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Sociodemographic Disparities in the Use of Hospice by U.S. Nursing Home Residents: A Systematic Review.
Am J Hosp Palliat Care
January 2025
Pardee RAND Graduate School, Santa Monica, CA, USA.
Hospice can improve end-of-life (EOL) outcomes in U.S. nursing homes (NHs).
View Article and Find Full Text PDFWe report a rare case of a 90-year-old woman with Stage IV lung cancer awaiting transfer to hospice care who developed sudden abdominal and knee skin mottling. Elevated inflammatory markers on blood tests and emergent computed tomography led to a diagnosis of acute mesenteric ischemia, and the patient passed away 7 h later. Skin mottling indicates decreased blood flow in the gastrointestinal tract and is observed during mesenteric ischemia.
View Article and Find Full Text PDFDisenfranchised grief is a form of grief that remains unacknowledged and unsupported. Building on Doka's foundational concept of disenfranchised grief, the guiding framework for this pilot project was the Knowledge to Action framework. This study is a quantitative cross-sectional web-based survey, which included a validated questionnaire: the Witnessing Disenfranchised Grief Scale.
View Article and Find Full Text PDFHistorically, in-person contact between patients and nurses in home-based care has been pivotal in palliative care and hospice care. The provision of home-based palliative care services could be challenged by the projected increase in patients who need palliative care and by the expected shortage of nurses. Digital health services could constitute one measure for delivering high-quality palliative care, enabling patients to stay home.
View Article and Find Full Text PDFPalliative Nursing in Home Health Care Across the Lifespan.
Am J Nurs
December 2024
Komal Patel Murali is assistant professor, Hartford Institute for Geriatric Nursing, Rory Meyers College of Nursing, New York University, New York City, where Chenjuan Ma is assistant professor. Krista L. Harrison is associate professor, University of California San Francisco, where Lauren J. Hunt is assistant professor. William E. Rosa is assistant attending behavioral scientist, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York City. Jackelyn Y. Boyden is assistant professor, University of Pennsylvania School of Nursing, Philadelphia. Contact author: Komal Patel Murali, The authors have disclosed no potential conflicts of interest, financial or otherwise.
Primary palliative nursing in home health care (HHC) can be delivered to medically complex patients across the lifespan. Primary palliative nursing provides patient- and family-centered care for serious illness by alleviating the stress and symptoms of illness; coordinating care; and supporting the social, cultural, and psychological aspects of care. In this article, two case scenarios of patients in different phases of life serve as examples of primary palliative nursing in HHC.
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