Literature Review

Beyond the checklist: MARly app introduces caregiver OS to detect early changes in condition and organize care at homesimPAL Solutions press release; 3/24/26MARly is a healthspan companion app designed to support patients, caregivers, and care teams in delivering safer, more coordinated care at home. Its Caregiver OS features are designed to make care at home more practical, organized, and sustainable for caregivers and families. New care coordination function transforms everyday caregiving by providing real-time insight—supporting caregivers while helping care teams stay ahead of avoidable health crises. simPAL Solutions has announced an early access release of Caregiver OS (Caregiver Operating System), a new care coordination function within its MARly App designed to help caregivers organize care at home while capturing early signs of health change that often go unseen between clinical visits. [For additional information, visit www.marly.health.]

Power outages can quickly become emergencies for families with home medical devices Hawai'i Public Radio; by Savannah Harriman-Pote; 3/25/26 ... Power outages from this month's storms have sent ripples through the health care system. ... Access to power is crucial for people who rely on certain medical devices like oxygen machines. Faye Mitchell, executive director of North Hawaiʻi Hospice, said these at-home machines allow her patients to receive care in the comfort of their homes. Without electricity to operate them, some of her more vulnerable patients need to go to a hospital. North Hawaiʻi Hospice provides palliative in-home care to about 25 patients spread out across northwest Hawaiʻi Island. One of their patients is a young boy who requires a medical device to breathe properly. "This is a child that's so fragile that when he can't breathe properly, they have to fly to Oʻahu," Mitchell said. "So it's really not a matter of inconvenience. It's really a serious issue." Mitchell said they care for patients as best as they can during power outages. North Hawaiʻi Hospice has a trained safety officer who reviews emergency plans with families, and patients who require oxygen are given extra oxygen tanks if weather conditions might cause the power to go out.Editor's Note: What emergency disaster risks are prevalent for your service areas? Floods, hurricanes, tornados, wildfires, extreme heat, ice, something else? Today, get to know (and bookmark) USA Today's National Power Outage Map Tracker, updated every 15 minutes. For the future, be as ready as possible, using these and other resources.

Special Report - Untapped potential: The power of peer support programs in prisons John Howard Association of Illinois; project led by Kate Eves; March 2026 issue At the time this report was drafted, there were more than 70 Peer Support Programs (PSP) in U.S. carceral facilities identified in operation with a focus on improving health outcomes for incarcerated people with more new programs regularly coming to our attention, in addition to international programs. This project focused on 15 programs across 12 jurisdictions addressing a range of health and well-being areas including mental health, substance abuse and palliative care. [Use Ctrl+F and type "hospice" to find this report's 28 references to hospice.]

Palladium acquires DME Express from WayPoint Private Equity Professional; by John McNulty; 3/26/26 Palladium Equity Partners has agreed to acquire a majority equity interest in DME Express, a provider of durable medical equipment, from WayPoint Capital Partners. ... Palladium’s investment in DME is its second in the hospice industry and the second platform investment for its sixth fund, which has not yet announced a final close and is reportedly targeting $1.5 billion in capital. 

Free webinars: Pediatric concurrent hospice care miniseries, guidance for clinicians: A compassionate, coordinated, and compliant approach National Alliance for Care at Home; Press Release; 3/23/26 This Virtual Training will provide a practical, relevant, and comprehensive overview of Pediatric Concurrent Hospice Care as an approach that allows children and adolescents to receive ongoing disease-directed therapies alongside hospice services. Participants will learn the foundations of Concurrent Hospice Care under Section 2302 of the Affordable Care Act including eligibility criteria, planning and coordination requirements, and interdisciplinary collaborative strategies.

So live in the light of resurrection and renewal of this world, and of yourself, in a glorius, never-ending, joyful dance of grace. ~Tim Keller

Limits of correctional health reporting: Findings from a nationwide jail mortality survey (2019-2024)Journal of Correctional Health Care; by Liz Harris, William Dennis; 3/26This article presents findings from a national survey of 287 counties across 43 states assessing jail mortality between 2019 and 2024 in an attempt to compare private health care provider outcomes with county providers. The findings demonstrated that currently available information cannot serve as a reliable measure of health care quality in correctional settings due to sociocultural reporting constraints. Institutional and cultural deterrents to objective reporting have led to incomplete records, misclassified causes of death, and failures to maintain legally mandated death reports. There is a clear need for health benchmarking and clear definitions for reporting in correctional health care to enable valid comparisons between health care provider models. The paper draws attention to a recently established correctional health care-specific patient safety organization as a potential solution to enable correctional health care providers to better understand the drivers of health care outcomes in correctional facilities.

Auricular acupuncture for symptom management in inpatient palliative careJournal of Hospice & Palliative Nursing; by Anup Bhushan, Dan Mazanec, Jessica Bullington, Justin Marsden, Jingwen Zhang, Kacie Bhushan, Patrick Coyne; 4/26Palliative care teams treat patients with intractable pain and debilitating symptoms on a daily basis [and] nurses play a significant role in the assessment and intervention of patients with chronic pain and ... symptoms ... Complementary therapy with acupuncture has proven to be helpful, but to date, there is little research examining the efficacy of auricular acupuncture in treating the acute-on-chronic symptoms associated with life-limiting illness in hospitalized patients. This ...  study of 101 participants examined auricular acupuncture’s impact on pain and symptom management, as well as pre- and post-intervention opioid utilization ... This study demonstrated statistical improvement in pain, nausea, dyspnea, and anxiety scores. Nurses and other providers trained in auricular acupuncture can provide a nonpharmacological intervention that improves pain and related symptoms for patients with serious illness.

Family caregiver perspectives on advance care planning discussions for residents with dementia led by trained nursing home staff: Insights from the APPROACHES project The Journal of the Post-Acute and Long-Term Care Medical Association; JAMDA; by Susan E. Hickman, PhD, Hillary D. Lum, MD, PhD, Kathleen T. Unroe, MD, MHA, MS; 3/6/26  Advance care planning (ACP) is essential in supporting family caregivers of nursing home residents with dementia, but nursing home (NH) staff often lack training to engage in proactive ACP discussions. An embedded pragmatic clinical trial was conducted to test a structured ACP training for NH staff called the ACP Specialist Program. This study explores family caregivers’ experiences related to discussions with the ACP Specialist, as well as needs and challenges in making ACP decisions for NH residents living with dementia.

Increasing access to pediatric palliative care in a large hospital system: Trials and triumphs from an APRN initiativeJournal of Hospice & Palliative Nursing; by Faith Kinnear; 4/26 According to the Pediatric Palliative Care Task Force formed in 2020 and hosted by the National Coalition for Hospice and Palliative Care, children with serious illness should have access to palliative care that meets the population’s unique needs. Taking care to assess needs, communicate with leadership teams, develop rapport with key stakeholders, and utilize the support staff already in place allowed for successful implementation of pediatric palliative care services at 2 satellite campuses over a 5-year span. Services included inpatient and outpatient patient care; ongoing family bereavement support; compiling staff resources and providing ongoing staff training in primary pediatric palliative care skills. Each satellite campus now has dedicated pediatric palliative care providers. This article outlines how the satellite palliative care programs were developed, the challenges and successes in the process, and the role of the APRN in program development.