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Hospice Current Events, Hospice News Articles.
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Palliative care for patients with dementia more available but still not adequate
A new national survey conducted by researchers from Indiana University and the Regenstrief Institute has found that while palliative care may be available for those with dementia, there are significant barriers to providing or receiving services to relieve the pain, eating difficulties and other symptoms associated with dementia. (2010-11-15)

Palliative care important for prison population, too
With an increasingly aging prison population, end-of-life care for inmates is becoming a more prominent issue, according to Penn State nursing researchers. End-of-life -- EOL -- care can be complicated, no matter who the patient is, but can be especially challenging for those behind bars. (2016-02-26)

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)

1 in 10 hospice patients referred 'too late,' study shows
A new study led by Brown University researchers shows that one out of every 10 families said their dying loved ones were referred (2007-06-28)

Educational video may assist with decision to pursue hospice at the end of life for cancer patients
An educational video about hospice care can provide valuable information for patients with advanced cancer and their caregivers, improve perceptions of this quality form of care at the end of life, and increase its use. These are the findings of a study published early online in CANCER, a peer-reviewed journal of the American Cancer Society (ACS). (2020-06-08)

Terminally ill patients continue to receive aggressive treatment at end of life
The increasing use of chemotherapy and intensive hospital treatment for cancer patients in their last two weeks of life continued at least into the late 1990s despite the growth of the hospice movement that emphasizes comforting personal bonds and controlling pain and discomfort, say researchers at the Dana-Farber Cancer Institute in Boston. (2006-06-03)

Rise of for-profit hospice industry raises troubling questions, new study says
A new survey of hospice care in the US says that the rapidly growing role of for-profit companies in providing end-of-life care for terminally ill patients raises serious concerns about whose interests are being served under such a commercial arrangement: those of shareholders or those of dying patients and their loved ones. For-profit hospices' marketing practices, their gaming of the Medicare system, and their lower pay for less-skilled staff raise ethical and quality concerns. (2011-05-18)

Racial disparities exist in end-of-life care for dialysis patients
African-American, Native-American, and Asian dialysis patients were 43 percent to 44 percent less likely than whites to use hospice before dying. Research that uncovered these disparities will be presented at ASN Kidney Week Nov. 3-8, 2015, at the San Diego Convention Center in San Diego, Calif. (2015-11-07)

Study shows hospice caregivers need routine care interventions
A study led by the University of Kentucky researcher Elaine Wittenberg-Lyles found that hospice family caregivers are (2011-11-30)

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)

For-profit hospice patients more likely to require lower skilled-care needs, longer lengths of stay
An examination of data from a nationally representative sample of patients discharged from hospices demonstrated that compared with nonprofit hospice agencies, for-profit hospices had a higher percentage of patients with diagnoses associated with lower skilled-care needs (such as dementia) and longer lengths of stay, according to a study in the Feb. 2 issue of JAMA. (2011-02-01)

Medicare kidney failure patients enter hospice too late to reap full benefits
Late referrals to hospice drive up end-of-life costs and limit benefits for patients on dialysis. (2018-04-30)

National hospice study reveals gaps in service
More than a third of Americans now die under the care of a hospice service, a huge increase from just a decade ago and a major advance in end-of-life care. But a new study reveals major gaps in the availability of hospice care across the country -- gaps that the researchers attribute directly to the way hospice care is currently funded. (2008-04-11)

Is hospice use alone a good indicator of quality of end-of-life care?
Hospice use is commonly accepted as an indicator of quality of end-of-life care, however, when researchers in the US studied variations in patterns of hospice use between states, they found troubling trends. They discuss the variations in the timing and duration of hospice enrollment and their implications in an article published in Journal of Palliative Medicine. (2015-08-20)

Some hospice patients experience care transitions near life's end
Care transitions -- such as going from home to an emergency room or hospital -- can be difficult for seriously ill older adults and their family members. However, until now, little has been known about the number and types of transitions people in hospice experience. A new study published in the Journal of the American Geriatrics Society examines this issue. (2016-02-19)

Expanded hospice improves care but raises Medicare costs
Hospice expanded rapidly in the United States during the 2000s, improving quality of care. End-of-life medical costs were reduced -- but the increased cost of hospice care itself outpaced those savings and led to higher net Medicare costs among nursing home residents. Longer lengths of stay in hospice are a major driver of those costs. (2015-05-06)

Many brain tumor patients do not receive adequate end-of-life care
While more than 60 percent of patients with the brain tumors called malignant gliomas enroll in hospice services, almost a quarter of them do so within a week of death, probably too late for patients and family members to benefit from hospice care. (2017-12-20)

Hospice and palliative care providers unite to discuss
The premier meeting for health care providers who care for patients with life-limiting illnesses will provide disease updates as well as sessions on the latest advances in clinical research, cultural, ethical and legal, psychological, social, and spiritual aspects of care. The American Academy of Hospice and Palliative Medicine (AAHPM), in collaboration with the Hospice and Palliative Nurses Association, will host its Annual Assembly January 30-February 2, 2008, at the Tampa Convention Center. (2008-01-22)

Hospice use linked to fewer depressive symptoms for surviving spouses
Spouses of patients receiving hospice for three or more days more frequently reported reduced depression symptoms, compared to surviving spouses of patients who did not receive hospice. (2015-05-26)

Improving coping skills benefits family caregivers of hospice patients with cancer
Caregivers of cancer patients dying at home significantly benefited from supportive educational sessions in which hospice nurses taught caregivers how to cope with distressing patient symptoms. (2005-12-19)

BIDMC researchers conclude nonprofit hospices disproportionately care for costly patients
For-profit hospice agencies had a higher percentage of patients with diagnoses associated with less skilled care and longer lengths of stay in hospice, than their nonprofit counterparts, a difference that may leave (2011-02-01)

Does where older US adults die affect their wellbeing at the end of life?
Where people die can affect the quality of their deaths and the end-of-life care that they receive. A study published in the Journal of the American Geriatrics Society found that satisfaction with end-of-life care was rated highest when individuals died at home. (2021-01-21)

Are patients being discharged from hospice care to save money?
How live discharge rates differ between hospice programs and geographic regions, and when those rates should raise red flags are among the issues explored in the article 'A National Study of Live Discharges from Hospice.' (2014-08-13)

Family preferences on quality end-of-life care
Among family members of older patients who died of advanced-stage cancer, earlier hospice enrollment, avoidance of intensive care unit admissions within 30 days of death, and death occurring outside the hospital were associated with perceptions of better end-of-life care, according to a study in the Jan. 19 issue of JAMA. (2016-01-19)

Experts in pediatric palliative care to discuss challenges in this emerging field
In a two-hour seminar at 1 p.m. Saturday, Oct. 15 at the American Academy of Pediatrics National Conference & Exhibition in Boston, experts will discuss current challenges in pediatric hospice and palliative care (2011-10-15)

Variation in hospice visits for Medicare patients in last 2 days of life
Medicare patients in hospice care were less likely to be visited by professional staff in the last two days of life if they were black, dying on a Sunday or receiving care in a nursing home, according to an article published online by JAMA Internal Medicine. (2016-02-08)

Study examines hospice use and depression symptoms in surviving spouses
While most surviving spouses had more depression symptoms following the death of their partner regardless of hospice use, researchers found a modest reduction in depressive symptoms among some surviving spouses of hospice users compared with nonhospice users, according to an article published online by JAMA Internal Medicine. (2015-05-26)

Underuse Of Hospice Care Hurts Patients, Wastes Money
Hospice care is woefully underused in this country, resulting in needless suffering and wasted money. Most patients who enroll in hospice programs, especially those with cancer, arrive too late in the course of their illness to make the most of this type of care, report researchers in the July 18 issue of the New England Journal of Medicine. (1996-07-18)

Medicare patients who use hospice receive better care at a lower cost to the government
Medicare patients who enrolled in hospice received better care at a significantly lower cost to the government than those who did not use the Medicare hospice benefit. The data indicate that annual savings to Medicare could amount to $2.4 million to $6.4 million, if 1,000 additional Medicare beneficiaries chose to enroll in hospice 53-105 days before death, or 15-30 days prior to death. (2013-03-04)

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)

Physicians who prefer hospice care for themselves more likely to discuss it with patients
Although the vast majority of physicians participating in a multiregional study indicated that they would personally enroll in hospice care if they received a terminal cancer diagnosis, less than one-third would discuss hospice care early in the course of treating a terminally ill cancer patient. (2013-12-16)

Transfusion dependence a barrier to quality end-of-life care for some with leukemia
For patients with advanced leukemia, access to high-quality end-of-life care appears to be reduced in those dependent on blood transfusions, according to a new study being presented during the 59th American Society of Hematology (ASH) Annual Meeting and Exposition in Atlanta. The study associates this reduced access and consequent diminished use of hospice services with a reduced quality of end-of-life care for these patients. (2017-12-11)

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)

Researchers find racial disparities in intensity of care at the end of life
Different outcomes exist between blacks and whites receiving care from the same hospice. (2017-12-18)

Who your doctor is could dictate how you're cared for at end of life
New research from Brigham and Women's Hospital indicates that the individual physician a patient sees is the strongest known predictor of whether or not he or she will enroll in hospice care, outweighing other known drivers such as geographic location, patient age, race and comorbidities. (2015-06-08)

UBC research shows hearing persists at end of life
Hearing is widely thought to be the last sense to go in the dying process. Now, the first study to investigate hearing in palliative care patients who are close to death provides evidence that some may still be able to hear while in an unresponsive state. Electroencephalography (EEG) was used to measure the dying brain's response to sound. The findings may help family and friends bring comfort to a person in their final moments. (2020-07-08)

CWRU study examines family struggles with anger and forgiveness when relative is dying
Watching a loved one die tests some family members' relationships with God or the higher being of one's faith. And the spiritual anger and resentment grow with the level of pain and suffering their family member endures, according to researchers at Case Western Reserve University. (2013-02-18)

Family members say dying patients need better end-of-life emotional and medical support
Many people dying in hospitals or nursing homes have unmet needs for pain relief, physician communication, emotional support, and being treated with respect, according to a study in the January 7 issue of The Journal of the American Medical Association (JAMA). (2004-01-06)

Effect of use of hospice care by Medicare patients on hospitalizations and costs
Medicare patients with poor­ prognosis cancers who received hospice care had significantly lower rates of hospitalization, intensive care unit admissions and invasive procedures at the end of life, along with significantly lower health care expenditures during the last year of life, according to a study in the Nov. 12 issue of JAMA. (2014-11-11)

End of life care for cancer patients differs in US and Canada
In the United States, older patients with advanced lung cancer make much less use of hospital and emergency room services at the end of life than their counterparts in Ontario but use far more chemotherapy, according to a study published May 18 online in the Journal of the National Cancer Institute. (2011-05-18)

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