Literature Review
[Australia] Defining the symptoms of personality and behaviour changes in brain tumour patients and their impact on caregivers
11/15/25 at 03:05 AM[Australia] Defining the symptoms of personality and behaviour changes in brain tumour patients and their impact on caregiversSupportive Care in Cancer; by Emma McDougall, Haryana M Dhillon, Karin Piil, Lauren J Breen, Anna K Nowak, Sara Nordentoft, Sine Kjærgaard, Georgia K B Halkett; 10/25This study highlights the nuances and complexity in conceptualising personality changes in patients with a brain tumour and the grief, isolation, and safety concerns experienced by carers. Brain tumour-related aggression was identified as a significant concern by both healthcare professionals and carers, lacking clinical guidelines internationally for managing violence and aggression in this population. Future research is required to test interventions and support for safeguarding and risk management for patients and their family members.
Home-based psilocybin-assisted therapy for a patient with advanced cancer: A case report
11/15/25 at 03:05 AMHome-based psilocybin-assisted therapy for a patient with advanced cancer: A case reportPalliative & Supportive Care; by Houman Farzin, Benjamin Koren, Héléna Ferrier, Justin J Sanders, Nicolas Garel; 10/25 Psychospiritual distress affects many patients with cancer, contributing to diminished quality of life, decreased survival and a desire for hastened death. The current standard of care, which primarily consists of antidepressants and psychotherapy, has demonstrated only modest benefits. Psilocybin-assisted therapy (PAT) has shown evidence of rapid, durable, and significant effects on measures of both depression and anxiety in this patient population. A 51-year-old man diagnosed with metastatic lung cancer, referred to palliative care (PC) with a prognosis of less than 6 months, experienced depression and anxiety in the context of demoralization and existential distress. PAT was well tolerated, with significant decreases in both anxiety and depression [and] the patient subjectively reported a sustained reduction in suffering and improved well-being at 2 months post-intervention.
Using natural language processing to assess goals-of-care conversations for patients with cancer
11/15/25 at 03:00 AMUsing natural language processing to assess goals-of-care conversations for patients with cancerJCO Clinical Cancer Informatics; by Melissa K Greene, Gloria Broadwater, Donna Niedzwiecki, Thomas W LeBlanc, Jessica E Ma, David J Casarett, Brittany A Davidson; 10/25This is a retrospective review of patients at a single US center who died with cancer between 2018 and 2022, and had documented GOC [goals of care] notes in the last 12 months of life. Eight GOC components were identified: current understanding of illness, information preferences, prognostic disclosure, goals, fears, acceptable function, trade-offs, and family involvement. The most common GOC component addressed was family involvement (75.0%) and the least common was fears (21.1%). Only 5.4% had all eight components documented. More comprehensive GOC notes were associated with lower rates of aggressive EOL care; 73.2% received aggressive care when 0/8 components were documented, compared with 56.8% and 50.3% with six or seven components discussed, respectively.
Saturday newsletters
11/15/25 at 03:00 AMSaturday newsletters focus on headlines and research - enjoy!
[France] End-of-life sedation and spousal grief: Exploring bereavement narratives with and without continuous deep sedation
11/15/25 at 03:00 AM[France] End-of-life sedation and spousal grief: Exploring bereavement narratives with and without continuous deep sedationPalliative Care & Social Practice; by Livia Sani, Yasmine Chemrouk, Marthe Ducos, Pascal Gauthier, Marie-Frédérique Bacqué; 10/25This study explored how bereavement experiences differ based on the use of CDSUD [Continuous Deep Sedation Until Death]. Spouses whose partners received CDSUD often reported emotional disruption and unresolved grief, while those without CDSUD described greater relational continuity and a more gradual farewell. Across both groups, the quality of communication, emotional preparedness, and involvement in end-of-life decisions shaped the grieving process. These findings emphasize the emotional complexity of CDSUD, particularly when implemented suddenly or without sufficient explanation. Palliative care teams should prioritize transparent, timely discussions about sedation options and provide tailored emotional support throughout the dying process.
Hospice Research Information 11/13/25
11/15/25 at 02:00 AMHospice Research Information 11/13/25
Hospice to deliver meals for homebound patients' Thanksgiving: Program volunteers will deliver over 700 Thanksgiving Day dinners on Nov. 27.
11/14/25 at 03:00 AMHospice to deliver meals for homebound patients' Thanksgiving: Program volunteers will deliver over 700 Thanksgiving Day dinners on Nov. 27. Pike County Courier, Scranton, PA; 11/12/25 Hospice of the Sacred Heart will again spread the spirit of gratitude and compassion this holiday season through its annual Thanksgiving Program, taking place on Thanksgiving morning, Thursday, Nov. 27. This is the program’s 20th year. Each year, staff and volunteers come together to prepare, package, and deliver traditional Thanksgiving meals to Hospice of the Sacred Heart patients receiving care at home, along with their families. Over 700 meals are expected to be delivered. ... Diane Baldi, CEO, Hospice of the Sacred Heart said, “This program allows us to bring comfort, care, and a sense of togetherness to our patients and their families on one of the most meaningful days of the year.”
Atlantic Area Chamber Ambassadors visit with Hospice of the Midwest
11/14/25 at 03:00 AMAtlantic Area Chamber Ambassadors visit with Hospice of the Midwest AARP - Atlantic News Telegraph; Jenn Nichols; 11/13/25 The Atlantic Area Chamber of Commerce Ambassadors met with staff from Hospice of the Midwest [based in Guthrie Center, Iowa] on Thursday, Nov. 6, to learn more about the compassionate services they provide, and the important role volunteers play in supporting patients and families. Editor's Note: What ongoing relationships do you continue to foster with leaders of your service areas? Hospice of the Midwest in Guthrie Center, Iowa provides this great example.
Opportunities to improve end-of-life care in assisted living: Results from a national survey of administrators
11/14/25 at 03:00 AMOpportunities to improve end-of-life care in assisted living: Results from a national survey of administrators The Journal of the Post-Acute and Long-Term Care Medical Association; by Emmanuelle Belanger, PhD, Nicole Rosendaal, MSc, Michelle L. Rogers, PhD, Tamara A. Sequeira, RN, MSN, Kali S. Thomas, PhDe ∙ Joan M. Teno, MD, MS, Susan L. Hayes, MPAf, Xiao (Joyce) Wang, PhD, Pedro L. Gozalo, PhDa, David M. Dosa, MD, MPHh, Melissa A. Clark, PhD; 11/9/25 Among 4796 eligible assisted living communities invited, 2084 administrators completed the survey from all 48 targeted states, a response rate of 43.4%. ... This national study of administrators highlights important opportunities to improve end-of-life care both as part of assisted living care processes for dying residents and through collaboration with hospice. These novel survey measures will help determine how end-of-life care processes vary along state regulations and shape residents' outcomes.
Estimating the number of services & patients receiving specialized palliative care globally in 2025
11/14/25 at 03:00 AMEstimating the number of services & patients receiving specialized palliative care globally in 2025 Journal of Pain and Symptom Management; by Stephen R. Connor PhD, Eduardo Garralda MA, Vilma A. Tripodoro MD, PhD, Carlos Centeno MD, PhD; November 2025 Issue In 2025, the estimated number of specialized palliative care service delivery teams worldwide reached approximately 33,700 - representing a 35.6% increase from the 25,000 identified in 2017. Service delivery expanded across all WHO regions. The estimated number of patients served rose from almost 7 million in 2017 to approximately 10.4 million in 2025. This figure represents roughly 14% of the total global need for palliative care. ...Despite notable growth in service availability, significant disparities persist, particularly in low- and middle-income countries.
Federal government re-opens
11/14/25 at 03:00 AMFederal government re-opens CHAP; Press Release; 11/13/25 On November 12, the U.S. House passed the Senate Amendment to H.R. 5371, ending the 43-day government shutdown. The continuing resolution (CR) provides funding for most agencies through January 30, 2026, at current levels, and grants full-year 2026 funding to select departments, including Agriculture, FDA, Legislative Branch, military construction, and Veterans Affairs. It also contains measures relevant to the home care community.
A doctor’s mystery cancer gives her a new medical education
11/14/25 at 03:00 AMA doctor’s mystery cancer gives her a new medical educationMedscape; by Kelly Curtin-Hallinan; 11/7/25At some point, every doctor becomes a patient. For many physicians, experiencing serious illness and treatment is humbling, eye-opening, and, in the end, transformative. Dr. Patient is a Medscape series telling these stories... I don’t look like a cancer patient. I didn’t have chemotherapy. I didn’t lose my hair. It’s not obvious to anyone, if they don’t see my enormous abdominal scar, that something crazy has happened to me. To this day, my prognosis is unknown...Publisher's note: Consider how being a hospice patient or family member changes the quality of hospice care you provide...
Carolina Caring Foundation “Gift Back” grant provides cardio-pulmonary supplies at no cost to patients
11/14/25 at 03:00 AMCarolina Caring Foundation “Gift Back” grant provides cardio-pulmonary supplies at no cost to patients Carolina Caring, Newton, NC; Press Release; 11/10/25 In a powerful demonstration of its mission to support compassionate, whole-person care, Carolina Caring Foundation has awarded a $1,000 Gift Back grant to fund cardio-pulmonary equipment for patients served through Carolina Caring’s Palliative Care program. ... While hospice patients often receive these medical supplies at no cost, palliative patients do not qualify for those same benefits—causing barriers to care. The Gift Back grant closes that gap. Carolina Caring Foundation used the $1000 to fund numerous medical devices: 19 scales, 12 electronic blood pressure cuffs, and 10 pulse oximeters, all provided at no cost to the Palliative Care program or its patients.
Executive Personnel Changes - 11/14/25
11/14/25 at 03:00 AMExecutive Personnel Changes - 11/14/25
Transfusion access central to hospice decision-making among patients with blood cancers
11/14/25 at 03:00 AMTransfusion access central to hospice decision-making among patients with blood cancers The ASCO Post; by Julia Cipriano, MS, CMPP; 11/13/25Based on the results of a multicenter cross-sectional survey study published in JAMA Network Open by Raman et al, patients with blood cancer who were potentially hospice-eligible placed the greatest importance on transfusion access compared with routine hospice services. “The high value placed on transfusion access suggests that this factor is central to hospice decision-making and highlights the need for novel hospice delivery models that incorporate palliative transfusion access for patients with advanced blood cancers,” the investigators commented. Editor's Note: Revisit our previous post, "Access to hospice and certain services under the hospice benefit for beneficiaries with end-stage renal disease or cancer."
Thanksgiving dinners take eighteen hours to prepare ...
11/14/25 at 03:00 AMNovember is stressful. It's suddenly freezing. You have tons of deadlines, parties and shopping to do, and everyone is panicking, and it's dark all the time.
AI increasingly responsible for job cuts: Report
11/14/25 at 03:00 AMAI increasingly responsible for job cuts: Report Becker's Health IT; by Giles Bruce; 11/7/25 AI has been the sixth most-cited reason for U.S. job cuts so far in 2025, but the No. 2 cause of layoffs in October, Challenger, Gray & Christmas found. The technology has been responsible for 48,414 staff reductions this year, including 31,039 in October alone, according to the executive outplacement firm’s Nov. 6 report. ... The 153,074 layoffs in October mark the highest total since October 2003, when widespread cellphone adoption altered the telecommunications sector.
Enhabit's strategic momentum and 2025 financial performance: A post-pandemic playbook for healthcare resilience
11/13/25 at 03:00 AMEnhabit's strategic momentum and 2025 financial performance: A post-pandemic playbook for healthcare resilience AI Invest; by AI Agent Eli Grant; 11/11/25Overview:
31 shocking confessions people made to their doctors and nurses on their deathbed
11/13/25 at 03:00 AM31 shocking confessions people made to their doctors and nurses on their deathbed BussFeed; by Hannah Marder; 11/12/25 Being on your deathbed puts everything into perspective, and sometimes, the dying have something big to get off their chests. No one knows this better than those who work with the dying, who bear witness to these disturbing confessions. ...Editor's Note: This BuzzFeed feature compiles unverified, anonymous accounts of “deathbed confessions” shared by clinicians online. While written for popular appeal, it touches a truth familiar to hospice and palliative professionals: dying patients often reveal deeply held truths when facing the end. We share it as a reminder that such moments call for clinical steadiness, ethical awareness, and the presence of board-certified chaplains—those uniquely trained to meet these revelations with compassion and care.
Inside Compassus’ 2-pronged plan to expand Providence joint venture
11/13/25 at 03:00 AMInside Compassus’ 2-pronged plan to expand Providence joint venture Home Health Care News; by Morgan Gonzales; 11/11/25 The joint venture between Compassus and not-for-profit health system Providence is set to expand through two key growth tactics. ... For the first pillar, the joint venture aims to expand through multiple sources within Providence, including case management, discharge planning, hospital-based clinicians and Providence’s ambulatory environment. ... Its second growth strategy looks outside of the Providence ecosystem for referrals, whether from long-term care facilities, skilled nursing facilities or physicians working directly with patients.
Rudeness is ...
11/13/25 at 03:00 AMRudeness is the weak man's imitation of strength ~ Eric Hoffer
New guidance offered for responsible AI use in health care - American Heart Association Science Advisory
11/13/25 at 03:00 AMNew guidance offered for responsible AI use in health care - American Heart Association Science Advisory American Heart Association; by Newsroom; 11/10/25 Published in the Association’s flagship journal, Circulation, the advisory, “Pragmatic Approaches to the Evaluation and Monitoring of Artificial Intelligence in Healthcare,” introduces a pragmatic, risk-based framework for evaluating and monitoring artificial intelligence (AI) tools in cardiovascular and stroke care. It builds on prior published AI frameworks to identify critical gaps in current practices.
Bankrupt SLO County nonprofit paid for a house and cars. Were they for business?
11/13/25 at 03:00 AMBankrupt SLO County nonprofit paid for a house and cars. Were they for business? The Tribune; by Chloe Shrager; 11/12/25 Before it went bankrupt in August, a longtime San Luis Obispo County home health and hospice nonprofit paid for the rent on a house in Texas and bought three cars using company funds. Now, federal bankruptcy trustees are questioning whether the purchases — made by Wilshire Health and Community Services — were business related, or rather personal uses of company funds.
What is healthspan, and how can you extend yours?
11/13/25 at 03:00 AMWhat is healthspan, and how can you extend yours? MSN - Everyday Health; by Sarah Klein; 11/11/25 Many people want to live as long as possible. But what about living as well as possible? Thats the idea behind extending whats called your healthspan. Healthspan is the length of time you live in good health, able to stay active, independent, and mentally sharp while doing the things you enjoy, ...
