Literature Review

Landmark 20-year study reshapes understanding of PTSDMedscape; by Alicia Ault; 6/12/25A large 20-year study — the longest and most detailed of its kind — shows that posttraumatic stress disorder (PTSD) symptoms can endure for decades, challenging conventional timelines for recovery and offering new insights to guide future treatment.

Night staff hailed for quick action when bear breaks into nursing homeMcKnight's Long-Term Care News; by James M. Berklan; 6/9/25While caregivers at St. Andrew’s Village are well-versed in typical protocols for tending to seniors, it’s their quick-thinking response to some alarming adolescent behavior that has earned them the admiration of peers and the outside world. Nurse aides and other staff on the overnight shift deftly blocked access to most patient rooms and helped steer a 118-pound black bear out of their unit late Tuesday night at their life plan community 50 miles east of Pittsburgh.

How you sit and rise predicts longevityMedscape, by Jake Remaly; 6/18/25You might want to sit down for this — then stand up as smoothly as you can. The ease with which a person can sit on the floor and rise to their feet, using as little support as possible, may help predict how long they will live. Adults who aced the so-called sitting-rising test were far less likely to die of natural or cardiovascular causes over about 12 years of follow-up than those who scored the lowest, according to a study published online on June 18 in the European Journal of Preventive Cardiology.

Hospices unveil new locations serving homeless, diverse patient populationsHospice News; by Holly Vossel; 6/23/25[New hospice locations highlighted in the article include:]

NIH grant funding losses, by stateBecker's Hospital Review; by Mackenzie Bean; 6/19/25National Institutes of Health grant terminations have hit some states dramatically harder than others, with just three accounting for more than two-thirds of all rescinded funding this year, according to a June 17 report from Grant Watch... Massachusetts, New York and North Carolina absorbed more than 68% of these cuts, driven by significant funding losses at prominent research institutions such as Boston-based Harvard Medical School and Columbia University Health Sciences in New York City... Below is a state-by-state breakdown of NIH grant funding losses, offering a snapshot of where grant terminations are being felt the most.

Addressing financial toxicity for patients and families facing serious illnessCAPC position statement; 6/23/25The U.S. is reaching a point of crisis in health care affordability. People living with serious illness in the U.S. are not only navigating complex medical conditions—they’re also facing overwhelming financial hardship. A new position statement from CAPC highlights that the prevalence of financial distress for patients and caregivers can climb as high as 53%, depending on diagnosis. The consequences of financial toxicity are staggering, manifesting in medical debt, low credit scores, and bankruptcy. Financial toxicity can also lead to delayed treatment, skipped medications, or other cost-related coping mechanisms that worsen health outcomes and increasing costs for hospitals and payers alike. CAPC’s new position statement outlines eight recommendations that can ease hardship for patients and caregivers, while improving financial stability for hospitals.Guest Editor's Note, Ira Byock: The importance of CAPC’s new position statement cannot be overstated. This report highlights one of the most difficult problems seriously ill patients and families encounter and goes further to provide tangible ways to diminish the impacts of financial toxicity to patients and the healthcare system. Key actions include routine financial screening and availability of trained financial navigators. The value of this statement extends well beyond palliative care; it should be considered must reading for leaders of hospitals, cancer centers, heart failure programs, and dementia treatment centers.

AGG Talks: Home Health & Hospice Podcast SeriesArnall Golden Gregory LLP; Jason Bring and multiple guests; 6/25Our podcast series features AGG attorneys and guests discussing business opportunities and legal issues for our friends in the home health and hospice industries. [Topics include:]

When the caregiver is gone: The hidden crisis in aging servicesMcKnight's Senior Living; by Derek Dunham; 6/23/25Families need to think beyond a single caregiver. A network of support — whether made up of family, friends, professional caregivers or senior living communities — is essential. Here’s what that looks like in practice:

Why one state banned corporate ownership of doctors’ officesModern Healthcare; by Michael McAuliff; 6/13/25As private equity investors and large companies such as Amazon and UnitedHealth Group acquire doctors’ offices at a rapid pace, states are considering tougher measures to stem what one senior legislator described as “relentless” consolidation in the healthcare sector. Oregon Gov. Tina Kotek (D) enacted a statute on Monday to strengthen the Beaver State’s longstanding “corporate practice of medicine” law. The new law effectively bars private equity firms and other companies from controlling physician offices and mandates that doctors own at least 51% of their practices.

More hospitals turning to nurse practitioners. Here’s whyMedscape; by Roni Robbins; 6/13/25The classic definition of a hospitalist as a primary care physician is rapidly evolving and the vast majority of hospital medicine groups today use advanced practice providers ... for adult care, according to the Society of Hospital Medicine (SHM)’s latest industry reports... Physicians and NPs sharing hospitalist responsibilities are learning how to divide their duties, improve their professional relations, and maintain job satisfaction. Medscape Medical News consulted a handful of hospitalists about the pros and cons of the new staffing models.Publisher's note: An interesting article exploring NP roles that similarly applies to hospices.

New online dementia care resources available for assisted living communitiesMcKnight's Senior Living; by Kimberly Bonvissuto;6/20/25Kimberly BonvissutoA growing number of people are living with dementia and receiving services in assisted living communities as well as in homes in the greater community. Although some states have requirements, some assisted living communities and home care settings may lack the formal dementia care standards required to be followed by nursing homes, so a nonprofit group has released a new toolkit of online resources to support people living with dementia and their caregivers. “It always bothered me that we were not paying attention to the growing number of people living with dementia outside of nursing homes,” Richard Mollot, executive director of the Long Term Care Community Coalition, said Tuesday during a webinar introducing the organization’s new Dementia Care in the Community toolkit. “Although the nursing home standards do not apply in assisted living and home care, every individual deserves the quality of care and services they need to live comfortably and with dignity.”

How to prevent delirium by improving sleep for patients with serious illnessCAPC blog; by Jeremy M. Hirst; 6/11/25A palliative care psychiatrist shares eight behavioral interventions to improve sleep—and offers guidance on prescribing pharmacological treatments. Sleep is essential for rest and repair, but for many patients with serious illness, getting quality sleep is a struggle. Poor sleep can compromise functional status and contribute to or exacerbate the risk of delirium—a concern that's both commonly reported by patients and supported by research. As clinicians, we must address sleep to help prevent delirium, as it directly impacts mental clarity, healing, and quality of life. In this blog, I share behavioral interventions I've used to help patients improve sleep and discuss when pharmacological treatments may be appropriate.

As the US ages, a growing movement aims to care for caregiversJAMA Network; by Virginia Hunt; 6/20/25People caring for a family member with special needs such as a disabled child, a convalescing partner, or an aging parent often feel alone—but they aren’t. In fact, up until the COVID-19 pandemic, unpaid family caregivers made up nearly 1 in 5 US adults, or about 53 million people. Experts estimate that this number has since grown. It certainly has for people supporting older adults: between 2011 and 2022, this subset of caregivers increased from 18.2 million to 24.1 million, according to a recent study.