Literature Review



Research brief: Medicare Advantage Special Needs Plans linked to use of inferior hospice care

03/12/25 at 03:00 AM

Research brief: Medicare Advantage Special Needs Plans linked to use of inferior hospice carePenn LDI - Leonard Davis Institute of Health Economics; 3/11/25 Beneficiaries of Medicare Advantage special needs plans are significantly more likely to use lower-quality hospices than beneficiaries of other Medicare plans. These disparities may result from the geographic availability of high-quality hospices or the referrals that beneficiaries receive from their plans’ contracted hospitals and nursing homes. The results support incentivizing referrals to high-quality hospices and improving consumer information about hospice quality.

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El Paso doctor pays close to $500K to settle allegations of hospice healthcare fraud

03/12/25 at 03:00 AM

El Paso doctor pays close to $500K to settle allegations of hospice healthcare fraud CBS 4 News, El Paso, TX; by David Ibave; 3/10/25 A doctor in El Paso agreed to pay almost half a million dollars on Monday to settle allegations that he was paid off by a hospice center to commit healthcare fraud back in 2021. According to the U.S. Department of Justice, John Patterson M.D. has agreed to pay the United States $468,626 to resolve allegations that he received kickback payments from Nursemind Home Care Inc. to certify patients for hospice care when they were not eligible for these services, submitting false claims to federal healthcare programs.

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PBS documentary, Going Your Way, premieres nationally March 31

03/12/25 at 03:00 AM

PBS documentary, Going Your Way, premieres nationally March 31 Nine PBS, St. Louis, MO; by Sarah Brandt; 3/11/25 A new documentary produced in St. Louis by Nine PBS, Going Your Way, will get a national premiere on PBS stations across the country on Monday, March 31. It will air locally at 9 p.m. and 10 p.m. Central, following the network’s popular series Antiques Roadshow. The documentary debuted locally on Nine PBS in October 2024. Going Your Way focuses on the personal, medical and spiritual issues surrounding end-of-life care, the options available, and steps that can be taken to put those wishes to practical use. The documentary’s title highlights the active role many people are now taking to ensure their death goes according to their own plans and wishes. The film was produced with expert consultation from the Oasis Institute and features insights from health professionals in St. Louis, ... [and] personal stories of families dealing with these decisions and issues ...

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[Ukraine] ‘Support to the end’: Religious sister brings palliative care to unborn babies in Ukraine

03/12/25 at 03:00 AM

[Ukraine] 'Support to the end’: Religious sister brings palliative care to unborn babies in Ukraine The Catholic World; by Hannah Brockhaus; 3/10/25 Since 2020, a pandemic and then an active war have caused untold tragedy for Ukrainians, but these circumstances have also allowed the country to confront death and grief in a way it never did before, according to a religious sister who offers palliative care to unborn children and their families. In Ukraine, “one couldn’t and wouldn’t talk about death before the COVID pandemic,” Sister Giustina Olha Holubets, SSMI, told CNA earlier this month. The more open a society is about death and loss and grief, she said, the easier it is to know how to respond to a family going through the pain of losing a child in the womb or shortly after birth. A Byzantine Catholic and member of the Sister Servants of Mary Immaculate, Holubets has degrees in bioethics, psychology, biology, and genetics. In 2017, she founded the nonprofit organization “Perinatal Hospice – Imprint of Life” in Lyiv, Ukraine, which she currently leads. ...

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Nursing students gain valuable insights into global palliative care and cultural perspectives

03/12/25 at 02:00 AM

Nursing students gain valuable insights into global palliative care and cultural perspectives UConn Today, University of Connecticut; by Grace Fontanarosa; 3/11/25 School of Nursing assistant clinical professor Amisha Parekh de Campos, Ph.D., MPH, RN, CHPN, along with senior nursing students Gillian Fulton ’25 (NUR) and Abigail Schwartz ’25 (NUR) recently returned from the End-of-Life Experiential Global Learning (EGL) spring program in Belgium. ... In such an intensive program, there is much to process. Parekh de Campos and her students regularly debriefed to address questions and embrace openness to other cultural beliefs and perspectives. “Going in, we were very focused on the medical aspect of palliative care, and this program shifted our focus to the psychosocial aspects of end of life,” say Fulton and Schwartz. 

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Intervention increases palliative cancer care consultations/lowers EOL care

03/12/25 at 02:00 AM

Intervention increases palliative cancer care consultations/lowers EOL care CancerNetwork.com; by Roman Fabbricatore; 3/11/25A palliative care (PC) intervention combining algorithm-based automated identification of patients eligible for PC led to an increase in PC visits and a decrease in end-of-life systemic therapy among patients with cancer, according to a randomized clinical study (NCT05590962) published in JAMA Network Open. ... "...  Prior efficacy trials in oncology have tested early PC in controlled, primarily academic settings.2To our knowledge, this is the first effectiveness randomized clinical trial of algorithm-driven default specialty PC in community oncology.”

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The rising importance of social workers on the home health team

03/12/25 at 02:00 AM

The rising importance of social workers on the home health team Home Health Care News; by Audrie Martin; 3/10/25 Addressing social determinants of health (SDoH) is becoming increasingly important due to new regulations from the Centers for Medicare & Medicaid Services (CMS) and the shift toward value-based care payment models. With ongoing staffing shortages and a growing demand for home-based care services, social workers are taking on greater responsibilities to support the health care system. ... Individuals requiring home health care often need complex support that addresses both their medical and psychosocial needs, especially if they are isolated from typical social interactions and services. Some home care teams are now integrating home health social workers (HHCSWs) to provide a comprehensive approach to care that considers these SDoHs.Ediotor's note: March is National Social Work Month. Click here for National Association of Social Worker's (NASW) Social Media Toolkit for Social Work 2025.

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‘The weekend effect’: If you’re planning surgery, doctors say you should think twice about Fridays

03/11/25 at 03:00 AM

‘The weekend effect’: If you’re planning surgery, doctors say you should think twice about Fridays DailyDot.com; by Ilana Gordon; 3/7/25 Everybody’s working for the weekend, which, according to a new study, is incidentally the worst time of the week to undergo surgery. A paper published in the JAMA Network on March 4, 2025, concludes that patients experience worse outcomes during the weekends, as compared to weekdays. This phenomenon is known as the “weekend effect” and the study, which examined 429,691 patients in Ontario, Canada, determined that people whose surgeries began directly before the weekend “experienced a statistically significant increase in the composite outcome of death, complications, and readmissions at 30 days, 90 days, and 1 year.” 

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Assessing pain, anxiety and other symptoms of nursing home residents unable to speak for themselves

03/11/25 at 03:00 AM

Assessing pain, anxiety and other symptoms of nursing home residents unable to speak for themselves Regenstrief Institute, Indianapolis, IN; by Kathleen T. Unroe, MD, MHA; 3/10/25 Revamped tool reliably addresses physical and emotional distress, well-being and end-of-life symptoms. As many as half of nursing home residents are cognitively impaired and may be unable to communicate symptoms such as pain or anxiety to the staff and clinicians caring for them. Therefore, information needed for the evaluation of symptoms and subsequent treatment decisions typically does not reliably exist in nursing home electronic health records (EHRs). A new paper reports on the novel adaptation of a commonly used symptom assessment instrument to more comprehensively acquire this difficult-to-obtain data with the ultimate goal of enabling knowledge-based expansion of palliative care services in nursing homes to address residents’ symptoms. 

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East End Hospice building saved in Long Island fires: 'Angels watching over us'

03/11/25 at 03:00 AM

East End Hospice building Saved in LI fires: 'Angels watching over us' Patch, Westhampton-Hampton Bays, NY; by Lisa Finn; 3/10/25 From the ashes of the raging brush fires in the Westhampton area this weekend, a miracle emerged: Despite just being located feet from the spot where charred trees bear testament to the blaze, a structure still stands — the East End Hospice building survived the fire. "Here is our headquarters," East End Hospice President and CEO Mary Crosby wrote on social media. "... inside this building we coordinate the care of hundreds of patients each day. We answer more than 1,000 phone calls a week from families, hospitals, physicians and field staff. Without the dedicated people who work here, there would be no East End Hospice." On Sunday [3/9], she wrote: "Just 24 hours ago, flames roared around this building, damaging our storage structure and spilling into the parking lot. People have said it’s a miracle the building didn’t burn. We know the truth. It was the dedication and skill of our local fire departments that kept our headquarters standing. In the early hours of the fire. We received very little information until a text came through from a firefighter on the ground: 'We saved Hospice.'"

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Tumor: why not use the warrior’s metaphor anymore

03/11/25 at 03:00 AM

Tumor: why not use the warrior’s metaphor anymore taketonews; 3/7/25 ... The term "warrior" is often used to describe cancer sick people, referring to their strength, determination and ability to fight the disease. Although the intention is positive, docts and psychologists believe that this metaphor can generate negative effects on people with an oncological disease. The "warrior" label is not always appropriate and can have unwanted psychological effect on cancer patients. ... Use a language that does not reduce the patient to his struggle, but that enhances his entirety, including weakness, depression and pain, can contribute to a more human and respectful experience of care. ... [Click on the title's link for this further information below.]

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The staging of 'The Story of My Life' at Asbury Memorial filled with serendipitous moments

03/11/25 at 03:00 AM

The staging of 'The Story of My Life' at Asbury Memorial filled with serendipitous moments Savannah Morning News, Savannah, GA; by Amy Paige Condon; 3/6/25 ... [Ray] Ellis, a retired music and drama teacher who works now as a caregiver, and fellow church member Dottie Kluttz, a retired hospice nurse, were hanging decorations in Asbury Memorial’s Social Hall. Ellis shared how his dream of producing “The Story of My Life” was back on his mind … A former hospice nurse, Kluttz founded Savannah Hospice’s Story Keeping program in 2001 as a way for people near the end of their lives to share the story of their lives. …  [Click on the title’s link to read the serendipitous, synergistic encounters that unfolded, resulting in shows March 28, 29, 30.] [Upon underwriting for production costs,] Ellis proposed that ticket sales for the musical could serve as a fundraiser for Savannah Hospice’s Story Keeping program and the Michael J. Fox Foundation for Parkinson’s Research—a nonprofit near and dear to Ellis, who was diagnosed about three years ago with the progressive brain disease that causes tremors, stiffness and balance problems. … Stage and film actor Mark Rand, who was diagnosed with Parkinson’s around the same time as Ellis, agreed to portray Thomas to Ellis’s Alvin—even after Rand thought he would never perform again. …

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Local pharmacist advising Ohio health director on palliative care

03/11/25 at 03:00 AM

Local pharmacist advising Ohio health director on palliative care Herald-Star, Steubenville, OH; by Christopher Dacanay; 3/10/25 A local pharmacist hopes to “expand utilization” of palliative care in Jefferson County and increase patients’ quality of life from her new position as an adviser to the Ohio Department of Health director. Steubenville resident Mary Mihalyo, doctor of pharmacy, was appointed Dec. 10 to the Palliative Care and Quality of Life Interdisciplinary Council. Bringing her own expertise, Mihalyo joins a diverse, 20-person group of professionals with experience in the provision of palliative care. ... Mihalyo, who founded Steubenville’s A&B Pharmacy with her husband, is the former CEO of Delta Care Rx LLC. She now serves as chief clinical officer for the company, which has been rebranded as Dragonfly Health. ... Her professional work, since [1999], has focused on serving hospice and palliative care patients locally and nationally as part of interdisciplinary teams. ... [Council members] ... actively consult with and advise the director on palliative care initiatives in the state, identify standards of practice, pinpoint initiatives at the state or national level integrating palliative care into the healthcare system and developing its practice and lay out patient identification guidelines for health care providers.

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Poised for growth, Missouri’s largest aging services nonprofit changes name: Lutheran Senior Services is now EverTrue

03/11/25 at 03:00 AM

Poised for growth, Missouri’s largest aging services nonprofit changes name: Lutheran Senior Services is now EverTrue St. Louis Business Journal; by Jackie Hamilton, VP of Advancement, EverTrue; 3/7/25 One of the oldest nonprofit agencies in the St. Louis region is changing its name to reflect a dynamic change and growth in desired services and offerings for those 60 plus. Beginning this week, the 165-year-old Lutheran Senior Services (LSS) organization, which also is the 11th largest nonprofit senior living provider in the country, will be known as EverTrue. “It’s a transformative moment for the organization,” said Adam Marles, president and CEO of EverTrue. “From right here in St. Louis, we’re leading the country in aging services. In this next chapter, we needed a name and a brand that positioned us for future growth and opportunities, while still being true to our mission.” 

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Trends in Pediatric Palliative Care Research (TPPCR) 2025; Issue #2

03/11/25 at 03:00 AM

Trends in Pediatric Palliative Care Research (TPPCR) 2025; Issue #2 Siden Research Team; Commentary by Kim Mooney-Doyle, MD; 3/6/25Kim Mooney-Doyle – University of Maryland School of Nursing, MD, USA: I am a nurse scientist dedicated to advancing family health in serious pediatric illness. I have studied parent-sibling relationships and the social ecological factors that impact it for the past decade. ... Siblings are special and, too often, invisible in the care of seriously ill children, adolescents, and young adults. Two articles in this month’s collection bring the needs and experiences of siblings into focus using a family lens. A key take-away from this important work is that while siblings want to communicate with their parents about their brother’s or sister’s illness, it can be hard to initiate such conversations. As clinicians and researchers, we can work with families to devise strategies that foster these conversations, such as providing prompts or a scripted conversation guide to help a parent engage the sibling.  

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Hallucinogens may elevate death risk by more than twofold

03/11/25 at 03:00 AM

Hallucinogens may elevate death risk by more than twofold Medscape; by Liz Scherer; 3/5/25 Hallucinogens are associated with a 2.6-fold increased risk for premature death in some individuals seeking emergency care, according to a recent study. The risks are especially substantial in vulnerable patients who are suicidal, who are susceptible to severe mental illness, or have comorbid conditions such as respiratory disease or cancer. The findings come at a time of renewed interest in the therapeutic potential of substances like psilocybin, lysergic acid diethylamide, methylenedioxymethamphetamine (MDMA), and ketamine for mood and substance use disorders. In 2023, the Canadian Institutes of Health Research allocated roughly $3 million to three clinical trials examining psilocybin-assisted psychotherapy in the treatment of alcohol use disorder, treatment-resistant depression, and end-of-life psychological distress in patients with advanced cancer.

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Today's Encouragement: We are all storytellers ...

03/11/25 at 03:00 AM

We are all storytellers. We all live in a network of stories. There isn't a stronger connection between people than storytelling. ~ Jimmy Neil Smith, Founder and President Emeritus of the International Storytelling Center

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How to start the hospice conversation: Judy Bartel

03/11/25 at 03:00 AM

How to start the hospice conversation: Judy Bartel Cleveland.com, Cleveland, OH; by Guest columnist Judy Bartel, chief clinical officer for Hospice of the Western Reserve; 3/9/25 Discussing hospice care with a loved one is one of life’s most delicate and emotional conversations. For many, the word “hospice” evokes fear -- fear of finality, of giving up, of losing hope. But the truth is, hospice isn’t about giving up; it’s about focusing on what matters most -- comfort, dignity and quality of life. ...

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J-Sei Home closes after 30 years, leaving Bay Area Japanese seniors in need

03/11/25 at 03:00 AM

J-Sei Home closes after 30 years, leaving Bay Area Japanese seniors in need KQED, San Francisco, CA; by Cecilia Lei; 3/10/25 ... For decades, Bay Area Japanese American families have sought culturally sensitive senior care facilities like J-Sei Home for aging loved ones. Community members said that about a decade ago, there were approximately 10 Japanese senior care homes in the region. Today, that number has declined by about half. The most recent closure came in January, when the last residents of J-Sei Home moved out, and the facility permanently closed its doors after 30 years of operation. A majority of the displaced residents were Japanese Americans in their 90s and had cognitive impairment. ... They had tender caregivers who spoke Japanese. They ate familiar comfort foods like miso soup and pickled vegetables, and they participated in daily activities such as drum circles and singing Japanese songs. ...

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Here’s to Laura Ptucha-Skoog, hospice nurse

03/11/25 at 03:00 AM

Here’s to Laura Ptucha-Skoog, hospice nurse YubaNet.com; by Timothy May; 3/10/25 “I’m not sure I’d say much at all, not at first. I would just try to listen.” This in response to the question of how a hospice nurse should respond if patients or family members make demands that seem unreasonable, unwise, or downright impossible. ... Laura Ptucha-Skoog should know; she has been an R.N. for decades and a nurse at Hospice of the Foothills for the last nine years. She loves her job, including the challenge of facilitating communication. Her ability to talk frankly with terminally ill hospital patients and families drew her to a career in hospice. “Often,” Laura explains, “the human elements are as challenging as the medical ones. Things like asking the right questions and listening to responses; making sure your patient and their caregivers understand what you are doing and why; verifying that everyone understands where you are in the process; listening to their responses with patience and empathy.” ... 

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13 hospital transactions in 1 week

03/11/25 at 03:00 AM

13 hospital transactions in 1 week Becker's Hospital Review; by Madeline Ashley; 3/4/25 The end of February into early March saw a wave of hospital transactions, signaling a shift in healthcare ownership and operations across the country. Below are the 13 hospital transactions that Becker's has reported on since Feb. 27:

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NPHI CEO Tom Koutsoumpas: Modernize hospice benefit for value-based future

03/11/25 at 02:00 AM

NPHI CEO Tom Koutsoumpas: Modernize hospice benefit for value-based future Hospice News; by Jim Parker; 3/10/25 The health care realm is changing, and hospices must change with it. This is the central thesis that underlies the National Partnership for Healthcare and Hospice Innovation, which is currently celebrating the 10th anniversary of its founding. NPHI seeks to put nonprofit hospice organizations at the forefront of innovation, the development of new care and payment models and collective action to expand access and prepare for a value-based future. The organization currently has more than 120 members, all nonprofits, who collectively care for more than 580,000 patients.The health care realm is changing, and hospices must change with it. This is the central thesis that underlies the National Partnership for Healthcare and Hospice Innovation, which is currently celebrating the 10th anniversary of its founding. ... [Click on the title's link to continue reading.]

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At the end of life, doctors’ actions and patients’ wishes may be misaligned, according to a Rutgers Health study

03/10/25 at 03:00 AM

At the end of life, doctors’ actions and patients’ wishes may be misaligned, according to a Rutgers Health study Rutgers; by Greg Bruno; 2/28/25 For terminally ill cancer patients, the final days of life are immensely personal, having the choice to continue cancer treatments, or to stop treatments and prioritize a more comfortable passing. What a patient wants, however, isn’t always what they receive, according to a Rutgers Health study published in the journal Cancer. “A patient's end of life is often not a reflection of what they want, but rather, who their oncologist happens to be,” said Login S. George, a health services researcher at the Rutgers Institute for Health, Health Care Policy and Aging Research, and lead author of the national study. “The data doesn’t indicate patient-centered treatment decisions, but rather, more habitual or default ways of treating patients,” says George, who is also a member of the Cancer Prevention and Control Program at Rutgers Cancer Institute, the state’s only National Cancer Institute-designated Comprehensive Cancer Center. ... [Click on the title's link for more statistics, insights, and recommendations.]

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VA in IM marks 75th anniversary as a mainstay for veterans’ care

03/10/25 at 03:00 AM

VA in IM marks 75th anniversary as a mainstay for veterans’ care The Daily News, Iron Mountain, MI; by Betsy Bloom; 3/6/25 A winter storm didn’t stop the Oscar G. Johnson VA Medical Center from celebrating its 75th anniversary with an open house Wednesday. The facility opened on March 5, 1950 — it then was the largest construction project done in the Upper Peninsula — as strictly an inpatient hospital with 264 beds, primarily for treating World War II veterans ... [and much has] changed in 75 years. The medical center now serves about 22,000 veterans in the U.P.’s 15 counties, along with nine Wisconsin counties — more than 26,000 square miles, giving it the most rural patient base in the VA system. ...  Its hospice area now has a semi-private patio that allows even a full bed to be taken outside so those in end-of-life care can still enjoy some fresh air, said Mary Oman, [a] tour guide.Editor's note: Congratulations and thank you to the Oscar G. Johnson VA Medical Center for your history of innovating care for veterans--especially your rural care system and hospice care. 

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The Medical Minute: Measles cases rising in the US, what you can do

03/10/25 at 03:00 AM

The Medical Minute: Measles cases rising in the US, what you can do PennState, Hershey, PA; 3/6/25 A case of measles in a child was confirmed in Montgomery County on March 2 ─ the first reported case in the state in 2025. Nationwide, the Centers for Disease Control and Prevention (CDC) has reported 164 measles cases in nine states. Texas alone has seen at least 140 cases since late January, including one unvaccinated child who died. Measles is a preventable, highly contagious, airborne virus that can cause serious health complications, including death, especially in children under 5, said Dr. George McSherry, division chief of pediatric infectious diseases at Penn State Health Children’s Hospital. “Measles is a very serious illness. It’s one of the most infectious of the infectious diseases,” McSherry said. “If you put a person with measles in a room with 100 unimmunized people, 90 will get it.” Click on the title's link for more important information. 

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