Literature Review

Emerald Coast Hospice hosts Annual Back-to-School Drive-Thru Jackson County Times; by Shelia Mader; 8/4/25 Emerald Coast Hospice Care once again stepped up to support the community it serves, hosting its third annual back-to-school drive-thru supply event this past Friday morning. Though not held consecutively each year, the effort continues to grow in impact, reaching nearly 140 children this year with essential school supplies and a few extra treats. ... Through their ongoing efforts, Emerald Coast Hospice Care continues to be a vital presence not only in healthcare but also in the daily lives of families across the region. Editor's Note: How inspiring. Due to the philanthropic nature of our hospice work, giving to a hospice organization is an easy norm. This out-of-the-box example of a hospice supporting the community--and for children instead of senior adults--encourages us all to see needs, creatively respond. Make a difference. Thanks Emerald Coast Hospice!

School is a building which has four walls with tomorrow inside. ~ Dan Valentine

New report gives healthcare providers fresh guidance on communicating with older adults McKnights Long-Term Care News; by Donna Shryer; 8/7/25 A new report from the Gerontological Society of America reveals critical strategies for healthcare providers to improve communication with older adults, who now represent almost 17% of the US population. The comprehensive guide, titled “Communicating With Older Adults: A Review of What Really Works,” addresses the growing need for effective patient-provider interactions as America ages. Approximately one-third of adults aged 65 or more years have a disability that may affect communication, the report noted. 

Caring for every breath: Carolina Caring Advanced Lung Care Program launched August 1st Carolina Caring, Newton, NC; Press Release; 8/8/25 A specialized lung care program providing care for complex respiratory conditions will bring needed comfort and support to many individuals. Launched on August 1st, 2025, Carolina Caring’s Advanced Lung Care Program helps patients receive the personalized care they need for their advanced respiratory illness at end of life, while remaining comfortably at home—leading to a reduction of hospitalizations and improved quality of life for patients and their families. 

Sovereign Hospice highlights nutrition's role in hospice home care services News Channel Nebraska (NCN), reprinted from Aubrey, TX; Press Release; 8/8/25 Eating becomes more than a necessity during serious illness—it becomes a part of daily care that supports comfort, strength, and emotional connection. At Sovereign Hospice in Aubrey, Texas, nutrition is integrated into the services hospice offers, especially for patients receiving hospice at home services. The goal is to use food as a gentle tool to improve quality of life. Serious illnesses can change how patients eat. Appetite loss, difficulty swallowing, and taste changes are common, but they can be managed through small adjustments. 

Unity receives $30,000 grant from Otto Bremer Trust to expand palliative, hospice, and grief support for pediatric patients and their families The Chamber - Manitowoc County, Manitowoc, WI; Press Release; 8/6/25 Unity is proud to announce the award of a $30,000 grant from the Otto Bremer Trust to support and expand specialized pediatric palliative and hospice care services for children and their families in Northeast Wisconsin. This vital funding will also enhance grief support programs tailored to children and teens impacted by a death. “This generous investment from the Otto Bremer Trust enables us to provide compassionate, family-centered care during the most difficult of life circumstances,” says Alisa Gerke, Executive Director of Unity. “No child should face a serious illness alone, and no family should be left without support during grief. Thanks to this grant, Unity can serve more families with the expertise, tenderness, and commitment they deserve.”

New leadership at Visiting Nurse Association of Texas People Newspapers; by Kersten Rettig; 8/6/25 Visiting Nurse Association of Texas, the non-profit community health care provide known best for its hospice and palliative care services and Meals on Wheels, announced that Chris Culak has been named President and CEO of the organization. Chris, who joined VNA in 2015, was unanimously appointed by the VNA Board of Directors and will assume the role Sept. 1, 2025. Chris currently serves as Vice President and Chief of Strategy and Development. Chris succeeds Katherine Krause who announced her retirement in February and has served as CEO since 2013. 

CMS Final Rules for 2026: Becker's SummariesBecker's has posted summaries and links to the complete rules for the following categories. These provide great comparisons and cross-referencing between different systems across the continuum of care.

Medicare Advantage growth drives changes in post-acute care Managed Healthcare Executive; by Briana Contreras; 7/28/25 A new report released today by Trella Health revealed major shifts are underway in post-acute care as Medicare Advantage (MA) enrollment grows, care transitions evolve and providers navigate the challenges of value-based care. The Post-Acute Care Industry Trend Report looked at national and state-level trends in home health, hospice and skilled nursing using the latest Medicare claims and enrollment data. One of the most significant shifts is the continued rise of MA enrollment. The report shared that as of February 2025, more than half of Medicare beneficiaries (55.4%) are enrolled in MA plans, with 30 states reporting MA enrollment over 50%. This shift is changing how patients access care—more so in home health.

Why terminal cancer patients still receive aggressive treatment MedPageToday; by M. Bennet Broner; 7/31/25 Recently, researchers examined whether there had been any changes in the way terminal cancer patients died from 2014 to 2019, given the increased information available on hospice, palliative care, and advanced end-of-life planning (EOLP). They asked whether those who were terminal continued aggressive treatment until their demise. The authors anticipated a decrease in this, but found that the frequency of cancer patients who continued aggressive therapy had not declined. The study did not examine decision-making. Still, the researchers, based on other studies, theorized that the lack of change resulted from a confluence of physician and patient factors. ... [Physicians] might predict a more optimistic prognosis than justified, avoid discussing EOLP, support (over)intensive treatment, and/or overemphasize treatment effectiveness while minimizing its side effects. Oftentimes, given their statements, physicians will offer treatments they know to be of little value, believing that patients expect them to propose something rather than admit there was nothing realistic left to offer.Editor's Note: Pair this with our recent post, Doctors’ own end-of-life choices defy common medical practice.

After losing his wife, 92-year-old man turns grief into comfort for other Spectrum News 1 - Greece, NY; by Seth Voorhees; 8/4/25 The loss of a spouse can be devastating. A Rochester area man is turning his personal grief into comfort for others. The gesture has special meaning for families of people in hospice care. Howard Jones has always dabbled in art. At 92, the Kodak retiree has made painting his full-time job. ... [His wife through 68 years,] Estella spent her final weeks at Hildebrandt Hospice Care Center, where staff noticed Howard Jones would pass the time by painting rocks. Someone told him the story of the cardinal, and how some believe their appearance is a sign that a departed loved one is near.  ... [Now, he paints] “every day, eight hours a day,” said Jones. ... “It’s all a matter of getting the bird to look right,” he said. ... “My hope is always that when someone takes one of the stones out of the basket, they can feel the emotion that went into painting it,” said Jones. Since he began keeping track in February, Howard Jones says he’s painted over 500 cardinals. “And that's kept me going,” he said.Editor's Note: This demonstrates beautifully the "instrumental style of grieving" (identified by Ken Doka and Terry Martin in Grieving Beyond Gender) where men (and women) tend to grieve through actively doing something, in contrast to verbal and emotional expression. We described this more in our post, To Be or To Do? Women and Men's different styles of grieving.

Study reveals how medication side effects can lead to dangerous medication cycles in adults 65+ McKnights Long-Term Care News; by Donna Shryer; 7/31/25 When doctors treat drug side effects as new illnesses, older adults may be prescribed even more medications — a cycle known as a “prescribing cascade.” A new study says this prescribing cycle can increase the risk of harm. Guest Editor's Note, Drew Mihaylo, PharmD: Practicing clinical vigilance regarding medication utilization is essential at any stage of illness. Prescribing cascades are common, under-recognized and often harmful. Approaching the emotional topic of medication change must be done with compassion and sensitivity tied to patient specific goals of care. Creativity to this end has been a focus of mine for sometime now as a clinical pharmacist serving serious illness patients nationally.

New Job Posting 8/5/25