Literature Review

A ‘cloak of comfort’: an integrated approach to palliative care for cancer patients Sinai Health; 5/26/25 At Mount Sinai Hospital, palliative care is fully integrated into cancer care, providing comprehensive, person-centered support for those with advanced illness. Palliative care, derived from the Latin pallium meaning “cloak,” offers comfort and support to individuals with serious illnesses. Often misunderstood as solely end-of-life care, it actually provides relief at any stage of a life-threatening illness and can be provided in tandem with cancer treatment. This holistic approach addresses physical, emotional, and spiritual needs, aiming to improve quality of life for both patients and their families. In fact, early integration of palliative care can enhance symptom management, extend life and offer greater support to caregivers. Patients can receive care at Mount Sinai Hospital’s Cancer Care Clinic, at home through the Temmy Latner Centre’s home palliative care program, and in the palliative care unit at Hennick Bridgepoint Hospital.  

Sixteen years with leukemia taught me to savor life Cure; by Michelle Lawrence; 5/21/25 I’ve lived with large granular lymphocytic leukemia for 16 years and have learned to spend my energy wisely, embrace palliative care and choose joy over anger. ... It has been an exhausting journey, but I am blessed to have survived 16 years. ... In the beginning, I didn't care; I told everyone because I was treatment-focused, but now I am focused on quality of life. Cancer has robbed me repeatedly. Peers and family members are married and have careers and families. They plan birthday parties and playdates and worry about their kids’ homework. I celebrate the fact that I could take a shower and get dressed by myself. I grieve for those missed opportunities. ... I have recently, in the past couple of years, transitioned into palliative care, a choice I never dreamed of ever making. ... I am a survivor — I am more than my diagnosis. I am not Michelle, the cancer patient; I am Michelle who has cancer. ...

A dozen seniors at risk of being evicted from assisted living facilities in Stanislaus County NBC KCRA-3, Newman, CA; by Andres Valle; 5/15/25 The closure of two senior residential care facilities in Stanislaus County has left over a dozen older residents, including hospice patients, scrambling to find new homes with just days' notice. This decision comes after the passing of Kelsy Ramos, the licensee of Golden Age Living facilities in Turlock and Newman. Ramos, a Turlock native reported missing earlier this month, was found dead last Monday in Selma. The California Department of Social Services ordered the closure with no licensed manager in place, citing the absence of regulatory oversight. 

The ‘price’ of value-based care McKnights Long-Term Care News; by Micahel Wasserman; 5/14/25 The term “value-based care” is tossed around like a political football among healthcare policy makers. Nowhere is the meaning of this so variable as in nursing homes. The Nursing Home Value-Based Purchasing Demonstration project, completed over a decade ago, was not found to lower spending or improve quality. Webster’s Dictionary defines value as “the monetary worth of something,” “a fair return or equivalent in goods, services, or money for something exchanged” and “relative worth, utility or importance.” The government used performance measures such as hospitalization rates and quality measures as a proxy for value. Shouldn’t we be asking how clinicians, patients and their families define value?

Roughly 40 percent of nurses plan to leave profession within 5 years, survey finds McKnights Home Care; by Adam Healy; 5/13/25 The nursing workforce today is more stable than it was during the height of the COVID-19 pandemic, but a significant share of nurses still plan to leave the profession behind in the next five years, according to the 2024 National Nursing Workforce Survey published in the Journal of Nursing Regulation. ... Approximately 40% of RNs, LPNs and LVNs surveyed said that they planned to leave nursing sometime in the next five years. In 2022, roughly 26% of nurses said the same. The most common reasons nurses cited for wanting to leave their jobs included retirement, stress or burnout, workloads and pressures caused by understaffing, the report noted.

'Patients just get violent' | Louisville healthcare workers describe attacks on the job, calling it a crisis ABC WHAS-11, Louisville, KY; by Shay McAlister, Joseph Garcia, Phillip Murrell, and MIchelle Zelli Right now Louisville’s nursing community is facing a crisis, saying they are under attack while on the job.  Since March, police have been called to three different Louisville hospitals after a nurse was assaulted. But those are only the attacks that are reported, several nurses told WHAS11 they face dangerous situations daily without the necessary support. ... The three incidents of violence against nurses sit on a map of hundreds of crimes reported at or near Louisville hospitals and nearby parking garages over the last year. According to LMPD’s crime data portal, 17 assaults were reported at Norton Hospital, 10 at Jewish Hospital, and 28 at the UofL Hospital parking garage over the last 12 months. ... “Many healthcare professionals that are harmed don't report it, and they don't report it because they don't think anybody will listen. And then there are others who think that it's part of the job. It is not part of the job,” CEO of the Kentucky Nurses Association Delanor Manson said. In 2023, Manson worked with lawmakers to formalize language requiring healthcare facilities to track incidents of violence and implement violence prevention strategies. It's a crisis for the career field. 

Hidden at Home: Alarming questions, few state investigations of NJ group home deaths app., North Jersey.com, part of the USA Today Network; by Ashley Balcerzak and Jean Rimbach; 5/3/25 Fourteen. That’s how many times Michael Lombardi tried to dial 911 in the hours before he was found dead at age 39 in a state-licensed group home for adults with disabilities. ... Key Points:

Understanding Conservatory Care Services: A comprehensive overview Articlescad.com; by Jonassen Randall; 4/27/25 As the population ages and healthcare requires evolve, conservatory care services have become a crucial part of the continuum of care for numerous individuals. Unlike standard medical treatment environments, conservatory care services focus on supporting people with persistent conditions or impairments, providing a holistic technique that promotes self-respect and quality of life. This short article will explore what conservatory care services entail, who can benefit from these services, and the various kinds they can take.

As the ‘Silver Tsunami’ hits the Flathead Valley, dementia diagnoses are rising while caregivers reach a breaking point Flathead Beacon, Kalispell, MT; by Maggie Dresser; 3/23/25 ... As baby boomers age and Americans live longer than previous generations, the elderly population will continue to grow and overwhelm many local resources, which includes nursing homes and memory care facilities. ... According to 2020 Census data, the national demographic of people ages 65 and over grew nearly five times faster than the total population over the 100-year period stretching from 1920 to 2020, and the population segment has recently reached 55.8 million. But Montana’s senior citizen population is disproportionately higher than many other states, ranking No. 6 overall, with 19.7% of its population considered geriatric, according to 2020 Census data.  Of this population, 9.8% of individuals in Montana suffer from Alzheimer’s.Editor's note: Click here for the national 2024 Alzheimer's Disease Facts and Figures - Special Report: Mapping a Better Future for Dementia Care Navigation.

Do automated reminders decrease no-show visits in an outpatient palliative medicine clinic? Sage Journals - American Journal of Hospice and Palliative Medicine; by Ruth L. Lagman, MD, MPH, MBA, Renato V. Samala, MD, MHPE, Ahed Makhoul, MD, Kyle Neale, DO, Chirag Patel, MD, Elizabeth Weinstein, MD, Wei Wei, MS, and Xiaoying Chen, MS; 3/23/25 Individuals who do not show up for medical appointments can lead to unfavorable outcomes for both patients and health systems. Automated methods are available to confirm appointments in addition to patient service coordinator (PSC) telephone calls. This study aims to determine the no-show rates for automated methods of confirmation, in-person and virtual visits, and patients living in underserved areas.Conclusion: PSC telephone calls, individuals living within COZ and virtual visits had higher no-show rates.

Attorneys general challenge Trump’s deportations, citing impact on home health workforce McKnights Home Care; by Adam Healy; 4/16/25 Nineteen state attorneys general filed an amicus brief Monday challenging President Donald Trump’s deportation policies. Among their arguments, they contended that deportations would have an outsized, negative impact on the home health industry’s ability to deliver care. “From a public health perspective, [states] depend on noncitizen healthcare workers who, like other immigrants, are forced to live in a climate of fear — nationwide over 1 million immigrants work in healt hcare, including 40% of home health aides and 18% of nursing home staff,” the brief said. The brief aims to block the administration’s so-called “ideological deportation policy,” established by executive orders 14161 and 14188. These orders intimidate workers, impair healthcare delivery and harm states’ economies, the attorneys general argued. 

HHS cuts pose threat to older Americans' health and safety Newsweek; by Kristin Lees Haggerty and Scott Bane - The National Collaboratory to Address Elder Mistreatment at Education Development Center (EDC); The John A. Hartford Foundation; 4/17/2 On March 27, 2025, the federal government announced major cuts to the department of Health and Human Services (HHS). ... Sounding the Alarm for Elder Justice: The population of older adults is rapidly growing, and one in 10 experience abuse, neglect, and/or exploitation—a risk that is even higher for those living with dementia. ... Cutting services to older adults will increase these risks and costs. Moreover, ... 11.5 million family and friend caregivers provide over 80 percent of help needed for people living with dementia in the U.S. Without access to services like Meal on Wheels, adult day care, and respite care, we can expect caregiver burden and strain to increase significantly and with it, rates of elder abuse, emergency department visits, hospitalizations, and nursing home placements. We know this because of the abuse spike seen clearly during the COVID-19 pandemic, which doubled to over 20 percent of older adults, as services were limited, and older adults were socially isolated. HHS cuts are also likely to result in loss of specialized expertise in identifying and addressing elder mistreatment, so that when elder abuse does occur, we won't have the services to stop it and make sure it won't happen again.

CMS drops 5 proposed payment rules for 2026: 25 things to knowBecker's Hospital Review; by Alan Condon; 4/11/25 CMS has released proposed payment rules for inpatient and long-term care hospitals, hospices and inpatient rehabilitation, psychiatric and skilled nursing facilities in fiscal year 2026. Twenty-five things to know: ...