Literature Review

The clinical relevance of sleep disturbance ("insomnia") in patients with advanced cancer receiving palliative care: A scoping reviewSupportive Care in Cancer; by Shauna Munir, Eva Jones, Faith Precious Omeokwe, Andrew Neil Davies; 5/26Sleep disturbance ("insomnia") is common in patients with advanced cancer receiving specialist palliative care. The studies highlight that sleep disturbance is associated with a range of physical symptoms (e.g. fatigue, drowsiness), a variety of psychological problems (e.g. anxiety, depression), impaired quality of life, and reduced overall survival. Sleep disturbance is an "orphan" symptom, and the results of this scoping review suggest that it deserves much greater attention. Indeed, healthcare professionals should screen all palliative care patients for the problem and, when identified, perform a thorough assessment and initiate an appropriate treatment.

How Mayo Clinic adopted an innovative AI tool for palliative care utilization HealthLeaders; by Christopher Cheney; 6/10/26 The AI tool not only identifies hospitalized patients with serious illnesses who could benefit from palliative care services but also targets these patients faster than the health system could in the past. ... To address underutilization of palliative care services, Mayo Clinic and Bayesian Health developed an AI tool to boost palliative care in the hospital setting.

Chapters Health System awarded $150,000 grant from the Golisano Foundation to expand inclusive pediatric hospice care in Southwest Florida PR Newswire, Temple Terrace, FL; by Chapters Health System; 6/9/26 Chapters Health System, the nation's leading chronic illness innovator and largest nonprofit hospice provider, has received a $150,000 grant from the B. Thomas Golisano Foundation through the Chapters Health Foundation ... The grant will support the launch of "Advancing Inclusive Pediatric Hospice Care," an initiative designed to expand access to developmentally appropriate, family-centered end-of-life care, particularly for children with intellectual and developmental disabilities through the integration of a Certified Child Life Specialist and Hospital-Hospice Liaison at Hope Healthcare, a Chapters Health affiliate in Fort Myers.

Providing inclusive and affirmative palliative care for the LGBTQ+ community: why inclusive care for LGBTQ+ patients is essential CAPC - Center to Advance Palliative Care; by Kimberly D. Acquaviva, PhD, MSW, CSE, FNAP, Anup Bharani, MD, Brynn Bowman, MPA, Brittany Chambers, MPH, CHES, Diane Farquhar, LCSW, ACSW (1957 – 2023), Noelle Marie Javier, MD, Rabbi Max Zev Reynolds, BCC, MA, Billy Rosa, PhD, MBE, APRN, Rayna Ross, CHES; retrieved from the internet 6/9/26 Despite the historical efforts to advance civil rights for the lesbian, gay, bisexual, transgender, queer and/or questioning (LGTBQ+) community – there continues to be ongoing discrimination in society, including in health care. Providing inclusive care for seriously ill LGBTQ+ patients is essential for ensuring equitable, respectful, and comprehensive health care. ... The Bottom Line: For patients that have experienced discrimination from the health system, trust-building is a key priority and the foundation on which health care is delivered.

 The impact of assisted dying legislation on nursing practice in palliative care: a scoping review Journal of Advanced Nursing; by Marlene Werner, Christiane Kreyer, Sabine Pleschberger; 6/5/26 Aim: To review the literature on the state of research on the impacts of assisted dying on nursing practice within specialised palliative care. Results: Fifteen studies published between 2019 and 2024, all from Canada or the United States, met the inclusion criteria. Three themes were identified: (1) positioning and meaning, describing how nurses are required to position themselves and to renegotiate their values; (2) impact on core competencies, capturing changes in key nursing responsibilities; and (3) challenges in interpersonal relationships, referring to increased team conflicts and shifts in relationships with patients and their families. 

Pastor-endorsed hospice education increases willingness to accept hospice among African American congregants in rural North Carolina American Journal of Hospice and Palliative Medicine; by Tiffany D. Morris, DNP, MS, Ed, MSN, CNE; 5/28/26 ... This preliminary quality improvement project evaluated a culturally tailored, pastor-endorsed hospice education intervention in two African American Baptist churches (n = 49). Guided by humanistic nursing theory, pastors used the African American Outreach Guide for End-of-Life Care to dispel myths and explain hospice services. Willingness to accept hospice (AARP End of Life Survey) increased from 60.4% to 93.6% (51.7% relative increase), and uncertainty decreased from 39.6% to 6.4% (84.2% reduction).

Sunset Nursing & Rehabilitation Center partners with Hospice & Palliative Care PRLOG - Press Release Distribution, Buffalo, NY; by Sunset Nursing & Rehabilitation Center; 6/5/26 Sunset Nursing & Rehabilitation Center in Boonville, NY, is pleased to announce a new partnership with Hospice & Palliative Care, enhancing the level of care and support available to residents facing life-limiting illnesses. This collaboration introduces comprehensive hospice services within Sunset Nursing & Rehabilitation Center, ... Sunset Nursing & Rehabilitation Center provides post-hospital rehabilitation, skilled nursing care and respite care. Hospice & Palliative Care delivers specialized hospice services and is the sole provider of hospice services in Boonville, NY.

Hospice enrollments from the Emergency Department feature short admissions and high-acuity hospice care Health Affairs; by Helen P. Knight, Kourosh Ravvaz, Alexander Fiksdal, Lin Shen, Isaac S. Chua, Claire K. Ankuda, Haiden A. Huskamp, Hojjat Salmasian, Joan M. Teno, and David W. Bates; 6/1/26 ... The 10 percent of hospice agencies with the highest proportion of ED-to-hospice enrollments were less often for-profit than agencies ranked below the fiftieth percentile in respect to proportion of ED-to-hospice enrollments. Further research is needed to increase understanding of how much patients benefit from ED-to-hospice transfers when their hospice stays before death are very short, and what drivers lead to these ED-to-hospice transfers.

We couldn't afford to pay for my mom's dementia assisted living anymore. She moved into a tiny house next door to me. Business Insider; as told to Noah Sheidlower; 5/31/26 This as-told-to essay is based on a conversation with Lori Bufka, 64, who is caring for her mother with dementia in Arizona. Assisted living became too expensive for her mother, so Bufka moved her into a trailer next to their home, where her mother would have enough space and safety. This interview has been edited for length and clarity. Editor's Note: From this essay, "She went into hospice care, and we hired someone to come for a few hours a week. It was supposed to be $37 for two hours, but when I got the bill, they tacked on mileage, so it became $92. We figured it wasn't worth it, so now hospice volunteers visit every now and then, and hospice covers medically necessary appointments. ..."

[Global] The Real World Charity Challenge surpasses 1,200 volunteer acts in 7 months BusinessWire, Miami, FL; Press Release; 6/1/26 The Real World members have completed 1,251 documented acts of community service through the platform's global Charity Challenge, New Era Learning LLC announced today. ... "The Charity Challenge was designed to test whether members would commit to high-effort work without immediate financial return, and the submission numbers gave us a clear answer," said Mark Berringer, spokesperson for New Era Learning LLC. "The 1,251 verified completions in seven months, across 14 countries and causes ranging from hospice care to environmental cleanup, show that the program's structure works across very different local contexts."Editor's Note: Beyond Compliance — Volunteer hours may fulfill CMS requirements, but what else do they tell you? How intentionally do you use volunteer data to recognize service, strengthen recruitment and retention, and better understand volunteer impact throughout patient and family care?

First do no harm: communication surrounding non-beneficial treatments American Journal of Hospice and Palliative Medicine; by Cassie Stanzler, MD, Adam Marks, MD, MPH, and Laura Taylor, MD, MSc; 5/21/26 Despite a consensus in the medical community that clinicians should not offer non-beneficial treatments (NBTs) to their patients, little guidance exists on the particular communication needs around this fraught topic. While intended in the spirit of non-maleficence, setting limits around NBTs can be seen by patients and families as abandonment, resulting in conflict. In this paper, we propose a framework to guide Palliative Care clinicians in communicating about these complex issues with patients and families. ... Our framework emphasizes proactive relationship building with patients and families, close attention to their values, and compassionate limit-setting when medically appropriate.