Literature Review

After her son’s painful death, a Cheshire mother highlights Connecticut’s pediatric hospice gap New Haven Register, Norwalk, CT; by Cris Villalonga-Vivoni; 10/26/25 Carolyn Torello believes that no parent should outlive their children, yet that became her reality. ...  As his condition worsened, the family faced his impending death without the support of pediatric palliative or hospice care. No provider, she said, seemed to know how to help or where to begin. He died at 15 years old in 2021. ... In 2020, an estimated 7,800 children in Connecticut were living with complex medical conditions that limited their life expectancy and could have benefited from palliative or hospice care, according to data from the National Survey of Children's Health. ... Torello thinks that if Michael had access to hospice care, he could have died with greater dignity, and their family could have focused on simply being together. ... Efforts to create a more formalized pediatric palliative care system have been underway since 2024, led by a state-commissioned working group that will make recommendations to the legislature on potential reforms.Editor's Note: Editor's Note: This article puts forth significant information (with links) for all states, for all hospices. Having served on the firmly rooted Pediatrics Team of Hospice & Palliative Care of Louisville (begun in 1980) for four years (1997-2001), I take for granted how some type of pediatric hospice care needs to be available in every region. For related articles we have recently posted:

Risk of dementia diagnosis after injurious falls in older adultsJAMA Network Open; Alexander J. Ordoobadi, MD; Hiba Dhanani, MD, ScM; Samir R. Tulebaev, MD; Ali Salim, MD; Zara Cooper, MD, MSc; Molly P. Jarman, PhD, MPH; 9/24In this cohort study, new ADRD [Alzheimer disease and related dementias] diagnoses were more common after falls compared with other mechanisms of injury, with 10.6% of older adults being diagnosed with ADRD in the first year after a fall. To improve the early identification of ADRD, this study’s findings suggest support for the implementation of cognitive screening in older adults who experience an injurious fall that results in an ED visit or hospital admission. 

Medical Aid in Dying Annual ReportsA compliation by Hospice & Palliative Care Today; 4/14/25Just released:

The hospice conversations that defined 2025 - Best of TCNtalks Teleios Collaborative Network (TCN); by Chris Comeaux; 12/24/25 With nearly 45,000 total downloads across TCNtalks and Anatomy of Leadership, this milestone reflects a shared commitment to thoughtful leadership, courageous conversations, and care as it should be. We’ve curated standout moments from episodes that challenged assumptions, clarified complexity, and pointed toward a better future for serious-illness care. ... This highlight episode isn’t just a recap—it’s a reflection of where hospice and serious-illness care has been, where it is, and where it must go next. These conversations underscore the urgency of leadership rooted in clarity, compassion, and courage. Whether you’re revisiting a favorite or discovering an episode you missed, we hope this collection sparks insight, conversation, and renewed purpose as we head into 2026.

Summary digest for palliative care professionals: December 2025 ehospice; 12/28/25 December is a time to pause and reflect on the journey we have shared in 2025. You might have saved some of our digests or articles for later, simply because there wasn’t enough time or energy during the year. That’s why we’ve put together a year-end digest for you. It compiles all the recommended materials from 2025, neatly organised by topic for your convenience. Happy holidays, dear friends! ... May the coming year bring you more strength, warmth, and professional inspiration. 

Belleville home is full of holiday decor, with a twist The Pantagraph, Bloomington, IL; by Pat Eby If ever a house could come straight out of a Hallmark holiday movie, the Kalish home in Belleville just might be that cozy home where romance flourishes and holiday spirit reigns. And the holiday wouldn't need to be limited to Christmas New Years, Valentine's Day, St. Pat's, Easter, Memorial Day, Independence Day, Labor Day, Halloween, Veterans Day, Thanksgiving, Hanukkah there isn't a holiday in the books Stacey and Brian Kalish don't celebrate with themed decorations at their home, inside and out. ... Stacey is especially big on decorating for Christmas. They have a big tree, but she also puts up one small Christmas tree she got for her dad when he was in hospice and decorated it with angel ornaments. She was just 21 when he died. She adds a new angel ornament to the tree each year in his memory. Editor's Note: Stacey's annual ritual of adding the "small Christmas tree she got for her dad when he was in hospice" and adding a new ornament "each year in his memory" is a beautiful, simple, ongoing way to honor his memory visibly, to "continue bonds" (an important, intercultural grief concept) for herself, family, and generations ahead. Consider adding something like this to your holiday care for next year; what community donors might support this?

Alzheimer's: When is it time to consider hospice care? The Advocate, Baton Rouge, LA; by Dana Territo; 12/29/25 ... Since the span of Alzheimer's disease can run from seven to 20 years, it is often difficult to know when the person warrants hospice care. Generally, an individual with Alzheimer's is ready for a hospice referral when they become severely impaired in function, (no longer can walk or feed themselves); when the person has become incontinent; when they experience frequent choking episodes or have difficulty in breathing, are unable to speak or communicate meaningfully (limited to about a half dozen or fewer intelligible words), or have significant weight loss. ...Editor's Note: This local advocacy article provides important information for all hospices, with references to their state organization--Louisiana-Missisippi Hospice & Palliative Care Organization--for ongoing resources. 

Patients with hematologic cancers value blood transfusions most in hospice services Healio; by Josh Friedman; 12/29/25 Key takeaways:

Tiny tree reappears along Lititz Pike to brighten the holiday season Lancaster Online, Lancaster, PA; by Claudia Esbenshade; 12/23/25 ... Anderson, a social Worker with Hospice & Community Care, took the initiative that year to give "Charlie," which is what Anderson called her tree, some love and adorned it with a little blue blanket and one red ornament. She named the tree in honor of the beloved tree from "A Charlie Brown Christmas." ... "Charlie had become more than a weed in a crack. He was a symbol. A pause. A quiet reminder that resilience exists even when conditions are ugly, and hope can show up where you least expect it," she wrote in her post. "My work centers around people who are often really fragile and facing limited life expectancy," Anderson said in an email. "So sometimes the smallest, most overlooked things end up meaning the most, especially to people who are tired, grieving, or just trying to get through the day. That little tree’s resilience has always been really special to me."

Carolina Caring Foundation receives $30,000 grant to help families in Burke CountyThe Paper, Morganton, NC; by The Paper Staff; 12/20/25 Burke County families caring for children with serious illnesses will see added support through a $30,000 grant awarded to Carolina Caring Foundation for Cardinal Kids, the region’s pediatric palliative and hospice care program. Carolina Caring Foundation announced it received the grant from Speedway Children’s Charities to help fund services provided through Cardinal Kids. The foundation said this is the third consecutive year Speedway Children’s Charities has selected Carolina Caring Foundation as a grant recipient.

Holiday lights are like great friends. They make everything shine brighter! [Click here for 22 qualities of a good friend. This is great week to reach out and catch up!] 

VNA responds to state approval of a new for-profit hospice provider in Indian River County VeroNews.com, Vero Beach, FL; by Community Submission; 12/23/25 The Visiting Nurse Association (VNA) of the Treasure Coast is responding to today’s announcement by the State of Florida approving a for-profit hospice provider to begin serving Indian River County in early 2026. The newly authorized provider will join a community that VNA has exclusively served with nonprofit hospice care for nearly 40 years. The approval follows a statewide Florida Need Projections review conducted by the Agency for Health Care Administration (AHCA) ... VNA has long met—and continues to meet—the hospice needs of residents across Vero Beach, Sebastian and Fellsmere.