Literature Review

Dombi: At-home care providers must overcome ‘self-inflicted challenge’ to flourish Home Health Care News; by Morgan Gonzales; 5/2/25 Despite operating on razor-thin margins and facing persistent reimbursement challenges, some home-based care providers are setting themselves apart by leaning into innovation. By embracing alternative payment models, virtual health and opportunities like hospital-at-home programs, providers can save themselves from home-based care’s “self-inflicted challenge” of not capitalizing on the industry’s evolving opportunities, according to Bill Dombi, senior counsel for Arnall Golden Gregory law firm. He also formerly led the National Association for Home Care & Hospice (NAHC), which following a merger is now the National Alliance for Care at Home. While workforce shortages, potential Medicaid cuts and unsustainable payment rates threaten the industry, opportunity awaits those willing to evolve, Dombi said.

Amedisys deal would bring BrightSpring into range of new marketsHospice News; by Jim Parker; 5/5/25 ... Amedisys is selling an unspecified number of home health and hospice locations to Adoration Home Health Acquisitions, LLC, Adoration Hospice Care Acquisitions, LLC, and Senescence, LLC, DBA All Saints Hospice. These three companies are all affiliates of BrightSpring Health Services (Nasdaq: BTSG). ... Few details about the Amedisys-BrightSpring transaction are available due to confidentiality agreements among the parties, according to BrightSpring CEO Jon Rousseau. However, the acquired locations could greatly expand the company’s service region. ... BrightSpring is a home- and community-based health care services platform that serves more than 400,000 patients daily across all 50 states. ... BrightSpring’s provider services segment brought in $346 million in revenue during Q1, up 12.5% year over year. The segment includes the company’s home health, rehab services and personal care businesses. Its home health business is inclusive of hospice and home-based primary care. ... Looking ahead, the company plans to be conservative when it comes to acquisitions beyond the potential Amedisys deal, according to [Bright Spring CEO Jon] Rousseau.

Pharmacist-led care in palliative settings: Using anticholinergics thoughtfully and compassionately Pharmacy times; by Diana Violanti, PharmD, Pamela S. Moore, PharmD, BCGP, and Alana Hippensteele; 5/5/25 The use of anticholinergic agents to manage terminal secretions, often referred to as the death rattle, remains a nuanced and evolving area of end-of-life care. While these medications are frequently used in hospice and palliative care settings to reduce secretion-related sounds that may be distressing to caregivers, their efficacy in improving patient comfort is less clear and often debated. ... Diana Violanti, PharmD, and Pamela S. Moore, PharmD, BCGP, discuss the nuanced use of anticholinergic agents for managing terminal secretions at end of life, highlighting practical considerations, timing, safety concerns such as delirium, and the limited yet evolving evidence supporting their role in palliative care.

[France] Deputies approve bill creating Right to Assisted Dying Time.News; 5/3/25 Is the right to die a fundamental human right, or a risky step towards devaluing life? France is grappling with this profound question as a new bill edges closer to legalizing aid in dying. the implications could ripple far beyond French borders, influencing the debate in the United States and around the world. The bill, initially presented by President Emmanuel Macron in March 2024, faced delays due to the dissolution of the National Assembly. Now,revived and championed by Prime Minister François Bayrou,the executive text has been divided into two separate legal proposals. One focuses on enhancing palliative care, while the other addresses aid in dying.

University of Minnesota uses VR to study Alzheimer's, death Government Technology (GT) - Center for Digital Education; by Richard Chin; 5/2/25 At the University of Minnesota, medical school students have been using a virtual reality experience to understand the perspective of a woman dealing with the advanced stages of Alzheimer’s. ... When the University of Minnesota offered to let me experience what it’s like to die, naturally I said yes. Aren’t we all morbidly curious about the undiscovered country, as Hamlet put it, from which no traveler returns? Except this time, happily, I would get to return because it would be a virtual death, an experience in a VR studio that’s part of the university’s Health Sciences Library system. The dying experience is part of a series of VR simulations developed by a nine-year-old California-based company called Embodied Labs. They’ve created immersive, first-person experiences of what it’s like to have dementia, Alzheimer’s or Parkinson disease, vision or hearing loss, to be socially isolated or to experience aging as a LGBTQ person. And what it’s like to die.

Hillsdale woman celebrates 100th birthday [hospice pioneer, 1970's] HudsonValley360, Hudson, NY; by Tiffany Greenwaldt-Simon; 5/2/25 A Hillsdale resident is celebrating a big milestone - turning 100. Dr. Irma Waldo was born on May 1, 2025, and recently celebrated joining the centenarian club with an openhouse celebration at the Copake Community Center Friday afternoon. ... [Dr. Waldo] opened her own pediatric practice in Hillsdale in 1952 - often making house calls and getting to know the families she was caring for. ... For Waldo, the most rewarding part of her medical career was the hospice service she helped create, Roe Jan Hospice. She received a call in the 1970s from a doctor in New York City who had a 9-year-old patient with a brain tumor. ... The hospice was expanded to cover the all of Columbia County over the course of 18 years, eventually becoming Columbia County Hospice, and then being absorbed into Hudson Valley Hospice. "That was the best thing, most important part of my practice, forming that hospice," Waldo said.Editor's note: Click here for more history.

Hospice nurse caring for 97-year-old woman noticed something unusual. A Ring Camera allegedly showed the unthinkable People; by Samira Asma-Sadeque; 5/2/25 A Florida man is under arrest after a woman allegedly caught him on a Ring camera raping her 97-year-old aunt. The victim, who has not been named, is nonverbal and bedridden, her niece said, according to an arrest report cited by Local 10. Timothy Morris, a 66-year-old from Homestead, Fla., was arrested on a charge of sexual battery of a physically incapacitated person, according to Miami-Dade County online court records reviewed by PEOPLE. Investigators say the victim is in hospice care, where Morris would often assist with her care, reportedly in the absence of hospice staff, per the arrest report from the Miami-Dade Sheriff’s Office. 

American Nurses Enterprise celebrates the power of nurses furing National Nurses Week American Nurses Enterprise: American Nurses Association - American Nurses Credentialing Center, American Nurses Foundation, Silver Spring, MD; newsroom@ana.org; 4/20/25 Today, the American Nurses Enterprise — encompassing the American Nurses Association (ANA), the American Nurses Credentialing Center (ANCC), and the American Nurses Foundation (ANF) — kicks off National Nurses Week (May 6–12) with a powerful message: The Power of Nurses™. This year’s campaign shines a national spotlight on nurses as the driving force behind compassionate care, innovation, and transformative changes in healthcare. From coast to coast, the enterprise is launching a series of high-impact events — including a national press conference, educational webinars, landmark light-ups, and direct engagement with policymakers—to celebrate the unparalleled contributions of nurses and call on the public to honor their essential role in shaping a healthier future for all.

The only limit to our realization of tomorrow will be our doubts of today. ~Franklin D. Roosevelt 

Little girl receiving hospice care comes home to hero’s welcome in ClaytonJohnston County News [NC]; by Maggie Newland; 4/19/25A little girl battling a devastating disease received a hero’s welcome in Clayton Saturday. For nearly a year, Noelle Franklin has battled an aggressive bone cancer. Now, she is back home receiving hospice care, and her community came together to show their love. As cheers and bubbles filled the air, people lined Main Street in Clayton to catch a glimpse of a hero.

Optum names new CEOBecker's Hospital Review; by Jakob Emerson; 4/30/25UnitedHealth Group has named Patrick Conway, MD, current Optum Rx CEO, as the new CEO of Optum, effective May 6. Current Optum CEO, Heather Cianfrocco, has been named UnitedHealth’s executive vice president of governance, compliance and information security after serving in her role for just over one year. Dr. Conway has served in various leadership roles at UnitedHealth since 2020 and was named CEO of pharmacy benefit manager Optum Rx in 2023. He was president and CEO of Blue Cross Blue Shield of North Carolina from 2017 to 2019 and served in several top positions at CMS under the Obama administration, including chief medical officer, director of the Center for Medicare and Medicaid Innovation and acting administrator.

Cybersecurity in Mergers and Acquisitions CybersecurityNews.com; by CISO Advisory; 4/30/25 Cybersecurity in mergers and acquisitions is crucial, as M&A activities represent key inflection points for organizations, offering growth opportunities while introducing significant security challenges. In today’s threat landscape, cybersecurity has become a decisive factor in M&A success, with studies showing that over 40% of deals face serious cybersecurity issues post-acquisition.