Literature Review

Senior Nannies Home Care Services joins forces with Choice Health at Home Desert Sun, EIN Presswire, Tyler, TX; Press Release; 1/30/26 Senior Nannies Home Care Services and Senior Advantages Assisted Living Placement Services (“Senior Nannies”), ... is proud to announce it has joined forces with Choice Health at Home (“Choice”), a leading multi-state operator of home health, hospice, personal care, rehabilitation, and specialty in-home services. The transaction marks Choice’s entry into the Southeastern United States, establishing Florida as a strategic anchor and creating a scaled, integrated personal care platform to support a broader regional expansion.

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. 

Woman who allegedly stole $3.2m from Medicare boasted about lavish home Complex; by Helen Storms; 2/7/26 A California woman has been arrested after allegedly stealing $3.2 million from Medicare as part of an elaborate hospice scam. The woman, identified as 49-year-old Flor Mora, shared photos of the lavish $4 million dream home she bought from the funds she is accused of stealing before being hit with felony charges. Mora purchased the luxurious seaside home located in the Carmel Highlands in Monterey County, California, in November 2025. It would later be featured in the Washington Street Journal and even voted the House of the Year. Little did voters know that Mora had paid for the early 20th-century style home with reportedly stolen funds.Editor's Note: For more, visit our post yesterday, "California AG Bonta charges 7 in Monterey County over hospice fraud scheme totaling $3.2m."

Hospice doctor shares what happens in the moments immediately after death Good; by Adam Albright Hanna; 2/3/26 Throughout human history, one question has bewildered every civilization, society, and individual. What happens after we die? For some people, it is a question for science. For others, it is a question of faith. But for Dr. B.J. Miller, it is a question that he is totally fine not knowing the answer to. Miller is a hospice and palliative care physician at the University of California, San Francisco. He is one of the world's leading voices on dignified death, and for him, the end of life is actually about the living. ... "I’ve been around people who are just about to die," Miller said. "Bodies that have just died. And there is this lingering sense, it’s true. There’s a feeling. It’s a palpable... yeah, there’s a lingering." ... "I didn’t need to have control over everything, I didn’t need to know the answers anymore. I mean, I love not knowing. The answer’s unimportant. It’s just a sacred and gorgeous moment."Editor's Note: Having served in direct hospice patient care from 1993–2002, I was present with many persons during their active dying and in the moments just after death, including attending deaths as a chaplain. Over time—and especially through the intimate experience of my parents’ deaths—that sense of sacredness Dr. Miller describes remains real for me. So I find myself wondering and asking non-clinical leaders: when you look at Average Daily Census (ADC), Length of Stay (LOS), and other familiar metrics, what do you see? Numbers on a spreadsheet? Or living measures of something immeasurably human—something that truly matters?

Social Media Watch 2/6/26

CommonSpirit Health at Home’s ‘aggressive’ hospice growth strategy for 2026 and beyond Hospice News; by Jim Parker; 2/10/26 Continuing its de novo- and joint venture-based blueprint for growth, home health and hospice provider CommonSpirit Health at Home is also setting plans in motion to engage patients further upstream for earlier hospice enrollment, when appropriate. CommonSpirit Health at Home is the home-based care arm of the nonprofit health system CommonSpirit Health, which operates more than 2,200 care sites across 24 states. Hospice News caught up with CommonSpirit Health at Home CEO Trisha Crissman at the Home Care 100 conference in Scottsdale, Arizona to discuss CommonSpirit Health at Home’s strategic plans for 2026, as well as the top trends and market forces shaping the hospice community.

Assistive intelligence: A framework for AI-powered technologies across the dementia continuumJournal of Ageing & Longevity; by Bijoyaa Mohapatra, Reza Ghaiumy Anaraky; 1/26While traditional [dementia] care models often focus on symptom management in later stages, emerging artificial intelligence (AI) technologies offer new opportunities for proactive and personalized support across the dementia trajectory. This concept paper presents the Assistive Intelligence framework, which aligns AI-powered interventions with each stage of dementia: preclinical, mild, moderate, and severe. These are mapped across four core domains: cognition, mental health, physical health and independence, and caregiver support. We illustrate how AI applications, including generative AI, natural language processing, and sensor-based monitoring, can enable early detection, cognitive stimulation, emotional support, safe daily functioning, and reduced caregiver burden. The paper also addresses critical implementation considerations such as interoperability, usability, and scalability, and examines ethical challenges related to privacy, fairness, and explainability.

Sociodemographic disparities and impact of palliative care utilization during end-of-life hospitalizations in patients with gastric cancerJournal of Palliative Medicine; by James Lee, Jasmine Lee, Rahul Tripathi, David Stein, Ballakur Rao, Daniel Jamorabo, Lisa Fisher; 1/26Gastric cancer is frequently diagnosed at an advanced stage and is associated with high symptom burden. Among 13,435 weighted hospitalizations [among gastric cancer patients who died during hospitalization] ..., 57.6% received palliative care. Black patients had 32% lower odds of receiving palliative care than White patients ... Higher palliative care use was associated with greater income, large hospitals, urban teaching hospitals, and private/other insurance. In adjusted analyses, palliative care was linked to a $36,240 reduction in hospital charges ..., with no significant difference in LOS [length of stay]. Palliative care was associated with higher odds of DNR status ... and lower odds of CPR, mechanical ventilation, transfusion, and vasopressor use.

Presence experiences after loss: Prevalence and relational meaning in a diverse urban sampleOmega; Claire White, Anna Mathiassen, Ronald Fischer; 1/26Presence experiences-the sense that a significant person who has died is nearby or perceptible-are common after bereavement but remain underexamined in grief research. This study ... [revealed that] ... over two-thirds of participants reported having ever experienced a presence, with nearly half reporting at least one occurrence in the past two weeks. These experiences were most commonly reported as a general feeling of presence, rated as both significant and welcome. Participants frequently interpreted encounters as meaningful attempts at contact and preferred disclosing these experiences to close social connections rather than institutional figures. These findings highlight presence experiences as common, relationally shaped, and culturally interpreted aspects of bereavement.

Palliative external beam radiation therapy for dysphagia in a 101-year-old man with esophageal adenocarcinomaCureus; by Pericles J. Ioannides, Jester M. Odrunia, Gina N. Perez, Morgan Butow, Georg A. Weidlich; 1/26Esophageal adenocarcinoma in centenarians is rare, and treatment options in this age group are limited. We present the case of a 101-year-old male patient with symptomatic distal gastroesophageal junction (GEJ) adenocarcinoma who presented with progressive dysphagia, aspiration, and weight loss. The patient underwent palliative external beam radiation therapy (EBRT) ... targeting the obstructive esophageal mass with a margin using volumetric-modulated arc therapy (VMAT) technique. The treatment was well tolerated by the patient with no significant acute toxicity. After treatment, the patient reported clinically meaningful improvement in functional status, with improved swallowing, advancing from liquids to a soft diet, weight gain, and improved QoL. Moderate-dose palliative radiation can be a safe and effective treatment in a centenarian with obstructive GEJ adenocarcinoma, particularly when endoscopic interventions are not successful or durable.

[China] Progress in research on alleviating the symptoms associated with advanced cancer using Traditional Chinese MedicinePain Research & Management; by Chunmeng Jiao, Ting Zhang, Yachen Yang, Ruofan Zhang, Wenbo Liu, Yanqing Wang, Lei Huang; 1/26Advanced cancer continues to pose a substantial global challenge, with complex symptom burdens and limited therapeutic options. Traditional Chinese Medicine (TCM), grounded in holistic theory and the principles of syndrome differentiation, employs interventions such as herbal medicine, acupuncture, moxibustion, and acupoint‐based therapies to address both the malignancy and the patient’s overall functional status. Emerging evidence indicates that TCM may alleviate symptom clusters associated with advanced cancer, enhance quality of life, and potentially contribute to improved survival outcomes. This review synthesizes findings from the past decade on the role of TCM in advanced cancer care, with a focus on herbal decoctions, Chinese herbal injections, acupuncture—either alone or in combination with herbal therapy—moxibustion with adjuvant medication, and other external TCM modalities. Evidence is examined regarding their effects on cancer‐related pain, fatigue, gastrointestinal dysfunction, chemotherapy‐ and radiotherapy‐induced toxicities, and immune modulation.

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