Literature Review

Loren E. Parks Trust donates $300,000 to support EMS and hospice services Tillamook Headlight Herald, Tillamook, OR; Press Release; 4/20/26 Adventist Health Tillamook announces two significant donations totaling $300,000 from the Loren E. Parks Trust, made possible through trustee Jerry Dove. ... A contribution of $100,000 will help offset the cost of a new ambulance, estimated to be over $500,000 dollars, an essential investment given the rugged terrain and high mileage demands unique to Tillamook County. In addition, the Trust has contributed $200,000 to support Adventist Health Hospice. 

For Earth Day 2026: Look deep into nature, and then you will understand everything better. ~ Albert Einstein

What is a ‘green burial’? Plainfield Township is now offering them MLive, Palinfield Township, MI; by Danielle James; 4/14/26 Plainfield Township will soon allow “green burials” in its cemetery located at 6205 Packer Drive NE. The alternative method of burial has been described by some as more natural and environmentally conscious. Township leaders said when approving it, they also had to weigh the potential for additional complications. At a March meeting, Plainfield Township Board members signed off on a resolution that amended the cemetery ordinance to allow for green burials. On April 13, the board approved designated areas in the cemetery where the burials could take place. The alternative burials will still require township approval on a case-by-case basis.Editor's Note: We provide this in light of today's "Earth Day 2026" awareness and the growth of alternative burial processes. Related articles we have posted include:

End-of-life guidelines [in the ICU] emphasize unified care American Association of Critical-Care Nurses, in "Clinical Voices April 2026"; 4/21/26 New guidelines for end of life (EOL) care in the ICU call for clearer communication with families, stronger support for decision making and coordinated teamwork across disciplines to align treatments with what patients can realistically achieve and reduce suffering. “Society of Critical Care Medicine Clinical Practice Guidelines on Adult End-of-Life Care in the ICU ,” in Critical Care Medicine, highlights the need for standardized processes, including identifying legal surrogates, using shared decision making tools and adopting protocolized withdrawal pathways. Additional priorities include early palliative care involvement, spiritual support and focused education to reduce conflict. Recommendations are summarized in three major areas:

Palliative care for immigrants with cancer in the United States: a roadmap to equitable care Journal of Pain and Symptom Management; by Jessica Zhuo BAc, Cheryl Tolomeo BAc, Anissa Kurani BA, Meaghan Burke BAc, Stephanie Wang BAc, Alice Feng BAc, Yueao Zhang MDc, Edward Christopher Dee MD, Christopher T. Su MD, MPH; 4/8/26 Across the United States, immigrants with cancer, especially those who are undocumented or from low-income backgrounds, encounter significant barriers to accessing quality palliative care. Despite cancer comprising over one-third of global palliative care needs, immigrant patients are often excluded from essential services due to lack of insurance, immigration status, limited English proficiency, and culturally discordant care models. ... This narrative review identifies both patient level and systemic barriers and offers a four-part roadmap to address them. 

Alliance statement on the Ways & Means Hearing examining fraud, waste, and abuse in Medicare National Alliance for Care at Home, Alexandria, VA; Press Release; 4/21/26 The National Alliance for Care at Home (the Alliance) continues to support efforts by policymakers and regulators to combat fraud, waste, and abuse in the Medicare program. On April 21, the House Committee on Ways and Means hosted a hearing titled “Protecting Patients and Taxpayers: Cracking Down on Medicare Fraud.” The harm experienced by victims of Medicare fraud cannot be overstated. Hospice care exists to provide dignity, comfort, and support at the end of life. When bad actors exploit this trusted system, they don’t just harm individual patients — they erode confidence in the Medicare hospice benefit as a whole. Receiving care at home is the preferred choice for care by many patients and families, and home health plays a vital role in providing skilled care that improves health outcomes and reduces hospitalizations.

Children supported by hospice remembered in songs Europe Says, Oxford, UK; Press Release; 4/19/26  Ten children who were cared for in a hospice have been honoured with a collection of specially commissioned songs. The bereaved families of the children worked closely with musicians on The Keepsake Circle project at Helen and Douglas House in Oxford. ... The families taking part in The Keepsake Circle project shared stories about their children and what made them unique. The deeply personal songs for the families have been written and produced by singer Kiki Deville and songwriter Angus Powell, with instrumentalist and producer Gregor Gergő Petri also joining the team. 

FAIRHOPE Hospice & Palliative raises record amount at annual event Lancaster Fairfield County Chamber of Commerce, Lancaster, OH; Press Release; 4/16/26 FAIRHOPE Hospice & Palliative Care raised nearly $100,000 in donations from their annual FAIRHOPE Celebrates Life event, benefiting their Memorial Fund. This beloved downtown gathering honors the legacies of loved ones who were patients of FAIRHOPE. Award winners are recognized for representing the integrity and caring spirit of FAIRHOPE’s mission. The sold-out event was attended by many local business professionals, community members, as well as family and friends of former FAIRHOPE patients. 

Medical ethics unpacked: clinical ethics consultation in practice Consultant LIve; by Dominic Sisti, PhD and Aliza Narva, JD, BSN, MS; 4/20/26 In this episode of Medical Ethics Unpacked, Dominic Sisti, PhD, a bioethicist from Penn Medicine, speaks with Aliza Narva, JD, BSN, MSN, director of ethics at the Hospital of the University of Pennsylvania, about the practical realities of clinical ethics consultation. ... Common consult themes include end-of-life decision-making, surrogate disputes, and clinician moral distress. She emphasizes that ethics consultants are often called when clinicians feel constrained or uncertain about next steps.

Kelly, DelBene introduce Concurrent Care for Comfort Act U.S. Representative Mike Kelly, Washington, DC; Press Release; 4/20/26 Today, U.S. Representatives Mike Kelly (R-PA), a member of the Ways & Means Subcommittee on Health, and Suzan DelBene (D-WA) introduced the Concurrent Care for Comfort Act, legislation that seeks to improve patient care and outcomes for Americans on Medicare who receive dialysis treatment. Currently, Americans living with end stage renal disease (ESRD) are not permitted to continue their dialysis treatment under Medicare to enter palliative hospice care. This legislation would amend Medicare policy to allow for Americans to continue their treatment, enter hospice, and be with their family pain-free.

Supporting family caregivers at work benefits employers too, report offers McKnights Home Care; by Kathleen Steele Gaivin; 4/17/26 Few employers are doing anything to support workers who are family caregivers, despite sometimes seeing the effects unpaid caregiving has on the workplace, such as absenteeism and underperformance, according to a report from CareBenefits by Care.com, published Wednesday [4/15]. The business implications are becoming clear, the authors said, adding that employers can support workers by offering family caregiving-related benefits.

National Alliance for Care at Home | Strategic Plan (2026-2029)National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release / email; 4/20/26 The National Alliance for Care at Home has finalized its Strategic Plan for 2026–2029. This plan is the result of deep reflection on the challenges facing care at home providers today, the opportunities we believe are ahead, and the role the Alliance must play to help you navigate both. It is organized around four commitments:

Carve-in or carve-out? The future of hospice under Medicare Advantage | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Robin Hefferman; 4/15/26In Part One of this thought-provoking conversation, Chris Comeaux and Robin Heffernan, PhD, Co-Founder and CEO of Empassion, explore the evolving intersection of private equity, artificial intelligence, and end-of-life care—raising critical questions about accountability, quality, and the future of hospice under Medicare Advantage. As the healthcare system shifts toward value-based models, the discussion challenges long-held assumptions about whether hospice should remain “carved out” or be fully integrated into payer responsibility.