Literature Review

Mercy film starts dialogue on end-of-life care and dignity in dying The News Mill; 4/21/26 Director Mitul Patel revealed that his film ‘Mercy’ draws inspiration from actor Paresh Rawal’s account of his mother’s prolonged illness and coma, shared during an interview. This real-life story shaped the film’s exploration of end-of-life decisions and moral conflict. Patel told ANI, “As a writer, I look for conflicts in stories. I couldn’t find a bigger conflict than this where a son has to face this choice of letting go of his mother. ... “It will be better when we talk about mortality openly. End of life care, dignity in dying. We will start a conversation about all this. This is the goal of the movie.”

Empassion, Karoo Health partner on cardiac-to-hospice transitions Hospice News; by James Warda; 4/28/26 Empassion Health and Karoo Health have unveiled a strategic partnership designed to provide a more seamless transition for patients from cardiac management to specialized serious illness care. This transition point, often referred to as “the gap,” is the period when traditional care cannot typically sustain the patient long-term, but they are not yet considered ready by insurance standards for hospice or palliative care, according to Empassion. Patients with advanced heart disease often drop into this gap. By bringing together Karoo’s cardiovascular care and Empassion’s palliative and hospice services, both organizations are working to eliminate that gap. 

Researchers at University of Pittsburgh target managed care (The state of hospice: Impacts on equity, quality, and nursing-an AAN consensus paper): managed care Insurance Newsnet; by a news reporter-staff news editor at Insurance Daily News; 4/24/26 ... This consensus paper examines the current state of hospice care in the US and the impact of changing hospice business models on health equity, healthcare quality, and nursing practice. Review of current literature and government policy statements related to hospice care and payment. Recommendations include updating policies to account for private equity involvement, evaluating current quality measures, addressing the existing Medicare Hospice Benefit, ensuring transparency and oversight for hospice agencies, and ensuring patient and caregiver education about hospice services.

Building empathy for dementia patients The Vindicator; by Susan Wojnar; 4/24/26 As dementia rates continue to climb across Ohio — particularly in the Mahoning Valley — a new hands-on training is helping caregivers and community members better understand what it’s like to live with the condition. ... Mahoning County ranks fourth in the state for the highest percentage of seniors living with Alzheimer’s or dementia. Approximately 6,000 residents age 65 and older — about 12.1% of that population — are affected. ... In response to the growing need for caregiver support and education, Ohio Living Home Health & Hospice has introduced a new training program called Dementia Live. ...

[Canada] Palliative Care Coalition of Canada (PCCC) Blueprint for Action 2025-2030 Palliative Care Coalition of Canada (PCCC); 4/24/26 The Palliative Care Coalition of Canada (PCCC) released the Blueprint for Action 2025–2030, a national roadmap that identifies key priorities needed to ensure that more people in Canada have access to high-quality, culturally safer, and affordable palliative care. 

Second-generation antipsychotics for depression in serious illness: A first-line augmentation strategyJournal of Pain & Symptom Management; by Gregg Robbins-Welty, Mia Pattillo, Danielle Chammas, Karolina Sadowska, Cara L McDermott, Nneka Ufere, Jason A Webb, Daniel Shalev; 3/26Depression in serious illness is common, disabling, and often requires rapid improvement. In the psychiatric literature, SGA [second-generation antipsychotics] augmentation improves response and remission rates ... , with onset of improvement within 1-2 weeks. Monotherapy is less well tolerated and not guideline-recommended. No RCTs have evaluated SGAs specifically for depression in serious illness, but numerous cancer trials support their safety for nausea, appetite, and other symptoms. Despite the absence of serious illness-specific psychiatric trials, SGAs have the strongest evidence base among augmentation options and may offer meaningful benefits when prognosis or symptom severity necessitates rapid improvement. Low-dose augmentation should be considered early, rather than only after multiple failed antidepressants, particularly when SGAs can also target co-occurring physical symptoms relevant to palliative care.

Palliative care market: expanding healthcare focus on quality of life BriefingWire.com; Press Release; 4/23/26 Palliative Care Market is witnessing steady global growth due to the rising prevalence of chronic and life-limiting diseases such as cancer, cardiovascular disorders, respiratory illnesses, and neurodegenerative conditions. ... Technological advancements, such as telemedicine and remote patient monitoring, are further reshaping the palliative care landscape. These innovations allow healthcare providers to deliver continuous care to patients in remote or underserved areas, improving accessibility and reducing hospital dependency. Integration of digital health platforms is also enhancing coordination between multidisciplinary care teams, ensuring better patient outcomes.

End-of-life guidelines [in the ICU] emphasize unified care American Association of Critical-Care Nurses, in "Clinical Voices April 2026"; 4/21/26 New guidelines for end of life (EOL) care in the ICU call for clearer communication with families, stronger support for decision making and coordinated teamwork across disciplines to align treatments with what patients can realistically achieve and reduce suffering. “Society of Critical Care Medicine Clinical Practice Guidelines on Adult End-of-Life Care in the ICU ,” in Critical Care Medicine, highlights the need for standardized processes, including identifying legal surrogates, using shared decision making tools and adopting protocolized withdrawal pathways. Additional priorities include early palliative care involvement, spiritual support and focused education to reduce conflict. Recommendations are summarized in three major areas:

Introducing palliative care: Family caregivers’ knowledge, exposure, and preferred messagingAmerican Journal of Hospice & Palliative Medicine; by Elaine Wittenberg, Joy V. Goldsmith, Sierra Forrest, Hanna G. Lee, Eva YN Yuen; 3/26Most family caregivers have never heard of palliative care, making it challenging for clinicians to introduce the subspecialty. Semi-structured phone interviews with family caregivers of patients eligible to receive palliative care were conducted. Knowledge of palliative care was significantly associated with having heard about and being offered palliative care. Caregiver exposure to palliative care was associated with age and race, with older, White caregivers significantly more likely to have heard about palliative care compared to Hispanic caregivers. Caregivers positively endorsed all message strategies designed for introducing palliative care.

Family perceptions of palliative care consultations for nursing home residents BMC Palliative Care; by Alfred Boakye, John Cagle, Gretchen Tucker, Mary Ersek, Alexander C. Floyd, Hanley Elftmann, Peiyuan Zhang & Kathleen T. Unroe; 4/16/26 Results: ... Four interaction themes emerged regarding palliative care consultations interactions: they (1) promoted physical comfort, (2) supported family members, (3) attended to residents’ social needs, and (4) provided next steps/care planning. Four themes on perceived benefits of consultation visits were identified. Visits (1) improved residents’ quality of life, (2) provided recommendations/referrals, (3) kept family members informed, and (4) supported family members.

Tuesday Health expands national footprint with Humana partnership to advance value-based palliative care PR Newswire, Houston, TX; by Tuesday Health; 4/14/26Tuesday Health today announced a new partnership with Humana Inc. (NYSE: HUM) to expand access to value-based palliative care for Texans living with serious illness, marking another step in the company's growing national footprint. Launching June 1, the program will support eligible Humana members and their caregivers ... Through the partnership, eligible Humana members will gain access to Tuesday Health's interdisciplinary care teams, including nurses, social workers, nurse practitioners and physicians.

“Transitions Supportive Care” program undergoes name change to “Big Bend Palliative Care” Big Bend Hospice; Press Release; 4/13/26 Big Bend Hospice announced today that its Transitions Supportive Care program will be renamed Big Bend Palliative Care, effective June 1, 2026. The name change reflects a strategic effort to align the program more closely with the Big Bend Hospice organization and the broader Big Bend Health system while providing greater clarity about the services offered. While the name is changing, the care remains the same, delivered by the same experienced team with a continued focus on comfort, support and quality of life.