Literature Review

Examining public-facing hospice medical aid in dying participation policies in legalizing U.S. jurisdictionsJournal of Palliative Medicine; by Todd D. Becker, Paul Duberstein, Elizabeth A. Luth, Sanjana Kumar, Samuel Nemeth, Kira Phillips, Veda Kota, Elissa Kozlov; 9/25 Nearly 9 in 10 patients in the United States who use medical aid in dying (MAID) are enrolled in hospice. Only 39 of 724 hospices (5.4%) published a public-facing MAID participation policy. Policy availability was low even within the two jurisdictions mandating hospice online publication (0 of 52 from New Mexico [0.0%]; 14 of 389 from California [3.6%]). Moreover, even when published, policy content was highly variable and often too vague to discern which MAID-related activities were permitted. For instance, 18 of 39 policies (46.2%) did not report whether or not physicians were permitted to prescribe MAID medication. The lack of availability and specificity in hospices’ public-facing MAID participation policies may jeopardize patient access to legal end-of-life care options. 

LGBTQ+ history project: The need to preserve LGBTQ+ histories of rural America Watermark Out News; by Lauren Rowello; 10/14/25 ... Resources importantly emerged as people formally organized — bringing critical health care and hospice networks during the HIV/AIDS crisis, for instance, and launching LGBTQ+ voices into expansive advocacy careers. Across the US, some of the most impactful voices for change have come from rural regions. ... Editor's Note: For more on this interface with the birth of hospice care in the US, examine "The AIDS Epidemic’s Lasting Impact on Hospice Care for LGBTQ+ Populations," by Holly Vossel, Hospice News, 6/28/24. Pair these with today's post, "Inside the hospice that feels like home: How Omega House catches those who fall through the cracks." 

Timing matters: Impact of early advance care planning conversations on hospice utilization in outpatient oncologyJCO Oncology Practice, An American Society of Clinical Oncology Journal; by Lydia Mills, Malia Albin, Ami Gorsky-Zabukovic, Liz Hutchison, Molly Mendenhall, and Robyn Tibert; 10/7/25  Results: 53% of physicians interviewed defined [Advance Care Planning] ACP as hospice, end-of-life, or code status conversations. This group of providers preferred waiting to conduct ACP discussions until later in a patient’s disease trajectory. However, 33% of physicians interviewed viewed ACP as broader discussions, to include patients’ values, goals and preferences for EOL care. These physicians stated they engage in ACP conversations as early as the first or second visit, especially with patients who have Stage IV disease or have a poor prognosis, introducing hospice as a potential option and revisiting these discussions throughout the course of treatment. PI data showed that providers who engage in early and consistent ACP discussions have a 17% higher hospice enrollment rate compared to their peers. 

What is water cremation and why did Pa. lawmakers just back a bill to legalize it? LeighValleyLive.com, Leigh Valley, PA; by Lehigh Valley Community News; 10/5/25 The Pennsylvania House of Representatives passed bipartisan legislation on Wednesday authorizing alkaline hydrolysis, commonly known as water cremation, as an approved cremation method in the state. The bill would give Pennsylvania families a more environmentally sustainable option for end-of-life services. Alkaline hydrolysis uses a mixture of water and alkali in a sealed pressurized steel chamber to reduce the body to bone, which is then processed into ash. The process consumes significantly less energy than traditional flame cremation, which requires temperatures exceeding 1,600 degrees Fahrenheit. According to the Mayo Clinic, alkaline hydrolysis uses only about one-quarter of the energy required for flame cremation. 

Doyel: I didn't know how strong and kind my special Mom was. Not until she started dying. Indianapolis Star, Indianapolis, IN; by Greg Doyle; 10/1/25 The last time we talked, I told my mom the truth: I’d missed just how wonderful she was. Make no mistake, I knew she was wonderful. Kind, considerate, strong – she checked all the best boxes. And generous? Mom’s the most generous person I’ve ever known, and I’ve known it for years. But I didn’t know just how generous she was. Not until she started dying. Didn’t know how strong she was, either. Not until she was so weak she couldn’t stand on her own two feet. That’s when I finally saw it. ...

6 Coloradans took to the Colorado River to grieve. What they found was a way to feel less alone. The Colorado Sun, Loma, CO; by Shannon Mullane; 9/28/25 Losing a loved one leaves people reeling. It forces the body to reconfigure deep bonds and impacts health. One Colorado River retreat aims to help people navigate. ... One by one, the members — all Colorado residents who ranged in age from their 40s to their 70s — shared their stories of death and grief. It was the start of a grief therapy retreat on the Colorado River, and the clients and crew members on the trip had lost parents, children and life partners. This moment was what they came for: a chance to open up space in their day-to-day lives to grieve. With other people who know what it’s like. Without having to act like they were holding it together. ... In their seven years of operation, Podmore and Pathfinders have offered about 20 grief retreats on the Colorado River for over 160 clients of all ages — including everyone from children to seniors — mostly from the Roaring Fork Valley in western Colorado. 

New AAHPM CEO on ensuring widespread access to hospice and palliative care Hospice News; by Jim Parker; 9/25/25 Workforce, access to care, reimbursement and public policy are top agenda items for the A merican Academy of Hospice and Palliative Medicine as new CEO Pierre M. Désy takes the reins. ... Hospice News sat down with Désy to discuss the academy’s current priorities and the top issues facing hospice and palliative medicine. ... [Jim Parker] "Could you tell me some of your top priorities as you come into this new role?" [Dr. Pierre Désy] I have been focusing on listening and alignment. So the first part is a listening tour and relationship building tour, where I’m talking with every board member, one on one. I’m talking with committee chairs, council chairs. I’m speaking with all of our partners, every staff person, sponsors and individual donors.

Community turns out for Banner's Senior ExposCleveland Daily Banner, Cleveland, TN; by Will Bublitz; 9/19/25 Hundreds of seniors enjoyed the food, door prizes, free samples and information to improve their lives during the Living 55Plus Senior Expo, held Thursday in Wacker Commons at the PIE Innovation Center in Cleveland. This was the sixth year for this popular and free event sponsored by the Cleveland Daily Banner. It was co-sponsored by Bradley Medical Center, Cleveland Utilities, Garden Plaza of Cleveland, Ahlberg Audiology, Companion Funeral Homes and Life Care Center of Cleveland. "The 2025 55Plus Senior Expo was the best expo thus far, with the most vendors and attendees yet," said Joyce Taylor, publisher of the Cleveland Daily Banner. [Vendors included, but were not limited to Adoration Hospice, Hearth Hospice,  and Hospice of Chattanooga.]

Noel: Life events bring clarity to the truth about change Telegraph Herald, Dubuque, IA; by Lavonne Noel, Executive Director for Hospice of Dubuque; 9/21/25 When my children were young, they enjoyed the “Where’s Waldo” books. ... Like us, Waldo finds himself in a complex, dynamic world. The reader is challenged with finding Waldo hiding somewhere amid the chaos. ... [Lavonne uses the Waldo metaphor to describe her recent mid-March to early-July leave of absence, due to her new grandbaby's medical needs and her own hip replacement/recovery. She describe the following about this time away.] ...  My thoughts frequently centered on these three truths:

Americans choosing cremation at historic rates, NFDA report finds National Funeral Directors Association (NFDA), Brookfield, WI; Press Release; 9/18/25 Americans are choosing cremation more than ever before, setting a new milestone in funeral service trends for 2025. According to the National Funeral Directors Association (NFDA) 2025 Cremation & Burial Report, the U.S. cremation rate will reach 63.4% this year, more than double the projected burial rate of 31.6%. These shifting preferences reflect lasting changes in family priorities, funeral profession practices and cultural attitudes. Key 2025 Report Highlights: 

A natural segue: Retired hospice physician Ralph Caldroney ’72 turns a planned gift into immediate impact with new lecture sponsorship W&L - The Columns, Washington & Lee University, Lexington, VA; by Barbara Elliott; 9/15/25 [Dr. Ralph Caldrony, retired medical director for Hospice of Rockbridge County,] attended several Mudd Center lectures during this past year’s series: “How We Live and Die: Stories, Values and Communities.” ... Impressed by the range and quality of the Mudd Center presentations [at Washington & Lee University], Caldroney previously committed a $250,000 planned gift to the center for his 50th reunion gift in 2022. However, after such a positive experience attending this year’s lecture series, he decided to fast-track his support. For each of the next five years, his $5,000 per-year gift will sponsor an annual lecture. “It was a natural segue,” Caldroney says. “This way, I can enjoy some of the fruits of my labor while I am still alive.”

Fulfilling end-of-life dreams: A scoping review of bucket lists in palliative and hospice care Palliative Supportive Care - Cambridge University Press; by Swasati Handique, Michael Bennett and Scott D Ryan; 9/12/25 Results: Four major themes were established using thematic content analysis: (1) impact on holistic well-being, (2) role of family in wish fulfillment, (3) cultivation of gratitude, and (4) collaborative leadership in wish fulfillment. In wish fulfillment, the results significantly pointed to the need for more intricate evaluation among patients and interventions that cover beyond the physical aspect. Significance of results: Palliative and hospice care settings should work toward securing sustainable funding for structured wish-fulfillment programs to address existing accessibility gaps and further enhance the holistic nature of care in these settings. Editor's Note: For hospice organizations that can receive donations, setting up a Wish/Bucket LIst fund makes for a meaningful, easy-to-demonstrate ROI on donated gifts. You need to have some type of discretionary review/approval process in place, with assurances of confidentiality when important to the person and/or family.

Ancient wisdom: How do we want to be remembered? The FP - Weekend Culture; by George Raveling; 9/7/25This week, we’re bringing you reflections from a man who aged more gracefully than just about anyone we know: legendary basketball coach George Raveling, who died Monday at the age of 88. ... This excerpt is from the last chapter of his book [What You're Made For], ... titled: “To Live.”