Literature Review

VA end-of-life care honors Veterans and comforts families: Choosing the right placeVA News; by Sarah M. Tolstyka; 8/29/25End-of-life care is one of the most personal decisions a Veteran and their family will ever make. VA offers hospice services across a variety of settings—including its own Community Living Centers (CLCs), contracted community nursing homes and home hospice agencies. While each Veteran’s needs are unique, the setting in which hospice care is provided can profoundly shape the experience. One invaluable resource in this decision-making process is VA’s Bereaved Family Survey, which measures family satisfaction with end-of-life (EOL) care. The data consistently show families report higher satisfaction with VA CLC hospice care than with community-based hospice. Currently, 87% of families rate VA CLC EOL care a 9 or 10 on a 0–10 scale, compared to 81% for community hospice care. These findings reflect clinical excellence and VA’s commitment to honoring Veterans through every stage of life... Families frequently recall the small but meaningful details of VA care, like the Honor Walk or Final Salute, a ceremonial procession to honor a Veteran’s death. “The Walk of Honor is something I will always remember,” one family member shared. Another noted, “He was brought back to VA and, as my son said, ‘He was given back his dignity.’ I can’t even begin to say how wonderful VA is.”

A good Wednesday is day when we did things, and we did them well. ~ Liza Hawkins 

Palliative care and liver disease: Understanding hepatitis and beyond Ashland LocalTownPages, Aubrey, TX; by Press Services; 9/1/25 Sovereign Hospice, a woman-led hospice care provider serving the Dallas-Fort Worth Metroplex, offers specialized liver disease support programs. The organization also provides targeted hospice home care services and palliative care programs designed specifically for patients facing hepatitis and other advanced liver conditions throughout North Texas.

Conversational AI in hospice care: risks and benefits Hospice News; by Jim Parker; 8/29/25 Numerous types of artificial intelligence (AI) have gained a substantial foothold in health care, including hospices, with conversational AI among them. Conversational AI uses natural language processing and machine learning to develop virtual assistants and chatbots that can automate certain functions. ... The use of conversational AI in health care for the most part falls into two categories — delivery of remote health services and administrative assistance to health care providers, according to 2024 research published in the Journal of Medical Internet Research. ... However, the technology has limitations, the study found. These include ethical challenges, legal and safety concerns, technical difficulties, user experience issues and societal and economic impacts.

Fed action toward medical journals is “dangerous,” ethicist saysMedscape; by Arthur L. Caplan; 8/26/25Not so long ago, a letter was sent by a federal prosecutor to a journal editor that I think raises issues that ought to be not partisan and not political, but that physicians and physician researchers have to make clear they oppose... [The editor] got this letter that basically said the US attorney was asking, how does your journal handle “misinformation and competing viewpoints,” among other things... This is a fundamental misunderstanding of what journals are about. As I hope all of you watching understand, journals are aimed at medical people, at researchers, and at people who work in healthcare. They’re not the modality for educating the public... Medical journals - whether you read them or whether you use them to disseminate your research, findings, or clinical experience - ought to be removed from government intrusion.

Alliance submits comments in response to CY 2026 Home Health Proposed Rule National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 8/29/25 As the federal comment period draws to a close, the National Alliance for Care at Home (the Alliance) has joined an unprecedented number of providers and patients in submitting formal feedback to the Centers for Medicare & Medicaid Services (CMS) on the agency’s proposed 9% cut to the home health payment rate for 2026. The unusually high volume of responses collected throughout the comment window underscores broad concern that the $1 billion payment reduction will limit access to care at home, compromise patient safety, and burden the wider healthcare system.  

NMDOJ charges ‘imposter nurse’ who treated hospice patients in Albuquerque KRQE News, Albuquerque, NM; by Fallon Fischer; 8/28/25 A certified nurse assistant in Albuquerque is facing charges for allegedly stealing the identities of three nurses and illegally providing care to hospice patients, and in one case, almost causing one patient to die via a morphine overdose, according to the New Mexico Department of Justice. This week, a Bernalillo County grand jury issued an indictment against April Guadalupe Hernandez, 26, for 19 counts of misconduct including identity theft, nursing without a license, fraud totaling approximately $40,000, abuse of a resident, violations of the Nursing Practice Act and more. “To exploit trusting patients in their most vulnerable moments is unconscionable,” Attorney General Raúl Torrez stated in part, in a news release. 

The VA as a beacon of innovation in serious illness careCTAC blog; by Tom Edes; 8/27/25In this time of federal service reorganization, we are called to remember what history has taught us: innovation rooted in both compassion and evidence can transform care for people with serious illness. Few institutions embody this lesson better than the U.S. Department of Veterans Affairs (VA). For decades, the VA has stood as both a care provider and an innovator, serving Veterans of all ages living with chronic diseases and disabilities... The VA’s story is not just about the past; it is about what is possible for the future of American health care if we choose to invest in it.

Make it a September to remember. ~ Unknown

Awards and Recognitions: August 2025

COUNTDOWN: 29 Days Until HOPE Tool Starts, October 1, 2025

Labor Day stands for America's greatest resource--not its minerals, its timber or its farmland, but its people. ~ Gerald Ford