. These issues come into play when a health care provider does not adhere to a patients’ advance care plan.

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New Grad Residency Program Takes Nurses From Books to Bedside

Daily Nurse

Few, if any, new nurse graduates walk onto a hospital unit on their first day brimming with confidence, much less clinical expertise. Thus, new grad residency programs help transition nurses from the world of textbooks to the realities of the bedside. At UMass Memorial Health, new grads can find a wealth of support in the […].

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What Bluebirds Teach Me About Not Giving Up

Elaine Mansfield

Dear Bluebird Mama, Earlier this week, I saw you carrying dried grasses inside a nesting box while your mate flew from barn peak to birdhouse perch to crimson maple tree. I watched from inside through Vic’s astronomy telescope. About three decades ago, he and I set up two boxes on opposite ends of an old fence, and your ancestor moved in that spring. 1st nestling snuggling with unhatched eggs.

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What Happened to Wonder? A Nurse Looks Back

AJN Off the Charts

This month’s Reflections essay is by Britni Busfiield, who is an RN on the progressive care neuro/trauma unit at Portsmouth Regional Hospital, Portsmouth, New Hampshire. In this one-page essay, she writes about an experience during her last year of nursing school in which she observed a cerebral angiogram conducted on a patient with a suspected aneurysm.

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Addressing Workplace Violence in Nursing

Nurse.com

Many people are surprised to learn how often workplace violence in nursing occurs. Several factors increase a nurse’s risk of facing workplace violence, including directly dealing with patients who have a history of violence or who may be delirious or under the influence of drugs. According to a report from the U.S. Department of Labor, the rate of serious workplace violence incidents was, on average, more than four times higher in healthcare than in private industry between 2002 and 2013.

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How to discuss stopping screening: Mara Schonberg

GeriPal

Summary Transcript Summary. Cancer screening is designed to detect slow growing cancers that on average take 10 years to cause harm. The benefits of mammography breast cancer screening rise with age, peak when women are in their 60s, and decline thereafter. That is why the American College of Physicians recommendation regarding mammography for women over age 75 is: .

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Rural Providers Weigh Telehealth Investment Against Regulatory Uncertainty

Hospice News

Hospices are leveraging expanded telehealth options to maximize access for hard-to-reach rural patients despite lingering regulatory uncertainties. Case in point, the Providence Institute for Human Caring last year launched a tele-palliative care program aimed at addressing rural patients’ unmet needs. Thus far, the initiative has yielded positive results, but the process hasn’t always been easy, according to Dr.

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Clinical Education – whose job is it anyway?

The Nurse Break

More from In Pursuit of Excellence here. Clinical Education – whose job is it anyway? Clinical nurse educators and those that work within education teams (and may be known be other names such as clinical development nurses, or staff development nurses) are at the forefront of clinical education. As their title suggests, these roles carry a significant responsibility for the provision of education within the health system; however, there is an argument to be had that clinical education is, in fac

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What Role Does Empathy Play in Nursing?

Daily Nurse

Empathy is defined as the ability to understand and vicariously experience the feelings of another person. It’s a skill that allows you to step into the shoes of patients and fully recognize their needs. In the field of healthcare, your ability to employ empathy can mean life or death for patients. While there is a […].

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MEDICAID ALERT: New Medicaid Community Care Look Back Rules Start October 1, 2022

Elder Care Matters

New Medicaid Look Back Rules If this sounds familiar, you’re right—recent years have seen many extensions of rules regarding Medicaid. But for New Yorkers, this most recent change to Medicaid Community Based Care is a result of a New York State’s 2022-2023 budget and not the pandemic. There has always been a five-year lookback… The post MEDICAID ALERT: New Medicaid Community Care Look Back Rules Start October 1, 2022 appeared first on Elder Care Directory - ElderCareMatters.com.

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Nurse Mentorships and How They Can Benefit You

Nurse.com

Whether you’re a new nurse, a nurse transitioning to a specialty area, or a knowledgeable nurse seeking to share your wisdom, nurse mentorships are invaluable for both mentors and mentees. When thinking about nurse mentorships, many may consider this term synonymous with preceptorship. While preceptorships share similarities with nurse mentorships, they’re vastly different.

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Palliative Care in A Conflict Zone: Help Us Support Our Hospice and Palliative Care Colleagues in Ukraine

GeriPal

Stories from our colleagues in Ukraine have been both inspiring and troubling. Staff has been working overtime with fewer resources, as programs accommodate internally displaced persons and deal with shortages of supplies, medications, and staff. Families are unable to visit their loved ones and patients suffer from limited access to care and medications.

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Supreme Court May Weigh In on Hospice FCA Cases

Hospice News

The U.S. Supreme Court may take up a False Claims Act (FCA) case involving Georgia-Based Bethany Hospice & Palliative Care LLC, despite indications from the U.S. Justice Department that such a review would be unnecessary. The case comes at a time when regulators are intensifying scrutiny on hospice providers, seeking to root out those who admit patients that may not truly be eligible for the benefit.

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