N.J. volunteer program provides community at end of life | Study: Cardiologists waiting to refer patients to palliative care | Commentary: Opioid guidelines are a challenge for hospice patients
May 14, 2019
News for nurses providing hospice and palliative care
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N.J. volunteer program provides community at end of life
New Jersey-based AtlantiCare's No One Dies Alone program trains volunteers from the community to be there at the bedside at the end of life for people who don't have any loved ones in the area. Volunteers sit with patients in two- to four-hour shifts and play music, read to them or just sit in silence with them.
NJ Spotlight (New Jersey) (5/8) 
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Hospice & Palliative Care
Study: Cardiologists waiting to refer patients to palliative care
Cardiologists may be waiting too long to refer patients to palliative care, according to a three-year study that included 1,801 people with cardiovascular disease. "Cardiologists, like many other clinicians, appear to think that palliative care just happens at the end of life, but actually palliative care can be appropriate at any stage of a serious or life-changing illness," said Dr. Arif Kamal, senior author of the study in JAMA Network Open.
Medscape (free registration) (5/8) 
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Commentary: Opioid guidelines are a challenge for hospice patients
The CDC's 2016 opioid prescribing guidelines are keeping some hospice and palliative care patients from getting the medicines they need, writes Terri Maxwell, chief clinical officer at Turn-Key Health. "While caution when prescribing opioids is appropriate, it's important to work against the reversals in the progress made over the past two decades to effectively use opioids to treat pain in end-of-life care," Maxwell writes.
FierceHealthcare (5/8) 
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Alternative strategies for treating arthritis
There are other treatment options available to patients with osteoarthritis besides nonsteroidal anti-inflammatory drugs. Researchers have found scientific support for drinking milk, massage using with lavender essential oils and the practice of tai chi.
Rheumatology Advisor (5/10) 
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Other News
Nursing & Professional Development
Hospice nurse helps create special moments
Bobette Fryslie, a registered nurse case manager at Care Initiatives Hospice in Cedar Falls, Iowa, has spent the past five years helping patients across eight counties. Fryslie travels to her patients to provide care whenever and wherever they need her, and she helps them have special moments, such as taking a patient to see his expansive garden for the last time.
Waterloo-Cedar Falls Courier (Iowa) (5/9) 
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Support, scheduling can alleviate burnout for hospice staff
About 62% of hospice and palliative care employees reported burnout, according to a recent study, due in part to the nature of the work. Scheduling employees so that they see the work as equitably distributed and offering support can help.
Hospice News (5/8) 
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Nurses raise concerns about Maine's alternative medicine bill
Maine legislators changed the proposed Right To Practice Complementary and Alternative Health Care Act after the Maine Nurse Practitioners Association said the bill's vague wording could create a class of unlicensed health care providers. The legislation now specifies that those practicing alternative medicine do not have the scope of practice of licensed professionals.
The Associated Press (5/13) 
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Policy and Trends
Fla. lawmakers pass hospice prescribing bill
Physicians in Florida will not have to check hospice patients' drug histories before writing a new prescription for controlled substances under a measure passed by legislators and sent to the governor for consideration. Hospice physicians say the current law delays treatment.
Florida Politics (5/3) 
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Docs more likely to order cancer screening in the morning, study finds
An analysis of records from more than 50,000 patients who were eligible for either breast or colorectal cancer screening found that those who saw their doctors in the morning were more likely to be referred for screenings than patients who had an appointment later in the day. The findings, published in JAMA Network Open, suggest providers should consider automating some aspects of care, said researcher Dr. Mitesh Patel.
Reuters (5/10),  MedPage Today (free registration) (5/10) 
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House hearing to explore budget implications of single-payer health care
House hearing to explore budget implications of single-payer health care
(Saul Loeb/AFP/Getty Images)
The House Budget Committee will hold a hearing next week to discuss single-payer health care, particularly its costs. The May 22 hearing will feature testimony from three Congressional Budget Office officials.
The Hill (5/10) 
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HPNA News
Introducing the RN Clinical Orientation Program
Are you a registered nurse new to the hospice and palliative nursing specialty? Do you have RNs at your agency new to the field? Introducing the RN Clinical Orientation Program, a training program specifically created for experienced nurses entering into hospice and palliative care. Discount opportunities are available to employers and agencies. Look under "Orientation Programs" on our eLearning page for more.
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Registration opening for the Clinical Practice Forum
Wednesday, May 15, is the first day to register for the 13th Annual HPNA Clinical Practice Forum, taking place Sept. 19 to 21, 2019, at the Marriott City Center in Pittsburgh. The theme for this year's forum is "Transforming Palliative Care Through Professional and Clinical Leadership." Visit the event page for more information.
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Benjamin Disraeli,
former British prime minister
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