Palliative Care

Best practices to advance palliative care and hospice training

Best practices to advance palliative care and hospice training

The goal of palliative care is to provide patients of all ages and in any stage of illness with relief from the pain and stress they're experiencing.

Accepting what nurses cannot fix

Accepting what nurses cannot fix

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Like perhaps many of you, I come from a long line of "fixers." Multiple people whose schedules are conflicting? We'll coordinate. Someone isn't able to find a job? We'll provide help on their resume and introduce them around. A friend needs a boyfriend? Let me show you my multi-step PowerPoint plan.

Relias Learning adds palliative care courses

Relias Learning has added more than 90 palliative care courses to its library, the company announced.

Medicare hospice payments set to increase; Washington Post ties payment system to lack of care for suffering patients

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A troubling proportion of hospices fail to provide skilled nursing care to patients approaching death or who are experiencing a crisis such as increased pain, according to a lengthy Washington Post article published Saturday. The Post report appeared one day after the government proposed increasing Medicare hospice payments in 2015.

Hospice, curative care paid together in new program

Hospice, curative care paid together in new program

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Seniors will not have to stop curative care to receive hospice benefits under a new demonstration program, the Centers for Medicare & Medicaid Services recently announced.

Long-term care nurses often 'scramble' to get family members' blessing for palliative care, research shows

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Nursing home residents might not transition to full palliative care until they are very near death, at which point nurses and family members act in a state of crisis, suggests recently published research out of Canada.

Palliative possibilities: Therein lies the rub

Palliative possibilities: Therein lies the rub

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When a patient is referred to therapy, and they are receiving hospice care, then therapy needs to seek permission from the hospice company to provide any treatment. Hospice is required to reimburse the facility for the therapy services since the treatment also is included in the bundled payment rate from Medicare Part A. And, therein lies the rub.

Asking about end-of-life care when patients can still answer

Asking about end-of-life care when patients can still answer

It's a scene at plays out all too often in hospitals across the United States. A stroke leaves a frail senior incapacitated, lying in a hospital bed. Family members gather around, but no one can say for sure what their relative wants for her end-of-life care, and no advance directive or healthcare power of attorney is on file for her.

US dementia strategy overlooks transitions into and out of nursing homes, analysts find

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The U.S. national strategy for tackling dementia fails to address late-stage transitions into long-term care facilities from a person's home or the hospital, according to a recently published analysis in Health Affairs.

Stroke patients should have access to robust palliative care, American Heart Association urges in first-of-its-kind statement

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Stroke survivors have "enormous" palliative care needs, and healthcare providers should ensure they can provide these services, according to a scientific statement released Friday by the American Heart Association/American Stroke Association.

Most long-term care workers think relatives of dying residents 'interfere,' survey shows

Most long-term care workers think relatives of dying residents 'interfere,' survey shows

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Relatives of dying residents make end-of-life care worse, according to a majority of long-term care professionals.

Nursing home quality could improve with better palliative care interventions, large-scale trial shows

Nursing home quality could improve with better palliative care interventions, large-scale trial shows

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By following practices that are common in home-based hospice care, nursing homes can improve the comfort and dignity of residents who are dying, according to new study results.

What the family wants

What the family wants

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When it comes to talk about palliative care and rehospitalizations, what should a provider do when the family is insistent on sending their loved one back to the hospital?

Updated palliative care guidelines: Providers should increase coordination, embrace QAPI

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Palliative care should follow care coordination and quality improvement processes called for by the Affordable Care Act, according to updated guidelines from the National Consensus Project for Quality Palliative Care.

Palliative care legislation proposes $44 million in education fellowships for nurses

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Recently introduced bills in the House and Senate seek to strengthen palliative and hospice care by expanding education programs and providing fellowships for healthcare professionals to train in these areas.

Palliative care can reduce emergency room visits, study finds

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Palliative care reduces the number of visits seniors in long-term care settings make to emergency rooms, a new study finds.

Medicare enrollees choose nursing homes over hospice for end-of-life care, research shows

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Palliative and hospice care should be included in Medicare's nursing home benefits, according to authors of a new study.

Panel endorses quality measures of palliative and end-of-life care

The National Quality Forum voted to endorse 14 quality measures regarding palliative and end-of-life care for patients and their families. The quality measures focus on areas of care including pain management, weight loss and depression.

Advance directives mean more palliative, less costly care, study shows

Advance directives mean more palliative, less costly care, study shows

Individuals with advance directives are more likely to receive palliative care and are less likely to die in a hospital, a new study finds.

Physicians unhappy with palliative care act

New York State's Palliative Care Information Act, which was passed last summer and implemented in February, is meeting resistance from doctors who treat patients at the end of their life.

Critics of nursing-home hospices suspicious of revenue

Critics of nursing-home hospices suspicious of revenue

When a major lobbying group trumpeted the long-term care industry's status as an economic and job-creating powerhouse last week, critics took the opportunity to press for further inquiries into how nursing homes are financed and operated — particularly LTC facilities that provide hospice services.

Palliative sedation at end of life is appropriate in cases of extreme suffering, review article says

Palliative sedation at the end of life is ethically sound and has "an important place on the continuum of appropriate palliative care," according to a new review article.

Medicare demonstration project to cover hospice, curative care

The Medicare program is gearing up to begin a 15-site demonstration project that will provide both hospice care and life-sustaining treatments to Medicare beneficiaries, according to recent reports.

Benefits of palliative care include longer, better life, study finds

Some terminally patients who receive palliative care live longer and with a better quality of life than those who receive standard medical care, a new report suggests.

A new idea for hospice in long-term care

A new idea for hospice in long-term care

The latest research raises the question of whether nursing homes should take charge of hospice care and not rely on outside contractors.

Study: End-of-life care plans ease relatives' depression, stress

Relatives of elderly patients nearing the end of life experience less stress and depression if their loved one has made his or her end-of-life care wishes known, a new study finds.

New checklist for at-home palliative sedation

Spanish researchers have created a new checklist to help caregivers provide palliative sedation in home-care settings.

Obama talks about end-of-life planning as hospice providers lobby against funding cuts

President Barack Obama suggested at a town hall meeting at the White House last Wednesday that some end-of-life education and planning could help save on medical expenses. A day later, hospice care organizations asked the president to halt funding cuts for their programs.

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