e-PainSupport: A Digital Pain Management Application for Home Hospice Care
Am J Hosp Palliat Care. 2023 Oct 28:10499091231211493. doi: 10.1177/10499091231211493. Online ahead of print.ABSTRACTe-PainSupport is a digital pain management application (app) designed to facilitate better pain management in hospice. Early testing revealed caregivers found it was easy to use and successful in communicating patient pain and caregiver administration of analgesics to hospice nurses. However, caregiver knowledge of analgesic management remained low. The purpose of this study was to enhance e-PainSupport by (a) adapting and integrating an evidence-based pain educational intervention; (b) increasing ease of ac...
Source: The American Journal of Hospice and Palliative Care - October 28, 2023 Category: Palliative Care Authors: Masako Mayahara JoEllen Wilbur Louis Fogg Judith A Paice Arlene M Miller Source Type: research

e-PainSupport: A Digital Pain Management Application for Home Hospice Care
Am J Hosp Palliat Care. 2023 Oct 28:10499091231211493. doi: 10.1177/10499091231211493. Online ahead of print.ABSTRACTe-PainSupport is a digital pain management application (app) designed to facilitate better pain management in hospice. Early testing revealed caregivers found it was easy to use and successful in communicating patient pain and caregiver administration of analgesics to hospice nurses. However, caregiver knowledge of analgesic management remained low. The purpose of this study was to enhance e-PainSupport by (a) adapting and integrating an evidence-based pain educational intervention; (b) increasing ease of ac...
Source: The American Journal of Hospice and Palliative Care - October 28, 2023 Category: Palliative Care Authors: Masako Mayahara JoEllen Wilbur Louis Fogg Judith A Paice Arlene M Miller Source Type: research

Exploring Experiences of Pain Management Among Family Caregivers of Community-Dwelling Older Adults With Dementia
CONCLUSION: Family caregivers follow their values to make decisions in pain management. Barriers existed for effective pain management. Adaptation and support from professional or formal caregivers greatly improved FCGs' perception of their competence in pain management. The finding underscores the need for further research and the development of interventions aimed at enhancing FCGs' perception of self-efficacy in this crucial aspect of caregiving.PMID:37880855 | DOI:10.1177/10499091231210290 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - October 26, 2023 Category: Palliative Care Authors: Hui Zhao Pamela A Kulbok Ishan C Williams Carol Manning Jeongok G Logan Rafael D Romo Source Type: research

Exploring Experiences of Pain Management Among Family Caregivers of Community-Dwelling Older Adults With Dementia
CONCLUSION: Family caregivers follow their values to make decisions in pain management. Barriers existed for effective pain management. Adaptation and support from professional or formal caregivers greatly improved FCGs' perception of their competence in pain management. The finding underscores the need for further research and the development of interventions aimed at enhancing FCGs' perception of self-efficacy in this crucial aspect of caregiving.PMID:37880855 | DOI:10.1177/10499091231210290 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - October 26, 2023 Category: Palliative Care Authors: Hui Zhao Pamela A Kulbok Ishan C Williams Carol Manning Jeongok G Logan Rafael D Romo Source Type: research

Exploring Experiences of Pain Management Among Family Caregivers of Community-Dwelling Older Adults With Dementia
CONCLUSION: Family caregivers follow their values to make decisions in pain management. Barriers existed for effective pain management. Adaptation and support from professional or formal caregivers greatly improved FCGs' perception of their competence in pain management. The finding underscores the need for further research and the development of interventions aimed at enhancing FCGs' perception of self-efficacy in this crucial aspect of caregiving.PMID:37880855 | DOI:10.1177/10499091231210290 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - October 26, 2023 Category: Palliative Care Authors: Hui Zhao Pamela A Kulbok Ishan C Williams Carol Manning Jeongok G Logan Rafael D Romo Source Type: research

Development and Validation of a Measure of Self-Efficacy for Advance Care Planning
This study produced a reliable and valid measure of situation-specific confidence for ACP grounded within the TTM that could enhance future interventions aimed at increasing participation in ACP.PMID:37879089 | DOI:10.1177/10499091231210504 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - October 25, 2023 Category: Palliative Care Authors: Alexandra N Murray Katie Monahan Allegra Sacco Andrea Paiva Collen Redding Mark Robbins Source Type: research

Advocating for Training in End-Of-Life Conversations With Seriously Ill Patients During Residency
Am J Hosp Palliat Care. 2023 Oct 16:10499091231208388. doi: 10.1177/10499091231208388. Online ahead of print.ABSTRACTAccording to section IV.B.1.e of common residency program requirements from the Accreditation Council for Graduate Medical Education (ACGME), "[r]esidents must learn to communicate with patients and families to partner with them to assess their care goals, including, when appropriate, end-of-care [EOL] goals". EOL conversations are frequently appropriate for patients suffering from serious, life-threatening diseases (ie, terminal illness) or otherwise chronic health conditions with poor disease trajectories....
Source: The American Journal of Hospice and Palliative Care - October 17, 2023 Category: Palliative Care Authors: Casey Schukow Bilal Alawy Source Type: research

Concurrent Hospice Healthcare Utilization in the Hematology/Oncology Veteran's Affairs Patient Population
Conclusions: A minority of concurrent care patients received cancer-directed therapies or additional types of health care interventions despite the option to do so. Cancer-directed treatment utilization also decreased as patients approached end of life. Patients enrolled in concurrent care were able to appreciate its benefits for longer, as the average length of stay on concurrent care was nearly 3 months.PMID:37846638 | DOI:10.1177/10499091231206561 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - October 17, 2023 Category: Palliative Care Authors: Anshu Hemrajani Shelly Lo Alexi Vahlkamp Abigail Silva Seema Limaye Source Type: research

The Ethics of Conscientious Objection to Teaching Physician-Assisted Death
Am J Hosp Palliat Care. 2023 Oct 17:10499091231208024. doi: 10.1177/10499091231208024. Online ahead of print.ABSTRACTThe literature on the ethics of conscientious objection focuses on objections to participating in morally contested practices. This literature emphasizes the potential for participation to undermine objecting clinicians' moral integrity. Significantly less attention has been given to conscientious objection to teaching morally contested practices. Thus, it is unclear whether teaching morally contested practices has the potential to undermine objecting educators' moral integrity, and to the extent that it doe...
Source: The American Journal of Hospice and Palliative Care - October 17, 2023 Category: Palliative Care Authors: Noah Berens Margaret M Mahon Katalin Roth Ann Berger David Wendler Source Type: research

Caregiver and Employee Experience Among Big Hospices-Ranking of the Largest US Hospices by Three Quality Indicators
CONCLUSION: Caregiver and employees had better experiences with non-profits than for-profits. Anger and frustration was expressed toward large, for-profit providers more focused on admissions, profiteering, and paying dividends than actual care. The CAHPS appears to draw more satisfied caregivers. Whereas, online reviewing provides open-ended, real-time voicing of care quality concerns. Even with distinct methods, CAHPS survey and review sentiment analysis converge on caregiver satisfaction, yet CAHPS paints a much rosier picture of hospice quality than online reviews. Future research should explore sentiments by topic and...
Source: The American Journal of Hospice and Palliative Care - October 17, 2023 Category: Palliative Care Authors: Jason Hotchkiss Emily Ridderman Brendan Hotchkiss Source Type: research

Advocating for Training in End-Of-Life Conversations With Seriously Ill Patients During Residency
Am J Hosp Palliat Care. 2023 Oct 16:10499091231208388. doi: 10.1177/10499091231208388. Online ahead of print.ABSTRACTAccording to section IV.B.1.e of common residency program requirements from the Accreditation Council for Graduate Medical Education (ACGME), "[r]esidents must learn to communicate with patients and families to partner with them to assess their care goals, including, when appropriate, end-of-care [EOL] goals". EOL conversations are frequently appropriate for patients suffering from serious, life-threatening diseases (ie, terminal illness) or otherwise chronic health conditions with poor disease trajectories....
Source: The American Journal of Hospice and Palliative Care - October 17, 2023 Category: Palliative Care Authors: Casey Schukow Bilal Alawy Source Type: research

Concurrent Hospice Healthcare Utilization in the Hematology/Oncology Veteran's Affairs Patient Population
Conclusions: A minority of concurrent care patients received cancer-directed therapies or additional types of health care interventions despite the option to do so. Cancer-directed treatment utilization also decreased as patients approached end of life. Patients enrolled in concurrent care were able to appreciate its benefits for longer, as the average length of stay on concurrent care was nearly 3 months.PMID:37846638 | DOI:10.1177/10499091231206561 (Source: The American Journal of Hospice and Palliative Care)
Source: The American Journal of Hospice and Palliative Care - October 17, 2023 Category: Palliative Care Authors: Anshu Hemrajani Shelly Lo Alexi Vahlkamp Abigail Silva Seema Limaye Source Type: research

The Ethics of Conscientious Objection to Teaching Physician-Assisted Death
Am J Hosp Palliat Care. 2023 Oct 17:10499091231208024. doi: 10.1177/10499091231208024. Online ahead of print.ABSTRACTThe literature on the ethics of conscientious objection focuses on objections to participating in morally contested practices. This literature emphasizes the potential for participation to undermine objecting clinicians' moral integrity. Significantly less attention has been given to conscientious objection to teaching morally contested practices. Thus, it is unclear whether teaching morally contested practices has the potential to undermine objecting educators' moral integrity, and to the extent that it doe...
Source: The American Journal of Hospice and Palliative Care - October 17, 2023 Category: Palliative Care Authors: Noah Berens Margaret M Mahon Katalin Roth Ann Berger David Wendler Source Type: research

Caregiver and Employee Experience Among Big Hospices-Ranking of the Largest US Hospices by Three Quality Indicators
CONCLUSION: Caregiver and employees had better experiences with non-profits than for-profits. Anger and frustration was expressed toward large, for-profit providers more focused on admissions, profiteering, and paying dividends than actual care. The CAHPS appears to draw more satisfied caregivers. Whereas, online reviewing provides open-ended, real-time voicing of care quality concerns. Even with distinct methods, CAHPS survey and review sentiment analysis converge on caregiver satisfaction, yet CAHPS paints a much rosier picture of hospice quality than online reviews. Future research should explore sentiments by topic and...
Source: The American Journal of Hospice and Palliative Care - October 17, 2023 Category: Palliative Care Authors: Jason Hotchkiss Emily Ridderman Brendan Hotchkiss Source Type: research

Advocating for Training in End-Of-Life Conversations With Seriously Ill Patients During Residency
Am J Hosp Palliat Care. 2023 Oct 16:10499091231208388. doi: 10.1177/10499091231208388. Online ahead of print.ABSTRACTAccording to section IV.B.1.e of common residency program requirements from the Accreditation Council for Graduate Medical Education (ACGME), "[r]esidents must learn to communicate with patients and families to partner with them to assess their care goals, including, when appropriate, end-of-care [EOL] goals". EOL conversations are frequently appropriate for patients suffering from serious, life-threatening diseases (ie, terminal illness) or otherwise chronic health conditions with poor disease trajectories....
Source: The American Journal of Hospice and Palliative Care - October 17, 2023 Category: Palliative Care Authors: Casey Schukow Bilal Alawy Source Type: research