Literature Review



People will forget what you said. People will forget what you did. But people will never forget ...

10/13/25 at 03:00 AM

People will forget what you said. People will forget what you did. But people will never forget how you made them feel. ~ Maya Angelou

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The 5 leadership skills that AI will never replace (and how you can harness them)

10/13/25 at 03:00 AM

The 5 leadership skills that AI will never replace (and how you can harness them) Fast Company; by Alexis Zahner; 10/3/25 Artificial Intelligence is here to stay. It’s reshaping industries, expediting innovation, and shifting how we work at unprecedented speed. For many leaders and employees alike, that reality sparks an uneasy question: if AI can do my work, where does that leave me? The answer lies not in competing with AI, but in doubling down on what makes us distinctly, and irreplaceably, human. ... Here are five leadership skills that AI will never replace, and how you can harness them to stay future-ready:

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Emergency Department care coordination program for assisted living residents with dementia-A qualitative study

10/12/25 at 03:55 AM

Emergency Department care coordination program for assisted living residents with dementia-A qualitative studyJAMA Network Open; by Grace F. Wittenberg, Peter T. Serina, Nichole E. Stetten, Ann Reddy, Ellen McCreedy; 8/25Care transitions to the emergency department (ED) from assisted living centers (ALCs) for residents may include incomplete or inaccurate information during transfer. These transitions can be especially difficult for vulnerable populations, including persons living with dementia (PLWD). In this qualitative study of a care coordination intervention, CCMs [complex care managers] advocated for their patients remotely by filling information gaps, particularly for PLWD and patients in hospice, and perceived that the intervention was associated with improved patient care. CCMs also identified key areas for improvement, such as to increase ED staff awareness of the program and to expand program hours.

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Wisconsin rarely grants compassionate release as aging, ailing prisoners stress systems

10/12/25 at 03:50 AM

Wisconsin rarely grants compassionate release as aging, ailing prisoners stress systems Wisconsin Watch; by Mario Koran and Sreejita Patra; 10/7/25 Increased use of compassionate release could ease costs and crowding with minimal risks to public safety, experts say. But it remains off limits to many prisoners. ... Wisconsin grants few applicants compassionate release, leaving many severely ill inmates in short-staffed prisons that often struggle to meet health care needs. Wisconsin courts approved just 53, or 11%, of 489 compassionate release petitions they received between January 2019 and June 2025 — about eight petitions a year, Corrections data show. Courts approved just five of 63 petitions filed in all of 2024. 

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Honoring the lives and legacies of hospice leaders - September 2025

10/12/25 at 03:45 AM

Honoring the lives and legacies of hospice leaders - September 2025

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Behavioral scientist breaks down what makes a great leader

10/12/25 at 03:40 AM

Behavioral scientist breaks down what makes a great leader CBS Mornings / YouTube; interview with Jon Levy; 10/6/25 Behavioral scientist and New York Times bestselling author Jon Levy spent the last 15 years meeting with different types of leaders. In his new book, "Team Intelligence: How Brilliant Leaders Unlock Collective Genius," he talks about the preconceived notions of leadership.

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Pine Tree Hospice celebrates 40th anniversary at Peaks Kenny State Park

10/12/25 at 03:35 AM

Pine Tree Hospice celebrates 40th anniversary at Peaks Kenny State Park The Piscataquis Observer, Bangor, ME; by Staff, Piscataquis Observer; 10/6/25 Sixty-plus volunteers and their family members gathered on Saturday, Sept. 20 to celebrate Pine Tree Hospice’s 40 years of providing free care and comfort to families in the greater Piscataquis County community. ... Executive Director Kristen Wortman credits the group’s longevity to the devotion of its volunteers to serving isolated and often house-bound neighbors in their communities, caregivers and those grieving the loss of a loved one. Pine Tree Hospice continues to focus on neighbors helping neighbors. Services are free and provided to clients without medical referral.Editor's Note: Congratulations to this out-of-the-box, rural, "non-medical" hospice that saw end-of-life care needs and found creative "neighbors-helping-neighbors" ways to meet them. Put this into context of 1985, in an ongoing rural environment at the uppermost northeast corner of the U.S., long before Medicare hospice became the norm. 

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Good Samaritan announces transition of hospice services

10/12/25 at 03:30 AM

Good Samaritan announces transition of hospice services Good Samaritan, Vincennes, IN; Press Release by Good Samaritan; 10/3/25 Good Samaritan [in Vincennes, Indiana] has announced the difficult decision to close its hospice program effective December 31, 2025. The decision, made by the hospital’s Executive Team and Board of Governors, follows a careful evaluation of health care trends and reflects Good Samaritan’s commitment to responsible stewardship and long-term sustainability. “Since its beginning, our hospice team has provided extraordinary, compassionate care to patients and families across our region,” said Rob McLin, CEO of Good Samaritan. “We hold deep respect for that legacy and are committed to supporting our patients, families, and hospice team throughout this transition.” ... Good Samaritan is working closely with regional hospice providers and is actively exploring multiple partnership strategies to ensure hospice care throughout the communities we serve is provided seamlessly. All impacted hospice staff will be offered positions within Good Samaritan, and the organization is committed to supporting each individual through the transition.Editor's Note: Per the National Hospice Locator, over a dozen hospices are named "Good Samaritan"; this is located in Vincennes, Indiana. While such decisions and transitions are surely difficult, Good Samaritan demonstrates excellence  in continuing their mission in how they are tending these transitions. Dare I say, they are providing "a good death"? 

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Why are more older people dying after falls?

10/12/25 at 03:25 AM

Why are more older people dying after falls? KFF Health News; by Paula Span; 9/30/25 ... Public health experts have warned of the perils of falls for older people for decades. In 2023, the most recent year of data from the Centers for Disease Control and Prevention, more than 41,000 Americans over 65 died from falls, an opinion article in JAMA Health Forum pointed out last month. More startling than that figure, though, was another statistic: Fall-related mortality among older adults has been climbing sharply. ... [Death] rates from fall injuries among Americans over 65 had more than tripled over the past 30 years. Among those over 85, the cohort at highest risk, death rates from falls jumped to 339 per 100,000 in 2023, from 92 per 100,000 in 1990.  ...

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[South Africa] Capturing the comfort and care of palliative care this World Hospice and Palliative Care Day

10/12/25 at 03:20 AM

[South Africa] Capturing the comfort and care of palliative care this World Hospice and Palliative Care Day Good Things Guy, South Africa; by Nothando Mthembu; 10/7/25 It’s said that a picture is worth a thousand words, and it is upon this very adage that the Association of Palliative Care Centres (APCC) of South Africa has launched a powerful photographic campaign to capture the dignity, comfort and support that patients facing life-threatening illness receive and deserve through the provision of palliative healthcare services. With the hope of showcasing the impact of palliative care through real-life stories and images, the ‘Through the Palliative Care Lens’ campaign aligns with the theme for World Hospice and Palliative Care Day 2025 (WHPCD2025): ‘Universal Access to Palliative Care’.

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Social Media Watch 10/3/25

10/12/25 at 03:15 AM

Social Media Watch 10/3/25

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The CMS activities that will, won’t continue during the shutdown

10/12/25 at 03:10 AM

The CMS activities that will, won’t continue during the shutdown Becker's Hospital Review; by Andrew Cass; 10/2/25 CMS has outlined the activities that will and won’t continue during the federal government shutdown. The federal government shut down at 12:01 a.m. Oct. 1 after lawmakers failed to reach a spending deal. CMS is retaining 53% of its staff, 3,311 employees, during the shutdown. Here is what the agency said will and won’t continue during a lapse in appropriations: ... Editor's Note: This adds more detail to what we posted yesterday, from a broader healthcare perspective. As this is a developing story, we will continue to provide timely, relevant updates as they occur. 

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What is water cremation and why did Pa. lawmakers just back a bill to legalize it?

10/12/25 at 03:05 AM

What is water cremation and why did Pa. lawmakers just back a bill to legalize it? LeighValleyLive.com, Leigh Valley, PA; by Lehigh Valley Community News; 10/5/25 The Pennsylvania House of Representatives passed bipartisan legislation on Wednesday authorizing alkaline hydrolysis, commonly known as water cremation, as an approved cremation method in the state. The bill would give Pennsylvania families a more environmentally sustainable option for end-of-life services. Alkaline hydrolysis uses a mixture of water and alkali in a sealed pressurized steel chamber to reduce the body to bone, which is then processed into ash. The process consumes significantly less energy than traditional flame cremation, which requires temperatures exceeding 1,600 degrees Fahrenheit. According to the Mayo Clinic, alkaline hydrolysis uses only about one-quarter of the energy required for flame cremation. 

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Visiting Nurse Association rejects Cape Cod Healthcare's latest contract proposal

10/12/25 at 03:00 AM

Visiting Nurse Association rejects Cape Cod Healthcare's latest contract proposal Cape Cod Times, Hyannis, MA; by Desiree Nikfardjam; 10/2/25 Visiting Nurse Association of Cape Cod registered nurses have voted "overwhelmingly" to reject Cape Cod Healthcare's contract offer that was proposed on Sept. 11, according to a press release. The offer was the "last, best, and final" from Cape Cod Healthcare, according to the statement. The nurse association members are represented by the Massachusetts Nurses Association. ... The Visiting Nurse Association's nurses provide essential home health and hospice care to patients across Cape Cod and the Islands and had previously voted 96% in favor of authorizing a three-day strike if progress at the bargaining table was not made.

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Job Board 10/12/25

10/12/25 at 03:00 AM

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Today's Encouragement

10/11/25 at 03:55 AM

Alone we can do so little. Together we can do so much. ~Helen Keller

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Bridging gaps in palliative care for undocumented immigrants using the social determinants of health framework

10/11/25 at 03:45 AM

Bridging gaps in palliative care for undocumented immigrants using the social determinants of health frameworkAmerican Journal of Hospice and Palliative Medicine; by Lisa Cross, Rachael Salguero; 9/25Systemic policies and inequities, rather than immigration status itself, create barriers to health. In the United States, an estimated 11 million individuals live without legal authorization, a population that faces profound challenges in accessing equitable care. These barriers pose particular difficulties for palliative care nurses in recognizing and addressing the needs of undocumented immigrants. Identifying nursing interventions in this manner aligns with the overarching goals of the American Nurses Association and reflects the principles of ethical compassionate palliative nursing.

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Beyond bars: Evaluating end-of-life care and surrogate decision-making for hospitalized incarcerated persons

10/11/25 at 03:40 AM

Beyond bars: Evaluating end-of-life care and surrogate decision-making for hospitalized incarcerated personsJournal of Palliative Medicine; by Zack Watson, Julie Brown, Abhinav Vyas, Stacey Tillman, Sumi Misra, Rajiv Agarwal, Cheryl Gatto, Allison McCarthy, Mohana Karlekar; 9/25Incarcerated persons (IPs) retain the constitutional right to health care, yet they face unique challenges in accessing palliative care (PC) and designating surrogates, especially when incapacitated. We present two cases of hospitalized IPs with life-limiting illnesses who experienced significant barriers in identifying and engaging surrogates. Both cases underscore the effect of delays in communication with surrogates and restricted end-of-life (EOL) visitation due to correctional policies. These delays limited the delivery of optimal interdisciplinary PC and bereavement support. Despite clear legal guidance under the Tennessee Health Care Decisions Act, misinformation and procedural ambiguity among medical and correctional staff impeded timely and appropriate care.

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Evaluation of a flexible artist-facilitated storytelling intervention on a palliative care unit

10/11/25 at 03:35 AM

Evaluation of a flexible artist-facilitated storytelling intervention on a palliative care unitJournal of Pain and Symptom Management; by Kyle J. Drouillard, Regine Krechowicz, Kim Kilpatrick, Shirley H. Bush, Cory J. Ingram, Kaitlyn Boese, Jaya Rastogi, Jessica Roy, Carol Wiebe, Jenny McMaster, Claudia Hampel, Sarina Isenberg; 9/25A professional storyteller facilitated sessions with patients, caregivers, and healthcare professionals on a palliative care unit, starting with an open-ended question (e.g., “What story do you want to tell?”). From 18 sessions, patients (n=6), caregivers (n=8), and healthcare professionals (n=6), found the storytelling session acceptable, appropriate, feasible, meaningful and worthwhile. The storyteller perceived participants as enthusiastic and appreciative. Patient and caregiver stories described the palliative care unit as a calm site of reflection, and framed illness as a journey. Healthcare professionals’ stories reflected pride in and gratitude for their work.

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Implementation of the Age-Friendly Health Systems Initiative in the Department of Veterans Affairs: 5 years of improving quality for older veterans

10/11/25 at 03:30 AM

Implementation of the Age-Friendly Health Systems Initiative in the Department of Veterans Affairs: 5 years of improving quality for older veteransINQUIRY: The Journal of Health Care Organization, Provision, and Financing; by Andrea Wershof Schwartz, Shivani K. Jindal, Kimberly A. Wozneak, Robert E. Burke; 9/25The Age-Friendly Health Systems initiative (AFHS) was developed to spread principles of high-quality care for older adults using the 4Ms Framework: What Matters, Medications, Mentation and Mobility. In 2020, the Veterans Health Affairs (VA) set a goal to become an AFHS, given nearly half of Veterans are over aged 65. In conclusion, this paper demonstrates that the first 5 years of Age-Friendly Health Systems initiative within the VA have resulted in significant spread of the 4Ms, reaching hundreds of teams and thousands of Veterans over a broad geographic area and multiple care settings. However, much work remains to continue to spread and study AFHS within the VA, an urgent priority given the aging Veteran population who deserve person-centered care focused on what matters to them. The early results of AFHS implementation in the VA offer a promising model for implementing Age-Friendly care within a large health care system.

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Decoding code status: Assessing end of life care knowledge in high-risk ED populations

10/11/25 at 03:25 AM

Decoding code status: Assessing end of life care knowledge in high-risk ED populationsThe Journal of Emergency Medicine; by Shreyans Sanghvi, Jacqueline Furbacher, Thaddeus Puzio, Caroline Ha, Deena Abdelhalim, Mariah Arneson, Alaina Sturkie, Erika Richey, Benjamin Cooper, Samuel Luber; 9/25The National Institute on Aging projects that the U.S. population over age 65 will nearly double by 2050, placing further strain on an already burdened healthcare system. The emergency department (ED) plays a critical role in caring for this vulnerable population, initiating intensive care for approximately 2,000 older adults daily. However, such care often conflicts with the treatment preferences of most Americans; 80% of older adults report a desire to avoid intensive care and repeated hospitalizations at the end of life (EOL). Among 187 patients [surveyed], 84% reported never having heard of code status options (of those who had, 73% were primarily English-speaking) and 83% were unaware of their current code status. Additionally, 74% lacked any ACDs [advance care directives]. Regarding CPR, 80% believed it successfully restarts the heart of sick patients more than 50% of the time, while 83% and 84% had never been informed about what CPR entails or its associated risks, respectively. 

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Facebook and perinatal loss: Facebook groups use among parents from the U.S., France and Italy

10/11/25 at 03:20 AM

Facebook and perinatal loss: Facebook groups use among parents from the U.S., France and ItalyOmega-Journal of Death and Dying; by Livia Sani, Meryem Labouihi, Joanne Cacciatore, Marie-Frédérique Bacqué; 9/25This study explores how ... [Facebook] groups are used after perinatal loss and evaluates their psychological role for bereaved parents. We conducted a thematic analysis of posts from FB groups in the U.S. and France over one month; a third group from Italy was excluded due to insufficient activity. Four main categories emerged: emotional responses to loss, subsequently born children, mutual sharing of memories of their deceased children and practical information. Findings reveal similarities between the French and U.S. groups, particularly in how mothers express emotions, seek validation, and commemorate their children. The lack of active Italian groups may reflect cultural attitudes toward grief. 

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Children’s experiences of parental deaths due to suicide, homicide, overdose, alcohol, or drug use

10/11/25 at 03:15 AM

Children’s experiences of parental deaths due to suicide, homicide, overdose, alcohol, or drug useJAMA Network Open; by Sean Esteban McCabe, Eric Hulsey, Luisa Kcomt, Rebecca J. Evans-Polce, Glenn Radford, Samuel D. Tennant, Vita V. McCabe; 9/25Childhood bereavement resulting from parental mortality in the US has increased substantially over the past decade, including a surge in parental deaths from stigmatized causes, which are defined as drug overdose, homicide, suicide, and alcohol-induced or other drug-induced deaths. This cohort study found that the number of children bereaved from stigmatized parental deaths has increased and now account for 2 in every 5 parental deaths in Michigan. The increase in children who experienced stigmatized parental deaths is concerning given the increased risks of mental health disorders, child welfare involvement, and criminal justice involvement for children immediately following a parental death. Children and families who are bereaved from a stigmatized death may experience a more complex bereavement process and require a higher level of care.

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Critical care physicians’ perspectives on nudging in communication

10/11/25 at 03:10 AM

Critical care physicians’ perspectives on nudging in communicationJAMA Network Open; by Derek R. Soled, Christy L. Cummings, Laura M. Berbert, David N. Williams, William B. Feldman, Robert D. Truog, Emily B. Rubin; 9/25Our qualitative study on the experiences and perspectives of nudges by critical care physicians identified multiple themes relating to the appropriate use and ethics of nudging patients in clinical decision-making. In the decision-making context, a nudge is defined as “any aspect of the choice architecture [the intentional arrangement and presentation of options to subtly guide people towards certain choices] that alters people’s behavior in a predictable way without forbidding any options or significantly changing their economic incentives.” While nudges preserve a person’s choice set without restricting options, they make it more likely that a person will choose some particular option by triggering decision-making heuristics and biases. Many physicians described nudging as an inevitable and natural part of communication—but one that must be used thoughtfully for it to be ethically justifiable. Assistant Editor's note: As a clinician, I can see where nudging may be appropriate at certain times, and when the clinician knows the values, concerns and goals of the patient/family. However, often the critical care clinician does not have that intimate knowledge of their preferences. In these situations, a better choice than nudging might be to request a palliative care consult, so that goal concordant decision making can be explored. 

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The Family Caregiver Act—Safeguarding the human care chain

10/11/25 at 03:05 AM

The Family Caregiver Act—Safeguarding the human care chainJAMA Pediatrics; by Eli Y. Adashi, I. Glenn Cohen; 9/25On August 9, 2024, Jay Robert Pritzker, governor of Illinois, signed into law House Bill (HB) 2161 (Public Act 103-0797), likely the nation’s leading caregiving antidiscrimination legislation. The new law, which took effect January 1, 2025, prohibits employment discrimination against individuals saddled with family caregiving responsibilities. It is by dint of the enactment of HB 2161 that Illinois became the sixth state or district to legally require some form of this employee protection. Alaska, Delaware, Maine, Minnesota, New York, and Washington, DC, precede it, though some of these limit their protection to parents. Moreover, HB 2161 defines personal care as activities wherein a family member assumes responsibility for one or all of the basic needs of an ailing relative, replete with the provision of emotional support and/or transportation to medical appointments. A covered family member may include a child, stepchild, spouse, domestic partner, sibling, parent, mother-in-law, father-in-law, grandchild, grandparent, or a stepparent.Assistant Editor's note: "The Human Care Chain"--what a wonderfully descriptive title this is to describe the Illinois law. Those words evoke strong images of connectedness, humanness, caring, compassion, dedication, goodness, and love. As end-of-life and serious illness care providers, we understand the tremendous value, comfort and necessity of The Human Care Chain.

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