Literature Review

You might live to be 100. Are you ready? The Guardian; by Andrew J. Scott; 5/15/25 Ethel Caterham, at the age of 115 years, is said to be the oldest person alive. She offers the sage life advice to “say yes to every opportunity because you never know what it will lead to. Have a positive mental attitude and have everything in moderation.” When she was born in 1909, the average life expectancy of a British female was 52 years – becoming a centenarian was a remote prospect. ... Today, according to the United Nations, centenarians are the fastest growing age group. By 1950, there were an estimated 14,000 whilst today there are nearly 750,000, projected to reach nearly 4 million by 2054. ...  Today, there is too large a gap between average lifespan and healthspan. The number of years we are likely to live has increased more than the number of years we are likely to remain healthy. Reducing this gap is critical for seizing the advantages of longer lives.

‘Don’t be sad. I’ve had a great life’: John Shakespeare on the art of livingOur Community Now; by Peter FitzSimons; 5/18/25 JS [John Shakespeare]: I’m a realist at heart, Pete, and once I know that something is irreversible I have no choice but to accept it. There is a certain sense of peace that comes from acceptance. It eliminates the need to ask “why me?” and “if only”. Fitz: I have been told, wonderfully, that since that outpouring of love for you last Friday, there has been a small uptick in your prognosis?JS: Haha, I think I just had a big adrenaline rush from that one! Hard not to feel better with 209 people you love, in turn, lining up to hug you! ... [ More dialogue]Fitz: What you are going through will soon enough confront all of us, as we come face to face with our mortality. What advice do you have for us? JS: My motto is “accept, adjust, adapt”. The key is to be able to accept something that can’t be changed. Only then will you find some peace. Otherwise, it will be a battle with the unmovable. Sort out your financials so that your family will be as secure as possible, and that will give yourself a sense of relief to carry into your final days. Have as much fun as your energy levels allow!

Palliative and end-of-life care during critical cardiovascular illness: A scientific statement from the American Heart Association American Heart Association; by Erin A. Bohula, MD, DPhil, Michael J. Landzberg, MD, Venu Menon, MD, FAHA, Carlos L. Alviar, MD, Gregory W. Barsness, MD, FAHA, Daniela R. Crousillat, MD, Nelia Jain, MD, MA, Robert Page II, PharmD, MSPH, FAHA, Rachel Wells, PhD, MSN, and Abdulla A. Damluji, MD, PhD, MBA, FAHA on behalf of the American Heart Association Acute Cardiac Care and General Cardiology Committee of the Council on Clinical Cardiology; and Council on Cardiovascular and Stroke Nursing; 5/15/25 Abstract: Cardiac intensive care units are witnessing a demographic shift, characterized by patients with increasingly complex or end-stage cardiovascular disease with a greater burden of concomitant comorbid noncardiovascular disease. Despite technical advances in care that may be offered, many critically ill cardiovascular patients will nevertheless experience significant morbidity and mortality during the acute decompensation, including physical and psychological suffering. Palliative care, with its specialized focus on alleviating suffering, aligns treatments with patient and caregiver values and improves overall care planning. Integrating palliative care into cardiovascular disease management extends the therapeutic approach beyond life-sustaining measures to encompass life-enhancing goals, addressing the physical, emotional, psychosocial, and spiritual needs of critically ill patients. This American Heart Association scientific statement aims to explore the definitions and conceptual framework of palliative care and to suggest strategies to integrate palliative care principles into the management of patients with critical cardiovascular illness.

To the brink and back: How near-death experiences can change how people work The Conversation; by Adauri.AI; 5/5/25 What happens when someone comes close to death and then returns to everyday life, including work? For some, the experience can be transformative. ... Although near-death experiences (NDEs) have been studied since the 1970s, we know relatively little about how they affect people after the event. Research suggests people who have near-death experiences may feel increased empathy, spiritual growth, a sense of purpose and even change how they approach their jobs. Our recent study explored how near-death experiences impact people’s return to work. We interviewed 14 working adults who had a near-death experience as a result of medical crises such as a heart attack or accidents such as a car crash. What we found challenges conventional ideas about success, motivation and workplace culture.

Breaking with the status quo in end-of-life care through de-implementation Journal of Internal Medicine; by Chetna Malhotra and Ellie Bostwick Andres; 4/17/25... In the realm of serious illness, many patients undergo interventions that may marginally prolong life but often sacrifice quality of life and entail significant costs. These interventions, categorized as ‘low-value care’, often involve complex procedures, frequent hospitalizations and intense medical management, leading to considerable discomfort, reduced functional ability and overall decreased well-being and calling into question the efficiency and effectiveness of current end-of-life (EOL) care practices. ... How to conduct de-implementation in EOL contexts:

Longmont women celebrate milestone 100th birthdays with community and caregivers Longmont Leader, Longmont, CO; by Tricia Stortz; 4/28/25 Two Longmont women are marking a rare milestone this week as they each celebrate their 100th birthdays surrounded by caregivers, family, and friends who have helped shape their life journeys.Virginia, a palliative care patient at The Peaks Care Center, turned 100 on April 25. Dorothea VanLoo, a hospice patient at McIntosh Skilled Nursing Facility, celebrates her centennial today on April 28. Both women are under the care of TRU Community Care, Colorado’s first hospice organization, which today serves more than 1,300 patients and participants across a range of programs. Their milestone birthdays have inspired a community effort to honor lives richly lived.

Practical advice for physicians seeking joy and well-being [podcast] MedPageToday's KevinMD.com; by KevinMD; 4/27/25 Palliative care physician and author Alen Voskanian discusses his article, “Discover the secrets to regaining joy in medicine,” based on an excerpt from his book. Drawing from his personal experience with burnout where he felt isolated and like a failure within the demanding medical industry, Alen strongly emphasizes that burnout is a common result of a broken health care system, not an individual failing. He offers key advice points for physicians and health care workers:  ...

The intersection of dignity and healing with Dr. Harvey Max Chochinov Practice of the Practice; podcast by Jo Sanok with Dr. Harvey Max Chochinov; 4/22/25 How can we ensure dignity in end-of-life care? What does every therapist need to know about actively incorporating dignity into therapeutic care for their clients? What is the procedure for a practical application of dignity in therapy and healthcare? In this podcast episode, Joe Sanok discusses the intersection of dignity and healing with Dr. Harvey Max Chochinov. 

Palliative care and advanced cardiovascular disease in adults: Not just end-of-life care: A scientific statement from the American Heart Association AHAIASA Journals - American Heart Association; by Lucinda J. Graven, PhD, APRN, FAHA, Lisa Kitko, PhD, RN, FAHA, Martha Abshire Saylor, PhD, MSN, BA, RN, Larry Allen, MD, MHS, FAHA, Angela Durante, PhD, RN, Lorraine S. Evangelista, PhD, RN, CNS, WAN, FAHA, Amy Fiedler, MD, James Kirkpatrick, MD, Lakeisha Mixon, MSW, and Rachel Wells, PhD, MSN, BA on behalf of the American Heart Association Complex Cardiovascular Nursing Care Science Committee of the Council on Cardiovascular and Stroke Nursing; and Council on Cardiovascular Surgery and Anesthesia; 4/17/25  ... This scientific statement (1) discusses the application of effective communication, shared decision-making, age-friendly care, and advance care planning in advanced cardiovascular disease palliative care; (2) provides a summary of recent evidence related to palliative care and symptom management, quality of life, spiritual and psychological support, and bereavement support in individuals with advanced cardiovascular disease and their care partners; (3) discusses issues involving diversity, equity, and inclusion in cardiovascular disease palliative care; (4) highlights the ethical and legal concerns surrounding palliative care and implanted cardiac devices; and (5) provides strategies for palliative care engagement in adults with advanced cardiovascular disease for the care team.

A dying wish: Man with terminal cancer travels to volunteer in all 50 states ABC-7 News, Bay Area, CA; by 4/6/25 When Doug Ruch was told he had just 12 to 18 months to live, he didn't choose to stay home. Instead, he hit the road - on a mission to help as many people as possible while he still can. "I thought to myself, I have two choices. I can sit at home and wait to die, or I can go out and live," he told ABC7 News. [Continue reading ...] Editor's note: For more, visit Doug's website, www.dyingtoserve.com.

Home hacks for geriatric dogs and cats dvm360; by Tyler Carmack, DVM, CVA, CVFT, CHPV, CTPEP, CVPP; 4/4/25 As pets grow older, they encounter mobility, comfort, and overall well-being challenges that can significantly affect their quality of life. Anticipating and addressing these issues early can profoundly impact their later years. As a house call veterinarian dedicated to hospice and palliative care, the first thing I take note of when entering a new home is all the challenges that the patient faces to simply navigate their daily routine. Often, families are aware of some of these difficulties, but others often go overlooked or unnoticed. ... Here are some valuable "home hacks" to share with clients, ensuring their aging dogs and cats enjoy improved day-to-day comfort. ...

Navigating the intersection of heart failure and palliative care: A holistic approach to improving quality of life Cureus; by Awanwosa V. Agho, Fatimot Disu, Efeturi M. Okorigba, Okelue E. Okobi, Safiyya Muhammad, Toheeb Bakare, Chioma Ezuma-Ebong, Nneka Muoghalu; 3/30/25 ... Historically, palliative care has often been perceived as a last-resort option, introduced only when curative treatments have failed, creating a false dichotomy between life-prolonging therapies and symptom management. However, modern palliative care frameworks emphasize its integration throughout the disease trajectory, particularly for chronic, progressive illnesses like heart failure. ... Palliative care should ideally be initiated at diagnosis of advanced heart failure or with early signs of significant symptom burden to ensure timely, patient-centered support, as recommended by ACC, AHA, and HFSA guidelines