Literature Review

Doing everything FOR the patient, not TO the patient HIStalk - Healthcare IT News & Opinion; by Nassib Charmoun; 2/23/26 “Do as much as possible for the patient and as little as possible to the patient.” That single sentence, written by Bernard Lown, MD in “The Lost Art of Healing,” should serve as a universal guide to thinking about medicine, caregiving, and what it truly means to heal. Dr. Lown was my mentor beginning in my early 20s and remained a close friend until his death in 2021 at age 99, He was decades ahead of his time. He believed that medicine should integrate scientific rigor with moral imagination, and that clinical excellence without compassion is incomplete care. ... Increasingly, the evidence suggests that quality of life, not simply quantity of life, must be the defining outcome.

Embedding care in the ED: Liz Goldberg and Lauren Southerland GeriPal; podcast by Alex Smith with Dr. Liz Goldberg and Dr. Lauren Southerland; 2/12/26 The idea of embedding various forms of non-emergency care in the emergency department makes a WORLD of sense.  If an older adult comes into the ED with a fall, the minimum the ED has to do is address the fall injury and send them out. But many emergency providers realize this is often a band aid.  They see that patient again the next time they fall.  And again.  And again.  The same could be said for the patient who is malnourished and dehydrated and admitted for “failure to thrive,” again. And again. Our two guests today, Liz Goldberg and Lauren Southerland, both emergency medicine physician-researchers, have had enough.  ...

“This is what loneliness looks like”: A description of a high-risk population of palliative and oncology patients American Journal of Hospice and Palliative Medicine; by Tamia Ross, MSPH, Ruwanthi Ekanayake, BA, Lucy Rabinowitz Bailey, MPH, Kain Kim, MD, and Emily Pinto Taylor, MD; 1/9/26 Background: Loneliness exacerbates symptom burden and reduces quality of life in serious illness. Social prescribing–linking patients to non-clinical community activities–offers a novel approach to address loneliness in palliative care. Results: Most patients were older, non-Hispanic Black women experiencing financial strain, food insecurity, and transportation barriers. Anxiety exceeded depression severity; mood disorders, loneliness, and social isolation were leading referral reasons.

Participants praise palliative care program for the homeless Medscape; by Kate Johnson; 1/26/26 Patient perspectives about a palliative care outreach intervention for adults experiencing homelessness are overwhelmingly positive, according to a qualitative, descriptive study of the Palliative Education and Care for the Homeless (PEACH) program in Toronto. “While previous research suggests persons experiencing homelessness emphasize symptom management needs at the end of life, our findings also underscored unmet primary care, medical supply, and psychiatric needs,” wrote lead author Alexander R. Levesque, MD, of the Dalla Lana School of Public Health at the University of Toronto, and coauthors. 

An Anderson Township nursing home patient died of natural causes — until the coroner called it homicide ABC WCPO-9, Cincinnati / Anderson Township, OH; by Dan Monk; 1/21/26 An Anderson Township nursing home is under scrutiny after a patient’s death was changed from natural causes to homicide by the Hamilton County Coroner. Robert Meyer was a patient at Forest Hills Healthcare Center, ... He died on Sept. 6, 2025, soon after being transferred to a hospice facility in Blue Ash. No autopsy was conducted because the original death certificate said Meyer died of natural causes. However, as his funeral approached, his daughter raised concerns about his care at Forest Hills. Tammy Maham sent the coroner pictures of neck bruises that Meyer incurred in the days before his death. That led to Meyer’s disinterment, a Sept. 22 autopsy and a revised death certificate that lists “physical elder abuse” as the immediate cause of death by homicide.

Patients' perceptions of autonomy in palliative care: Two patient interview exemplars Palliative Care and Social Practice; by Kristen Tulloch, Julia Acordi Steffen, John P Rosenberg; 1/19/26 Results: Four themes were identified: (a) my involvement in healthcare decisions, (b) change to my autonomy during illness progression, (c) self-assessing my abilities to exercise autonomy and (d) my coping mechanisms for loss of autonomy. Palliative care patients perceived and managed their autonomy amidst their illnesses, revealing a sense of loss of autonomy extending beyond healthcare into many daily activities. Participants wished to exercise autonomy in nuanced ways, varying in intensity across many aspects of their lives, underscoring the importance of recognising and respecting individuals' wishes for autonomy.Editor's Note: The authors’ focus on coping with loss of autonomy is essential. As illness progresses, autonomy can erode not only in medical decisions but across daily life, identity, and meaning—losses that are too often overlooked in clinical care. The frequently misapplied “Five Stages of Grief” can further blur this reality, reducing complex, personal experiences to linear expectations not supported by contemporary grief research. Understanding how patients adapt to loss of autonomy is foundational to truly person-centered palliative care.

How physical therapy supports comfort and connection in hospice care CBS News Baltimore, Baltimore, MD; by LifeBrdge Health; 1/13/26 ... Physical therapy in hospice looks different from traditional rehabilitation. Instead of focusing on long-term recovery, it centers on day-to-day steadiness and comfort. Every visit is shaped around what the patient feels able to do that day. "I try to emphasize what patients can do versus what they can't," Jennifer says. "Big goals can always be broken into smaller and more manageable steps." Therapy commonly supports three important areas.

Is moral adequacy possible in the face of structural disadvantage? The experiences of health and social care staff in supporting homeless people using substances at the end of life Palliative Care and Social Practice; by Gary Witham https, Gemma Anne Yarwood, Sarah Galvani, Lucy Webb, and Sam Wright; 11/26/25 Background: Homeless people using substances at the end-of-life face many challenges in accessing and receiving good care. These can relate to poor interdisciplinary working by health and social care practitioners, stigma and structural disadvantage. Results: The data analysis resulted in three key discourse positions relating to how practitioners position themselves in relation to the practice challenges of supporting homeless people using AODs and approaching end of life. These were as follows: (i) what constitutes a good death and where, (ii) the limitations of professional boundaries and (iii) maintaining moral adequacy in the face of traumatic death.

“I was horrified”: 34 surgeons and doctors recall their worst mistakes BoredPanda; by Justin Sandberg; 11/19/25 Someone asked “Medical professionals, what mistake have you made in your medical career that, because of the outcome, you've never forgotten?” and people shared their stories from fortunately comical to downright grim. ...#4.  I work in palliative care, ... I knew he wanted to be a DNR (do not resuscitate). I wrote it on my note. But I didn't re-fill out the hospital paperwork. The next day, I got to work to discover he'd been coded and was on a ventilator in the ICU. Instead of passing peacefully, his wife had to make the decision to turn off life support.  ...Editor's Note: Entry #20 comes from a hospice nurse describing a patient with severe bone pain started on morphine—then an out-of-town daughter arrived, shocked to see “Daddy on morphine.” What unfolded was realistic and tragic. This story highlights two timely essentials:

Ensuring safe, effective transitions to hospice Hospice News; by Jim Parker; 10/22/25 Trust, coordination among staff and speedy processes are essential to hospice referral management. This is according to new research from Transcend Strategy Group. For the consulting firm’s most recent Insights Report it conducted in-depth interviews with hospice admissions and business development professionals to identify recurring themes, barriers and opportunities. ... “We have to remember that for the person calling this is probably one of the worst days of their life — if it’s a family member, or if they’re calling on behalf of themselves — and they need help urgently,” Tony Kudner, chief strategy officer for Transcend Strategy Group, told Hospice News.

[England] Ambulance team uses advanced ultrasound to help frail patients avoid hospital trips Emergency Services Times; by James Devonshire; 10/16/25 The East of England Ambulance Service (EEAST) is using cutting-edge medical technology to help elderly and end-of-life care patients receive treatment in their own homes, reducing the need for hospital admissions. The service’s advanced practice (urgent care) team has introduced point of care ultrasound (POCUS)—a portable diagnostic tool previously reserved for critically ill patients—to assess bladder and urinary conditions safely and effectively in community settings. Using the handheld Butterfly ultrasound device, paramedics can perform scans and interpret results via software on iPads, allowing for faster and more accurate diagnoses.

An age-old fear grows more common: 'I'm going to die alone' The Washington Post; by Judith Graham; 10/11/25 As families fracture, people are living long and are more likely to find themselves without close relatives or friends at the end of their lives. [Full access may be limited by a paywall.]

How personalized medicine empowers patients and cuts healthcare costs Becker's Hospital Review; by Mary Sirois; 10/1/25 ... How do we unlock a new era of healthcare excellence? The answer lies in a fundamental shift: personalized care delivered within a truly patient-centered framework that improves satisfaction for patients and clinicians while enabling better clinical, operational, and financial outcomes across the healthcare ecosystem. ... Imagine a healthcare system where: