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Geriatrics/Aging

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  • Mechanical Ventilation: A Marker of End of Life?

    This study of outcomes among more than 50,000 elderly Medicare beneficiaries found that activities of daily living and mobility had deteriorated substantially more among those who had been hospitalized the previous year, and that only 27% of those who had received mechanical ventilation were alive 1 year after hospitalization.
  • Long-term Psychological Effects of Critical Illness

    This observational study noted that critically ill patients provided with clinical psychological support during their ICU stay had less anxiety, depression, and post traumatic stress disorder at 1 year post-discharge compared to historical controls.
  • Building a younger volunteer base

    Volunteers are an important part of any hospice program and efforts to build the number of volunteers is an ongoing effort.
  • Do Family Rounds Improve Satisfaction?

    Involving family members in ICU rounds improved satisfaction in some areas, such as physician communication and decision-making support, but failed to improve overall family satisfaction.
  • Disaster relief: Helping hospices recover

    As people throughout the nation struggle to recover from tornadoes, floods, and other weather-related emergencies, the National Hospice Foundation (NHF) is making funds available to support state organizations as they respond to recovery efforts of providers at the local level.
  • Free implementation toolkit available

    A new publication to help with the implementation of Concurrent Care for Children Requirement (CCCR) is available at no cost on the National Hospice and Palliative Care Organization (NHPCO) web site.
  • NHPCO Position Statement on Ethical Marketing Practices

    A position statement and commentary, Hospice and Palliative Care: Ethical Marketing Practices, was recently released by the National Hospice and Palliative Care Organization (NHPCO).
  • A good balancing act reduces risk

    Balancing your case-mix to avoid hospice cap deficits doesn't mean discharging patients or admitting patients who don't meet hospice criteria, warns Kyle Terry, MBA, consultant and principal at Hospice CAP Consultants in Owasso, OK. "Although a balance of short- and long-term patients is the best strategy to minimize your risk of receiving a repayment demand letter from CMS based upon the hospice cap, it is important to follow admission criteria guidelines issued by CMS," he says.
  • Old dogs teach new tricks at this hospice

    Dogs are a natural addition to a kid's camp, especially a grief camp offered by a hospice.
  • Can ethics and economics share common ground?

    Hospital ethics committees sometimes find they are drawn into local cases that reflect national debates over health care costs and policies. These debates might surface when there are conflicts between family and hospital providers over continuing life-sustaining treatment, including nutritional support and ventilator care. But adding health care costs to the mix can make the situation more complicated.