Literature Review

The Center to Advance Palliative Care and the National Kidney Foundation make the case for the integration of palliative care into kidney disease management PR Newswire, New York; by The Center to Advance Palliative Care; 10/8/25 Despite facing high rates of distressing symptoms—including fatigue, pruritus, and pain—people living with advanced kidney disease are far less likely than those with cancer to receive appropriate pain and symptom management. And fewer than 10% of older adults receiving dialysis report having had conversations about their goals of care. These are two of the many important statistics highlighted in The Case for Palliative Care in Kidney Care, a new publication from the Center to Advance Palliative Care (CAPC) and the National Kidney Foundation (NKF), which emphasizes the critical need to integrate palliative care services into the treatment of patients with advanced kidney disease. 

AdventHealth saves $47.5M with redesigned nurse career ladderBecker's Clinical Leadership; by Mariah Taylor; 10/9/25 AdventHealth’s redesigned career ladder has prevented the departure of more than 700 nurses and saved the system an estimated $47.5 million in 2024. The Professional Excellence Program launched in 2022 to keep nurses at the bedside and counter the notion that they had to migrate into leadership, quality or safety roles to progress in their career. “Historically, to advance, nurses often felt they had to step away from the bedside because those roles didn’t fully recognize the specialized competencies they bring,” Trish Celano, RN, system chief nurse executive for the Altamonte Springs, Fla.-based system, told Becker’s. “The clinical ladder changes that.” 

Stories from an accidental Hospice Nurse by Shawn Brast, MSN, RN, CHPN ehospice; by Shawn Brast, Clinical Education Manager at Gilchrist Hospice in Baltimore; 10/9/25 ...  The strangest thing happened: after 30+ years in healthcare, I found my calling as a hospice nurse. Routinely, I am granted special access to some of the most intimate moments in patients’ and families’ lives. With my short experience as a hospice nurse, I have come across some awe-inspiring moments that have provided life lessons that must be shared for the greater good. ... [Shawn describes several hospice stories with his insights.] These types of “Aha!” moments continued since these three experiences, but it was these three experiences that set my direction to answer my calling. In doing so, I am becoming a better person, clinician, educator, researcher, student, husband and father.

5 critical skills leaders need in the age of AI Harvard Business Review (HBR) - Generative AI; by Herminia Ibarra and Michael G. Jacobides; 10/7/25To thrive in the rapidly evolving age of generative AI, senior leaders need to recognize that success hinges less on the technology itself than on leadership and organizational transformation. In particular, they’ll need to develop five key skills: 1) cultivating AI fluency by engaging with diverse networks and fostering cross-industry conversations; 2) redesigning organizational structures to unlock AI’s value; 3) orchestrating collaborative decision-making between people and AI; 4) empowering teams through coaching and psychological safety; and 5) modeling personal experimentation with AI to inspire broader adoption. Doing so will allow them to guide their organizations through the profound changes required to realize the technology’s full potential.

Common hospice medications linked to higher risk of death in people with dementia EurkAlerts! American Association for the Advancement of Science (AAAS); by Michigan Medicine - University of Medicine; 10/14/25 ... [For] the growing number of Americans with dementia who enter hospice, their course is often long and unpredictable — making it especially important to ensure treatments align with each person’s goals and stage of illness. A new University of Michigan study published in JAMA Network Open finds that medications commonly prescribed to ease symptoms such as agitation, anxiety, and delirium — benzodiazepines and antipsychotics — may carry major unintended risks for people with dementia receiving hospice care. Among more than 139,000 nursing home residents with Alzheimer’s disease and related dementias enrolled in hospice between 2014 and 2018, those who began taking a benzodiazepine or an antipsychotic after enrollment were 41% and 16% more likely to die within six months, respectively, than very similar hospice patients with dementia who did not receive these medications.

Stiff person syndrome in the hospice patient: A case report and discussion  Journal of Palliative Medicine; by Molly Svendsen, B Parker Layton, Shiri Etzioni, Mark Edwin; 10/13/25 Stiff Person Syndrome (SPS) is a rare, progressive autoimmune neurological disorder characterized by painful spasms, muscle rigidity, and heightened sensitivity to external stimuli. Management often relies on therapies that fall outside standard hospice formularies, creating challenges in end-of-life care for affected individuals. ... This case highlights the need for flexible, patient-centered approaches in hospice care for rare neurological conditions like SPS. Continuation of disease-specific therapies for symptom palliation can be ethically and clinically appropriate when integrated with clear goals of care. 

LGBTQ+ history project: The need to preserve LGBTQ+ histories of rural America Watermark Out News; by Lauren Rowello; 10/14/25 ... Resources importantly emerged as people formally organized — bringing critical health care and hospice networks during the HIV/AIDS crisis, for instance, and launching LGBTQ+ voices into expansive advocacy careers. Across the US, some of the most impactful voices for change have come from rural regions. ... Editor's Note: For more on this interface with the birth of hospice care in the US, examine "The AIDS Epidemic’s Lasting Impact on Hospice Care for LGBTQ+ Populations," by Holly Vossel, Hospice News, 6/28/24. Pair these with today's post, "Inside the hospice that feels like home: How Omega House catches those who fall through the cracks." 

More than 45,000 Kaiser Permanente workers strike in 4 states Modern Healthcare; by Hayley DeSilva; 10/14/25 An estimated 46,000 Kaiser Permanente staff members began a five-day strike Tuesday across multiple states over staffing, pay and benefit concerns. Employees on strike include registered nurses, lab professionals, pharmacists and other skilled healthcare workers from 23 different unions, a spokesperson for Kaiser Permanente said. The unions are part of the Alliance of Health Care Unions, which represents an estimated 62,000 Kaiser employees. ... "[They] are demanding significantly higher increases than our 21.5% offer,“ the Kaiser spokesperson said.

Healthcare ransomware attacks shift from hospitals to vendors: Report Becker's Health IT; by Naomi Diaz; 10/13/25 Ransomware attacks on U.S. healthcare businesses have increased in 2025, even as incidents targeting hospitals and clinics declined, according to a new report from Comparitech published Oct. 9. Here are five key findings from the report: ... 

‘A good death’: How compassionate care helps people navigate the end of life YaleNews - Health & Medicine, New Haven, CT; by Meg Dalton; 10/13/25Palliative and hospice care both focus on improving the quality of life of people with serious illness. In a Q&A, Shelli Feder discusses the future of compassionate care in the U.S. — and what it means to have a “good death.” The hospice movement got its start in the United States right here in New Haven.  In the late 1960s, former Yale School of Nursing (YSN) Dean Florence Schorske Wald attended a speech given by hospice pioneer, Dr. Cicely Saunders, at Yale School of Medicine. ...

Ex-employee sued bankrupt SLO County hospice group 3 times. Here's whyMSN San Luis Obispo County, CA; 10/13/25 A former employee of Wilshire Health and Community Services filed three lawsuits against the organization in the past two years, accusing the now-bankrupt nonprofit of violating numerous labor laws including using unfair pay practices, gender-based discrimination and wrongful and retaliatory termination.

Hog Town donates $6,000 to United Hospice Service Aspire Rural Health System, ; 10/8/25 Following the 20th annual Hog Town Run, members of Hog Town Inc. presented United Hospice Service (UHS) of Aspire Rural Health System with a generous donation of $6,000. Held on August 9, the event drew participation from motorcyclists across Michigan who gathered in support of a worthy cause. This year, 155 registered bikes joined the run, helping to continue a tradition of giving that has spanned nearly two decades. With this year’s contribution, Hog Town Inc. has donated more than $224,500 to the hospice program since the event’s inception. ... UHS is a non-profit hospice serving Sanilac, Lapeer, Huron, Tuscola, and St. Clair counties [Michigan].