Literature Review

Dignity shouldn’t depend on having an address: Holly Klein The Plain Dealer, Cleveland, OH; by guest columnist Holly Klein; 7/5/26 As a hospice nurse for more than 25 years, I’ve cared for people surrounded by family -- and I’ve cared for people who had no one. Today, as executive director and co-founder of Grace House Akron, I care for people who are experiencing homelessness, abandonment or extreme social isolation at the end of life. We provide a home and hospice care at no cost because we believe one simple truth: No one should die alone. I've cared for people living in motels, sleeping in shelters, staying in abandoned buildings or moving from one temporary place to another while facing a terminal illness. ... Hospice is not a place -- it's a model of care. But our healthcare system assumes everyone has somewhere safe to receive it. Many people don't.

HMN 2026: How AI in nursing raises questions about safety, ethics, and human care Health Medicine Network; by University of Pennsylvania, George Demiris et al; 6/26/26 As artificial intelligence systems spread through hospitals and clinics, a growing debate is emerging over whether the technology will ultimately strengthen nursing care—or gradually replace parts of it. That tension is at the center of a new University of Pennsylvania School of Nursing report, “Artificial Intelligence and Nursing Science: Opportunities, Challenges, Implications, and Guidelines,” published in Nursing Outlook. The paper warns that while AI could reduce paperwork and improve patient monitoring, it also raises concerns about bias, accountability, patient privacy and whether hospitals may view some nursing functions as replaceable.

During Garden Grove evacuations, did seniors and people with disabilities get out safely? The Almanac; by Kelley Barrett; 6/16/26 When officials ordered tens of thousands of residents to evacuate during the Garden Grove chemical emergency in Orange County last month, the instruction sounded simple: leave now. But for many Californians, leaving is not simple. For some, it is impossible without help. Think about the bedridden senior who relies on a caregiver to be turned, cleaned, fed and medicated. What happens to the disabled resident whose power wheelchair cannot fit in a regular car, the hospice patient on oxygen, or the medically fragile person who cannot safely sit for hours in a crowded shelter?

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. ..."

Edmond police grant hospice patient’s dream ride-along News9.com, Oklahoma City, Oklahoma; by Micah Wilson; 5/21/26 Olivia Snyder, a 23-year-old Edmond woman receiving hospice care, fulfilled her longtime dream of joining an Edmond police ride-along after years of battling rare medical conditions. ... Snyder said she has admired law enforcement since childhood and even trained to become a private investigator. [Descriptions of her illness ...] Now receiving hospice care through Heart to Heart Hospice, Snyder said she has finally begun to feel seen as a person rather than a patient.

New tech lets home carers and hospice providers communicate better, more safely Columbia Basin Herald Local News, Wenatchee, WA; by Joel Martin; 5/6/26 Anyone who’s ever had to deal with communication between medical providers, home caregivers and Medicare or insurance knows the frustration of trying to get everybody on the same page. A new system debuted by Confluence Health is expected to make those connections easier and safer. “Suppose a patient fell and (injured themselves) and they go in for (treatment),” said Adam MacDonald, corporate communications program manager for Confluence Health. “This is going to make it so their home health and hospice nurses are looking at the exact same record.”

OHSU grapples with falling rank on patient safety measures OPB, Oregon Health & Science University; by Amelia Templeton; 4/27/26 [The context begins with an "abrupt firing" of the CEO for OHSU Health. The excerpt below is further into the article, with relevance for hospice providers and your partnerships with hospitals.] Mortality — the number of observed patient deaths versus the number expected — was the other major contributing factor to OHSU slipping in Vizient’s ranks. Edwards shared several caveats with the board as to why she believes OHSU is performing better than its ranking indicates, particularly on the mortality score. For example, some patient deaths may have been counted differently by Vizient due to the closure of a hospice program. That could account for up to a third of the change in OHSU’s mortality grade, she said. And an internal review of the mortality data suggested that some OHSU patients’ medical charts weren’t accurately capturing how sick or complex they were.

Characteristics of United States Food and Drug Administration drug recalls involving opioid medications, 2002-2025Pharmacoepidemiology and Drug Safety; by Julio C Nunes, Gabriel P A Costa, Joao P De Aquino; 3/26We reviewed more than 20 years of recall data from the United States Food and Drug Administration and found 286 recalls involving seven commonly used opioids, affecting over 350 million tablets, capsules, patches, and injectable products. Nearly half of these recalls occurred because products failed basic quality checks, while others involved incorrect doses, contamination, mislabeling, or defective delivery systems. The most serious recalls, those carrying risk of serious injury or death, were concentrated among fentanyl, morphine, and hydromorphone. Many recall notices lacked important details, including the number of units affected, making it difficult to understand how these issues may impact patients. Our findings show that opioid recalls happen regularly and often reflect manufacturing problems that could influence treatment safety or effectiveness.

[Canada] Cultural safety in practice: Providing quality health care for First Nations, Inuit, and Métis children and youth FreePaediatrics & Child Health; by Emilie Beaulieu, Sara Citron, Ryan Giroux, Cheyenne Laforme, Amber Miners, Brett Schrewe, Elizabeth Sellers; 2/26In Canada, cultural safety in health care has emerged in response to the racism and systemic discrimination that Indigenous peoples often face when accessing care. Grounded in cultural humility, antiracism, and trauma-informed care, cultural safety aims to ensure that Indigenous children and youth receive equitable, quality care. Paediatric health care providers can pursue building a culturally safe practice by applying the ‘learn, self-reflect, and act’ framework. They should also consider the home environment, language, and cultural heritage of each child, youth, and family seen in practice, alongside the barriers to and facilitators of healthy living that Indigenous children and youth experience in Canada. Being mindful of health care system policies and practices—and how they affect patient care both locally and historically—is an important step toward offering culturally safe care in any practice setting.

Sovereign Hospice guides Dallas-Fort Worth families through hospital discharge The Malone Telegram, Aubrey, TX; by Baaba Sampson; 3/12/26 Families facing hospital discharge for a loved one with a terminal illness often feel overwhelmed by the sudden shift in care responsibilities. Sovereign Hospice addresses this challenge by providing seamless coordination between hospital teams and home-based hospice services. The organization serves all counties within the Dallas-Fort Worth Metroplex, offering same-day admission and round-the-clock support.

Investigating the role of occupational therapy in palliative care a literature review Home Healthcare Now; by Carlie Liseo, OTD, OTR/L and Daniel Martin, D.Sc., MS, OTR/L; March/April 2026 ... Three themes regarding the provision of occupational therapy (OT) services to palliative care (PC) patients were identified: engaging in meaningful activities to increase quality of life (QOL), symptom management and comfort, and supporting caregivers and client environments. OT can play a pivotal role in catering to PC clients’ needs by promoting occupational engagement, alleviating symptoms, and modifying environments. This review offers recommendations for OT service provision in palliative care, clarifying the profession’s role within multidisciplinary home healthcare teams.