Literature Review



Contemporary patterns of end-of-life care among Medicare beneficiaries with advanced cancer

01/04/26 at 03:00 AM

Contemporary patterns of end-of-life care among Medicare beneficiaries with advanced cancer JAMA Network - JAMA Health Forum; by Youngmin Kwon, PhD; Xin Hu, PhD, MPSH; Kewei Sylvia Shi, MPH; Jingxuan Zhao, MPH, PhD; Changchuan Jiang, MD, MPH; Qinjin Fan, MS, PhD; Xuesong Han, PhD; Zhiyuan Zheng, PhD; Joan L. Warren, PhD; K. Robin Yabroff, PhD, MBA; 2/21/25Conclusions: In a contemporary cohort of older Medicare decedents originally diagnosed with advanced breast, prostate, pancreatic, or lung cancer, we found that many patients continue to receive potentially aggressive interventions at EOL at the expense of supportive care services. To make meaningful improvements in the quality of EOL care, a multifaceted approach that addresses patient, physician, and system-level factors associated with persistent patterns of potentially aggressive care will be required. Editor's note: Though published just one week ago--February 21--this journal article is already being used extensively, as demonstrated in our posts on 2/24 and 2/25.

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Sunday newsletters

01/04/26 at 03:00 AM

Sunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!   Also, remember our Job Board to find staff for the new year!

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Today's Encouragement

01/03/26 at 03:55 AM

What the new year brings to you will depend a great deal on what you bring to the new year. ~Vern McLellan

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In their own words: Creating connections through narrative medicine

01/03/26 at 03:55 AM

In their own words: Creating connections through narrative medicineJournal of Patient Experience; by Sneha Mantri, Lissa Kapust, Jillian Goober, David K Simon; 11/25People with Parkinson's disease (PwP) often report feeling unheard or hurried through clinical visits, without the opportunity to share their unique illness story. Simultaneously, clinicians report increasing dissatisfaction with efficiency pressures that disincentivize active listening and patient-centered communication. This research brief outlines a guided short-form journaling activity, the 55-word story, for PwP to share their stories in a format that can be received by busy clinicians. By the end of each cohort, nearly all (31/35 participants, 88.6%) reported an improved relationship with their neurologist, communication skills, clarity about goals and values, and/or increased community with other PwP. An online guided journaling activity was feasible, enjoyable, and successful at improving the well-being of PwP. This model can be used at other institutions or with other chronic illnesses.

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Mending our souls: The role of textiles in death, loss, and navigating grief

01/03/26 at 03:50 AM

Mending our souls: The role of textiles in death, loss, and navigating griefOmega (Westport); by Emma M Mock; 12/25This literature review bridges the gap between research on the therapeutic benefits of engaging with textiles and the known benefits of art and narrative driven engagements for individuals and communities navigating grief. The prominence of textiles within historical and cultural contexts shows the way textiles are often key components in mourning rituals and have long been used as expressions of grief, despite its absence within the field thanatology. This article explores how the vast and varied ways people ritualize, memorialize, and engage with textiles have specific therapeutic benefits and support the frameworks within prevalent grief theory. This body of research encourages the application of textiles within personal and collective grief experiences, clinical settings, educational, and counsel spheres by establishing a body of research that addresses the breadth of textile's value as tools for navigating life after loss.

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323.3: What happens after the gift? Insights from organ procurement organizations on strengthening aftercare in the United States

01/03/26 at 03:45 AM

323.3: What happens after the gift? Insights from organ procurement organizations on strengthening aftercare in the United StatesTransplantation; by Levan, Macey; Akhtar, Jasmine; Sidoti, Carolyn; Kaplow, Katya; Klitenic, Samantha; Flower, Tessa; Yusef, Bola; Vanterpool, Karen; Parent, Brendan; Koons, Brittany; 12/25Each of the 55 U.S. organ procurement organizations (OPOs) is responsible for obtaining authorization for donation and supporting donor families through the donation process. While federal regulations mandate certain responsibilities related to authorization and coordination, there is no regulatory requirement that OPOs provide services to families after donation. Nonetheless, most OPOs have developed “aftercare” programs, which historically have focused on honoring loved ones, commemorating donation, and offering limited grief-related support. Facilitators of meaningful aftercare included peer connection efforts, standardized data processes, and tailoring services to diverse family needs. However, the structure, scope, and intensity of these programs vary widely, and there has been little national attention to standardizing or modernizing aftercare efforts. Common barriers to effective aftercare included limited access to mental health resources, low survey response rates, insufficient staffing or funding, and fragmentation between initial and long-term support teams. 

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Exploring and understanding different perspectives on the experience of engaging with death doulas and those in activity-aligned roles toward the end of life: An integrative review

01/03/26 at 03:40 AM

Exploring and understanding different perspectives on the experience of engaging with death doulas and those in activity-aligned roles toward the end of life: An integrative reviewPalliative Care & Social Practice; by Samara Gordon Wexler, Catherine Walshe; 11/25The death doula movement is expanding due to dissatisfaction with the medicalization of death and dying. The limited evidence from literature, including experiential perspectives outside of reports from death doulas or those in aligned-activities roles, indicates that research should continue to explore the benefits of adding these roles to end-of-life care. Positive experiences of engaging a doula or with those performing aligned activities appear related to role flexibility, which seems to facilitate other favorable experiences. However, flexibility also seems to be a cause of role confusion and boundary issues, shedding light on the need to develop regulation that protects both death doulas or those performing similar activities and those they engage with.

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Abstract 4364177: Underutilization of palliative care in peripheral artery disease: A state-of-the-art review across cardiovascular conditions

01/03/26 at 03:35 AM

Abstract 4364177: Underutilization of palliative care in peripheral artery disease: A state-of-the-art review across cardiovascular conditionsCirculation; by Odaly Balasquide-Odeh, Roberto Lapetina-Arroyo, Christiany Tapia, Alvaro Pinto-Rodriguez, Santiago Callegari, Mufti Rahman, Gaelle Romain, Kim Smolderen, Carlos Mena-Hurtado, Aseem Vashist, 11/25Peripheral artery disease (PAD) is associated with high morbidity and mortality, yet palliative care (PC), a supportive, team-based approach integrated remains underutilized. This review contrasted PC components, patient-level and program outcomes, and patient-reported outcomes across heart failure (HF), coronary artery disease (CAD), and peripheral artery disease (PAD). HF programs provide a transferable template for PAD, based on an early, structured and multidisciplinary PC. This could lead to a PAD-specific care model that integrates best practices from HF and that helps address underuse in a vulnerable and overlooked population.

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Neuropathology of Lewy body dementia: Lewy-related pathology, α-synuclein oligomers, and comorbid pathologies

01/03/26 at 03:30 AM

Neuropathology of Lewy body dementia: Lewy-related pathology, α-synuclein oligomers, and comorbid pathologiesMolecular Neurodegeneration; by Hiroaki Sekiya, Tomoyasu Matsubara, Michael A. DeTure, Dennis W. Dickson; 11/25 In this review, we provide a comprehensive overview of the underlying pathologies for Lewy body dementia and their molecular mechanisms and clinical implications. Lewy body dementia is the second most common form of neurodegenerative dementia, following Alzheimer’s disease. This umbrella term encompasses dementia with Lewy bodies (DLB) and Parkinson’s disease dementia (PDD). The distinction between these two conditions lies in the timing of the onset of cognitive impairment relative to motor symptoms. In DLB, cognitive impairment precedes or coincides with motor symptoms within the first year, whereas in PDD, cognitive decline occurs more than a year after the onset of motor symptoms. Clinically, in addition to cognitive decline, patients with Lewy body dementia have parkinsonism, visual hallucinations, and fluctuations of cognitive status.

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Translating the value of palliative transfusions for patients with blood cancers into high-quality end-of-life care

01/03/26 at 03:25 AM

Translating the value of palliative transfusions for patients with blood cancers into high-quality end-of-life careJAMA Network Open; by Pamela Egan, Dana Guyer; 11/25Studies have described how patients with blood cancers enroll in hospice care at lower rates than patients with solid tumor cancers, receive more futile chemotherapy, are more likely to seek emergency care at the EOL [end of life] , are more likely to be treated in intensive care units, and are more likely to die in hospital settings than their counterparts with solid tumors. The Medicare hospice benefit is structured in such a way that providing transfusions is cost prohibitive for hospice agencies. It is time to heed the call from the American Society of Hematology and palliative care and hospice agencies nationwide to revise the Medicare hospice benefit such that patients with blood cancers can receive hospice care as soon as their cancer-directed treatments are no longer valuable without sacrificing the quality-of-life–sustaining transfusions. This will be an important step toward ensuring high-quality EOL care for patients with hematologic malignant neoplasms.

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Addressing ethical conundrums in neuropalliative care

01/03/26 at 03:20 AM

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Palliative care in neuro-oncology

01/03/26 at 03:15 AM

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Neuropalliative care in dementia

01/03/26 at 03:10 AM

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Teaching primary palliative nursing care: A model of competency-based education

01/03/26 at 03:05 AM

Teaching primary palliative nursing care: A model of competency-based educationJournal of Professional Nursing; by Hannah Murphy Buc, Melissa McClean, Janet Armstead Wulf; Jan-Feb 2026Holistic care models such as primary palliative care offer individuals a coordinated, interprofessional and compassionate approach in any healthcare setting regardless of condition. Currently, palliative and end-of-life nursing care content is either threaded throughout nursing curricula or not included at all. This article documents the development of a required primary palliative care course in a baccalaureate nursing program and shares recommendations on competency-based teaching and evaluation methods to encourage implementation in other academic nursing settings. Course evaluations indicate that the class was well received and valuable to students' learning experience.

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Saturday newsletters

01/03/26 at 03:00 AM

Saturday newsletters focus on headlines and research - enjoy!

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She asked if she had dementia: Caregivers’ insights on lucidity in late stages of dementia and its impact

01/03/26 at 03:00 AM

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Precision Radiation Oncology Rhode Island and HopeHealth Hospice & Palliative Care announce Collaborative partnership

01/02/26 at 03:15 AM

Precision Radiation Oncology Rhode Island and HopeHealth Hospice & Palliative Care announce Collaborative partnership Today in Business, Providence, RI; Press Release; 12/30/25 Precision Radiation Oncology Rhode Island (PRORI) ... along with HopeHealth, provider of palliative care and hospice services, are proud to announce a new collaborative partnership, aimed at improving quality of life and Precision outcomes for patients undergoing cancer care, beginning January 2026. This collaboration brings together two organizations with complementary missions: delivering state-of-the-art cancer treatment while ensuring compassionate, patient-centered support throughout every stage of the patient’s cancer journey. By working closely together, in a synergistic manner, PRORI and HopeHealth will provide a seamless continuum of cancer care that addresses not only the clinical aspects of cancer treatment, but also the physical, emotional, and psychosocial needs of patients, their families and caregivers.

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Bioethics for aging societies

01/02/26 at 03:05 AM

Bioethics for aging societiesThe Hastings Center for Bioethics; 2025Bioethics for Aging Societies explores ethical and social challenges arising from population aging, a demographic shift toward longer lives and smaller families. Its goal is to help researchers, professionals, and members of the public think together about common challenges facing aging societies like the United States, with attention to foundational questions: What does it mean to live a good life in later life? And how should we live together in aging societies in ways that include and support fellow citizens who are aging or providing care?Publisher's Note: This series of articles was featured in The Hastings Center's year in review.

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ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model

01/02/26 at 03:00 AM

ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model U.S. Centers for Medicare & Medicaid Services (CMS) The ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model tests an outcome-aligned payment approach in Original Medicare to expand access to new technology-supported care options that help people improve their health and prevent and manage chronic disease. The voluntary model focuses on conditions affecting more than two-thirds of people with Medicare, including high blood pressure, diabetes, chronic musculoskeletal pain, and depression. It will run for 10 years beginning July 5, 2026.

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Netflix: Goodbye June

01/02/26 at 03:00 AM

Netflix: Goodbye June Netflix; retrieved 12/31/25 A messy yet affectionate family gathers round their mother's hospital bed to grapple with grief, complicated love and the tenderness of a final goodbye. Starring: Helen Mirren, Kate Winslet, Toni ColletteEditor's Note: Do you love movies? Are you transitioning from holidays back to your end-of-life care work? Goodbye June might be that just-right film for you. For readers with access to Netflix, check it out.

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The influence of private equity in health care

01/02/26 at 03:00 AM

The influence of private equity in health careHealth Affairs; 10/22/25Private equity investors have poured more than $1 trillion into the health care industry during the past decade. This Health Affairs Insider report examines the key factors surrounding private equity ownership of hospitals and physician practices.Publisher's Note: This article was featured in Health Affairs' year in review. Access to this report may require subscription.

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Pediatric respite homes provide a survival mechanism for struggling families [podcast]]

01/02/26 at 03:00 AM

Pediatric respite homes provide a survival mechanism for struggling families [podcast]Medpage Today's KevinMD.com; by KevinMD; 1/1/26Certified coach and professor Kathleen Muldoon and co-founder of Ryan House and Children’s Respite Homes of America Jonathan Cottor discuss the article “The need for pediatric respite care.” Kathleen shares the personal story of raising her son Gideon who lives with over 42 medical diagnoses and explain why the family had to move across the country to find safety. They highlight the critical difference between taking a break and surviving the relentless cycle of 24/7 medical vigilance required for medically complex children. 

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Awards and Recognitions: December 2025

01/02/26 at 03:00 AM

Awards and Recognitions: December 2025

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Medical Aid in Dying legislation and the limits of prognostic science

01/02/26 at 03:00 AM

Medical Aid in Dying legislation and the limits of prognostic science American Council on Science and Health; by Chuck Dinerstein, MD, MBA; 1/2/26... End-of-life issues are complex because empirical questions (what happens, works, or harms) that can be approached by science are deeply entangled with value questions (what should count as a good death, autonomy, dignity, moral limits). The recent decision by Governor Hochul of New York to advance and promise to sign a Medical Aid in Dying (MAID) bill provides us with the opportunity to consider that entanglement.

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Hospice reaffirms commitment to care amid new state law

01/02/26 at 03:00 AM

Hospice reaffirms commitment to care amid new state lawThe Post-Journal, Jamestown, NY; Press Release; 12/31/25 As New York state moves toward the implementation of Medical Aid in Dying legislation, Chautauqua Hospice & Palliative Care (CHPC) is reaffirming its unwavering commitment to supporting individuals and families facing terminal illness with dignity, respect, and compassion. In a recently issued press release, CHPC notes that “... While end-of-life options in New York State are evolving, our mission remains the same: to provide expert care, comfort, and emotional support to those confronting serious illness and loss.” Chautauqua Hospice & Palliative Care does not participate in the provision or administration of Medical Aid in Dying medications. ... As the Medical Aid in Dying law moves forward, CHPC recognizes the importance of clear, compassionate guidance. It has developed educational materials to help patients and families understand the new law and how it intersects with hospice care. For those who choose to explore Medical Aid in Dying, we will continue to offer support, information, and, where appropriate under law and policy, connections to outside providers.

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