Literature Review

The importance of humanity in internal medicine I.M. Matters from the American College of Physicians; President's Message by Jason M. Goldman, MD, MACP; June 2025I recently attended the funeral of one of my long-time patients, who had required hospice care after a long battle with heart disease. Many of us have had the experience of telling a patient and their family that their disease has progressed and we have reached the limits of medical science. In training, we are taught to be compassionate but professional, maintaining a certain level of emotional detachment ... As internal medicine specialists, we have the awesome responsibility and privilege to be the doctor for our patients through decades of their life experiences and to offer them not just medical science, but also humanity and comfort. ... One of the greatest acts of charity a person can perform is to attend someone's funeral, as it is the only act of kindness that cannot be reciprocated. This patient had been in my practice for almost two decades, and I had the privilege of taking care of both her and her husband.Editor's note: Re-read this powerful statement, "One of the greatest acts of charity a person can perform is to attend someone's funeral, as it is the only act of kindness that cannot be reciprocated." 

Hospitalists should champion hospice as ‘life with dignity’ Medscape; by Julie Peck; 5/29/25 If anyone can put a positive spin on the end of life, it’s Charles Vialotti, MD, director of Hospice Care at Holy Name Medical Center’s Villa Marie Claire in Bergen County, New Jersey. Violotti, who at the age of 80 lives at the 20-bed Villa Marie Claire to serve its residents full-time, says the hospice industry needs hospitalists’ help with sort of a rebrand, one that will almost certainly have a positive effect on patient and family satisfaction. “Providers used to stress offering people death with dignity. And if you think about that, who is ever going to choose anything that offers death? Death in any form is still death,” Vialotti said. “So, we really like to focus on offering people life with dignity, giving people back choice, giving them the option to structure their final days, weeks, or months the way they would most like to see it happen."

Lanterns light up the sky in east Wichita to remember lost loved ones on Memorial Day ABC KAKE, Wichita, KS; by Jocelyn Schifferdecker; 5/26/25 About a hundred lanterns lit up the sky Monday night at the Harry Hynes Memorial Hospice memory garden in East Wichita. Each lantern floating on the water told its own special story. [Candace] Dudley says [her husband] Ricky died about a year and a half ago from colon cancer. ... She says she misses him every day and she's thankful for Lanterns of Life because it gave her an opportunity to remember him. "My heart is full tonight. Making his lanyard, I made it very special ... I did all four sides with a lot of thought and put a lot of love into it because he was the love of my life," she said while holding back tears.The event is arranged by Harry Hynes Memorial Hospice. Organizers say they hope lighting a lantern for their lost loved one will bring them peace in some way. ... The event also featured food trucks, music, and more. This was the first year the hospice held it but it says it doesn't plan for it to be the last.

ALS and mental health: The importance of caring for the whole person ALS Association; by Amber Johnstone, MSW, LISW-S; retrieved from the internet 5/27/25 ... May is ALS Awareness Month and also Mental Health Awareness month. ALS and Mental Health go hand in hand. One of the first things I tell newly diagnosed individuals that I work with is that ALS affects the whole family. And to be truthful, it affects many more than just that nuclear family unit. A person living with ALS is like a pebble thrown into a pond. That first splash is the biggest, but then the water ripples all the way out to the edges of the pond. Those ripples are all the people with which the person with ALS shares their journey. ... The ALS Association understands how important mental health can be.  ... The ALS Association is proud to offer ALS Academy to community healthcare professionals and caregivers.  ALS Academy is free, online, self-paced, catalog of ALS education videos.  

The Mentorship Model: Cultivating resilience and leadership in palliative care pharmacy Pharmacy Times; by Alana Hippensteele; 5/22/25 Key Takeaways

What it’s like to be…a hospice nurse Behavioral Scientist; by Dan Heath; 5/22/25 Comforting patients as they prepare to transition, navigating end-of-life regrets and frayed relationships, and providing support and advice for fearful families with Heather Meyerend, a retired hospice nurse. How does she know when the end is imminent? And what has the work taught her about the different ways we deal with death? In each episode of What It’s Like to Be…, bestselling author Dan Heath speaks with someone about what it’s like to walk in their (work) shoes.

Hospice volunteer donates 10,000 gift cards to cancer patients AZ Family - CBS-5, Phoenix, AZ; by Tianna Morimoto; 5/20/25 One Valley man has made a difference in times of need for those who may be losing hope by donating thousands of gift cards, and that’s Something Good. Jeff Lewis volunteers with Hospice of the Valley and was recently recognized for donating 10,000 grocery gift cards to help cancer patients in need. Jeff is a cancer survivor and has made it his mission to help those going through treatments with no family or support. He created a nonprofit called the Froth and Bubble Foundation. Every month, the foundation provides gift cards to more than 100 people in the Valley who are struggling financially. Often, these patients have to decide between paying for food, medicine or doctor bills, and these gift cards can help them with their bills or other necessities to survive. ... “These gift cards help families bridge the gap when they need food and are juggling bills and feeling stressed,” said Hospice of the Valley Executive Director Debbie Shumway. “He is a servant leader who quietly gives back and makes a huge difference, one person at a time.” Thank you, Jeff, for all you do to help others!

New law will fast-track completion of hospice death certificatesFlorida Politics; by Drew Wilson; 5/21/25 Grieving families will spend less time waiting on paperwork come July 1.Gov. Ron DeSantis has signed legislation that would take some stress off palliative care physicians who guide patients through their final hours, as well as the grieving families they leave behind. Sponsored by Republican Rep. Dana Trabulsy, HB 647 would allow Advanced Practice Registered Nurses (APRNs) to complete and file death certificates for hospice care patients. Valid death certificates must record both time of death and cause of death before the deceased’s remains can be turned over to a funeral director. Under current law, a doctor must determine the cause of death and sign the certificate. That will remain the case after Trabulsy’s bill goes into effect July 1 for non-hospice deaths.

New Mexico legalizes medical use of psilocybin JD Supra; by Patrick Clark and Jennifer Pacicco; 5/20/25 On April 7, 2025, New Mexico became the third state to legalize psilocybin (colloquially known as “magic mushrooms” or “shrooms”) for medical purposes. New Mexico is the first state to legalize psilocybin via legislation and not a ballot initiative, like its predecessors Colorado and Oregon. Under the new law—the “Medical Psilocybin Act”—the following qualifying conditions are listed as eligible for psilocybin treatment: “(1) major treatment-resistant depression; (2) post-traumatic stress disorder; (3) substance use disorders; (4) end-of-life care.” The law also allows the New Mexico Department of Health to promulgate regulations that would add qualifying conditions to that list. ... Employers are not required to accommodate employees under the influence of psilocybin at work.

What caregivers should know about end-of-life rallies  AARP; by Jamie Ducharme; 5/19/25People with advanced illnesses sometimes experience unpredictable bursts of energy or clarity. Here’s how caregivers should handle these episodes. Roughly a decade after her mother was diagnosed with Alzheimer’s disease, Liz Donnarumma got her back — but only for an instant. It happened one evening in 2021, more than a year after Donnarumma first realized her mother, Theresa, didn’t recognize her. Theresa took Donnarumma’s face in her hands, called her by her nickname and thanked her. “When she put her hands on my face and I looked into her eyes, she was totally there. It was my mother,” Donnarumma says. “It was like a second, just one second, and it was gone.” Donnarumma’s mother had an episode of “paradoxical lucidity” — that is, an unexpected burst of mental clarity, despite her advanced condition. While these moments are as unexplained as they are unexpected, experts say they are more common than many people realize. ...

Good grief: Personal stories show hope still exists after loss ABC KTRK-13; by Brittaney Willmore; 5/19/25 Stories are at the heart of the memorial garden at Bo's Place. The building, with its red brick entryway, tall trees, basketball court, and patio, was intentionally designed on the outside to look almost like two arms, reaching out and welcoming in those who find themselves there as guests, but leave feeling like it's home. Carmichael Khan is familiar with the garden, which isn't made up of plants in this particular case, but of rocks that serve a very distinct purpose. Resting in the palm of his hand is his daughter's rock, which says, "Just bee." "That's why you see bees there. You just want to become. You also want to sit with your grief and just be," Khan explains. Rocks represent, but don't replace late loved ones, and painting them with personality just one of the many ways meant to help grieving children, adults, and families at Bo's Place cope with one of the most difficult parts of life -- death. 

‘Don’t be sad. I’ve had a great life’: John Shakespeare on the art of livingOur Community Now; by Peter FitzSimons; 5/18/25 JS [John Shakespeare]: I’m a realist at heart, Pete, and once I know that something is irreversible I have no choice but to accept it. There is a certain sense of peace that comes from acceptance. It eliminates the need to ask “why me?” and “if only”. Fitz: I have been told, wonderfully, that since that outpouring of love for you last Friday, there has been a small uptick in your prognosis?JS: Haha, I think I just had a big adrenaline rush from that one! Hard not to feel better with 209 people you love, in turn, lining up to hug you! ... [ More dialogue]Fitz: What you are going through will soon enough confront all of us, as we come face to face with our mortality. What advice do you have for us? JS: My motto is “accept, adjust, adapt”. The key is to be able to accept something that can’t be changed. Only then will you find some peace. Otherwise, it will be a battle with the unmovable. Sort out your financials so that your family will be as secure as possible, and that will give yourself a sense of relief to carry into your final days. Have as much fun as your energy levels allow!