Literature Review

Avow expands hospice services into Glades, Hendry and Lee countiesLake Okeechobee News, Naples, FL; 4/13/26On Monday, April 13 , Avow, a leading nonprofit health care provider based in Southwest Florida, announced its expansion into Glades, Hendry and Lee counties. This expansion extends Avow’s high-quality hospice and comprehensive bereavement support, increasing access and impact for families across the region. ... Over the past year, Avow has expanded its reach and deepened its impact, caring for more than 2,900 hospice patients annually and providing more than 4,000 palliative care visits through its Naples clinic and satellite locations. 

New measure likely to relax antipsychotic prescribing for certain hospice patients McKnights Home Care; by John Roszkowski; 4/8/26 Appropriate prescribing of antipsychotic medications to hospice patients no longer will negatively affect skilled nursing facilities’ quality ratings under a new federal rule change, potentially opening the door for SNFs to accept more hospice patients. The Centers for Medicare and Medicaid Services recently revised its Long-Stay Antipsychotic Quality measure to exclude residents receiving hospice services from the measure denominator for quality reporting. As a result, antipsychotic use for hospice residents will not influence a SNF’s Five-Star Quality Measure score.

I Googled my symptoms and turns out I just need to sit by a fire in the middle of the mountains... ~Unknown

Oregon governor signs Ryan’s Law, requiring care facilities to allow medical marijuana The Marijuana Herald; by Anthony Martinelli; 4/10/26 Oregon’s governor has signed House Bill 4142, known as Ryan’s Law, establishing new requirements for certain care facilities to allow qualified patients to use medical marijuana while also setting statewide standards for safety, storage and staff training. The measure was approved by the House in a 39 to 3 vote and by the Senate 20 to 8 before being sent to the governor. With the governor’s signature, the legislation now moves toward implementation, with most provisions taking effect in 2027. 

Engaging bereaved parent educators in pediatric end-of-life workshops: A trauma-informed onboardingJournal of Pain & Symptom Management; by Kayla Solstad, Dannell Shu, Kelly McManimon, Stacy Remke, Susan O'Conner-Von, Anne Woll, Joseph M Miller, Miriam C Shapiro, Johannah M Scheurer; 3/26Recognizing that pediatric end-of-life (EOL) scenarios occur infrequently and are distressing for trainees and other healthcare team members, our group created pediatric end-of-life care skills (PECS) simulation-based workshops to improve trainee competence for these skills. We  ... provide interprofessional workshops, including trainees from the pediatric residency program, graduate school of nursing, and graduate school of social work. Since creation of the workshops, the group and curricula have benefited immensely from including the expertise of bereaved parent educators (BPEs), who have experienced the death of their own infant or child and have been integral team members ... from workshop creation through facilitation. Research shows that families who have experienced the death of a child appreciate an interdisciplinary approach to their care and communication at the EOL. When parents of pediatric patients were asked about priorities in EOL care, they highlighted the importance of communication, emotional expression and support by staff, and ready access to multi-disciplinary staff.

Introducing palliative care: Family caregivers’ knowledge, exposure, and preferred messagingAmerican Journal of Hospice & Palliative Medicine; by Elaine Wittenberg, Joy V. Goldsmith, Sierra Forrest, Hanna G. Lee, Eva YN Yuen; 3/26Most family caregivers have never heard of palliative care, making it challenging for clinicians to introduce the subspecialty. Semi-structured phone interviews with family caregivers of patients eligible to receive palliative care were conducted. Knowledge of palliative care was significantly associated with having heard about and being offered palliative care. Caregiver exposure to palliative care was associated with age and race, with older, White caregivers significantly more likely to have heard about palliative care compared to Hispanic caregivers. Caregivers positively endorsed all message strategies designed for introducing palliative care.

Family perceptions of palliative care consultations for nursing home residents BMC Palliative Care; by Alfred Boakye, John Cagle, Gretchen Tucker, Mary Ersek, Alexander C. Floyd, Hanley Elftmann, Peiyuan Zhang & Kathleen T. Unroe; 4/16/26 Results: ... Four interaction themes emerged regarding palliative care consultations interactions: they (1) promoted physical comfort, (2) supported family members, (3) attended to residents’ social needs, and (4) provided next steps/care planning. Four themes on perceived benefits of consultation visits were identified. Visits (1) improved residents’ quality of life, (2) provided recommendations/referrals, (3) kept family members informed, and (4) supported family members.

Sovereign Hospice: addressing late-stage renal condition care gaps in Fort Worth MyCarrollCountyNews.com, Dallas, TX; by Sovereign Hospice; 4/16/26 End-stage kidney disease affects hundreds of thousands of Americans each year. When kidneys can no longer sustain life without dialysis or a transplant, families are left to make decisions that few feel prepared for. Sovereign Hospice ... is drawing attention to a gap many families face: not knowing that hospice care services exist as a legitimate, fully supported option at this stage of illness. ... For patients with end-stage kidney disease, the shift away from aggressive treatment means that symptom management becomes the priority. Common symptoms at this stage include fatigue, pain, restlessness, and fluid retention. The interdisciplinary team is trained to address all of these through individualized care plans.