Literature Review

Bristol Hospice expands, rebrands palliative care program Hospice News; by Holly Vossel; 4/25/25 Bristol Hospice has expanded and rebranded its palliative care program amid rising demand for these services. The hospice provider on Wednesday launched the Bristol Palliative Care program, designed to support seriously ill patients with chronic or life-limiting conditions. Formerly the Advanced Illness Management (AIM) program, the rebranding reflects the hospice’s enhanced patient-centered services and sprawling geographic footprint.

Hospice volunteers and their four-legged best friends Parkview Health, Fort Wayne, IN; by Alison Eckert, Hospice Volunteer Coordinator; 4/20/25 ... As the demand for pet therapy services for hospice patients has increased over the years, we have expanded our team of volunteers. We now have 13 volunteers with certified therapy dogs who visit hospice patients at the Parkview Hospital Randallia Supportive Care Unit, Parkview Regional Medical Center, nursing and assisted living facilities, and some patients receiving hospice care in their homes throughout Northeast Indiana. ... [Description of standard volunteer requirements.] ... For those interested in becoming a pet therapy volunteer with Parkview Hospice, the process includes a few more steps. In addition to the training mentioned above, all animals must be certified pet therapy dogs, insured, and up-to-date on vaccinations. 

Prayer for patients? Readers and ethicists respondMedscape; by Alicia Ault; 4/24/25 ... In a recent Medscape column, Andrew N. Wilner, MD, related the story of a physician offering to pray for his wife at the conclusion of a routine visit. She had no previous relationship with the clinician and only a minor complaint. Wilner found the physician’s action disturbing and wrote in his column that while there might be situations where prayer would be appropriate, his wife’s visit did not fit in that category. Some readers took issue with Wilner’s response. ... He thinks there are a lot of considerations to weigh before a doctor should ask. “Prayer is very personal, and religious beliefs are very, very personal,” said Wilner, adding that “For some people, they’re profound.” Others might be agnostic, and it is not likely possible to know all of this if there is no prior patient-doctor relationship, said Wilner.

Elliot, Southern New Hampshire health systems say separate is better The New Hampshire Union Leader, Manchester, NH; by Dave Pierce; 4/25/25 Although the Elliot Hospital in Manchester and Southern New Hampshire Medical Center in Nashua are just 20 miles apart and share many similarities and goals, that hasn’t been enough to bridge an unforeseen chasm that’s widened over their seven-year partnership. This week, their parent company, SolutionHealth, which also includes Home Health & Hospice Care in Merrimack, started the separation process, holding public forums for community input. 

Hunterdon Health Auxiliary’s Splash of Sparkle raises $47,000 for Hunterdon Hospice Hunterdon Health, Flemington, NJ; Press Release; 4/22/25 On April 6th, the Hunterdon Health Auxiliary brought together supporters of Hunterdon Hospice for its signature event, Splash of Sparkle, held at Fiddler’s Elbow Country Club. Guests gathered for an afternoon filled with bubbly, brunch, and giving back—raising $47,000 to support compassionate end-of-life care for patients and families across our region. ... One of the most meaningful moments of the afternoon came when Jean Hewens, a longtime friend of hospice, shared her family’s journey. Her husband, Dr. Jeremy Hewens, was a beloved family physician with Hunterdon Family Medicine at Delaware Valley for many years. ...

7 signs at home care is needed for someone with dementia VeryWell Health; by Christopher Bergland; 4/25/25 ... At-home dementia care can look different for every family. Some people live alone and may get by with periodic check-ins from professionals in the dementia care community throughout the week. Others might require daily visits from Alzheimer's home care dementia services. Sometimes, a paid caregiver comes to the house daily, or unpaid loved ones provide 24/7 in-home care.

Hospice of the Chesapeake unfurls new advanced lung care program Hospice News; by Jim Parker; 4/25/25 Maryland-based Hospice of the Chesapeake has unveiled a new Advanced Lung Care Program. The hospice and palliative care provider developed the program in partnership with the American Lung Association and the National Partnership for Healthcare and Hospice Innovation (NPHI). The initiative is designed to provide specialized care for patients experiencing severe symptoms from chronic lung disease, which includes chronic obstructive pulmonary disease (COPD), chronic bronchitis, emphysema, asthma, cystic fibrosis, bronchiectasis, pulmonary fibrosis, sarcoidosis and pulmonary hypertension. 

What doctors wish patients knew about decision fatigueAMA; by Sara Berg; 3/21/25The daily flood of decisions can be exhausting. Lisa MacLean, MD, a psychiatrist at Henry Ford Health, shares how to overcome decision fatigue. From the moment we wake up, we are seemingly bombarded with choices—what to wear, what to eat, which emails to answer first. By the time we’ve navigated our morning routine, our mental energy has already taken a hit. And as the day wears on, the sheer weight of decision-making can start to take its toll, often without us even realizing it. Making decisions day in and day out can be exhausting and cause people to feel overwhelmed, anxious or stressed. [Key points include:]

Professor teaches student physicians how to use art to connect with end-of-life patients Thomasville Times-Enterprise, Moultrie, GA; by Staff Reports; 4/23/25Richard Curtis of Thomasville teaches art classes at Thomas University, but he’s also an end-of-life doula who volunteers with patients through Archbold Hospice, integrating his artistic skills into his volunteer work. Earlier this month, Curtis showcased his blend of art, medical care, and human interaction during a session of the Medical Humanities course at PCOM South Georgia. Led by faculty member Thomas Last, PhD, the course aims to help student physicians transcend the science of medicine. “The Medical Humanities course supports students’ growth into humanistic, socially conscious physicians by providing reflective opportunities and meaningful experiences that deepen their understanding of diverse patient perspectives,” Dr. Last said.Editor's note: Do you dismiss this? Does it seem too "out there"? For stronger context, Sandra Bertman, PhD, FT pioneered Arts Medicine with medical students and other healthcare clinicians. For most of her career, Bertman was Professor of Humanities in Medicine at the University of Massachusetts Medical School and Graduate School of Nursing, where she founded and directed the Program of Medical Humanities and Arts in Healthcare. (More personally, I've been blessed to know Sandra as my colleague and friend.) Dr. Bertman was awarded the Robert F. Kennedy Award for Social Justice (2018). Her primary publications include ...

40% of nurses eye exit by 2029: 5 findings from NCSBN’s new workforce report Becker's Hospital Review; by Erica Carbajal; 4/27/25While the post-pandemic nursing workforce is showing signs of stabilizing, high levels of burnout, stress and dissatisfaction continue to threaten long-term workforce stability, according to the National Council of State Boards of Nursing’s biennial 2024 National Workforce Study. The report surveyed more than 800,000 nurses in the U.S. and is considered the largest, most comprehensive report on the state of the nursing workforce. ...

Evaluation of Medicare Advantage Value-Based Insurance Design (VBID) Model test (2020-2023) - Key takeaways: VBID Hospice Component, 2021–2023CMS press release email; 4/18/25From 2021 through 2024, the voluntary Medicare Advantage (MA) Value-Based Insurance Design (VBID) model allowed MA insurers to offer the Medicare Hospice Benefit within their plans. Outside VBID, hospice care is not included in MA plan benefit packages and is paid through traditional Medicare. The Hospice Benefit component consolidated responsibility and accountability for the cost, quality, and outcomes of MA beneficiaries in hospice with the intent of promoting care coordination and improving quality of care while maintaining budget neutrality or reducing costs.

Special Report: Examining group health coverage alternatives for small employers - update JDSupra; by Alden Bianchi, Sarah Raaii, Teal Trujillo, Erin Turley, Allison Wilkerson; 4/23/25 ... Small employers’ efforts to provide robust major medical coverage to workers and their families have long proven futile, primarily due to underwriting challenges. Groups of under 50 employees are often relegated to state small group market coverage, which tends to be expensive. ... This Special Report examines the options available to small employers – and the obstacles they routinely encounter – as they seek to make affordable health insurance coverage available to their employees and their families.

Healthcare employee turnover, by roleBecker's Hospital Review; by Paige Twenter; 4/25/25Generation Z workers are leaving healthcare at a 38% turnover rate, followed by a 22% rate among millennials, 14% among Generation X and 19% among baby boomers, according to a Press Ganey report. To analyze national workforce trends, Press Ganey analyzed feedback from 2.3 million U.S. healthcare employees from more than 400 health systems and 15,200 locations... Turnover rates across 11 healthcare positions between 2023 and 2024: