Custom Hospice Newsletter Archives

Previous issues of the Custom Hospice Newsletter are posted below. Click the links to view each newsletter.  

CQ Issue 10-1:

  • Heart Disease Now Most Common Non-Cancer Hospice Admitting Diagnosis
  • Trends Track Change in End-of-Life Care: Increasing Complexity of Care Needs, Unnecessary Aggressive Care, Short Hospice Enrollment
  • Rehospitalization, Longer Stays Linked to Unmet Needs for Symptom Control in Patients with Advanced Cancer
  • Advance Directive Completion Remains Unacceptably Low

CQ Issue 9-4:

  • End-of-Life Experiences Vary Widely in Advanced Lung Cancer Patients
  • Hospitalists Play Increasingly Prominent Role in Referring Seriously Ill Patients to Hospice and Conducting Goals-of-Care Discussions
  • Neurologists Urged to Address Shared Decision-Making Issues in Severe Stroke Cases
  • Successful Advance Care Planning Campaign Opens with Teaser, ‘WGYLM?

CQ Issue 9-3:

  • Transitions in Care Setting Common, Often Multiple, Near the End of Life
  • Emergency Medicine Physicians Offered Quick Tools for Assessing Patients’ Palliative and Hospice Care Needs
  • Automatic Palliative Care Consultation Yields Substantial Improvements in Quality of End-of-Life Care for Advanced Cancer Patients
  • Many Late Hospice Referrals, Wide Variation Found among Practices of Oncology Divisions and Physicians

CQ Issue 9-2:

  • Frank Communication with Families Linked to Fewer End-of-Life Hospitalizations from Nursing Homes
  • Physicians Offered Guide to Timely Discussions of Care Goals for Patients with ESRD and Other Serious Illnesses
  • Hospice Provides ‘Excellent’ End-of-Life Care for Loved Ones, Majority of Families Report
  • Physicians Urged to Help Patients with Correct Completion of POLST Forms to Avoid ‘Decisions by Default’

CQ Issue 9-1:

  • Most Heart Failure Patients Want to Discuss Prognosis and End-of-Life Care Plans, Study Finds
  • Two-Fold Rise in Ventilator Use among Advanced Dementia Patients Linked to ICU Bed Increase
  • Half of Patients with Advanced Cancer Believe Their Disease Is Curable, International Study Finds
  • Pallipedia: Online Hospice/Palliative Care Dictionary for Clinicians

CQ Issue 8-4:

  • Factors Identified That Influence Patients’ Desire for End-of-Life Discussions with Physicians
  • Video Decision Aid May Help Heart Failure Patients Make Well-Informed Choices
  • Surrogates’ Prognostic Expectations Differ from Those of Physicians More Than Half the Time
  • Hospice Use in Nursing Homes Results in Medicare Savings

CQ Issue 8-3:

  • Burden of Activity-Restricting Symptoms Decreases Markedly Following Hospice Admission
  • Physicians Receive Less Intensive End-of-Life Care than the General Population
  • Emergency Use and Admissions Drop Following Hospice Enrollment, But Hospice Stays Are Short
  • Physicians Favor Medicare Reimbursement for ACP Discussions

CQ Issue 8-2:

  • Hospice Care Reduces Hospital Days across Diagnoses, National Study Finds
  • Hematologists Often Initiate End-of-Life Conversations with Patients ‘Too Late’
  • Palliative Care Initiated in Emergency Department Found to Improve Quality of Life
  • Physician Body Language Varies by Race of Dying Patient

CQ Issue 8-1:

  • Prognostic Disclosure Can Benefit, Not Harm, Patients with Terminal Illness
  • Late-Stage Lung Cancer Patients Need to Avoid Overtreatment, Find ‘Delicate Balance’ in Radiation Therapy near End of Life
  • Caregivers Express High Satisfaction with Hospice Regardless of Patient Diagnosis
  • Short Hospice Stay, Hospital Death Yield Low Caregiver Ratings for Quality of Care

CQ Issue 7-4:

  • Comorbidities Found More Predictive of Hospice Eligibility than Functional Status
  • Low Rate of Advance Directive Documentation among Heart Failure Patients Prompts ‘Call to Action’ from Researchers
  • Most Physicians Take Responsibility for Relieving Spiritual Suffering near the End of Life, National Study Finds
  • Simple End-of-Life Care Planning Tool Helps Patients Initiate the Conversation

CQ Issue 7-3:

  • Earlier Hospice Referrals among Recommendations to Improve End-of-Life Care
  • Hospital Clinicians Identify Patient and Family Factors as Chief Barriers to Goals of Care Discussions
  • Clinician Resources: Having ‘The Conversation’ Can Help Improve Quality of Life for Dying Patients
  • Earlier Support Reduces Risk for Depression among Caregivers of Terminally Ill Patients

CQ Issue 7-2:

  • End-of-Life Care Planning Does Not Take Away Hope
  • Hospice Use Remains High as Median Length of Service Continues to Decline
  • Both Regional and Patient Factors Influence Receipt of Intensive Procedures at Life’s End
  • Few Hospitalized Heart Failure Patients Receive Palliative Care

CQ Issue 7-1:

  • Age and Hospital Length of Stay Found to Predict One-Year Mortality in COPD Patients
  • Decision Aids for Advance Care Planning: Potentially Powerful Tools in Need of Validation and Expansion
  • Feeding Tubes Should Be Withheld or Withdrawn in Advanced Dementia Patients, Professional Society Advises
  • Begin Patient Encounters with, ‘Hello, My Name Is,’ Urges Terminally Ill Physician

CQ Issue 6-4:

  • Stopping Statin Use in Terminally Ill Patients Found Beneficial
  • Neurologists Offered Practical Introduction to Palliative Care
  • Most Physicians Would Enroll in Hospice if Terminally Ill, But Often Delay Discussing Hospice with Patients
  • AMEN: Clinicians Offered Conversational Tool When Patients Are Hoping for a Miracle

CQ Issue 6-3:

  • Patients with Hematologic Malignancies Enter Hospice ‘Late or Never,’ Study Finds
  • Stroke Patients: First Guidelines Issued for Palliative and End-of-Life Care
  • More Older Americans Complete Advance Directives, Yet Hospitalization Rates Continue to Rise
  • Addressing Timely Hospice Entry for ‘Unbefriended’ Patients

CQ Issue 6-2:

  • The ‘Elephant in the Room’: Physicians Urged to Introduce Hospice and Palliative Care
  • Integrating Geriatrics and Palliative Care
  • Many Patients and Surrogates Are Unprepared for Cardiac Device Deactivation
  • Some Proxies Misunderstand Do-Not-Hospitalize Orders for Dementia Patients

CQ Issue 6-1:

  • Spiritual Support from Medical Teams May Result in Less Aggressive End-of-Life Care
  • Strategies Suggested for Reducing Racial Disparities in End-of-Life Care
  • Care Delivered to Advanced Dementia Nursing Home Patients Varies by Medicare Plan Type
  • It’s Time to Revive the Medical Culture of Care and Caring, Expert Urges

CQ Issue 5-4:

  • Community-Dwelling Older Patients Have High Symptom Burden in Last Year of Life
  • Professional Medical Organization Offers Recommendations for Decision-Making in Palliative Care
  • Hospital Physicians Offered ‘Structured Guidance’ for End-of-Life Care Planning Discussions
  • Advanced Lung Cancer Patients Hold Inaccurate Beliefs about Benefits of Radiation Therapy

CQ Issue 5-3:

  • The Concept of a Good Death Includes Relief of Suffering, Comfort Care, and Family Support
  • Emergency Physicians Have ‘Window of Opportunity’ for Timely Hospice Referral
  • Elements of Early, Integrated Palliative Care Encounters Identified
  • Completion of Advance Directives Urged as Routine Part of Patient Care

CQ Issue 5-2:

  • Discharging Patients to Home Hospice Reduces Risk of 30-Day Hospital Readmission
  • Patients and Clinicians Consider Spiritual Care Important at the End of Life
  • Hospitalization of Advanced Cancer Patients Must Not Be ‘Missed Opportunity’ for Addressing End-of-Life Needs
  • COPD Patients: Clinicians Offered Literature-Based Approach to Discussing End-of Life Care

CQ Issue 5-1:

  • Patients with Advanced Heart Failure Need Earlier Discussion of Hospice Care
  • Patient Treatment Preferences Have Little Influence on Receipt of Chemotherapy, National Study Finds
  • Elderly Patients Found to Use Medicare Skilled Nursing Facility Benefit Rather Than Hospice at End of Life
  • Racial Disparities in Hospice Use Persist among Patients with Cancer

CQ Issue 4-4:

  • Family Members Yearn for Better Communication and Earlier Hospice Care
  • Older Adults Not Enrolled in Hospice Have High Rates of Emergency Department Use in the Last Month of Life
  • Study Identifies Factors Linked to Better Quality of Life at End of Life
  • Early Integration of Palliative Care into Standard Oncology Care Improves Treatment at the End of Life

CQ Issue 4-3:

  • Quality Measures for Palliative and End-of-Life Care Endorsed
  • COPD Patients Who Have End-of-Life Discussions More Likely to Give High Ratings for Quality of Care
  • Aggressive Care at End of Life Is Common Among Cancer Patients, But Varies Both Across and Within Types of Hospitals
  • Relationships Between Caregivers and Hospice Patients Found to Vary Among Racial/Ethnic Groups

CQ Issue 4-2:

  • Hospice Care Report: Median and Average Lengths of Service Continue to Drop
  • Oncologists Offered Approach to Integrating ACP Discussions into Routine Care, Based on Advice from Clinical Experts
  • Improved Access to Hospice for Patients with Advanced Dementia Identified as Top Priority
  • Heart Failure Patients and Their Families Desire Earlier Palliative Care Centered on Both Patients and Caregivers

CQ Issue 4-1:

  • Physicians Urged to Ensure Access to Hospice for an Often ‘Invisible’ Population
  • Time-Limited Trials Can Help Patients and Families Shift Focus to Hospice Care
  • Palliative Care Access Report Card: Nation’s Grade Improves to ‘B’
  • Burdensome End-of-Life Transitions Found Common among Nursing Home Patients with Advanced Dementia
  • Having an Advance Directive Does Not Decrease Survival in Patients with Low or Medium One-Year Risk of Death

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