Literature Review

A gentle goodbye: The hospice chaplain sees patients to life’s endLovin' Life [AZ]; by Karen Schaffner; 8/5/25As a long-time hospice chaplain Patrick Cunningham has to answer a lot of hard questions. In his years working with the dying and their families, he has discovered that they all trickle down to one unanswerable, universal desire: to know. “(They) ask me the existential question, which if you know anything about what you’re doing, I would never answer a question like, ‘What in the world, with all those people who I have loved who have died, why am I still here?’” he said. Walking people to death’s door for nearly the entirety of your adulthood will without question provide a unique perspective on life. Cunningham has done the job for more than 40 years, most recently with Azorna Hospice in Marana. That’s long enough to know he doesn’t have the answer... If Cunningham’s chaplaincy job could be summed up in one word, it would be support. Despite the title, his job is to support the person who is headed to the door.

BrightSpring taking modest approach to M&A in 2025 Hospice News; by Jim Parker; 8/15/25 BrightSpring Health Services (Nasdaq: BTSG) is taking a slow and steady look at acquisition opportunities through the remainder of the year. The company is allowing the dust to settle on the divestiture of its community living business to Setiva for $835 million before once again investing heavily in acquisitions, according to CEO, President and Chairman Jon Rousseau. The divestiture is expected to close in the fourth quarter. But that doesn’t mean that BrightSpring is out of the market for deals. 

Federal Register: United States, et al. v. UnitedHealth Group Incorporated, et al.; Proposed Final Judgment and Competitive Impact Statement Federal Register - U.S. Government - A Notice by the Antitrust Division; by the Department of Justice Antitrust Division; 8/14/25 Notice is hereby given pursuant to the Antitrust Procedures and Penalties Act, 15 U.S.C. 16(b)-(h), that a proposed Final Judgment, Stipulation, and Competitive Impact Statement have been filed with the United States District Court for the District of Maryland in United States of America et al. v. UnitedHealth Group Incorporated, et al., Civil Action No. 1:24-cv-03267. [Formal document, in the midst of many articles about the ruling.]

Patient deaths, inner scars, and physicians’ need to grieveMedscape; by Andrea Goto; 8/6/25In 2023, Molly Taylor, MD, MS, a pediatric oncologist and attending physician at Seattle Children’s, sat in her parked car with tears streaming down her face. She was preparing to attend the memorial service for an 8-year-old patient she had lost a week prior. The patient’s mother had asked Taylor if she could share a few words about the little girl... Taylor is not alone in experiencing grief tinged with guilt after losing a patient. Although the prevalence of provider grief hasn’t been widely examined, a JPSM review published in 2023 indicated that it’s a significant issue in many areas of medicine.

Enhabit Home Health & Hospice announces CEO transition plan Business Wire, Dallas, TX; 8/6/25 Enhabit, Inc. (NYSE: EHAB), a leading home health and hospice provider, today announced that Barb Jacobsmeyer, president and CEO, and a member of the board of directors, intends to step down from these roles in July 2026, or upon the appointment of a successor. The company has initiated a leadership succession plan with Jacobsmeyer’s full support to ensure a smooth transition. The board has retained Russell Reynolds Associates, a leading executive search firm, to assist in a comprehensive search process to identify the company’s next CEO.

Top 5 leadership shifts to watch after the summer break Hunt Scanlon Media; by Scott A. Scanlon and Dale M. Zupsansky; 8/4/25 ... Drawing on insights from its global network, the International Executive Search Federation (IESF) has identified five key leadership transitions that are gaining momentum. These changes promise to redefine how executives think, adapt, and drive impact as organizations head into the latter half of 2025 and beyond. ...

[Netherlands] Voluntarily stopping eating and drinking as a self-chosen path for end of lifeWorld Medical Journal; by Gert van Dijk, Veelke Derckx, Alexander de Graeff; 6/25Moving into the future, it is likely that doctors and other healthcare providers will be confronted more often with patients who would like to explore options for controlling their end of life care. They should correctly inform patients about the various clinical care options, including VSED [voluntarily stopping eating and drinking], and carefully guide them in the event of a decision to choose VSED. If healthcare providers have conscientious objections in providing care to people who choose VSED, then care must be transferred to a healthcare provider who is willing to provide the necessary care.

Rethinking palliative care for people affected by homelessness Nursing in Practice, United Kingdom; by Karita Razzell; 8/5/25 Well-timed palliative intervention can be a game-changer for people affected by homelessness facing advanced ill health, says Karita Razzell, palliative care manager at the charity St Mungo’s. ... There are various reasons behind the stark health disparities faced by people experiencing homelessness. ... Many individuals are living with serious mental health conditions, substance use issues, undiagnosed neurodiversity, and chronic physical illnesses – all of which can make clinical environments like hospitals particularly challenging for them. ... There are also digital hurdles: appointment systems and prescription services are increasingly online, yet many people without stable housing lack access to mobile phones or the internet. ... As a result, treatable conditions in people affected by homelessness often go undiagnosed until they reach an advanced stage.Editor's Note: People experiencing homelessness in the U.S. face similar challenges to these described in the U.K. Organizations such as The Hildegard House in Louisville, KY, and others in the national Omega Home Network of “comfort care homes” quietly provide this sensitive, crucial palliative and hospice care. Click here to see a national map of these homes.

Merging clinical and legal: How home health providers achieve medical appeals success Home Health Care News; by Joyce Famakinwa; 7/31/25 For home-based care providers, medical appeals can be extremely costly. When navigating the medical appeals process, home health clinical and legal teams must operate in lockstep in order to achieve successful results and avoid financial blowback, ... ROI should be the biggest determining factor when deciding to appeal, according to Bill Dombi, senior counsel for Arnall Golden Gregory law firm. He formerly served as the president of the National Alliance for Care at Home. ... Despite the hefty costs that medical appeals can potentially rack up, sometimes figuring out the ROI can go beyond dollars and cents. For example, if a provider is going through the Medicare Targeted Probe and Educate (TPE) audit process.

Everybody wants the view. Nobody wants the climb. ~Paraphrased version of Jimmy Carr's sentiment

Getting older is just one body part after another saying, "haha, you think that's bad? watch this." ~Author unknown

[UK] 'Dementia has got two faces': grief as an experience of holding on and letting go for people living with primary progressive aphasia and posterior cortical atrophyAging and Mental Health; Claire Waddington, Henry Clements, Sebastian Crutch, Martina Davis, Jonathan Glenister, Emma Harding, Erin Hope Thompson, Jill Walton, Joshua Stott; 8/25Research on grief in people with primary progressive aphasia (PPA) and posterior cortical atrophy (PCA), is limited, despite the unique challenges these individuals face due to lack of understanding of their condition, younger age at onset and atypical symptom profile. The current study explores the losses people living with PPA or PCA experience and what helps to navigate these losses. The impact and navigation of loss is reflected across five interconnecting themes: what I have lost, am losing and will lose, shared and unique sense of loss, balance between what is lost and what remains, changes in relationships and what helps in navigating loss. These findings will be used alongside existing grief theory and interventional frameworks to develop a psychosocial intervention for people living with dementia.