Literature Review

Caring with confidence: A guided approach to end-of-life careJournal of Pain & Symptom Management; Laura Maldoon, Stacy L. Nilsen; 6/26Nurses may face uncertainty when caring for dying patients due to inadequate education and experience. This uncertainty coupled with varying practices for end-of-life care may affect both care quality and nurses’ attitudes. In nurses caring for hospitalized End-of-Life patients, does having a guided End-of-Life template and care resources, compared to current practices, improve registered nurse attitudes in providing individualized end-of-life care? Two inpatient nursing units received a 30-minute End-of-Life educational intervention utilizing the City of Hope’s Comfort, Airway, Restlessness and Delirium, Emotional and Spiritual Support (CARES) toolset as a standard resource to assess and prioritize end-of-life symptom management and family communication. This project suggests improved comfort and confidence among RNs in providing end-of-life care with the use of the CARES toolset. Nurses also demonstrated increased interest in seeking additional education.

Exploring the relationship between usage of a digital mindfulness app and perceived stress among caregivers of persons living with dementiaAging & Mental Health; by Michael P. Williams, Morgan Seward, Elizabeth M. Allen, Raquel G. Tatar, Darby M. Simon, Jennifer Huberty, Ana-Maria Vranceanu, Evan Plys; 6/26Mindfulness digital health interventions (DHIs) can support stress management among caregivers of persons living with dementia (PLWD), yet few studies investigate dose-response relationships. This study is a secondary analysis of a feasibility randomized controlled trial of Healthy Minds Program for Caregivers (HMP-C), a mindfulness DHI to reduce stress among caregivers of PLWD, against an educational podcast control (Wellness App [WA]). Participants were instructed to use HMP-C or WA 10 min per day. Every 10 min of HMP-C usage per week was significantly associated with a decrease in perceived stress by 0.7 ... Higher baseline stress and anxiety were related to lowered usage in active control ... , but not in HMP-C.

[Italy] Fever in a palliative care setting: Clinical insights and implications from a prospective observational cohort studyPalliative Medicine; by Stefania Cheli, Elena Angeli, Oscar Corli, Sofia Dinegro, Agostino Zambelli, Tania Carta, Romina Shazivari, Michaela Smolikova, Paolo Franceschi, Francesco Molà, Yara Silva Cruzeiro, Emilio Clementi, Andrea Gori; 5/26Fever is a frequent but complex symptom in adults with a limited prognosis, arising from multifactorial causes beyond infection. The study was conducted in an inpatient hospice palliative care unit within the Luigi Sacco Hospital in Milan, Italy (January and December 2024). Fever occurred in 40% of patients, with a median onset of 5.5 days after admission. In 39.7% of cases, fever was attributed to infections, mainly catheter-associated urinary tract infection. Its strong association with medical devices highlights the need for proportional, personalised interventions that primarily consider prognosis, symptom relief, and quality of life.

How would hospice use differ if every Medicare beneficiary were in Medicare Advantage?Journal of Palliative Medicine; by Claire K Ankuda, Karen McKendrick, Melissa Aldridge; 6/26Hospice use is higher in the growing Medicare Advantage (MA) program compared to Traditional Medicare (TM). It is uncertain if this is due to different hospice referral patterns. Among 5153 decedents, 35.3% were in MA at death. Compared to TM decedents, MA decedents were younger, more likely to be Hispanic, less likely to reside in a facility, and less likely to report serious illnesses (dementia, cancer, stroke, heart disease, and lung disease). We estimated that if TM decedents had been enrolled in MA, hospice use would have been 6.1% higher ... This difference was pronounced among those with higher education and serious illnesses in TM: for example, 10.1% higher for those with dementia ... versus without dementia ...

Ah, summer--what power you have to make us suffer and like it. ~ Russell Baker

New $11.8M federal grant will launch Dartmouth Health’s aging research center Valley News, New Hampshire Public Radio; by Olivia Richardson; 7/23/26 Dartmouth Health has received nearly $12 million to create a program to study the needs of people aging with serious illnesses. The $11.8 million federal grant comes from the Centers of Biomedical Research Excellence program, through the National Institute of General Medical Sciences. The program helps states that have historically received less National Institutes of Health funding to expand their research capacity. Close to $3 million has been included in the award to help fund Dartmouth’s Geisel School of Medicine’s participation in the program. Dartmouth Health has named its aging study program the Center for Aging with Serious Illness. The grant will allow the center to collaborate with other research institutions, support early-career clinician-scientists, and broaden the Dartmouth Health research community focusing on older adults with serious illness.

Local nurse goes to Washington DC to meet with elected officials about hospice fraud YubaNet.com, Grass Valley, CA; by Foothills Compassionate Care; 7/22/26 Last month, at end of June, Registered Nurse, Kellie Bolle of Foothills Compassionate Care, traveled to Washington DC to meet with elected officials on the issue of fraud, waste and abuse in hospice care. ... With a rapidly escalating fraud crisis in hospice care, reputable, mission-focused organizations and providers are having to answer for a growing number of bad actors. Foothills Compassionate Care invites the public to an interactive town hall that will include: An update on national efforts to combat hospice fraud, insights from Clinical Care Manager Kellie Bolle, MSN, RN, CHPN, following her advocacy meetings in Washington, D.C., information about how to identify a reputable hospice provider, a discussion of hospice, palliative care, and the Medicare hospice benefit, and an open question-and-answer session with hospice professionals. Free and open to the public. [On Wednesday, July 29, 2026. Go to this article for their RSVP to the public.]

Minnesota’s first dual-certified green burial funeral home opens News.net, PR Quantum, Saint Paul, MN; by Mueller Memorial; 7/22/26Interra Green Burial has become the first funeral home in Minnesota to earn certification from both the Green Burial Council and the National Funeral Directors Association. The milestone reflects the funeral home’s focus on environmental sustainability and its role in expanding eco-friendly funeral choices for families in the Minneapolis/St. Paul area. The dual certification signals a meaningful commitment to offering end-of-life services that align with values of environmental stewardship. Green Burial Council certification is granted to funeral homes that satisfy rigorous standards for environmentally responsible operations. Requirements include the use of biodegradable materials, participation in carbon offset programs, and the adoption of sustainable practices at every stage of the funeral process. 

700 rural hospitals at risk of closing, by state Becker's Hospital Review; by Madeline Scheetz; 7/22/26 Seven hundred rural hospitals across the U.S., or about one-third of all rural facilities in the country, are at risk of closing due to severe financial challenges, according to a July 21 Center for Healthcare Quality and Payment Reform analysis. The analysis comprises 264 hospitals that are at immediate risk of closure, according to the report. In almost every state, rural hospitals are at risk of closure. In most states, more than 25% of rural hospitals are at risk and in 11 states, 50% or more are at risk. ... More than 100 rural U.S. hospitals have closed in the past decade, with 110 closing since 2015, according to the report. Fifty-three hospitals have ended inpatient services since the beginning of 2023 to qualify for federal grants only available to rural emergency hospitals.