Literature Review

End-of-life course and subspecialty palliative care involvement for children on mechanical circulatory support: Five-center retrospective cohort study from the United States, 2015–2020Pediatric Critical Care Medicine ; by Vazquez Colon, Zasha; Robinson, Lorelei; Lopez-Colon, Dalia; Joong, Anna; Waldman, Elisha; Delgado-Corcoran, Claudia; May, Lindsay J.; Cousino, Melissa K.; Peng, David M.; Lukich, Stevan; Blume, Elizabeth D.; Machado, Desiree S.; M. Moynihan, Katie; 7/25Objectives: To characterize end-of-life (EOL) care and subspecialty palliative care (SPC) involvement in children with heart disease supported on mechanical circulatory support (MCS), including ventricular assist devices (VADs) and extracorporeal membrane oxygenation (ECMO). Most pediatric deaths after MCS occur soon after discontinuation of devices while receiving invasive therapies in ICUs. SPC teams were involved in less than half of the cases, with only 21% being consulted early. SPC was associated with more ACP [advance care planning] and less CPR at EOL.

End-of-life care planning among older Vietnamese and Filipino Americans: A qualitative analysisJournal of Gerontological Social Work; Carson M. De Fries, My Ngoc To, Peiyuan Zhang, Emerson Ea, Fei Sun, Bei Wu, Sue E. Levkoff, Kaipeng Wang; 7/25Racial and ethnic disparities in end-of-life (EOL) care planning persist, particularly due to limited knowledge of culturally sensitive practices among older Vietnamese and Filipino Americans – two of the largest Southeast Asian American subgroups. Thematic analysis ... revealed a shared belief in the importance of EOL care planning in both groups, driven by the desire to honor personal wishes, reduce burden on family, and minimize conflict. Participants also expressed distrust in healthcare systems and emphasized the influence of family dynamics on EOL decisions. Notable differences emerged: Vietnamese participants more often described cultural practices that encouraged open conversations about death, while Filipino participants cited cultural taboos that hindered such discussions.

Ethics of overtreatment and undertreatment in older adults with cancerBMC Medical Ethics; by Clark DuMontier, William Dale, Anna C. Revette, Jane Roberts, Ameya Sanyal, Neha Perumal, Eric C. Blackstone, Hajime Uno, Mary I. Whitehead, Lewis Mustian, Tammy T. Hshieh, Jane A. Driver, Gregory A. Abel; 7/25This modified Delphi study convened a panel of experts in biomedical ethics and reached consensus that the principles of beneficence, non-maleficence, and autonomy are related to our previously proposed definitions of over- and undertreatment in older adults with cancer. The panel also reached consensus that, in most cases, it is unethical to make a treatment recommendation without (1) formal assessment of patient frailty (e.g., via a geriatric assessment) and (2) the opportunity for a patient to share their values, goals, and/or preferences. The panel did not reach consensus regarding the relationship between justice and over-/undertreatment; however, the panel concluded that justice applies to undertreatment when an oncologist withholds potentially beneficial cancer treatment in an older patient based on their age alone.

[Italy] End-of-life cancer patients’ dignity perception before and during COVID-19 pandemicAmerican Journal of Hospice and Palliative Medicine; by Andrea Bovero, Francesca Cotardo, Erika Tuberosa, Sara Carletto, Francesco Oliva; 8/25The safety and restriction regulations implemented to contain the COVID-19 pandemic significantly impacted people’s quality of life compromising the perception of dignity. Preserving dignity for end-of-life patients remains a paramount objective in palliative care. This study aimed to compare dignity levels in terminal cancer patients between pre- and during-pandemic periods... Existential Distress, Loss of Purpose and Meaning, Physical Symptoms and Dependency, Social Support PDI subscales and PDI Total score were higher in the during-pandemic group... Social isolation and other restrictions put in place to contain the COVID-19 pandemic may have had a negative impact on the perception of dignity in cancer patients at the end of life.

Estimating the number of services & patients receiving specialized palliative care globally in 2025 Journal of Pain and Symptom Management; by Stephen R Connor, Eduardo Garralda, Vilma A Tripodoro, Carlos Centeno; 7/28/25 online ahead of print ... In 2025, the estimated number of specialized palliative care service delivery teams worldwide reached approximately 33,700 - representing a 32.7% increase from the 25,000 identified in 2017. Service delivery expanded across all WHO regions except Africa. The estimated number of patients served rose from 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. While over half of the need appears to be met in high-income countries, only 4.4% is addressed by specialist provision in low and middle-income countries. 

Flight of the Dove celebrates 20 years of riding with purpose Laurens County Buzz, Laurens County, SC; 8/6/25 Not even the rain could dampen the spirit of this year’s Flight of the Dove, as 255 cyclists from South Carolina, North Carolina, and Georgia took to the roads on Saturday, August 2, raising an impressive $52,415 for VIA Health Partners – Laurens County [South Carolina]. ...  Tom Atwood, Vice President of Philanthropy said, “The cause is worth every mile, and we’re incredibly grateful to everyone who braved the rain to make the 20th anniversary ride a success.” ... Riders were offered multiple route options—14, 30, 50, and 62 miles—as well as a 50-mile “challenge” course with added elevation. 

Long COVID and returning to work: A hard and frustrating road Medscape; by Sara Novak; 8/5/25 ... Around 16 million workers have been affected nationwide by long COVID. Many who initially contracted the virus as a result of their jobs are left with the additional burden of proving that they acquired the condition in the workplace. Without it, they may be unable to file a claim for workers’ compensation insurance, which provides benefits to employees who are injured or become ill on the job.

Go slow and you'll get there fast. ~ Unknown

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.

Study: Most Medicare seniors with advanced cancer still do not receive palliative care McKnights Long-Term Care News; by Donna Shryer; 8/6/25 A large national study of Medicare beneficiaries who died from advanced cancers found that although use of specialty palliative care has increased in recent years, most older adults still don’t receive this kind of care before death. The findings were published July 24, 2025, in JAMA Network Open and based on an analysis of 1.5 million Medicare fee-for-service enrollees who died between 2018 and 2023. In this study, researchers focused on palliative care delivered outside of hospice settings.

Attorney General Bonta launches public awareness campaign to protect Californians and prevent abuse within hospice care system – says, “Our message is simple: hospice care should be about compassion, not corruption” Sierra Sun Times, Oakland, CA; 8/6/25 California Attorney General Rob Bonta today announced the launch of a new initiative aimed at educating the public and providing vital reporting resources to individuals and families who may have been impacted by hospice fraud. This initiative includes a comprehensive suite of resources to empower individuals and families with the knowledge and support they need to protect themselves from hospice fraud. Its goal is to ensure that individuals and families understand their rights, recognize red flags in hospice care, and know where and how to report if they suspect fraudulent activity. 

Glendale woman sentenced to 9 years in federal prison for $10.6 million hospice fraud scheme involving kickbacks for patients United States Attorney's Office - Central District of California, Los Angeles, CA; Press Release; 8/5/25 A Glendale woman was sentenced today to 108 months in federal prison for participating in a scheme in which hundreds of thousands of dollars in illegal kickbacks were paid and received for patient referrals that resulted in the submission of approximately $10.6 million in fraudulent claims to Medicare for purported hospice care. Nita Almuete Paddit Palma, 75, of Glendale, was sentenced by United States District Judge Dolly M. Gee, who also ordered her to pay $8,270,032 in restitution.