Literature Review

Finding solutions: Augusta nurse opens new end-of-life care facility WRDW/WAGT News Stations, Augusta, GA; by Zayna Haliburton; 1/12/26 A hospice nurse is opening Augusta’s first inpatient hospice home, giving families a new option for end-of-life care. Stacia Sirull, a hospice nurse, is opening the Augusta Inpatient Hospice Home. The facility will feature hummingbird decorations throughout. “My sister passed away a couple of years ago. She died in a hospice house in Kentucky and loved humming birds. When I decided to do this I was like we are just going to put humming birds everywhere,” Sirull said. ... The Augusta Inpatient Hospice Home will have six rooms added to the existing building. Sirull said there will always be one bed available for someone who doesn’t have the finances or insurance to cover the stay.

Governor Hochul unveils proposals to increase support and resources for New York’s older adults 2026 State of the State - Health, Albany, NY; Press Release; 1/13/26 Governor Kathy Hochul today proposed a series of initiatives to support older New Yorkers as part of her 2026 State of the State. The Governor’s investments will help older New Yorkers, caretakers, and communities by connecting them to key resources so seniors can age in place, at home, in the communities they know and love.

[United Kingdom] One in five hospice beds closed, report warns in end of life care crisis Express - Health and Social Affairs; by Lucy Johnston; 1/10/26 Almost one in five hospice beds in England is now closed or standing empty, despite growing demand for end-of-life care, a study by Oxford University researchers has found. The analysis exposes a deepening funding crisis in the hospice sector - which its authors have described as “a national scandal.” ... [Oxford University professors describe that] ... increasing numbers of frail and elderly patients are dying “in pain, alone, often hungry and dehydrated,” while others are being admitted to hospital in emergency situations, adding pressure to already stretched NHS services.

Central Coast VNA & Hospice expands senior care services to meet growing in-home demand EIN Presswire, Montery, CA; by Core6 Marketing; 1/8/26 Central Coast VNA & Hospice is responding to rising community demand for in-home senior care by strengthening its continuum of services across Monterey, San Benito, Santa Cruz, and South Santa Clara Counties.  With a 75-year history serving California’s Central Coast, the organization now offers a range of in-home medical and supportive services, including:

Palliative care integration in oncology: A review and updateJournal of Hospice & Palliative Care; by Claire Wang, Thomas W LeBlanc; 12/25Palliative care (PC) is increasingly recognized as an essential component of high-quality cancer care, with evidence from randomized trials and meta-analyses demonstrating that it improves quality of life, mood, and goal-concordant end-of-life care. Despite these benefits, PC integration has been inconsistent, with many patients still receiving PC later in their disease course. Current models of integration include outpatient co-located PC clinics, inpatient consultation services, community- and home-based programs, and more recent innovations, such as telehealth and stepped approaches. Symptom control, coping support, longitudinal communication, and existential or spiritual interventions are among the active ingredients that are most consistently associated with improvements in patient outcomes. Implementation of precision PC requires embedding validated patient-reported outcomes and structured referral algorithms into oncology workflows, enabling real-time triage of targeted interventions.

“Can We Talk?” A community-based training to improve serious illness communication Home Healthcare Now; by Ashley Kaminski Petkis, DNP, APRN, AGACNP-BC and Eric Hackenson, DPT; Jan/Feb 2026 Serious illness conversations (SICs) are often delayed or avoided in community-based healthcare due to clinician discomfort and lack of training. Given that many patients wish to die at home, yet often do not, there is a need for structured communication training in home care and hospice settings to ensure the care we provide aligns with patient and family preferences. ...  By embedding SIC training within a community-based organization, this work demonstrated how modest interventions can catalyze a change in practice, reinforcing the idea that SICs are a standard of quality care rather than an optional enhancement.

More services at Central Missouri hospital fall victim to economic pressures News Tribune, Kansas City, MO; by Meg Cunningham; 1/4/26 Fitzgibbon Hospital, a Central Missouri health care system, announced recently that it would shutter some services effective Dec. 31, citing mounting financial pressures. The nonprofit hospital said the closures will affect about 30 employees and hundreds of patients. Fitzgibbon, located in Marshall, operates several primary and specialty care clinics in Central Missouri. Services that are closing include the Grand River Medical Clinic in Brunswick, Fitzgibbon Family Health in Fayette, the hospital's inpatient behavioral health unit, a home health and hospice agency and a pain management clinic.  

Dying with dignity - personal perspective: The sacred ending we don’t talk about enough. Psychology Today; by Cynthia Chen-Joea DO, MPH, FAAFP, DABOM; 12/24/25 In the U.S., we spend enormous amounts of energy keeping people alive, curing, fixing, and prolonging life at all costs. What we rarely talk about is how people die. And more importantly, how poorly our system supports them when the end is clearly approaching. ... [Background story about her dad's Parkinson's and eventual death] ... Then came our request for hospice. After an evaluation, we were told he didn’t “qualify” because he had gained some weight and his albumin levels were “too high.” An arbitrary checklist, based on labs values, prevented him from getting into hospice. [Keep reading] So we tried for palliative care instead. I made call after call, only to be bounced between departments, many unclear on the difference between hospice and palliative care, ... Even as a physician, I was stunned by how many barriers we encountered simply trying to do the most humane thing: to advocate for dignity, comfort, and respect at the end of my father’s life.

Ready or not: Rapp at Home program is changing aging’s last chapter Rappahannock News, Washington, VA; by Daphne Hutchinson; 1/4/26 Huntly resident Gwen Bates is good at getting people together. So when Rapp at Home (RaH), the county’s “senior village,” learned of a new program designed to help older adults navigate and plan for later life, Bates volunteered to organize the multi-faceted effort in Rappahannock.  “She took the ball and ran with it,” RaH president Joyce Wenger says. Called Ready or Not (RON), the program was developed by Queen Anne’s at Home (QAH), a senior village located in Queen Anne’s County, Md. on the Eastern Shore of the Chesapeake Bay.

CAPC fireside chat: Leading through change and uncertainty in palliative careAmerican Academy of Hospice and Palliative Medicine (AAHPM) and Center to Advance Palliative Care (CAPC); to be presented by Brynn Bowan, MPA, Rikki Hopper, FNPT-C, MBA, Kristina Newport, MD, FAAHPM, and R. Sean Morrison, MD; retrieved 1/2/26, to be presented 1/14/25, 3:00-4:00 ESTPeriods of organizational or environmental change can test even the most experienced leaders. ... In this fireside chat, national leaders from CAPC, AAHPM, HPNA, and the Ichan School of Medicine at Mount Sinai will reflect on how palliative care leaders can stay grounded and effective during times of uncertainty—maintaining clarity, confidence, and compassion while advancing the field. Attendees will explore strategies to sustain team morale and well-being, foster collaboration across disciplines, and keep equity, quality, and patient-centered care at the heart of their work. The discussion will also highlight emerging opportunities for innovation, research, and shared leadership as palliative care continues to evolve within a changing health care landscape. [Registration is free.]

Fourth temporary extension of COVID-19 telemedicine flexibilities for prescription of controlled medications Federal Register - The Daily Journal of the United States Government; A Rule by the Drug Enforcement Administration and the Health and Human Services Department on 12/31/2025 AGENCY: Drug Enforcement Administration, Department of Justice; Substance Abuse and Mental Health Services Administration, Department of Health and Human Services. ACTION: Temporary rule. SUMMARY: The Drug Enforcement Administration (DEA) jointly with the Department of Health and Human Services (HHS) is issuing a fourth extension of telemedicine flexibilities for the prescribing of controlled medications through December 31, 2026. DATES: This rule is effective January 1, 2026 through December 31, 2026.