Literature Review

Those who love hiking are more intelligent, better looking, and generally more likable according to a study I just made up. (Happy Labor Day weekend :)

When end-of-life becomes the beginning of new life: Application of the Society of Critical Care Medicine Clinical Practice Guidelines on Adult End-of-Life Care in the ICU to the setting of donation after circulatory deathCritical Care Explorations; by Ian M. Oppenheim, Rita N. Bakhru, Carolina B. Maciel, Katharina M. Busl, on behalf of the Donor Care Unit Network for Optimizing Recovery (DONOR) GroupThe recently published Society of Critical Care Medicine Guidelines on Adult End-of-Life Care in the ICU provide a detailed and well-thought-out approach to a vital component of critical care, although they explicitly refrain from discussing how they may apply to organ donation. As representatives of the Donor Care Unit Network for Optimizing Recovery (DONOR), a group of intensivists experienced in managing donation after circulatory death (DCD), we wish to endorse equal delivery of high-quality end-of-life (EOL) care for organ donors. Although some logistical differences must be addressed, the EOL recommendations outlined in the Guidelines are still applicable to patients being evaluated for or undergoing DCD. Recent accounts of unacceptable patient care in the setting of DCD highlight a critical threat to patient welfare and public trust. Our mandate is clear: implement and audit protocols that guarantee dignity and symptom control while demonstrating that DCD remains wholly consistent with a compassionate, honorable, and fulfilling EOL.

Using case studies to bridge the undergraduate nursing education gap in palliative and hospice careJournal of Hospice & Palliative Nursing; by Katherine Adams, Lisa Cross; 8/26Undergraduate nursing students struggle with understanding pharmacological pain management, especially in palliative care. New nurses indicate needing more experience with pain management and ethical dilemmas surrounding pain management. This project aimed to develop real-life case scenarios aligned with palliative competencies for use in undergraduate courses. Traditionally, palliative and hospice content is delivered with community courses, possibly limiting student competency across settings. These case studies present an opportunity for formative student assessment in pharmacological and other palliative management over 4 settings. Facilitation requires reflective techniques, and nurse faculty may need support in guiding discussions.

[Portugal] International differences in the technical qualities of place of death classifications and data: A survey of researchers' perspectivesPalliative Medicine; by Mayra Delalibera, Sílvia Lopes, Inês Dias da Silva, Barbara Gomes; 9/26Place of death is a key population-level indicator for palliative care and health services planning. However, substantial international variation in how it is recorded limits cross-country comparisons and health system evaluations. This is the first study to assess place of death classifications and data from researchers' perspectives. Findings highlight critical limitations in current classification systems and provide guidance for developing an international classification aligned with UN and WHO recommendations. This will enable more meaningful cross-country comparisons and strengthen evidence to inform palliative care and health services planning worldwide.

If opportunity doesn't knock, build a door.  ~Milton Berle

Medicine on screen: 10 films doctors may want to rewatch Medscape; by Medscape's editorial team; 8/24/26 Cinema has long portrayed medicine through many different lenses: from the perspectives of doctors and patients to those of friends and family, whether set in hospital wards or research laboratories. This curated selection of classic and contemporary films explores care, illness, and hospital life from strikingly different angles — some realistic, some visionary, and others deeply unsettling. Together, they aim to refocus attention on medicine not only as a science, but as a profoundly human experience. 10 Films Every Doctor Should (Re)Watch:

National Alliance VP: palliative care should occur throughout continuum Hospice News; podcast hosted by Jim Parker with Katie Wehri; 9/3/26 Palliative care should be offered via home health, but not only through home health. This is according to Katie Wehri, vice president for regulatory affairs, quality and compliance at the National Alliance for Care at Home. The U.S. Centers for Medicare and Medicaid Services recently clarified in a proposed rule that palliative care is available via the home health benefit. Hospice News recently sat down with Wehri on the Elevate podcast to discuss the implications of this clarification for providers, as well as other avenues CMS could consider to expand palliative care.

Evasiveness in everyday hospital palliative care practice: a focused ethnography Journal of Clinical Nursing; by Carolien van Leussen, Evelien Kuip, Renske Kruizinga, Els van Wijngaarden; 9/2/26 Conclusion: This study shows how evasiveness in hospital-based palliative care is produced and sustained through biomedical routines, organizational pressures and professional and personal orientations. These factors make it difficult to realize the holistic ideals of palliative care in everyday practice. As a result, patients' fears, uncertainties and end-of-life wishes often remain insufficiently explored, whereas organizational routines shape what is considered appropriate and possible in clinical interactions.

How pet therapy brings joy to Hospice of the Valley patients AZ Big Media; by Lin Sue Flood; 9/3/26Wagging tails and wet kisses are bringing a unique brand of medicine to local patients and families navigating a challenging time of life. Hospice of the Valley is celebrating the success of its Pet Connections program, which began 20 years ago when a medical director brought her golden Labrador to visit a patient and saw how much joy the dog brought. Today, the nonprofit agency has more than 50 dedicated pet therapy teams that bring comfort and smiles to patients, caregivers and family members. Among these beloved volunteers are Ed Gesten and his Pembroke Welsh Corgi, Huck. ...   

Labor Day Weekend: Celebrate the worker, not just the weekend.