Literature Review

Why aging parents make DNR choices before crisis strikes Rolling Out 25; by Khalil Best; 3/17/25The conversation typically begins quietly. ... An aging parent mentions their desire for a Do Not Resuscitate order—commonly known as a DNR—and the atmosphere in the room shifts. For many adult children, this moment arrives unexpectedly, triggering complex emotions ranging from denial to grief. Yet these discussions, uncomfortable as they may be, represent one of the most meaningful exchanges families can share. Understanding why many elderly parents choose to sign DNR orders in advance illuminates not just practical healthcare concerns, but deeper values about dignity, autonomy, and what constitutes a meaningful life.

How work in the hospice field differs from hospital work Healthcare Business Today; 3/17/25 ... How work in the hospice field differs from hospital work goes beyond the obvious difference in care settings—it reflects a fundamental shift in approach, focus, and philosophy. Hospice focuses on enhancing quality of life, while hospitals often prioritize life-saving interventions. This contrast not only shapes patient care but also defines the role of the medical teams in these environments.

2024 Alzheimer's Disease Facts and Figures: Mapping a better future for dementia care navigation Alzheimer's Association, Chicago, IL; www.alz.org; 2024 2024 Alzheimer’s Disease Facts and Figures is a statistical resource for U.S. data related to Alzheimer’s disease, the most common cause of dementia. Background and context for interpretation of the data are contained in the Overview. Additional sections address prevalence, mortality and morbidity, caregiving, the dementia care workforce, and the use and costs of health care and services. The Special Report provides a comprehensive look into dementia care navigation, revealing significant insights into the experiences and challenges faced by caregivers and health care workers in helping people living with Alzheimer’s or other dementia navigate the health care system. [Click on the title's link to access and download this 149-page PDF]

Community Hospice & Palliative Care achieves historic milestone, caring for 1,500 patients daily JAX Chamber - Jacksonville News, FL; by Community Hospice & Palliative Care; 3/10/25 Community Hospice & Palliative Care proudly announces a monumental achievement in its 46-year history: surpassing 1,500 patients receiving hospice care in a single day. This makes Community Hospice the largest provider in the local community as well as one of the largest single-site providers in the nation. Nationally, the average hospice provides care to less than 100 patients a day with 63 percent of all hospices with fewer than 50 patients. Beyond this numeric milestone, their focus remains on delivering unparalleled quality, with scores consistently surpassing national benchmarks. 

How Houston Methodist’s ACO reduced its end-of-life spending by nearly 20% MedCity News - Hospitals; by Katie Adams; March 10, 2025 Houston Methodist Coordinate Care is reducing costs through a partnership with Koda Health, a digital platform that guides patients through their end-of-life choices. Preliminary findings show the technology resulted in a 19% reduction in the total cost of care for patients at the end of their life, which equals nearly $9,000 in savings per patient. ... The ACO has been working with Koda Health for more than three years — and it is saving money by getting patients more involved in their end-of-life care plan.

PBS documentary, Going Your Way, premieres nationally March 31 Nine PBS, St. Louis, MO; by Sarah Brandt; 3/11/25 A new documentary produced in St. Louis by Nine PBS, Going Your Way, will get a national premiere on PBS stations across the country on Monday, March 31. It will air locally at 9 p.m. and 10 p.m. Central, following the network’s popular series Antiques Roadshow. The documentary debuted locally on Nine PBS in October 2024. Going Your Way focuses on the personal, medical and spiritual issues surrounding end-of-life care, the options available, and steps that can be taken to put those wishes to practical use. The documentary’s title highlights the active role many people are now taking to ensure their death goes according to their own plans and wishes. The film was produced with expert consultation from the Oasis Institute and features insights from health professionals in St. Louis, ... [and] personal stories of families dealing with these decisions and issues ...

The staging of 'The Story of My Life' at Asbury Memorial filled with serendipitous moments Savannah Morning News, Savannah, GA; by Amy Paige Condon; 3/6/25 ... [Ray] Ellis, a retired music and drama teacher who works now as a caregiver, and fellow church member Dottie Kluttz, a retired hospice nurse, were hanging decorations in Asbury Memorial’s Social Hall. Ellis shared how his dream of producing “The Story of My Life” was back on his mind … A former hospice nurse, Kluttz founded Savannah Hospice’s Story Keeping program in 2001 as a way for people near the end of their lives to share the story of their lives. …  [Click on the title’s link to read the serendipitous, synergistic encounters that unfolded, resulting in shows March 28, 29, 30.] [Upon underwriting for production costs,] Ellis proposed that ticket sales for the musical could serve as a fundraiser for Savannah Hospice’s Story Keeping program and the Michael J. Fox Foundation for Parkinson’s Research—a nonprofit near and dear to Ellis, who was diagnosed about three years ago with the progressive brain disease that causes tremors, stiffness and balance problems. … Stage and film actor Mark Rand, who was diagnosed with Parkinson’s around the same time as Ellis, agreed to portray Thomas to Ellis’s Alvin—even after Rand thought he would never perform again. …

Local pharmacist advising Ohio health director on palliative care Herald-Star, Steubenville, OH; by Christopher Dacanay; 3/10/25 A local pharmacist hopes to “expand utilization” of palliative care in Jefferson County and increase patients’ quality of life from her new position as an adviser to the Ohio Department of Health director. Steubenville resident Mary Mihalyo, doctor of pharmacy, was appointed Dec. 10 to the Palliative Care and Quality of Life Interdisciplinary Council. Bringing her own expertise, Mihalyo joins a diverse, 20-person group of professionals with experience in the provision of palliative care. ... Mihalyo, who founded Steubenville’s A&B Pharmacy with her husband, is the former CEO of Delta Care Rx LLC. She now serves as chief clinical officer for the company, which has been rebranded as Dragonfly Health. ... Her professional work, since [1999], has focused on serving hospice and palliative care patients locally and nationally as part of interdisciplinary teams. ... [Council members] ... actively consult with and advise the director on palliative care initiatives in the state, identify standards of practice, pinpoint initiatives at the state or national level integrating palliative care into the healthcare system and developing its practice and lay out patient identification guidelines for health care providers.

"The hospice heart": Hospice industry battles misconceptions, staffing shortages as expectations grow Pharos-Tribune, Logansport, IN; by  Josh Flynn Pharos; 3/9/25 ... There are a lot of misconceptions about hospice care and one of the largest is that entering hospice care is equal to giving up. ...Hospice care is one of the fastest growing industries as the Baby Boomer generation continues to age. The hospice care industry was valued at $34.5 billion in 2022 and is expected to grow in value to $67.7 billion by 2030. But misconceptions about hospice care and nursing shortages could threaten that future success. ... Maria Rogers is the public relations liaison at Guardian Angel Hospice in Logansport and she has devoted herself to tackling the misconceptions that surround hospice care. ... “You don’t have to be actively passing away to receive our services,” Rogers said. ... Jennifer Edwards, executive director of Heart to Heart in Mishawaka and Logansport, said many families don’t understand the role of medicine in hospice care. While something like chemotherapy would be discontinued, a hospice staff would never discontinue medications or fail to treat new problems that came up. ...

Helios Care honors hospice social workers Allotsego,Oneonta NY; by Dan Ayres, President and Chief Executive Officer of Helios Care; 3/6/25March is National Social Work Month, a time to recognize and honor the invaluable contributions of social workers across the country. The theme for National Social Work Month this year is “Compassion and Action,” which 100 percent sums up our team of social workers at Helios Care, the hospice for Otsego, Delaware and Schoharie counties. All social workers are indeed special, but hospice social work is very unique. ... Hospice social workers at Helios Care are trained to provide a holistic approach to end-of-life care, helping patients and their families navigate emotional, psychological, and practical challenges. Community education, bereavement counseling, bearing witness to those at end of life, practical assistance in the home and advanced care planning are just some of the duties of a hospice social worker. Thank a social worker this month—their work is truly remarkable.

Film: Lives well livedSecond Wave Southwest Michigan and Lives Well Lived; film by Sky Bergman; 3/6/25A Life Well Lived, a series of community meetings and learning opportunities that concludes March 15, and the documentary "Lives Well Lived," by guest speaker Sky Bergman, ... On the film's website, filmmaker Sky Berman describes, "In our society, the elderly are often overlooked. Lives Well Lived celebrates the incredible wit, wisdom, and life experiences of older adults living full and meaningful lives in their later years. Their stories are about perseverance, the human spirit, and staying positive during the great personal and historic challenges. I hope these stories inspire people of every age to achieve the longevity of both health and spirit, and to realize that growing older can be a journey to be celebrated." ... Beginning with its premiere at the Santa Barbara International Film Festival, Lives Well Lived has screened in more than 200 cities. The film has won eight awards, and the theatrical run garnered enthusiastic reviews and a 100% Fresh rating on Rotten Tomatoes. Organizations like Aging 2.0, AARP’s Movies for Grownups, Encore.org, and Leading Age have screened Lives Well Lived. Now the film is available on PBS! Editor's note: Click here for Second Wave Southwest Michigan use of this film for community outreach. Click here for the film's website, Lives Well Lived.

A hospice for kids: Grinnell family eyes Iowa City for state's first pediatric hospice Des Moines Register, Des Moines, IA; by Richard Hakes; 3/6/25 A Grinnell couple’s dream to help other families after they lost their young son to a rare disease took a big step forward in Iowa City just a few days ago. Shanna and Curtis Sieck’s non-profit called Mason’s Light House has signed a contract for land just west of the Johnson County Historic Poor Farm as the initial step toward building Iowa’s first pediatric hospice. Named in honor of their son, the facility is expected to be only the fourth in the United States. ... Mason’s Light House would accept up to seven children for both hospice and respite care, provide family suites and be fully staffed with a pediatric palliative care team of nurses, social workers, therapists and other specialists in the field. There would be no cost to patients and their families who use it.

VNA Hospice NWI celebrates staff, volunteers and community at annual dinner banquet NWI.Life; by Garrett Spoor; 3/4/25 For more than half a century, VNA Hospice NWI has been assisting seniors in Northwest Indiana with hospice care and the Meals on Wheels program. The organization hosted its Annual Dinner and Awards banquet on Monday, March 3, ... “The big purpose of the annual dinner is to thank all the people who made last year possible,” [Maria Galka, director of development] said. “It’s a great opportunity for us to show our appreciation for the staff, volunteers and our supporters. We present our annual report from the past fiscal year and look forward to what's coming in the new year.” ... VNA Hospice NWI was presented with a check for $32,798 from Don Quijote Restaurante to support VNA Meals on Wheels. The Legion Riders Post #94 provided a check for $12,500 for the VNA Hospice NWI. The dinner presented plenty of awards and scholarships to recognize some of the attendees ...Editor's note: What appreciation events and awards/recognitions do your organization regularly provide for your employes, volunteers, and community? Click on this article's title to explore the scope of this organization's highly valued Annual Dinner and Awards. When you have events such as these, remember to take provide "take-out" food for your employees who are duty elsewhere, like your on-call office and hospice inpatient care.