Literature Review

All posts tagged with “Clinical News | Patient Safety.”



An Anderson Township nursing home patient died of natural causes — until the coroner called it homicide

01/23/26 at 03:00 AM

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.

Read More

Patients' perceptions of autonomy in palliative care: Two patient interview exemplars

01/23/26 at 03:00 AM

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.

Read More

What I see at the end of life as homelessness rises in Ohio: Holly Klein

01/22/26 at 03:00 AM

What I see at the end of life as homelessness rises in Ohio: Holly Klein Cleveland.com, Cleveland, OH; by Holly Klein; 1/18/26 As a former in-home hospice nurse and now executive director of Grace House Akron, I have witnessed firsthand what happens when Ohioans fall through every crack in our healthcare and housing systems. ... Every day, I see the human reality behind the numbers ... Dignity at the end of life should not depend on having an address. Before Grace House opened, people experiencing homelessness often died alone, in undignified conditions -- or worse, on the streets. Providing a warm bed, a safe room, a hand to hold and someone to bear witness to a person’s final days should be a moral commitment shared across Ohio. Dignity is not a luxury; it is a right.

Read More

How physical therapy supports comfort and connection in hospice care

01/14/26 at 03:00 AM

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.

Read More

A woman in hospice granted a wish of one last swim

12/24/25 at 01:50 AM

A woman in hospice granted a wish of one last swim WEAU-13 News, Bloomer, WI; by Danile Gomez; 7/16/25 Often times the small things are taken for granted. Like a dip in the pool. For Barbara Melby, it was on the final list of things to do as she lives out her time in hospice care. “Barbara has been doing pretty well. She has had some fatigue and some tiredness,” said Leah Grace, the registered nurse with St. Croix Hospice assigned to Melby’s case. ... Grace worked hard to make sure Melby’s last dip in the pool would come to fruition. She cleared it with Melby, her family and the managers at the hospice center. The aquatic center helped in granting the wish too. ... “The way the chair put me in down the water was very nice,” said Melby. Of those in Melby’s family that jumped in the pool with her included Stoll and her kids Colby, Sydney and Brody. “I grew up swimming in my grandmother’s pool. ...” said Stoll. She is happy to be there for her grandmother’s last swim. “Just a pretty special memory we will all hold on to for a pretty long time.” Melby was a swim instructor, ... It was something she always loved and it made her happy to have had her wish granted.

Read More

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

12/19/25 at 02:00 AM

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.

Read More

Accompanying Dad on his final journey: View from the treehouse

12/04/25 at 03:00 AM

Accompanying Dad on his final journey: View from the treehouse Catholic Review; by Barb Arland-Fye; 12/1/25 Dad seemed preoccupied when we arrived at my parents’ home on a Saturday night in late September. Newly diagnosed with a fast-moving cancer, he had chosen to forgo chemotherapy for in-home hospice care, but “what-if” questions filled his mind. ... [Scroll ahead to hospice care at home.] We were determined to help Mom (and my siblings) accompany Dad on his final journey to heaven’s gate and we did, in his favorite space, a four-season room the grandkids affectionately named “The Treehouse” for its view of the woods. This is the room where Dad engaged in his favorite pastimes — reading and bonding with his kids and grandkids while urging on his beloved Minnesota Vikings, Gophers and other teams. ... The death rattle ceased and the quiet seemed deafening. Dad died at 6:40 a.m. Oct. 3, with my mom, Tim, and Steve and I at his side. We are grateful his suffering had ended but heartbroken to lose him. Sixty-seven years ago, Dad welcomed me into the world after an hours-long wait for Mom to give birth to their first child. I had the privilege of accompanying him on his journey out.

Read More

“I was horrified”: 34 surgeons and doctors recall their worst mistakes

11/21/25 at 02:00 AM

“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:

Read More

Preventing falls and hospitalizations: Bayada launches the first AI-enhanced home care model

11/20/25 at 02:00 AM

Preventing falls and hospitalizations: Bayada launches the first AI-enhanced home care model Cision / PR Newswire, Philadelphia, PA; Press Release; 11/13/25 Bayada Home Health Care ... unveiled its Enhanced Quality of Care Model (EQoC), the only approach of its kind to improve safety and health outcomes for aging adults wherever they call home. ... BAYADA's EQoC innovation combines daily nurse oversight with predictive technology to catch risk factors before they escalate and provide timely, appropriate preventative care that helps seniors stay safe and well at home with fewer adverse events.Editor's Notes: Pair this with the article we recently posted, "Why are more older people dying after falls?"

Read More

Ensuring safe, effective transitions to hospice

10/27/25 at 03:00 AM

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.

Read More

An age-old fear grows more common: ‘I’m going to die alone’

10/22/25 at 03:00 AM

An age-old fear grows more common: ‘I’m going to die alone’ Miami Herald; by Judith Graham, Kaiser Health News; 10/17/25 This summer, at dinner with her best friend, Jacki Barden raised an uncomfortable topic: the possibility that she might die alone. “I have no children, no husband, no siblings,” Barden remembered saying. “Who’s going to hold my hand while I die?” ... It’s something that many older adults who live alone — a growing population, more than 16 million strong in 2023 — wonder about. ... More than 15 million people 55 or older don’t have a spouse or biological children; nearly 2 million have no family members at all.

Read More

[England] Ambulance team uses advanced ultrasound to help frail patients avoid hospital trips

10/20/25 at 03:00 AM

[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.

Read More

Traumatic brain injury in late life tied to elevated dementia risk

10/20/25 at 03:00 AM

Traumatic brain injury in late life tied to elevated dementia risk Medscape; by Liz Scherer; 10/13/25 Traumatic brain injury (TBI) in late life is associated with a significant increase in the risk for new-onset dementia. The risk is especially elevated (by as much as 69%) within the first 5 years following the injury, according to newly published study findings. Though TBI, which results from direct impact or indirect force to the head, has long been recognized as a midlife risk factor for dementia, the risk that TBI poses in adults aged 65 years or older has been unclear.

Read More

An age-old fear grows more common: 'I'm going to die alone'

10/13/25 at 03:00 AM

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.]

Read More

Why are more older people dying after falls?

10/08/25 at 02:00 AM

Why are more older people dying after falls? KFF Health News; by Paula Span; 9/30/25 ... Public health experts have warned of the perils of falls for older people for decades. In 2023, the most recent year of data from the Centers for Disease Control and Prevention, more than 41,000 Americans over 65 died from falls, an opinion article in JAMA Health Forum pointed out last month. More startling than that figure, though, was another statistic: Fall-related mortality among older adults has been climbing sharply. ... [Death] rates from fall injuries among Americans over 65 had more than tripled over the past 30 years. Among those over 85, the cohort at highest risk, death rates from falls jumped to 339 per 100,000 in 2023, from 92 per 100,000 in 1990.  ...

Read More

How personalized medicine empowers patients and cuts healthcare costs

10/05/25 at 03:00 AM

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:

Read More

Adult Protective Services work with clients at the end of life: Challenges and support needs

10/04/25 at 03:30 AM

Adult Protective Services work with clients at the end of life: Challenges and support needsJournal of Elder Abuse and Neglect; by Wei-Lin Xue, Joy Swanson Ernst, Pi Ju Liu; 9/25Adult Protective Services (APS) professionals frequently interact with clients who are seriously ill or dying as they investigate cases of elder abuse and self-neglect. This study explored the unique challenges and support needs of APS workers in these end-of-life contexts. Thematic analysis identified two overarching domains: (1) challenges – including family conflict, limited caregiver preparedness, client self-determination, challenges to service access, and emotional strain on professionals; and (2) support needed – such as improved interagency collaboration, peer and organizational support. Participants emphasized the emotional toll of witnessing client decline and death, and highlighted gaps in training, coordination, and workplace support. Findings highlight the need for targeted policy and practice reforms to better equip APS professionals addressing elder abuse and self-neglect at the end of life.

Read More

Serious falls resulting in hospitalization among Medicare-enrolled nursing home residents, July 2022–June 2023

09/22/25 at 03:00 AM

Serious falls resulting in hospitalization among Medicare-enrolled nursing home residents, July 2022–June 2023HHS Office of the Inspector General; Report number: OEI-05-24-0018; 9/18/25This OIG data snapshot accompanies the report, Nursing Homes Failed To Report 43 Percent of Falls With Major Injury and Hospitalization Among Their Medicare-Enrolled Residents, OEI-05-24-00180. The snapshot found that between July 1, 2022, and June 30, 2023, more than 42,000 Medicare-enrolled nursing home residents experienced serious falls resulting in major injury and hospitalization, and 1,911 died during their hospital stays. The data indicated that most residents had known fall risk factors prior to their injuries, and falls were more common among female, older, and short-stay residents. Nursing homes with lower nurse staffing levels and lower quality ratings had higher fall rates. These preventable events reduced residents’ quality of life and cost Medicare and enrollees over $800 million, underscoring the need for stronger fall prevention and quality improvement efforts in nursing homes. 

Read More

Nursing homes failed to report 43 percent of falls with major injury and hospitalization among their Medicare-enrolled residents

09/22/25 at 03:00 AM

Nursing homes failed to report 43 percent of falls with major injury and hospitalization among their Medicare-enrolled residents HHS-OIG; Report number: OEI-05-24-00180; 9/18/25  

Read More

What makes a good death?

09/22/25 at 02:00 AM

What makes a good death? GeriPal - A Geriatrics and Palliative Care Podcast for Every Healthcare Professional; by Alex Smith with Karen Steinhauser, Rasa Mikelyte and Edison Vidal; 9/18/25What is a “good death”? How should we define it, and who gets to decide? Is the concept of a “good death” even useful? ... In today’s podcast, we are honored to have Karen join us to discuss this pivotal study and the nature of a “good death”. We are also joined by Rasa Mikelyte and Edison Vidal, co-authors of a recent study comparing the perspectives of people with dementia in the UK and Brazil on what constitutes a good death. In addition to exploring the nature of a good death and their individual studies, we will discuss:

Read More

An organ donor saved my life. But fear of unlikely botched donations hurts others.

09/19/25 at 03:00 AM

An organ donor saved my life. But fear of unlikely botched donations hurts others.  USA Today; by Kaitlyn Wells; 9/18/25 As someone who is alive today because of an organ donation, I was alarmed by the news that Donate Life America, a nonprofit that oversees a national registry of organ donors, saw a 700% increase in donor registration withdrawals since July. That startling drop in donors followed reporting by The New York Times offering horrifying details of how in extremely rare instances, teams rushed to secure organs from patients who still showed a flicker of life. 

Read More

Wound care at Sheridan VA gives 95-year-old Veteran a second chance: Veteran removed from hospice care at Sheridan VA after wounds heal

09/17/25 at 02:30 AM

Wound care at Sheridan VA gives 95-year-old Veteran a second chance: Veteran removed from hospice care at Sheridan VA after wounds heal VA News; by Jesus Flores; 9/12/25 When 95-year-old Air Force Veteran Roy Clifton arrived at Sheridan VA Medical Center (SVAMC) in March 2025, he thought he didn’t have much time left. “I had a bone infection in both feet and could barely walk,” he said. “Then I had a fall that caused a bleed in my brain. That’s when I decided to call it quits and go to hospice.” ... [Scroll ahead to this hospice's expert wound care.] Although both feet had exposed bones, and the injuries looked and smelled bad, Clifton’s body was healing. ... Clifton’s condition improved so much, he was taken off hospice care. “It made me feel great to survive hospice,” he said, smiling. “They’re all great. The staff took good care of me.”

Read More

New van opens doors for Hospice of West Alabama clients

09/11/25 at 03:00 AM

New van opens doors for Hospice of West Alabama clients Tuscaloosa News, Tuscaloosa, AL; by Gary Cosby, Jr.; 9/8/25 A new Hospice of West Alabama transport van is rolling through the streets, courtesy of the generosity of community donors. Hospice Executive Director Latrelle Hallum said the new vehicle will greatly expand the services they can offer to their clients. Before purchasing the new Toyota Sienna minivan, the organization did not have the ability to take clients places they needed to get to. "It's going to allow us to do a lot of extras. We will do Christmas lights tour for our patients and families in December, take them to graduations, or to see a newborn baby, or a Thanksgiving gathering, or to doctor's appointments. The only requirement is that it is not an ambulance. We can only transport people who are in a wheelchair," Hallum said.

Read More

CDC Releases 2025/2026 flu vaccine recommendations

09/10/25 at 03:00 AM

CDC Releases 2025/2026 flu vaccine recommendations LeadingAge; Press Release; 9/3/25 The Advisory Committee for Immunization Practices (ACIP) at the Centers for Disease Control & Prevention (CDC) on August 28, 2025 approved recommendations for flu vaccines for the 2025/2026 flu season. ... A key concern for LeadingAge members is whether COVID vaccine will be available for adults working in LeadingAge member communities who may choose vaccination, as it is widely believed that Medicare and private insurances will likely cover vaccines only for populations for which the shot is recommended. ... At this time, a flu vaccine is recommended for all individuals over the age of 6 months, with high-dose or adjuvanted flu vaccines recommended for individuals aged 65 years and older. Flu season is considered to run October 1 – March 31 each year ...

Read More

Irish man uses ChatGPT for sore throat advice, later diagnosed with stage 4 cancer

09/08/25 at 03:00 AM

Irish man uses ChatGPT for sore throat advice, later diagnosed with stage 4 cancer TimesNow; by Ashima Sharda Mahindra; 9/1/25 A 37-year-old Irish man from Kerry sought advice on ChatGPT on chronic sore throat and swallowing difficulties – and was ultimately diagnosed with stage 4 esophageal adenocarcinoma, a rare and aggressive throat cancer. Warren Tierney said ChatGPT had reassured him that cancer was “highly unlikely,” which led him to a delay in seeking professional medical care. Months later, Warren was diagnosed with cancer, which has a five-year survival rate between five and ten per cent globally.

Read More