Literature Review



Sunday newsletters

02/08/26 at 03:00 AM

Sunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!

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The secret to life is...

02/07/26 at 03:55 AM

The secret to life is enjoying the passage of time. ~James Taylor

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From the iron lung to artificial intelligence: Integrating new technology into critical care

02/07/26 at 03:45 AM

From the iron lung to artificial intelligence: Integrating new technology into critical care American Journal of Critical Care; by Seo Yoon Lee, Alvin D. Jeffery; 1/26Artificial intelligence technology has emerged rapidly and is being incorporated into the health care delivery system as a new bedside tool. It is vital to maintain a human-centered approach, in which artificial intelligence serves as a tool to augment, not replace, the nuanced judgment of health care professionals. It is crucial to cultivate a critical mindset, continuously validating artificial intelligence outputs against clinical judgment. Integrating artificial intelligence into team workflows, developing clear ethical guidelines, and fostering collaboration between clinicians and data scientists are essential for successful implementation. By proactively preparing for the transition, the critical care community can harness artificial intelligence’s power to improve patient recovery and survival while ensuring that technology remains guided by human expertise and compassion.Assistant Editor's note: All of us in health care, not just those working in critical care, will be faced with decisions about how to incorporate AI into our work. It will likely become an invaluable tool in our day-to-day lives. But AI can only give us ideas, suggestions and enhanced knowledge. It cannot hold the hand of a dying patient or comfort the loved ones who bear witness. Only we can offer the CARE in health care. Empathy, humanness and critical thinking can come only from us.

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Medical Aid in Dying and our ethical duties—Call to action

02/07/26 at 03:40 AM

Medical Aid in Dying and our ethical duties—Call to actionJAMA Health Forum; by Yesne Alici, Liz Blackler, Julia Danielle Kulikowski, Amy Scharf; 1/26Medical aid in dying (MAID) is legal in 11 US states and Washington, DC, and is being actively considered in 18 additional states ... In all jurisdictions where MAID is legal, hospital systems have the option to opt out of providing MAID services but are legally obligated to share information about where patients can access resources. We maintain that all hospital systems and individual clinicians have an ethical responsibility to go beyond simply sharing information. Patients are going to ask about MAID, and institutions are ethically obligated to establish comprehensive policies that empower and encourage their clinical staffs—primarily physicians but also nurses and advanced practice clinicians—to purposefully and thoughtfully respond. Here, we describe the experience of our institution, Memorial Sloan Kettering Cancer Center (MSK), in developing policies and procedures to fulfill this responsibility and highlight lessons for other health care organizations and oncology practices seeking to accomplish similar goals.

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Later-life friendship in advance care planning: Variation by marital status and gender

02/07/26 at 03:35 AM

Later-life friendship in advance care planning: Variation by marital status and genderResearch on Aging; Zheng Lian, Lucie Kalousová; 1/26Friendship is an understudied social context in research on advance care planning (ACP).  Multivariable logistic regressions show that having any friends is associated with greater odds of AD [advance directives] and EOL [end-of-life] discussions. The positive association between emotional support from friends and EOL discussions is more pronounced among never married men, compared to both married individuals and never married women. These findings highlight friendship as a salient social context associated with ACP engagement, particularly among never married men.

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Preparing for the inevitable: a scoping review of death and dying education in U.S. medical schools

02/07/26 at 03:30 AM

Preparing for the inevitable: a scoping review of death and dying education in U.S. medical schoolsAcademic Medicine; by Logan Patterson, Autumn Decker, Angelique King, Anna Roman, Cory Bolkan, Raven H Weaver; 1/26There remains a sizeable gap in evidence-based medical education related to knowledge, skills, and abilities pertaining to end-of-life care. The authors offer next steps for developing, implementing, and measuring evidence-based interventions to improve end-of-life care competency. The authors advocate for continued implementation of evidence-based educational interventions, regardless of anticipated specialty area, throughout all preclinical and clinical years.

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A scoping review on aphasia and technology: Exploring mechanisms enhancing quality of life

02/07/26 at 03:25 AM

A scoping review on aphasia and technology: Exploring mechanisms enhancing quality of lifeQuality of Life Research; by Grace E. Terry, Cassondra Wilson, Gillian Anderson, Stacy M. Harnish; 1/26 People with aphasia are at an increased risk for reduced quality of life (QoL) because of their change in communication abilities. The present study aims to review the current evidence supporting assistive technology as a tool to improve QoL for people with aphasia, while investigating the various mechanisms technology may impact that lead to increased QoL for people with aphasia. This review emphasizes the role mechanisms such as self-management, social interaction, and virtual communication play in improving QoL for people with aphasia, while emphasizing the role technology plays in impacting the function of these mechanisms.  However, for this assistive technology to be impactful, it must be person centered and thoroughly trained based on the current body of evidence.

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Researchers identify new blood markers that may detect early pancreatic cancer; NIH-funded, four-marker panel could one day help catch one of deadliest cancers at more treatable stages.

02/07/26 at 03:20 AM

Researchers identify new blood markers that may detect early pancreatic cancer; NIH-funded, four-marker panel could one day help catch one of deadliest cancers at more treatable stagesNIH press release; 1/30/26National Institutes of Health (NIH)-supported investigators have developed a blood test to find pancreatic ductal adenocarcinoma, one of the deadliest forms of cancer. The new test could improve survival rates from pancreatic cancer, which tends to be diagnosed at late stages when therapy is less likely to be effective. The findings were published in Clinical Cancer Research. Overall, only about 1 in 10 pancreatic cancer patients survive more than five years from diagnosis. However, experts expect that when the cancer is found and treated at an earlier stage, survival would improve. While finding the cancer early is key, there are no current screening methods to do so.

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EV0034 Palliative pain relief: A case study of high-frequency spinal cord stimulation in an end-of-life cancer patient

02/07/26 at 03:15 AM

EV0034 Palliative pain relief: A case study of high-frequency spinal cord stimulation in an end-of-life cancer patientNeuromodulation: Technology at the Neural Interface; P. Majedi, Dominic Bailey; 1/26A significant proportion of patients with cancer will experience cancer-related pain at some point during their illness. The treatment approach for cancer-related pain is often multifaceted and may necessitate the use of advanced interventional methods, including spinal cord stimulation (SCS). Recent studies have demonstrated the utility and efficacy of SCS techniques in the treatment of cancer-related pain and chemotherapy induced neuropathy. Here, we present a case report on a patient receiving high frequency SCS at 10 kHz for end-stage cancer-related pain.

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Hospice clinicians' approaches to terminal restlessness: A qualitative analysis

02/07/26 at 03:10 AM

Hospice clinicians' approaches to terminal restlessness: A qualitative analysisJournal of Pain & Symptom Management; Andy Jan, Molly Turnwald, Susan Maixner, Thomas O'Neil, Lauren Gerlach; 1/26Terminal restlessness is frequently observed in hospice, yet it lacks a consistent definition, diagnostic framework, and treatment approach. Five themes emerged [from this study]: (1) Diagnostic challenge-clinicians reported difficulty distinguishing terminal restlessness from delirium, pain, or medication side effects; (2) Common symptom profile-agitation, confusion, hallucinations, and constant movement; (3) Temporal association with active dying process-terminal restlessness was viewed as a sign of imminent death; (4) Ruling out reversible causes-pain, urinary retention, or other modifiable factors; and (5) Treatment variability-approaches varied, though most clinicians were more comfortable using sedating medications once death was perceived to be imminent.

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Effectiveness and impact of telehealth-integrated palliative care for persons living with dementia and their caregivers

02/07/26 at 03:05 AM

Effectiveness and impact of telehealth-integrated palliative care for persons living with dementia and their caregiversTelemedicine & e-Health; by Brooke Worster, Lizabeth Kaminoff, Amina Mason, Laura Pontiggia, Kayla Madden, Mackenzie Kemp, Amanda Guth, Nina Diamond, Allison Herens, Kristin Rising, Jeannette Kates; 12/25 In 2024, an estimated 6.9 million Americans aged 65 and older were living with Alzheimer’s disease (AD), the most common form of dementia. Palliative care (PC) can improve quality of life (QOL) and reduce nonbeneficial care, yet persons living with dementia (PLWD) remain underserved. The intervention group [in this study] received up to two telehealth visits with a PC specialist, the patient (if able), and a caregiver (if participating). The intervention group had significantly fewer emergency department visits and hospitalizations but no differences in QOL or caregiver burden.

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[UK] The effects of music interventions on behavioural and psychological symptoms in older adults with dementia: Systematic review

02/07/26 at 03:05 AM

[UK] The effects of music interventions on behavioural and psychological symptoms in older adults with dementia: Systematic reviewAdvances in Mental Health; by Motunrayo A. Akinboye, Benjamin O. Ajibade; 12/25Dementia, affecting over 55 million people globally, often presents with behavioural and psychological symptoms (BPSDs) such as agitation, depression, and anxiety. Pharmacological treatments can lead to adverse effects, highlighting theneed for safer, non-drug alternatives like music interventions. Findings show that music interventions significantly alleviated symptoms such as depression, anxiety, and agitation. Both active (e.g., singing, playing instruments) andreceptive (e.g., listening) music therapy formats were effective, with sessions ranging from 20–90 minutes. Interventions were most successful when personalized and culturally tailored.

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Medicare hospice use patterns among patients with Alzheimer’s disease or related dementias compared to those with other terminal diagnoses (Issue Brief)

02/07/26 at 03:00 AM

Medicare hospice use patterns among patients with Alzheimer’s disease or related dementias compared to those with other terminal diagnoses (Issue Brief).ASPE; Frank, J., Huessard, K., Broyles, I., Frazier, L., Oliveira, I., Haltermann, W., III, Lamont, H., Okafor, M., & Blanco, M.; 9/25Key Points:

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[Austria] Hospice nurses' views about the necessity for palliative sedation in existential suffering

02/07/26 at 03:00 AM

[Austria] Hospice nurses' views about the necessity for palliative sedation in existential sufferingPain Management Nursing; Dana Hagmann, Susanne Fleckinger, Piret Paal; 1/26Disagreements between nurses and doctors regarding the assessment and management of existential suffering in terminally ill patients represent a critical challenge in palliative care, particularly in the context of inpatient adult hospices. The study highlights the limited involvement of nurses in decision-making processes regarding palliative sedation despite their critical insights into patients' existential suffering. The findings emphasize the need for interdisciplinary collaboration and the integration of nurses' perspectives to achieve more holistic and ethically sound care in inpatient hospices.

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Saturday newsletters

02/07/26 at 03:00 AM

Saturday newsletters focus on headlines and research - enjoy!

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Social Media Watch 2/6/26

02/06/26 at 03:00 AM

Social Media Watch 1/30/26

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Vance to lead sweeping anti-fraud task force investigating California

02/06/26 at 03:00 AM

Vance to lead sweeping anti-fraud task force investigating California Before It's News; Press Release; 2/4/26 Vice President JD Vance is poised to chair a new White House task force aimed at rooting out potential fraud and abuse in government programs in California, according to CBS News. Andrew Ferguson, chairman of the Federal Trade Commission, is expected to serve as the task force’s vice chairman and handle day-to-day operations, CBS News reports. President Donald Trump is anticipated to issue an executive order in the coming days to formally establish the group, the news outlet said.

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Personalized palliative care shows signs of improving quality of life for children with advanced cancer

02/06/26 at 03:00 AM

Personalized palliative care shows signs of improving quality of life for children with advanced cancer American Association for the Advancement of Science (AAAS), EurekAlert!; by Mass General Brigham; 2/4/26How to reduce suffering in children with advanced cancer remains an ongoing but urgent question. A Mass General Brigham-led study examined whether systematically surveying children with advanced cancer and their parents about their symptoms and quality of life, providing feedback to children, families, and clinicians—and acting on that information by implementing personalized palliative care—could improve patients’ experiences. Their findings, published in the Journal of Clinical Oncology, suggest that integrating feedback along with response by specialized pediatric palliative care (SPPC) has the potential to improve children’s quality of life.

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What Salem-area lawmakers are prioritizing for the 2026 session

02/06/26 at 03:00 AM

What Salem-area lawmakers are prioritizing for the 2026 session Salem Reporter, Salem, OR; by Rachel Alexander and Hailey Cook; 2/4/26 ... Oregon’s month-long legislative session got underway on Monday, Feb.2. The fast-paced short session occurs in even years. ... Hospice care oversight: SB 1575 would add protections for patients in hospice care. The new rules would include requiring a background check for business owners, ensuring agencies have the financial resources to care for patients and pausing the issuance of new hospice licenses until the state rules are implemented.  Patterson said the change was at the request of the Oregon Hospice and Palliative Care Association. “In other states there has been a lot of fraud and abuse, and we want to prevent that from happening here in Oregon,” she said. 

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Gold medals aren't really made of gold. They're made of ...

02/06/26 at 03:00 AM

Gold medals aren't really made of gold. They're made of sweat, determination, and a hard-to-find alloy called guts. ~ Dan Gable

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Mississippi House approves bill to allow medical marijuana use in hospitals for terminally ill patients

02/06/26 at 03:00 AM

Mississippi House approves bill to allow medical marijuana use in hospitals for terminally ill patients Marijuana Moment; by Kyle Jaeger; 2/5/26 The Mississippi House of Representatives has approved a bill to allow terminally ill patients to access medical marijuana in hospitals, nursing facilities and hospice centers. About a week after advancing out of the House Public Health and Human Services Committee, the full chamber passed the legislation from Rep. Kevin Felsher (R) in a 117-1 vote on Wednesday. Known as “Ryan’s Law,” an acknowledgement of a young cannabis patient who passed and whose father has since become an advocate for access in hospital settings, the bill is meant to “support the ability of terminally ill qualifying patients to safely use medical cannabis within specified health care facilities.” 

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Many patients with advanced blood cancers delay hospice to keep access to blood transfusions

02/06/26 at 03:00 AM

Many patients with advanced blood cancers delay hospice to keep access to blood transfusionManaged Healthcare Executive; by Briana Contreras; 2/4/26Key Takeaways:

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Exploring Artificial Intelligence in hospice and palliative care: An integrative review of technological and clinical approaches

02/06/26 at 03:00 AM

Exploring Artificial Intelligence in hospice and palliative care: An integrative review of technological and clinical Journal of Palliative Medicine; by Tuzhen Xu, PhD, APRN, FNP-C, Caiyi Liu, PhD, BSN, RN, Lin Li, PhD, Dan Song, PhD, RN, Gloria M. Rose, PhD, NP-C, FNP-BC, and Sen Zhu, PhD; 2/4/26 Conclusions: AI holds potential in enhancing timely, patient-centered palliative and hospice care, supporting prognostication, symptom management, and decision-making. Successful integration requires attention to clinician trust, workflow alignment, equity, and ethical considerations. To maximize its impact on underutilization, future research should focus on multicenter validation, representative datasets, ethical deployment, and seamless integration into clinical practice.

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“This is what loneliness looks like”: A description of a high-risk population of palliative and oncology patients

02/06/26 at 03:00 AM

“This is what loneliness looks like”: A description of a high-risk population of palliative and oncology patients American Journal of Hospice and Palliative Medicine; by Tamia Ross, MSPH, Ruwanthi Ekanayake, BA, Lucy Rabinowitz Bailey, MPH, Kain Kim, MD, and Emily Pinto Taylor, MD; 1/9/26 Background: Loneliness exacerbates symptom burden and reduces quality of life in serious illness. Social prescribing–linking patients to non-clinical community activities–offers a novel approach to address loneliness in palliative care. Results: Most patients were older, non-Hispanic Black women experiencing financial strain, food insecurity, and transportation barriers. Anxiety exceeded depression severity; mood disorders, loneliness, and social isolation were leading referral reasons.

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DaVita’s strategic investment in Elara Caring aims to transform home-based kidney care

02/06/26 at 03:00 AM

DaVita’s strategic investment in Elara Caring aims to transform home-based kidney care Market Chameleon; Press Release; 2/3/26 DaVita has announced a major new partnership, joining forces with Ares Management to invest in Elara Caring—one of the nation’s leading home health providers. ... A standout feature of this partnership is the plan for DaVita and Elara to co-develop a specialized, kidney-focused in-home care model. Leveraging DaVita’s expertise in kidney health and Elara’s reach in home care, the initiative seeks to cut preventable hospitalizations and lower costs for high-acuity patients. For the growing population living with chronic kidney disease, this could open new, personalized options for treatment and stability at home—addressing a consistent challenge in value-based care.

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