Literature Review

COUNTDOWN: 8 Days Until HOPE Tool Starts, October 1, 2025 

On this day when light and darkness are equal, may you find the balance you need in your life, and my your autumn harvest basket be bountiful. ~ Unknown

Serious falls resulting in hospitalization among Medicare-enrolled nursing home residents, July 2022–June 2023HHS Office of the Inspector General; Report number: OEI-05-24-0018; 9/18/25This OIG data snapshot accompanies the report, Nursing Homes Failed To Report 43 Percent of Falls With Major Injury and Hospitalization Among Their Medicare-Enrolled Residents, OEI-05-24-00180. The snapshot found that between July 1, 2022, and June 30, 2023, more than 42,000 Medicare-enrolled nursing home residents experienced serious falls resulting in major injury and hospitalization, and 1,911 died during their hospital stays. The data indicated that most residents had known fall risk factors prior to their injuries, and falls were more common among female, older, and short-stay residents. Nursing homes with lower nurse staffing levels and lower quality ratings had higher fall rates. These preventable events reduced residents’ quality of life and cost Medicare and enrollees over $800 million, underscoring the need for stronger fall prevention and quality improvement efforts in nursing homes. 

AI can aid in end-of-life care decisions, but can't replace human teams MarylandToday; by Fid Thompson; 9/19/25 “Would I be surprised if this person were not alive 12 months from now?”  This so-called “surprise question,” combined with clinical risk calculators, helps doctors make decisions about care for patients near the end of life. Increasingly, clinicians also use artificial intelligence (AI) models to predict remaining life expectancy and better inform palliative care decisions. In a recent study out in the Journal of Palliative Medicine, a University of Maryland researcher sought to understand what palliative care teams think about these AI tools that give an estimated life expectancy or prognosis in end-of-life care, and found mixed reactions. 

The hall of future jobs: A living exhibit of what AI can't replace Impact Lab; by "Futurist" Thomas Frey; 9/16/25 Step into the year 2035, and the world of work looks radically different. AI has become a co-pilot in nearly every industry, automation is woven into the fabric of daily life, and robotics has mastered an astonishing range of physical and cognitive tasks. Yet even in this hyper-automated society, there remain roles that resist full automation—jobs that require human presence, judgment, creativity, or empathy in ways machines can only support, not replace. ... Here are 10 jobs that will likely still demand distinctly human labor:

What makes a good death? GeriPal - A Geriatrics and Palliative Care Podcast for Every Healthcare Professional; by Alex Smith with Karen Steinhauser, Rasa Mikelyte and Edison Vidal; 9/18/25What is a “good death”? How should we define it, and who gets to decide? Is the concept of a “good death” even useful? ... In today’s podcast, we are honored to have Karen join us to discuss this pivotal study and the nature of a “good death”. We are also joined by Rasa Mikelyte and Edison Vidal, co-authors of a recent study comparing the perspectives of people with dementia in the UK and Brazil on what constitutes a good death. In addition to exploring the nature of a good death and their individual studies, we will discuss:

Heart disease tops US mortality in 2024, CDC reports McKnights Long-Term Care News; by Foster Stubbs; 9/12/25 The leading causes of death in the United States in 2024 were heart disease, cancer and unintentional injury, the Centers for Disease Control and Prevention said in a September report. ... In total, there were 3,072,039 total deaths that occurred in the US in 2024 with a death rate of 722.0 per 100,000 people. This was 3.8% lower than the totals in 2023. Death rates also decreased for all race and ethnicity groups but rates for Black people remain higher than those for all other groups. Overall, death rates were highest for males, older adults and Black people, demonstrating a need for further examination of the health of these demographic groups. Heart disease caused 683,037 deaths, cancer caused 619,812 deaths and unintentional injury resulted in 196,488 deaths. Mortality statistics were collected by The National Center for Health Statistics’ (NCHS) National Vital Statistics System (NVSS) using US death certificate data. [The CDC Report is at Vital Statistics Rapid Release, Number 039, September 2025.]

What I learned about dying while caring for my husbandBK Books; by Barbara Karnes; 9/3/25It is hard to comprehend that our special person will die no matter what we do. No matter how many treatments, how much medicine, or how much food we give, death will come. We often don’t see what we don’t want to see. When it comes to acknowledging the end of life’s approach, this sentence is very true. My husband recently died of cancer. I am an end of life educator. I know what dying looks like, how it progresses, and what to do to support the person on their journey. Here are some insights that have been added to my knowledge as the result of walking in caregiver shoes...Publisher's note: Having a family member die earlier this year and building on Barbara's theme, I ask hospice providers, "Does the hospice care your loved one received match the quality of hospice care you deliver?"

Social Media Watch 9/12/25

New Salem-based hospice opens with focus on nursing staff wellness Salem Reporter, Salem, OR; by Hailey Cook; 9/11/25 After 12 years working as a hospice nurse, Christie Rivelli reached her breaking point. The pressure had built since the pandemic, when her workload went from 15 patients at a time to 28. ... By opening a new, locally-owned hospice company, they’re bucking a trend. ... Solterra currently has a staff of 19, with a range of one to three decades of experience in hospice care. As a nurse herself, Rivelli said she’s prioritized her staff’s workload and benefits. Everyone starts by getting training about post-traumatic stress disorder, and she said new hires have had trouble adjusting to a slower pace of work. ... Rivelli said. “Downtime in your workday should be built in … but boy, that’s not how it’s been in hospice.” She said some companies will assign 40 patients to one nurse, which forces the nurses to do pop-in check-ups rather than getting to know their patients. It can also mean the patient will see a rotation of unfamiliar faces rather than one nurse.

Fulfilling end-of-life dreams: A scoping review of bucket lists in palliative and hospice care Palliative Supportive Care - Cambridge University Press; by Swasati Handique, Michael Bennett and Scott D Ryan; 9/12/25 Results: Four major themes were established using thematic content analysis: (1) impact on holistic well-being, (2) role of family in wish fulfillment, (3) cultivation of gratitude, and (4) collaborative leadership in wish fulfillment. In wish fulfillment, the results significantly pointed to the need for more intricate evaluation among patients and interventions that cover beyond the physical aspect. Significance of results: Palliative and hospice care settings should work toward securing sustainable funding for structured wish-fulfillment programs to address existing accessibility gaps and further enhance the holistic nature of care in these settings. Editor's Note: For hospice organizations that can receive donations, setting up a Wish/Bucket List Fund makes for a meaningful, easy-to-demonstrate ROI on donated gifts. With this, you need to have some type of discretionary review/approval process in place, with assurances of confidentiality when important to the person and/or family.

Hospice AI - Summarize national and state hospice utilization trends over the past 10 yearsHospice & Palliative Care Today staff; 9/15/25Today we asked ChatGPT to summarize hospice utilization trends over the past decade using a spreadsheet uploaded from Hospice Analytics. One "key takeaway" was that growth is slowing nationally, suggesting hospice has matured in penetration, though opportunities remain in underutilizing states. Click here for the 4-page detailed summary, including AI-generated charts. Of note, while the AI-generated charts were correct, the accompanying text was incorrect - reinforcing the need for humans to double-check output!