Literature Review

Maybe some people just aren't meant to be in our lives forever. Maybe some people are just passing through. It's like some people just come through our lives to bring us something: a gift, a blessing, a lesson we need to learn. And that's why they're here. You'll have that gift forever. ~Danielle Steel

Exploring virtual reality as an intervention to improve symptom severity in hospice-eligible patientsAmerican Journal of Hospice and Palliative Care; by Hannah Maciejewski, Kathryn Levy, Catherine M Mann, Suzanne S Sullivan, Gina Schuster, Christopher W Kerr; 7/25Virtual reality (VR) as an intervention has appeared in the literature and in clinical settings across many different populations. To expand the use of this care option, it is worth considering the ways in which a VR application may benefit individuals with life-limiting illness in hospice and palliative care settings. The incorporation of VR as a therapy option may aid in symptom management and support people nearing the end of life in focusing on aspects of their overall well-being.

Trends in hospice and palliative care consults initiated in the emergency department: An eight-year utilization analysisThe American Journal of Emergency Medicine; by Satheesh Gunaga, Abe Al-Hage, Alyssa Buchheister, Harish Neelam, Jessica Corcoran, Michael Welchans, Kirby Swan, Mahmoud Awada, Joseph Miller, Fabrice Mowbray; 8/25Emergency departments (EDs) play a central role in end-of-life care, yet the early integration of hospice and palliative care (HPC) is often underutilized. A total of 8,055 HPC consults were ordered for 6,370 unique patients. The average age was 78.1 years, with 56.4 % female and 75.0 % White. Of the cohort, 91.7 % were admitted, 5.3 % discharged home, and 53.2 % died in-hospital. HPC consults increased from 369 in 2016 to 1,355 in 2023 (367 % increase ... ). The ratio of hospice to palliative care consults reversed from 1.5:1 in 2016 to 1:1.9 in 2023.

The Faith Care Family Project: A pilot intervention for African American dementia family caregiversAmerican Journal of Alzheimer's Disease and Other Dementias; Noelle L Fields, Ling Xu, Ishan C Williams, Fayron Epps, Samantha Tinker; 8/25The Faith Care Family (FCF) Project was a telephone based, volunteer-led intervention for African American Alzheimer’s disease and related dementias (AD/ADRD) family caregivers that was piloted in one predominantly African American church. Church volunteers indicated overall significant improvements knowledge of AD/ADRD after the training as well as after the intervention. Quantitative results indicated that caregivers increased their knowledge of dementia, reported improved coping skills, and reported increased positive aspects of caregiving. Feeling a connection, normalizing the challenges of caregiving, gaining or reinforcing knowledge, and sharing community resources were themes from qualitative interviews with the family caregivers.

[Iceland] Medication causes and treatment of delirium in patients with and without dementiaBrain and Behavior; by Anita Elaine Weidmann, Rut Matthíasdóttir, Guðný Björk Proppé, Ivana Tadić, Pétur Sigurdur Gunnarsson, Freyja Jónsdóttir; 7/25This summary offers the most detailed summary of medication-related information for delirium in patients with and without dementia to support prescribing decisions. While the detailed results can be used to support a multicomponent approach to delirium care, they also support the call for categorizing delirium into distinct etiological subgroups. The effect of medication on gut microbiome diversity and composition should be considered.

[Canada] Palliative care access and use among homeless individuals: A scoping reviewBMC Palliative Care; by Ashley Rodericks-Schulwach, Ravi Gokani, Lynn Martin; 7/25Homeless individuals experience unique needs and challenges when PC. Many of the challenges experienced are related to the stigma of homelessness– it negatively impacts the relationship people have with PC professionals as well as creates barriers to access. Implementation of integrated and intersectoral PC programs that employ harm reduction approaches is needed to ensure that people experiencing homelessness receive PC that promotes dignity and comfort. Specialized staff training to work with this population is also needed to improve quality of PC care provided. Future research that employs an intersectional lens to better understand the needs of sub-groups within the homeless population is needed, as is use of consistent terminology related to PC services to ensure both understanding and generalizability of findings. 

"It may cost you your money, it costs you your life": A framework for financial hardship in dementiaGerontologist; by Krista L Harrison, Emily R Adrion, Juliana Friend, Sarah B Garrett, Madina Halim, Michael Terranova, Alissa B Sideman, Nicole D Boyd, Georges Naasan, Joni Gilissen, Pei Chen, Melissa D Aldridge, Daniel Dohan, Michael D Geschwind, Alexander K Smith, Christine S Ritchie; 7/25Care for persons with dementia costs ∼ $500 billion annually in the United States. Few qualitative studies or conceptual frameworks of the financial experiences of people impacted by dementia exist. This study examined how patients and caregivers impacted by different types of dementia and at different points in the disease journey described financial issues within a palliative care context... Even in a well-resourced population, the financial toll of dementia can be substantial. The Direct-Emotional-Logistical framework of dementia financial hardship can be used to assess financial impacts in palliative care settings.

How can AI help hospice?Hospice & Palliative Care Today staff; 8/21/25

Local foundations' grants support comfort and safety upgrades at the Wayne T. Patrick Hospice House Chester News & Reporter, Rock Hill, SC; Press Release; 8/19/25 Hospice & Community Care is proud to announce the completion of phase two of the hospital bed replacement project at the Wayne T. Patrick Hospice House, made possible through a $24,000 grant from The Herbert and Anna Lutz Foundation and a $15,000 grant from the Chester Healthcare Foundation. The new beds, which replace original hospitals beds from 2008, meet all hospital-grade safety standars while offering advanced positioning features and enhanced comfort for patients.

Marine veteran volunteers to ensure no veteran dies alone Greater Good; by Guest Contributor; 8/18/25 At the Milwaukee VA Medical Center, a quiet act of service is taking place—one that speaks volumes about dedication, compassion, and the enduring bonds of military brotherhood. Marine veteran Frank Steffel has spent the past nine years volunteering with the “No Veteran Dies Alone” program, a national initiative designed to ensure that veterans in hospice care are not left without companionship in their final moments. This powerful mission reflects a solemn promise: no service member should ever be forgotten or left behind. Steffel’s work is part of a broader effort that has been active at the Milwaukee VA for about a decade.

Make training more effective with microlearning and AI Training Industry; by David Resendes; 8/20/25 When people think of microlearning, it’s often viewed as a tool for reinforcement of longer form training, something used after the main event to help employees retain what they’ve learned. And while microlearning is incredibly effective in that role, it’s time to expand that view. ... More organizations are using microlearning as the primary delivery mechanism for critical learning content. When designed intentionally, it’s one of the most engaging, effective ways to introduce concepts, drive early understanding and encourage immediate application.