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Palliative care: Little understood, but life-changing for those who need it • South Dakota Searchlight

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Palliative care: Little understood, but life-changing for those who need it • South Dakota Searchlight


The role of palliative care is often misunderstood, just like the word itself isn’t one people fully comprehend when they first hear it, often confusing it with hospice. 

In reality, very few of us are untouched by the need for this care, often with an aging parent, perhaps a friend dealing with illness, or we might even need it ourselves. Many South Dakotans benefit from palliative care as they go about their daily lives, remaining as active as is reasonably possible while coping with difficult circumstances. These folks deserve comfort, care and dignity and to have it without incurring great expense and the debt that often comes with it. 

Palliative care is focused on providing relief from the symptoms and stress of serious illness, such as cancer, with the goal of improving quality of life for both the patient and family. Palliative care is delivered by a specially trained team of doctors, nurses, social workers and chaplains who provide an extra layer of support to anyone with a serious illness wherever they receive care, no matter their prognosis. It is provided alongside curative treatment and is based on what matters most to the patient. Easily accessible palliative care is largely not available for many South Dakota residents, specifically for many located in rural settings.

Even in areas with relatively good access to palliative care, gaps remain, especially for home-based palliative care provided by an interdisciplinary team. Reimbursement for palliative care is generally restricted to physicians and advanced practice providers, limiting organizations’ ability to provide a specially trained interdisciplinary team, but this team is critical to support the patient and caregivers. They address not only physical symptoms, but also psychosocial, emotional and spiritual stressors of serious illness. This interdisciplinary care not only improves the patient’s daily life enjoyment, but also frequently reduces the cost of care for health systems and payers. In short, it improves health and financial outcomes and should be forefront on the agenda for anybody who wants a healthier South Dakota.

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These folks deserve comfort, care and dignity and to have it without incurring great expense and the debt that often comes with it.

With that in mind, last month South Dakota Association of Healthcare Organizations (SDAHO), alongside a palliative care provider from South Dakota, joined a group of advocates from the American Cancer Society Cancer Action Network in Washington, D.C., to attend a meeting of the Patient Quality of Life Coalition to let our South Dakota congressional delegation know about the need for better access to palliative care.

It was in support of the federal Palliative Care and Hospice Education and Training Act (PCHETA), a bipartisan bill that aims to tackle some of the current obstacles preventing many patients from accessing palliative care, chiefly availability of practitioners. PCHETA’s goals largely center on improved training and education around palliative care, attempting to bolster resources available but also to help people understand why palliative care matters. This federal legislation could have a big impact in our state. PCHETA’s goals resonate strongly in my life and with many folks I work with every day in my role as Hospice and Palliative Care Program manager for SDAHO. 

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As an advanced hospice and palliative care certified social worker, I have had the privilege to support patients and families on their journey living with serious illness. As a person living with a serious illness myself, I have also experienced the benefits of receiving palliative care. Ensuring all South Dakotans have access to palliative care is both professionally and personally crucial to me.

Palliative care plays a crucial role in the lives of many, and getting the infrastructure in place to make sure it serves our family, friends and neighbors well in the future is important business. This legislation can help increase access to these critical services that should not be limited to urban or hospital-based care, as they often are now. For lawmakers concerned about increasing health care costs, PCHETA also promises to be a prudent investment.

During the 2024 South Dakota legislative session, a definition of palliative care was formally added to state law. It was a small but crucial step in helping people receive the care they need, where they need it. The definition starts the process of establishing the structure needed for the reimbursement of the entire interdisciplinary team.

There is much work ahead and I look forward to partnering with many in South Dakota on setting a strong foundation in place so that palliative care is available to all who need it. I also want to thank Sen. Mike Rounds for sponsoring PCHETA and ask Sen. John Thune to consider signing on as a sponsor, putting needed federal emphasis and resources toward improving the lives of South Dakotans who badly need these services.

Palliative care isn’t always easy to understand, but for those living with serious illness, it can be life-changing. For a complicated and overburdened health care system, it can reduce hospital stays and care costs. For those who want to improve health care outcomes in South Dakota, it must be part of the solution. 

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South Dakota's Grace Larkins limited as UND women's basketball dominates Coyotes in 80-54 win

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South Dakota's Grace Larkins limited as UND women's basketball dominates Coyotes in 80-54 win


GRAND FORKS — When UND women’s basketball starters Walker Demers, Jocelyn Schiller and Nevaeh Ferrara Horne left the floor with a minute and a half left to play against South Dakota, the crowd of 1,800 at the Betty Engelstad Sioux Center stood and cheered as the trio headed to the bench.

The fans watched the Fighting Hawks dominate South Dakota in an 80-54 win Wednesday night, UND’s largest win over the Coyotes since Jan. 15, 2005 – exactly 20 years ago – when the Hawks beat South Dakota 89-62 in Grand Forks.

“It’s obviously something that makes the Betty special,” UND coach Mallory Bernhard said. “We have a very loyal fan base. I feel like it’s our job to give them something to get on their feet about and get them excited. We’ve known for a long time that we have to get the wins, and we have to put a product on the floor that they’re proud to watch. Win or lose, just play our butts off, play hard, and play basketball the right way, and they’ll show up.

“I’m happy (the fans) got to see a night like tonight. I’m happy for our team, obviously, but we have some absolutely fantastic fans, and I hope they enjoyed tonight and keep coming out.”

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UND led all 40 minutes of its 26-point win, its first over South Dakota since Feb. 4, 2023. The Hawks (8-10) have won two Summit League games over a four-day span, and are less than a week removed from a double-overtime loss to Oral Roberts.

“I think the fans are really starting to appreciate just what we’re doing out there,” Schiller said, “and I think the time we’re putting in behind the scenes is really helping, too. We’re shooting the ball better and less turnovers — taking care of the ball — so that definitely is helping.”

South Dakota, which has now won 15 of its last 17 games against UND, watched as the Hawks limited Coyotes star Grace Larkins to 14 points — her lowest total since scoring 12 at Wyoming on Dec. 15.

Larkins still ended with a double-double (13 rebounds) — her fifth-straight. But Larkins averaged 32.8 points, 11.6 rebounds and 5.4 assists per game over her last five games entering Wednesday’s matchup.

She dropped 45 points against Omaha on Saturday, earning her both AP national player of the week and Ann Meyers Drysdale national player of the week honors.

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“Defensively, I really liked our intensity,” Bernhard said. “I thought we did a great job — Grace Larkins is obviously someone who can put up some pretty big numbers. I thought we did a really good job trying to contain her, especially off that flat screen, which we had a little bit of trouble with this last weekend. It felt like a team effort on both sides of the ball, and really loved the fight from our team.”

UND’s Fatima Ibrahim scrambles for a rebound with USD’s Olivia Kieffer in the second half Wednesday at the Betty Engelstad Sioux Center.

Eric Hylden/Grand Forks Herald

Demers, who transferred to UND this spring after two seasons at South Dakota, played her former team for the first time, putting up seven points and 13 rebounds.

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“I got a lot of questions asked before the game, like, ‘Are you nervous?’” she said. “I was like, ‘Why would I be?’ I have an amazing team behind me, and I was excited more than anything. That (win) was just the best feeling.”

Mikayla Aumer led UND with 17 points, and Schiller added 14. Ferrara Horne had 12 points off 4-for-6 3-point shooting.

Fatima Ibrahim’s double-double (10 points, 13 rebounds) came off a 5-for-7 shooting night.

One month ago, on Dec. 17, UND hosted Mayville State. The Hawks trailed by three points at halftime before coming back to win.

Four days later, the Hawks traveled to Wyoming and scored just three points in the final quarter of a 73-41 loss.

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But “something definitely clicked with our team,” after that game, Bernhard said. UND has gone 3-1 over the last four games, signaling a change of direction for a team that struggled in the first half.

“Everyone wants instant gratification,” Bernhard said. “That’s just not the reality, so it’s nice to have nights like tonight where they do get to see a little bit of the fruits of their labor. I really just love the mindset our team has right now. Our record maybe isn’t glamorous to a whole lot, but I don’t think they’re being dissuaded from putting in the work and continuing to fight to see if our team can get better.”

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UND’s Kiera Pemberton dribbles around USD’s Cassidy Carson in the second half Wednesday at the Betty Engelstad Sioux Center.

Eric Hylden/Grand Forks Herald

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One injured in Milbank shooting, suspect arrested

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One injured in Milbank shooting, suspect arrested


MILBANK, S.D. (Dakota News Now) – South Dakota Attorney General Marty Jackley announced that one person had been arrested following a shooting that occurred at a Milbank nursing home on Wednesday.

Jackley told Dakota News Now that an employee dispute led to the shooting at Avantara Milbank where a supervisor was shot in the nose area and received minor injuries.

The suspect was arrested and there is no danger to the public at this time.

South Dakota DCI is leading the investigation and the suspect is in the process of being formally charged.

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They are presumed innocent under the US Constitution.



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South Dakota Mines faculty receives million-dollar grant to research mining safety

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South Dakota Mines faculty receives million-dollar grant to research mining safety


RAPID CITY, S.D. (KOTA) – The National Institute for Occupational Safety and Health awarded South Dakota Mines Mining Engineering and Management professors Rudrajit Mitra and Andrea Brickey a $1.25 million grant to research safety improvements in underground mining.

With mining science advancements allowing for deeper digs, Mitra says safety needs to be at the forefront.

“As you go deeper, they squish the opening,” Mitra said. “So, there’s a lot of movement in the rock. Our task is to make sure that stays open for the life of the mine, but also as people are walking in and out, as equipment is driving in and out, they don’t fall.”

Mitra and Brickey will collaborate with professors from Colorado School of Mines and Montana State University in the project.

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