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While illicit fentanyl has fueled the nation’s overdose epidemic, hospice and palliative care experts stress that prescription fentanyl remains a vital tool for managing severe pain in patients with serious illness. As public fears, stigma, and prescribing barriers increasingly affect access to opioid therapy, clinicians are working to distinguish illicit fentanyl from medical fentanyl through education, nuanced risk assessment, harm reduction strategies, and evidence-based prescribing that prioritizes patient comfort and quality of life.
Hospice and palliative medicine share origins, values, and a commitment to whole-person care, yet their relationship appears increasingly strained. As palliative care moves upstream and hospice remains bound by regulation, workforce trends, training experiences, and financial incentives may be pulling the fields apart. Is what could be envisioned in a perfect world as a continuum of care instead becoming two paths that diverge while serving the same population of patients?
Artificial intelligence (AI) is a new and ubiquitous technology sometimes described in terms of computers programmed to think and act like humans or simulate intelligent behavior. Since the November 30, 2022, launch of ChatGPT, a conversational AI program by OpenAI, it has spread rapidly while generating controversy and questions. For instance, what has been—and what will be—its impact on hospice and palliative medicine, perhaps the ultimate person-centered branch of health care?
Several recent natural disasters, including highly destructive wildfires in Los Angeles and Maui and flooding in the North Carolina hills caused by rains from Hurricane Helene, have provided vivid reminders that disasters can happen anywhere, anytime. Are hospice and palliative care agencies doing what they can to plan, prepare, and practice for managing disasters?
Larry Beresford Douglas Brant, age 56, an experienced home healthcare nurse with Providence VNA in Spokane, WA, was shot and killed by his patient’s grandson during a home visit on […]
While the majority of hospice agencies work hard to provide good care, stories about those that fail to live up to their ethical or legal obligations have appeared in prominent journalistic settings in recent years. But if we dig deeper into quality, we see lots of questions about what quality hospice care really means. What kinds of messages should hospices be delivering to their various publics about quality and about choosing the provider that will meet their particular needs?
Larry Beresford In June of 2024, the National Partnership for Healthcare and Hospice Innovation (NPHI), a professional member organization representing established nonprofit hospice and palliative care providers, issued a white […]
Larry Beresford At a time when many palliative care managers are busy trying to find their footing in value based models of managed healthcare delivery for covered populations (see “How […]
Larry Beresford It has often been said that children are not little adults and should not be treated as little adults when it comes to their medical care or to […]
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