Literature Review
National Alliance CEO Steve Landers on hospices’ top policy priorities
11/16/25 at 03:50 AMNational Alliance CEO Steve Landers on hospices’ top policy priorities Hospice News; by Jim Parker; 11/6/25Medicare advantage and telehealth are key hospice policy priorities for the National Alliance for Care at Home. On the home health front, the organization is also embroiled in efforts to stave off proposed payment and Medicaid cuts. The Alliance came into being last year with the merger between the National Hospice and Palliative Care Organization and the National Association for Home Care & Hospice. Hospice News spoke with Alliance CEO Dr. Steven Landers about how the two legacy organizations are integrating, the hospice public policy landscape and how providers can get involved at a grass roots level.
10 common sibling clashes while caring for parents—and how to resolve them
11/16/25 at 03:45 AM10 common sibling clashes while caring for parents—and how to resolve them AOL.com; 11/10/25 Sibling conflicts over the care of elderly parents are quite common, along with disputes over estates and inheritance. ...
What matters about what matters most
11/16/25 at 03:40 AMWhat matters about what matters mostJAMA Network Open; by Mary E. Tinetti, Brenda S. Nettles; 10/25The authors note that “Identifying what matters is essential for providing person-centered care, guiding clinical visits, tailoring care plans, and providing a starting point to foster further patient engagement.” These are lofty expectations of a single, simple question ["what matters most?"]. While the what matters question alone cannot guide care planning or tailor interventions, it can serve as a starting point for ongoing conversations about patient health goals and care preferences. These priorities, in turn, can guide patient-centered decision-making and care. The question also provides an opportunity to get to know the patients we care for as individuals. That, in itself, is an invaluable gift reminiscent of a period when clinicians had more time with patients and cared for them over years.
Developing medical cannabis competencies-A consensus statement
11/16/25 at 03:35 AMDeveloping medical cannabis competencies-A consensus statementJAMA Network Open; by Yuval Zolotov, Leslie Mendoza Temple, Richard Isralowitz, David A. Gorelick, Rebecca Abraham, Donald I. Abrams, Kyle Barich, Kevin F. Boehnke, Stephen Dahmer, Joseph Friedman, Patricia Frye, Aviad Haramati, Jade Isaac, Mary Lynn Mathre, Marion E. McNabb, Melinda Ring, Ethan B. Russo, Deepika E. Slawek, Brigham R. Temple, Genester S. Wilson-King, Julia H. Arnsten, Mikhail Kogan; 10/25An initial list of 9 competencies was refined and consolidated into 6 core competencies [for the use of medical cannabis]: (1) understand the basics of the endocannabinoid system; (2) describe the main components of the cannabis plant and their biological effects; (3) review the legal and regulatory landscape of cannabis in the US; (4) describe the evidence base for health conditions that are commonly managed with cannabis; (5) understand the potential risks of medical cannabis use; and (6) understand basic clinical management with medical cannabis. Each competency is supported by 2 to 7 subcompetencies, resulting in 26 subcompetencies reflecting granular topics, such as patient safety, vulnerable populations, structural inequities, and interdisciplinary care. These consensus-derived competencies provide a structured, evidence-informed foundation to guide the integration of medical cannabis into undergraduate medical education.
Hospice of South Texas appoints Laurie Eder as Chief Executive Officer
11/16/25 at 03:30 AMHospice of South Texas appoints Laurie Eder as Chief Executive Officer Press Release Distribution, Victoria, TX; by Hospice of South Texas; 11/5/25Hospice of South Texas® (HOST) has appointed Laurie Eder as Chief Executive Officer after her service as Interim CEO since March 2025. Eder is building on the forty-year legacy of Hospice of South Texas with a focus on compassion and community. ... Her passion for hospice began with her own family's experience with Hospice of South Texas and continues to shape her leadership today.
Home-based care providers reap benefits of palliative care – but broader adoption hinges on reform
11/16/25 at 03:25 AMHome-based care providers reap benefits of palliative care – but broader adoption hinges on reformHome Health Care News; by Joyce Famakinwa; 11/10/25 Home-based providers are seeing tangible benefits from incorporating palliative care services as part of their offerings, but adoption of palliative service lines has remained limited. However, reimbursement and regulatory reform, as well as electronic medical record (EMR) enhancements, can accelerate broader adoption of palliative services. In the process, at-home care providers that diversify into palliative care services can differentiate themselves from their peers and improve the quality of care. For Dr. Kurt Merkelz, chief medical officer at Compassus, the combination of home health and palliative care is a net positive for providers.
From good to better with Andrew Molosky
11/16/25 at 03:20 AMFrom good to better with Andrew Molosky Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Andrew Molosky; 11/12/25 In this week’s special joint episode of TCNtalks and Anatomy of Leadership, host Chris Comeaux welcomes Andrew Molosky, President and CEO of Chapters Health System. Together, they explore what it means to lead with perseverance, authenticity, and vision in times of change. Andrew shares powerful insights on cultivating culture, navigating uncertainty, and the role of vulnerability in leadership.
Inside Compassus’ 2-pronged plan to expand Providence joint venture
11/16/25 at 03:15 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.
* Hospice organizations honor veterans
11/16/25 at 03:10 AM* Hospice organizations honor veterans Hospice & Palliative Care Today; compiled by Joy Berger; 11/10/25 Hospice programs across the U.S. observe Veterans Day 2025 with special events and recognition programs tailored for veterans in hospice care, focusing on honoring their service and providing supportive, trauma-informed care throughout the organization. These sample examples collectively help ensure Veterans Day 2025 is marked by meaningful recognition and support for veterans in hospice care, grounded in respect for their service and sensitivity to their unique needs.
A new treasure arrives to downtown Menomonie
11/16/25 at 03:05 AMA new treasure arrives to downtown Menomonie Volume One, Wisconsin; 11/11/25 ... Adoray’s Treasures from the Heart (521 2nd St. E, Menomonie) — the newest addition to Adoray Home Health & Hospice’s fundraising thrift stores — opened its doors earlier this summer. In just a few short months, this second-hand boutique has captured the hearts of community members, Amber Bettinger-Lytle, Adoray’s director of marketing and development said. “Every item that comes through our doors tells a story,” Bettinger-Lytle shared. “When someone donates a household item or buys a sweater, that act of kindness ripples outward, helping us bring care, compassion and hope to someone in need.”Editor's Note: This article's tone and wording moves it from a typical sales promotion to meaning and purpose, linking past, present and future.
LifeCare Home Health acquires Infinity Hospice Care
11/16/25 at 03:00 AMLifeCare Home Health acquires Infinity Hospice Care Hospice News; by Jim Parker; 11/7/25 LifeCare Home Health in Nevada has acquired Infinity Hospice Care for an undisclosed amount. Infinity serves patients across Nevada and Arizona. Through the deal, LifeCare also obtains a Las Vegas-based inpatient facility. The transaction marks the company’s first entry into the Arizona marketplace. Editor's Note: LifeCare Home Health recently acquired St. Gabriel's Hospice & Palliative Care in Texas.
Sunday newsletters
11/16/25 at 03:00 AMSunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!
Today's Encouragement
11/15/25 at 03:55 AMChallenges are what make life interesting and overcoming them is what makes life meaningful. ~Joshua J. Marine
Home-delivered nutrition services for older adults under the Older Americans Act
11/15/25 at 03:45 AMHome-delivered nutrition services for older adults under the Older Americans ActJAMA Network Open; Em Balkan, Emily A. Gadbois, Emma L. Tucher, Kimberly P. Bernard, Kali S. Thomas; 9/25... the federal government supports the provision of food to older adults through the Older Americans Act (OAA) Nutrition Program. These funds are used by state and local aging agencies to administer OAA nutrition services primarily through contracts with nonprofit community-based organizations ... [including organizations like] Meals on Wheels (MOW) ... This qualitative study of 54 participants found that home-delivered meals meet the Older Americans Act’s stated goals to (1) reduce hunger, food insecurity, and malnutrition; (2) promote socialization; and (3) promote the health and well-being of older adults. In addition, participants said home-delivered meals improved the health, well-being, and finances of their caregivers. The findings also support funding the Older Americans Act Nutrition Program.
Navigating choice: Eating, drinking and decision-making at end of life for individuals with cognitive impairment
11/15/25 at 03:40 AMNavigating choice: Eating, drinking and decision-making at end of life for individuals with cognitive impairmentJournal of Clinical Practice in Speech-Language Pathology; by Laura Chahdaa, Druvni Pererab, Darcy Longc, Laura Knauerb, Sanora Yonand; 10/25Current clinical guidelines offer limited direction for speech-language pathologists (SLPs) supporting eating and drinking decisions in palliative care (PC), particularly for individuals with dysphagia and co-occurring cognitive impairment. This population presents unique clinical, ethical and interpersonal challenges that often fall outside existing frameworks such as ‘Eating and Drinking with Acknowledged Risk’. This scoping review explores the key considerations for SLPs involved in end-of-life decisionmaking in these complex cases. A qualitative scoping review was conducted and analysed thematically [and] ... six overarching themes were identified: person-centred care; emotional and relational dynamics; ethical decision-making complexity; medical risk; barriers to effective clinical practice; and legal considerations. Findings reveal inconsistencies in practice and limited guidance for SLPs navigating care for individuals with cognitive impairment at the end of life.
Trends of palliative care utilization for nontraumatic intracerebral hemorrhage: Analysis of the national inpatient sample
11/15/25 at 03:35 AMTrends of palliative care utilization for nontraumatic intracerebral hemorrhage: Analysis of the national inpatient sampleJournal of Clinical Neuroscience; by Andrea Loggini, Victor J Del Brutto, Faddi G Saleh Velez, Jonatan Hornik, Denise Battaglini, Shawn S Wallery, Amber Schwertman, Alejandro Hornik, Christos Lazaridis, Adnan I Qureshi; 10/25We investigated the trends and hospital outcome measures associated with the utilization of consultative palliative care (PC) services among patients with nontraumatic intracerebral hemorrhage (ICH). Of 452,250 ICH cases during the study period, 69,360 (15.3 %) received PC. ... ICH patients receiving PC were older, ...more frequently women, ... White, ... and more likely to be in the highest income quartile ... Conclusions: The use of PC in ICH patients has increased over the past two decades. PC is associated with more efficient healthcare resource utilization and higher odds of discharge to hospice/in-hospital mortality. Disparities in PC utilization persist among underprivileged groups and racial minorities.
Addressing palliative care gaps for rare congenital disease in adults: CM-AVM2 as an example
11/15/25 at 03:30 AMAddressing palliative care gaps for rare congenital disease in adults: CM-AVM2 as an exampleJournal of Pain & Symptom Management; by Matthew W Kenaston, Ryan Baldeo, Tyler K Murphy; 10/25Capillary malformation-arteriovenous malformation type 2 (CM-AVM2) is a rare vascular disorder marked by complex, progressive symptoms and limited treatment options. As more individuals with rare diseases reach adulthood, palliative care plays an essential role in supporting quality of life when disease-directed therapies begin to fail. We present a young adult male with EPHB4-positive CM-AVM2, transferred to our tertiary care center for progressive malnutrition, refractory diarrhea, and worsening abdominal pain despite extensive subspecialty care. Through medication optimization, dynamic communication, and consistent interdisciplinary collaboration, the [palliative care] team helped stabilize aspects of his comfort and gradually facilitated GOC [goals of care] discussions. We further discuss how palliative care in this setting differs from standard frameworks, requiring proactive use of disease-specific resources and protracted, anticipatory care planning to optimize quality of life.
Understanding challenges and barriers to quality end-of-life care for patients with hematologic malignancies: A GIMEMA survey
11/15/25 at 03:25 AMUnderstanding challenges and barriers to quality end-of-life care for patients with hematologic malignancies: A GIMEMA surveyAnnals of Hematology; by Leonardo Potenza, Fabio Efficace, Eleonora Borelli, Paola Fazi, Thomas Baldi, Francesca Tartaglia, Francesco Sparano, Claudio Cartoni, Pasquale Niscola, Claudia Mucciarini, Oreofe Odejide, Eduardo Bruera, Camilla Zimmermann, Marco Vignetti, Mario Luppi, Elena Bandieri; 10/25Patients with hematologic malignancies often receive aggressive end-of-life (EOL) care, which may be partly related to hematologists' discomfort with discontinuing aggressive treatments at EOL. We assessed a cohort of Italian hematological oncologists through a GIMEMA online survey to explore their attitudes toward standard measures of quality EOL care, their opinions on barriers to providing this care, and potential interventions. In conclusion, Italian hematologists find most standard EOL quality measures acceptable, they identify barriers to quality care, and are open to interventions, including early integration of palliative care, to improve patients' EOL care. However, they lack familiarity with GOC [goals of care] and ACP [advance care planning] discussions, highlighting the need for communication skills training.
Leveraging electronic health record tools and social work to improve advance care planning documentation in older adults with cancer
11/15/25 at 03:20 AMLeveraging electronic health record tools and social work to improve advance care planning documentation in older adults with cancerJCO Oncology Practice; by Lauren Reed-Guy, Julianne Ani, Keshav Raghavendran, Charlotte Zuber, Molly Collins, Meghan Kennedy, Noah Goldman, Carolyn Cahill, David Dougherty, Peter Gabriel, Aditi Singh, Leland Boisseau, Ramy Sedhom; 10/25 We conducted a quality improvement pilot in a community oncology practice targeting patients age 65 years and older with a documented geriatric assessment. An electronic health record (EHR) dashboard was used to flag patients without ACP [advance care planning] documents on file. We implemented a default offer of an ACP-focused social work visit during already-scheduled oncology visits. Over 9 months, the proportion of patients with any ACP documents on file increased from 32% to 65%. AD completion increased from 21% to 53%, POLST completion increased from 15% to 31%, and patients with an ACP note on file increased from 17% to 23%. Assistant Editor's note: This study highlights the incredible value of social work interventions in a variety of care settings.
End-of-life care and health promotion in Black and African American religious communities: A systematic review
11/15/25 at 03:15 AMEnd-of-life care and health promotion in Black and African American religious communities: A systematic reviewThe Journal of Aging & Social Change; by Chesney Ward; 10/25Blacks and African Americans have the highest mortality rates of any racial or ethnic group, yet they are less likely to complete advanced directives in the United States. This systematic review found that faith-based health promotion for end-of-life planning is an effective strategy for engaging Black Americans in discussing end of-life care despite Black and African Americans’ preference for treatment. By implementing faith-based health promotion in churches, Black Americans are more likely to engage in end-of-life care discussions and complete advanced directives, enhancing their quality of life as they age.
Prevalence and factors associated with receiving a prescription for antithrombotic therapy on hospice admission
11/15/25 at 03:10 AMPrevalence and factors associated with receiving a prescription for antithrombotic therapy on hospice admissionJournal of the American Geriatrics Society; by Emily K Short, Phuong Y Duong, Jennifer Tjia, Matthew Alcusky, Mary Lynn McPherson, Jon P Furuno; 10/25This was a cross-sectional study using electronic health record data from adult (age ≥ 18 years) decedents of a large, for-profit hospice chain who died between January 1, 2017, and December 31, 2019. Overall, 11,360 patients (20.8%) had at least one antithrombotic prescription on hospice admission. The most frequently prescribed antithrombotic classes were antiplatelets (15.7%) and direct oral anticoagulants (3.7%). Patients with PPS scores of 20%-30% ... were significantly more likely to receive an antithrombotic prescription compared to patients with a PPS score < 20%. Additionally, patients receiving care in an assisted living facility ... , nursing home ... , or at home ... were more likely to receive an antithrombotic prescription compared to patients receiving care in an inpatient hospice setting.
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.
[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.
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.
