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Current Hospice News and Events, Hospice News Articles.
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For leukemia patients, transfusion needs may delay hospice care
Researchers report that thousands of leukemia patients who received frequent transfusions had very short stays in hospice at the end of life, suggesting that transfusion dependence presents a barrier to making meaningful use of palliative care. (2017-12-09)

Majority of hospice workers don't have end-of-life wishes themselves
One might assume that health care providers, especially those dealing with terminally ill patients, such as hospice workers would have a living will or advance directive. Surprisingly, Florida Atlantic University researchers found that the majority of hospice workers did not have an advance directive. Procrastination, fear of the subject and costs were reported as the most common barriers. (2017-11-09)

Playing a conversation game may encourage advance care planning
Few people may want to spend a Saturday night planning their end-of-life care, but playing a game designed to spur conversation about advance care planning may be a more enjoyable way to ease into the process, according to researchers. (2017-10-11)

Study examines racial differences in quality of end-of-life care
An analysis of survey data found no significant racial differences in various aspects of the quality of end-of-life care, although survey respondents reported deficiencies in the quality of end-of-life care for both black and white patients who died, including unmet symptom needs, problems with communication and less than optimal decision-making, according to an article published by JAMA Internal Medicine. (2017-10-09)

Hospice offers comfort for older adults at end of life. Should we consider it sooner?
A team of researchers from Yale University has studied how soon older adults who were experiencing distressing symptoms and disability were admitted to hospice near the end of their lives. Their study was published in the Journal of the American Geriatrics Society. (2017-09-14)

Hospice care is short and may start later than needed
Older adults are admitted to hospice for short duration despite experiencing symptoms months prior to the end of life, according to a Yale-led study. The finding highlights the need for earlier hospice admission or other strategies to address increasing symptoms and disability at the end of life, the researchers said. (2017-09-12)

Sharp rise in common ownership
An analysis using a new way of measuring the financial links that tie together hospitals, skilled nursing facilities, hospices and home health agencies reveals a surprisingly large -- and rapidly growing -- degree of consolidation across various sectors of the health care industry. (2017-09-05)

Does Medicare/Medicaid incentive payment affect home hospice care in last week of life?
A new study has shown that the new Service Intensity Add-on (SIA) payment for in-person routine home hospice care during the last 7 days of life, which was added to Medicare/Medicaid coverage in 2016, could increase visits by registered nurses or social workers during a patient's last week of life. (2017-07-17)

Serious pain afflicts a third of nursing home residents in last 6 months of life
Many nursing home residents have a fairly pain-free experience until the end of life, but at least a third suffer persistent, significant pain during their last six months, according to a new study from the University of Manitoba, University of British Columbia and University of Alberta that could have implications for end-of-life care in Canada. (2017-06-29)

Aggressive care at end of life for advanced lung cancer patients linked to poorer outcomes
For patients with advanced cancer, aggressive care -- chemotherapy, mechanical ventilation, acute hospitalizations and intensive care unit admissions -- at the end of life is commonplace. Yet until now, little is known about the relationship between patients' and families' satisfaction with this aggressive care within the last 30 days of life. (2017-05-25)

Why fewer blood cancer patients receive hospice care
Research has shown that patients with blood cancers are less likely to enroll in hospice care than patients with solid cancers, and the findings from a national survey suggest that concerns about the adequacy of hospice may prevent blood cancer specialists from referring their patients. (2017-05-22)

Family Medicine and Community Health journal volume 5, issue number 1 publishes
The Spring 2017 issue a special issue entitled 'The Global Burden of Preventable Cancer Mortality,' Guest Editor: Roger J. Zoorob, includes an editorial, seven original research articles, one review article and two China Focus articles addressing various topics in family medicine in both China and internationally. (2017-05-09)

Allina Health shares LifeCourse model at the Institute for Clinical Systems Improvement
In an Allina Health study, the LifeCourse care model improved patient experience and reduced costs for people with serious illnesses. Researchers say the model is ready for replication. (2017-04-27)

LifeCourse meets Triple Aim for late life care
Late life support care study showed extensive cost reductions and improved patient satisfaction. Based on results, Allina Health is integrating care model into care management and specialty clinics. (2017-04-17)

During late life, what's important changes
Supportive late life care improves experience and cost, and model can be replicated. (2017-03-27)

Study compares hospice care in nursing homes, assisted living facilities and patient homes
A new study from the Indiana University Center for Aging Research and the Regenstrief Institute has found only minimal differences in the intensity of hospice services provided in nursing homes as compared to hospice services provided to patients in assisted living facilities or their homes. However the mix of services did vary by site type. (2017-03-23)

Care received at end of life varies drastically by state
People with serious illness or frailty in Oregon are more likely to have their end-of-life care wishes honored, and, consequently, less likely to be hospitalized and more likely to use home hospice services compared with Washington state and the rest of the country, according to data published today in the New England Journal of Medicine. (2017-03-15)

Radiation therapy continues to be gold standard to palliate painful bone metastases
The American Society for Radiation Oncology (ASTRO) recently published an updated clinical guideline that underscores the safety and effectiveness of palliative radiation therapy (RT) for treating painful bone metastases. (2017-02-14)

Hospice caregivers should be screened early to prevent depression, anxiety
A study at the University of Missouri School of Medicine found that nearly one-quarter of caregivers were moderately or severely depressed and nearly one-third had moderate or severe anxiety. (2017-02-08)

E-cigarettes confirmed to be safer than smoking in long-term study
Smokers who manage to cut out smoking altogether may see a health benefit from switching to e-cigarettes. A long-term study found that former smokers who completely replaced standard cigarettes with e-cigarettes substantially reduced their intake of cancer-causing chemicals compared to those who continued to smoke cigarettes. The findings are published in Annals of Internal Medicine. (2017-02-06)

The heavier the person, the lower the chance of getting hospice care or dying at home
The heavier someone is, the less likely they are to have what many people might call a 'good death,' with hospice care and a chance to die at home, a new study finds. And that difference comes with a financial, as well as a personal, cost, the research shows. (2017-02-06)

Primary care physician involvement at end of life associated with less costly, less intensive care
A new study published in the January/February issue of Annals of Family Medicine finds that primary care physician involvement at the end of life is associated with less costly and less intensive end-of-life care. (2017-01-09)

Many kidney failure patients lack advance directives near the end of life
Among nursing home residents in the last year of life, patients with kidney failure were far less likely to have advance directives that put limitations on treatments and designated surrogate decision makers compared with other nursing home residents with serious illnesses. Advance directives with these components were associated with a lower use of intensive interventions at the end of life. Nearly all kidney failure patients with an advance directive putting limitations on treatment received end-of-life care that was concordant with their preferences. (2017-01-05)

Palliative care interventions associated with improvements in patient quality of life, symptom burden
In a study appearing in the Nov. 22/29 issue of JAMA, Dio Kavalieratos, Ph.D., of the University of Pittsburgh, and colleagues examined the association of palliative care with quality of life, symptom burden, survival, and other outcomes for people with life-limiting illness and for their caregivers. (2016-11-22)

Palliative care may mean fewer difficult transitions for older adults nearing end of life
A team of researchers decided to examine whether palliative care could make life easier for older adults with serious illnesses who live in nursing homes, especially as they neared the end of their lives. The team studied the connection between palliative care treatment and very ill nursing home residents' need for emergency services or hospital admissions. The researchers published their findings in the Journal of the American Geriatrics Society. (2016-11-18)

Quality of life in late life can be good
New LifeCourse research shows patients' quality of life can improve in the last months of life; caregivers need to understand how patients' goals change with illness, and health professionals can improve late life communications by understanding the whole person needs of caregivers. (2016-11-08)

Study shows significant cost savings with a home-based palliative care program
A home-based palliative care program for individuals with advanced illnesses was associated with a $12,000 reduction in the mean total cost of care per person, fewer hospital admissions and emergency room visits, and greater use of hospice during the final three months of life, as reported in a study published in Journal of Palliative Medicine. (2016-10-18)

UofT study finds 1 in 5 children who might benefit from pediatric palliative care do not
The University of Toronto's Faculty of Nursing today announced that only 18 percent of children with life-threatening conditions access specialized pediatric palliative care in Canada, a 13 percent increase since 2002. 25 percent of those who receive this type of care only do so for less than eight days prior to death. (2016-10-13)

Why does dying cost more for people of color? New study takes a deeper look
Dying in America is an expensive process, with about 1 in 4 Medicare dollars going to care for people in their last year of life. But for African Americans and Hispanics, the cost of dying is far higher than for whites. A new study tries to get to the bottom of this expensive mystery. (2016-09-01)

Hayslip to receive GSA's 2016 Distinguished Career Contribution to Gerontology Award
The Gerontological Society of America -- the nation's largest interdisciplinary organization devoted to the field of aging -- has chosen Bert Hayslip Jr., Ph.D., of the University of North Texas as the 2016 recipient of the Distinguished Career Contribution to Gerontology Award. (2016-08-23)

Mor earns GSA's 2016 Robert W. Kleemeier Award
The Gerontological Society of America -- the nation's largest interdisciplinary organization devoted to the field of aging -- has chosen Vincent Mor, Ph.D., of Brown University as the 2016 recipient of the Robert W. Kleemeier Award. (2016-07-26)

AGS commends proposed Medicare payment policies to improve care for chronically ill
As a result of ongoing advocacy from the AGS and other specialties, CMS has proposed making payment for a number of services provided to chronically ill older adults -- changes which dramatically improve current payment for chronic care management and management of people transitioning from hospital care to the home. (2016-07-12)

The use of non-fit messaging may improve patient choices
When it comes to helping patients make the best choices for themselves, sometimes you have to challenge their usual way of dealing with the world, according to new research published by the Society for Personality and Social Psychology. (2016-06-24)

Allina Health presents LifeCourse developments at national conference
These are three new tools to help caregivers involved in late life care from LifeCourse in Minneapolis. LifeCourse is a multi-year study to test a unique whole-person approach to late life care. (2016-06-15)

Asking patients where they want to die when admitted to hospice linked to fewer hospitalizations
Patients who were asked where they wanted to die upon entering hospice had lower rates of hospitalization at the end of life, as did those in hospices that monitored symptoms more frequently, according to a new study led by researchers at the Icahn School of Medicine at Mount Sinai. (2016-06-15)

Advanced cancer patients receive aggressive care at high rates at the end of life
A national health claims analysis of cancer patients who were younger than age 65 and had metastatic disease revealed that nearly two-thirds were admitted to the hospital or visited the emergency room in the last 30 days of their lives. The UNC Lineberger Comprehensive Cancer Center researchers who led the study also found that nearly a third of patients died in the hospital. (2016-06-06)

How doctors die in the United States
In a study published in the Journal of the American Geriatrics Society, researchers examined the kind of medical interventions doctors used toward the end of their lives. (2016-05-31)

Palliative, hospice care lacking among dying cancer patients, Stanford researcher finds
Medical societies, including the American Society of Clinical Oncology, recommend that patients with advanced cancer receive palliative care soon after diagnosis and receive hospice care for at least the last three days of their life. Yet major gaps persist between these recommendations and real-life practice, a new study shows. (2016-05-27)

Use of video decision aids increases advance care planning in Hilo, Hawaii
A program encouraging physicians and other providers to discuss with patients their preferences regarding end-of-life care significantly increased the documented incidence of such conversations and the number of patients with late-stage disease who were discharged to hospice. (2016-05-23)

Doctors don't die differently than anyone else, CU Anschutz researchers say
A new study from researchers at the University of Colorado Anschutz Medical Campus appears to disprove the increasingly popular notion that doctors die differently than everyone else, using fewer interventions that often have little value. (2016-05-17)

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