Literature Review
Advancing the primary palliative workforce: Pilot results of the Educating Social Workers in Palliative and End-of-Life Care (ESPEC) self-study program
05/10/25 at 03:05 AMAdvancing the primary palliative workforce: Pilot results of the Educating Social Workers in Palliative and End-of-Life Care (ESPEC) self-study programJournal of Palliative Medicine; Myra Glajchen, Cathy Berkman, Shirley Otis-Green, Russell K Portenoy; 4/25Health social workers caring for the seriously ill may lack preparation in the primary palliative skills needed for this complex task. An evidence-based, nationally scalable, multimodality training program-Educating Social Workers in Palliative and End-of-Life Care (ESPEC)-was developed to address the training needs of health social workers. Prior to completing the online training, 21.6%-50.0% of participants rated themselves as "very confident" in the clinical practice skills central to the role of the social worker in serious illness care. After completing the modules, 58.8%-81.4% rated themselves as "very confident" in both clinical and professional skills, with significant changes in nine clinical practices and four professional practices. This pilot supports the feasibility, acceptability, and educational potential of the ESPEC self-study training in increasing confidence in key practices of primary palliative care for health social workers.
Systemic functioning of Puerto Rican families with a cancer patient: A qualitative-oriented mixed-methods study
05/10/25 at 03:00 AMSystemic functioning of Puerto Rican families with a cancer patient: A qualitative-oriented mixed-methods studyJournal of Health Psychology; Nicole M. Vélez Agosto; 4/25Puerto Ricans are part of marginalized communities that are impacted by health disparities, such as lifestyles, health behaviors and access to care (Simmons et al., 2011). The purpose of study was to assess systemic functioning in Puerto Rican families with a cancer patient using the Spanish translated version of the Family Genogram Interview (FGI) that measures Bowen’s four emotional processes in nuclear family and family of origin. Results suggested an acceptable reliability for the FGI-Spanish and higher presence of symptoms in a spouse or partner, symptoms in family of origin, focus on a child and emotional cutoff in family of origin. Qualitative findings suggested that main concerns for participants were related to family changes surrounding illness and familial roles, consistent with Bowen’s theory and clinical implications for designing systemic interventions for Puerto Rican families.
Saturday newsletters
05/10/25 at 03:00 AMSaturday newsletters focus on headlines and research - enjoy!
Research study participation: High-quality hospice care for all patients
05/10/25 at 02:00 AMResearch study participation: High-quality hospice care for all patientsShannon Walsh, a doctoral researcher at the RAND Corporation and the Pardee RAND Graduate School, is conducting a study on how hospice ownership structures impact the delivery of care for patients with Alzheimer’s Disease and Related Dementias (ADRD). The study uses Medicare data and interviews with informal caregivers to explore care quality, caregiver experience, and access to services – particularly within for-profit hospices, including those affiliated with private equity firms. Ms. Walsh is currently recruiting family caregivers of ADRD patients who received hospice care in the past two years to participate in a confidential, one-hour phone interview. [Please click the link above for additional information.]
GRIEF VIDEO: Holes and Wholeness - Mother's Day 2025, Finding peace in the pieces, wholeness in the holes
05/09/25 at 03:50 AMVideo: Holes and Wholeness - Mother's Day 2025, Finding peace in the pieces, Wholeness in the holes Composing Life Out of Loss; by Joy Berger; 2018, updated 5/8/25Holidays, birthdays and anniversaries. They’re supposed to bring celebration, fun, food, gifts, rituals, and rich meanings. But, when our loved one is seriously ill, or has died, these same days of joy can become … holes of grief. It's already hard enough, but with the holidays, we fear that emotions will flood us, that memories will trigger us, like ...
BONUS Today's Encouragement: My mother had a great deal of trouble with me, but ...
05/09/25 at 03:10 AMMy mother had a great deal of trouble with me, but I think she enjoyed it. ~ Mark Twain
GRIEF: How to survive Mother’s Day when your mom is gone
05/09/25 at 03:05 AMHow to survive Mother’s Day when your mom is gone Psychology Today - Dementia; by Deborah Carr, PhD; 5/8/25 ... By age 50, about half of us have mourned the death of our mother. More than 4 million older women in the U.S. have dementia, and most have children who are witnessing their cognitive declines. Whether your mother has died or slipped into the grip of late-stage dementia, Mother's Day can be hard, although the sharp pangs of sadness tend to fade with time after a mom's death. So, how do you survive Mother’s Day when your mom isn't here to celebrate with you?
What grieving moms want for Mother's Day
05/09/25 at 03:00 AMWhat grieving moms want for Mother's Day The Compassionate Friends - Supporting Family After a Child Dies; posted on 5/10/17, retrieved from the internet 5/8/25 Acknowledgement is what grieving mother’s want most for Mother’s Day, suggests a survey by wwwthecomfortcompany.net a website that specializes in meaningful sympathy gifts. The online survey asked, “What can others do to ease your pain on Mother’s Day?” Over 80 percent of the 200 respondents answered, “Recognize that I am a mother.” ... In response to the survey result, The Comfort Company has issued a list of ten simple ways to reach out to a grieving mother on this difficult holiday.
PROFESSIONAL SELF-CARE: Becoming time rich with physician moms: Sarah Wittry [hospice] and Nicole Perrotte
05/09/25 at 03:00 AMBecoming time rich with physician moms: Sarah Wittry [hospice] and Nicole Perrotte MarketScale - Ripple of Change; by Todd Otten; 7/30/24 In today’s high-stress healthcare environment, physician mothers face the formidable challenge of balancing demanding careers with their personal lives. The conversation on work-life balance is more relevant than ever, with more women in medicine seeking ways to manage these dual responsibilities effectively. How can physician moms navigate this landscape to reclaim time for themselves without guilt? What strategies can physician moms employ to achieve a healthier work-life balance? This pressing question lies at the heart of today’s discussion on the Ripple of Change podcast. ... Key points of discussion:
Hospice of Southern West Virginia to host grief support session ahead of Mother’s Day
05/09/25 at 03:00 AMHospice of Southern West Virginia to host grief support session ahead of Mother’s Day ABC WOAY-4, Oak Hill, WV; by Brandy Lawrence; 5/6/25 [posted for their community before the event] As Mother’s Day approaches, many individuals face a renewed sense of loss and sorrow. To provide comfort and support during this emotionally challenging time, Hospice of Southern West Virginia (HSWV) will hold a special grief support session focused on coping with the loss of a mother or maternal figure. The session is scheduled for Thursday, May 8, 2025, from 5:30 p.m. to 7:00 p.m. at Bowers Hospice House. The event is open to anyone in the community navigating the grief of losing their mother. The session aims to offer a safe, compassionate space for attendees to honor loved ones, share cherished memories, and find solace in the presence of others who understand their pain.
Mother's Day Weekend - Special Edition
05/09/25 at 03:00 AMWe prepare for Mother's Day with today's Special Edition, giving you time to reflect on and share articles with others before Sunday.
Listen to what your mother tells you, especially near the end
05/09/25 at 03:00 AMListen to what your mother tells you, especially near the end News+ Membership; by Jerry Davich; 5/7/25If your mother is no longer alive, what were her last words to you? My mom passed away two years ago and I’ve been asking myself this question since her last breath, which took place in my presence. I had just placed a yellow tulip next to her pillow on a bed inside her hospice room. It was an early Mother’s Day gift, continuing a tradition I started as a child with a stolen tulip from a neighbor’s yard. I knew my mother would not be around a month later for her special holiday. In fact, she wouldn’t be around just a minute later. While pondering that stolen moment, I looked over to my mom and noticed her left index finger moving. It was just a twitch, but until that time she had made no movements since she was admitted into a local hospice near my home. ...... Though I can’t recall my mom’s final words, I deeply feel her lasting legacy of love for my family. We continue to talk about her every day. We think of her every moment. We share photos and memories of her on a family group text thread. Some make us laugh. Some make us cry. This is the beauty and the heartbreak of losing a mother or a father. My mom may be gone, but her gentle voice can be heard in my head any time I want or need it. ...
Today's Encouragement: I wonder if my first breath ...
05/09/25 at 03:00 AMI wonder if my first breath was as soul-stirring to my mother as her last breath was to me. ~ Lisa Goich-Andreadis, 14 Days: A Mother, A Daughter, A Two-Week Goodbye
'The Grief Lady:' NC woman uses mother's funeral flowers to create art, help others heal
05/09/25 at 03:00 AM'The Grief Lady:' NC woman uses mother's funeral flowers to create art, help others heal WRAL TV News, Raleigh, NC; by Heather Leah; 4/18/24, posted in our newsletter 4/29/24 Grief is a journey--and you never know for sure where it'll take you. When Janet Willis' mom passed away from small cell lung cancer in her 70s, Willis said she felt like she lost more than a mother; she lost a piece of herself. The loss launched her on a 100 day journey, creating art with the dried flower petals saved from her mother's funeral and sharing her grief experience with her followers. Each day she created a new piece of art – and each day it's as much a surprise for her as it is for her viewers. [See photos.]
HOSPICE: Children’s book written by Manheim Township mother finally published 3 years after she died of cancer
05/09/25 at 02:50 AMHOSPICE: Children’s book written by Manheim Township mother finally published 3 years after she died of cancer LNP Lancaster Online, Lancaster, PA; by John Walk; 1/27/25 As she battled a rare sarcoma cancer over the last two years of her life, Manheim Township resident Ginny McCreary struggled to find a children’s book she could read to her two young daughters to help them better understand what she was going through. So McCreary wrote the book herself, sometimes on a smartphone while laying in bed late at night, ... McCreary died Aug. 15, 2021. She was 34. She left behind a self-published manuscript of the children’s book that sat idle for about two years but was not forgotten. ... The book has also made its way inside four Hospice & Community Care locations in Lancaster as well as Penn Medicine’s Ann B. Barshinger Cancer Institute in East Hempfield Township. [Video with Ginny's mother] "I'd love to get it to some cancer centers and hospice centers ..."
HOSPICE: [Nurse] Daughter embraces mom’s hospice journey
05/09/25 at 02:30 AMHOSPICE: Daughter embraces mom’s hospice journey City Sun Times, Phoenix, AZ; by Lin Sue Flood; 3/25/25 As a nurse, Robin Benton is used to caring for people who are ill. But it’s different when your mother is the one who is sick. Her mom, Charlotte Brewer, a former nurse herself, has multiple myeloma, a rare type of blood cancer. In March 2024, the 80-year-old Valley resident decided to stop curative treatments in favor of comfort care with Hospice of the Valley, where she worked for over 10 years, before retiring in 2007. ... Charlotte’s Hospice of the Valley nurse, Kelly Langston, admires the way the family is living this stage of life with great intention, creating new ways to deepen their love for each other. “They came up with an idea for a hug shirt,” shared Kelly. “Everyone in the family painted their arms then took turns hugging each other — stamping an imprint of encircled arms on the shirts. It’s a way to feel each other’s hugs even when they aren’t together.” [View this creative shirt.]
HOSPICE - INSPIRATIONAL: 92-year-old Victoria woman under hospice care throws first pitch at Generals game
05/09/25 at 02:20 AMHOSPICE - INSPIRATIONAL: 92-year-old Victoria woman under hospice care throws first pitch at Generals game Victoria Advocate; by Advocate Staff; 6/22/24 A 92-year-old Victoria woman and hospice patient was thrilled to throw the first pitch at a recent Generals game. Virginia Hirsch threw the pitch at the June 15 game at Riverside Stadium after she was nominated by Hospice of South Texas, where she is a patient. Virginia was so excited to be nominated,” the woman’s daughter Teresa Diefenbach said. “... She said that this was one of the greatest nights she has had in a long time.” She is currently under outpatient hospice care due to having a brain tumor and lymphoma. ... Hirsch and her late husband Daniel Hirsch used to attend games to cheer on their grandson Denver Diefenbach, who was a pitcher for the Generals in 2011. “It was such a special and full-circle moment to see my grandmother, who’s always been one of my biggest supporters, throw out the first pitch for the Victoria Generals,” Diefenbach, the pitcher, said. “This is the same team I played for ..., and it means the world to me. The memories of having my grandparents in the stands cheering me on are something I’ll always cherish. Now, to witness my grandmother taking the mound at the field where I spent my high school and some college years is incredibly inspiring. Her strength and spirit continue to be a guiding light for our family.”
CAREGIVING: For 27 years, I had minimal contact with my abusive mother. Then she moved in with me.
05/09/25 at 02:15 AMCAREGIVING: For 27 years, I had minimal contact with my abusive mother. Then she moved in with me. HuffPost; by Carole Brodsky; 1/20/25 ... Living with my mom was the last thing I ever thought I’d be doing as an adult. Perhaps I accepted her back into my life because there were no other options available. Perhaps it was because I was the daughter of someone who in today’s vernacular would be called a “tiger mom,” and I’d been taught caring for an aging parent was what “good daughters” did. ... As a child, my mother was abusive. ... [Now, as] Mom’s verbal skills declined, we had to use our eyes, guts and hearts to discern the needs of a person whose tether to this world was fraying before our eyes. ... My partner has a saying: I always forgive, but I never forget. I have unequivocally forgiven my mother for everything. I have tried, with varying degrees of success, to let the vestiges of her abuse die with her and not invade the lives of my children, grandchildren and now, great-grandchildren. The work on forgiving myself will continue for the rest of my life.
'I've already had my miracle': 26-year-old Savannah mom enters hospice care with only weeks to live
05/09/25 at 02:10 AM'I've already had my miracle': 26-year-old Savannah mom enters hospice care with only weeks to live ABC WJCL 22 News, Savannah, GA; by Savannah Younger; 12/4/24, posted in our newsletter on As the holiday season begins, Sara Long, a 26-year-old Savannah woman, is entering hospice care after a prolonged battle with kidney failure. Now the wife and mother is preparing to say her final goodbyes to family and friends. "I wanted to make sure that everything's kind of ready to go for when family visits and all that kind of stuff," Long said. "So, I just want to make things as easy as possible for everybody." Long has been told she has two to three weeks left to live and is now preparing her family for her passing. ... Their daughter, Riley, 4, is too young to understand what is happening, but Long is creating a hope chest so Riley can always remember her. "There are probably dozens, if not hundreds, of letters at this point, to open at different various points in her life. So, like her first day of school all through, or a graduate degree, potentially," Long said. "I feel like I've already had my miracle," Sara said. "I feel like Riley is my miracle. ..."Editor's note: Sara Long died sooner than expected, just 8 days later on December 12, 2024. Click here for the moving message from her husband, describing her death, paired with the video from December 4th. Click here for an additional "exclusive" interview from People magazine with Sara, describing her decision to enter hospice care.
CAREGIVING: Aging with adventure - The challenge of caring
05/09/25 at 02:00 AMCAREGIVING: Aging with adventure - The challenge of caring Daily Hampshire Gazette, Northampton, MA; by Eric Weld; 2/28/25 I made a mistake. I took a hiatus from writing in this space about aging with adventure because I thought I was taking a hiatus from adventure. Boy, was I wrong. I errantly thought that spending more than a year caring for my elderly mother in her final time on earth was taking me away from adventure. I am honored to have enabled my mother’s final days spent at home — not her home, but my sister’s private home — instead of in a public or private nursing facility. ... I assumed, in taking on the role of her co-caretaker, I would temporarily preempt my semi-retirement modus operandi of striking out on great adventures. To the contrary, what I learned from spending nearly two years co-caring for my aging mother is that end-of-life care is, indeed, every bit an adventure on many levels. And of course, it’s certainly about aging. Editor's note: This son defines adventure as having four key components: "challenge, risk, education and movement.
DEMENTIA: When they don’t recognize you anymore: Dementia study looks at loved ones’ responses
05/09/25 at 01:45 AMWhen they don’t recognize you anymore: Dementia study looks at loved ones’ responses Penn Live - Nation & World News; by Paula Span, KFF Health News; 5/4/25 It happened more than a decade ago, but the moment remains with her. Sara Stewart was talking at the dining room table with her mother, Barbara Cole, 86 at the time, in Bar Harbor, Maine. Stewart, then 59, a lawyer, was making one of her extended visits from out of state. ... “She said to me: ‘Now, where is it we know each other from? Was it from school?’” her daughter and firstborn recalled. “I felt like I’d been kicked.” Stewart remembers thinking, “In the natural course of things, you were supposed to die before me. But you were never supposed to forget who I am.” Later, alone, she wept.
SERIOUS ILLNESS: 10 ways to embrace Mother’s Day with a seriously ill mother
05/09/25 at 01:00 AM10 ways to embrace Mother’s Day with a seriously ill mother Roze Room Hospice, Culver City, CA; Website; retrieved from the internet 5/8/2025Spending Mother’s Day with a seriously ill mother can be emotional, but it’s also an opportunity to create meaningful and loving memories. Here are 10 ways to embrace Mother’s Day with a seriously ill mother:
‘I want to pat dogs until I die’: End-of-life planning should be more than just Living Wills
05/08/25 at 03:15 AM‘I want to pat dogs until I die’: End-of-life planning should be more than just Living Wills Healthy Debate; by Kathy Kastner; 5/4/25 France Légaré, Canada Research Chair in Shared Decision-Making and Knowledge Mobilization, wants to have stimulating conversations and be able to move around with her dog until she dies. Daneil Martin, the Chair of the Department of Family and Community Medicine at Women’s College Hospital, wants to “smell chocolate until I die.” The two doctors are among the 200+ who took the time to fill in the blank on a whiteboard, “I WANT TO__ UNTIL I DIE,” an initiative I undertook after tuning in to a hospice and palliative care medicine Twitter chat in the good old days of Twitter. As a layperson who became an entrepreneur in the health space, I was intrigued by the lament of health-care professionals on the chat: If only people talked about end-of-life wishes more, much grief could be avoided.
Hospice nurses: specialized care, focused on comfort
05/08/25 at 03:00 AMHospice nurses: specialized care, focused on comfortIndex Journal, Greenwood, SC; by St. Claire Donaghy; 5/7/25 For hospice nurses Kayla Beaty and Elizabeth "Regina" Ross, their goal is to provide patients comfort rather than cures, in the face of life-limiting illness with irreversible decline. Beaty is a home care nurse. Ross is a hospice house nurse. The two are employed by Hospice and Palliative Care of the Piedmont, based in Greenwood. ... "In this line of work, you seek to provide comfort, find out a patient and families' true needs and build a rapport," Ross said. Ross' dad died when she was 12. "That's what started me wanting to be a nurse," Ross said. "My mother also took care of my grandmother in her home while I was growing up. What brought me to hospice was a sister passing, here at this Hospice House. She was only 40 years old. My mother died a year later and my oldest sister passed last month. It's not just a job to me. It's a work of heart." ... "Comfort looks different to everybody," Beaty said. "It's about quality of life. It's not all doom and gloom either. We have fun with our patients and laugh and joke. It's often little things we take for granted."Editor's note: Reminder, National Nurses Week is May 6-12. It's crunch time. If not already, can you still reach out to your local media to feature a story about your nurses?
OHSU, Legacy walk away from merger
05/08/25 at 03:00 AMOHSU, Legacy walk away from merger Becker's Hospital Review; by Kelly Gooch; 5/5/25 Oregon Health & Science University and Legacy Health, both based in Portland, said May 5 that they mutually agreed to terminate their planned merger. ... Neither system provided additional details on the reasoning behind their decision. The combined system under OHSU Health would have covered 12 hospitals and more than 32,000 employees, and been one of Oregon’s largest service providers to Medicaid members. As part of the merger, OHSU had said it would invest about $1 billion over a decade to support primary care and community-based services that would be part of the combined system. Editor's note: OHSU provides palliative care and Legacy Health provides palliative and hospice care.