Literature Review

Carolina Caring Foundation helps hospice patient fulfill dream at North Carolina Zoo Carolina Caring, Newton, NC; Press Release; 9/23/25 A hospice patient fulfilled her lifelong dream of meeting and feeding a giraffe thanks to the Life Enrichment Fund through the Carolina Caring Foundation. Deborah, a patient at Carolina Caring, has always been fascinated by the wildlife of Africa, the work of Jane Goodall, and the unique beauty of giraffes. ... Deborah has always had an adventurous spirit. In the past, she tried many new experiences—including a fun helicopter ride with her family during a beach trip—but one thing she always yearned to do was meet a giraffe. Her Carolina Caring social worker, Carley, recognized this dream and soon created a pathway for this wish to come true. . ... Carolina Caring gave this family more than just a trip to the zoo. They provided a celebration and memory-making that the family will now forever carry in their hearts and minds.

New ‘action plan’ gives providers tools to prevent falls, minimize injuries  McKnights Home Care; by Adam Healy; 9/18/25 The National Council on Aging this week published its 2025 National Falls Prevention Action Plan, a report that offers strategies home care providers can use to protect their clients from injury. NCOA’s action plan has six goals: boosting awareness, expanding funding, promoting clinical interventions, enhancing care coordination, upgrading technological capabilities and improving data collection for fall prevention activities. While the action plan aims to inform policymakers about ways to protect older adults from falls, it also includes actionable strategies home care providers can employ to keep their clients safe.

How hospice chaplains improve patient outcomes Hospice News; by Jim Parker; 9/19/25 Patients may seek spiritual guidance from a number of places, but hospice chaplains remain essential. Hospice chaplains receive specialized training in caring for patients at the end of life that clergy in the larger community may not have. They are trained in active listening and to address the intricacies and sensitivities of end-of-live conversations with patients and families. Nearly 8,000 hospice chaplains are working in the United States, according to a study in the journal Work, Employment and Society. About 66% of these chaplains identify as men, and 20% are members of the LGBTQIA+ community. Close to 72% are white, 10.8% are Black and 8.5% are Latino. Nearly 42% of hospice chaplains have a bachelor’s degree, an equal percentage have masters degrees and 7% hold a Ph.D., the study indicated. Editor's Note: Hospice chaplains are often misunderstood or underestimated. Their role is not simply to pray or read Scripture, but to offer skilled, sensitive spiritual support—often through life-review, family conflict, presence, words and actions that honor diverse beliefs. Effective chaplains know when not to pray, how to avoid imposing religious language, and how to remain aware of their own biases while creating space for another’s faith or worldview. Their contributions can profoundly shape the patient and family experience at the end of life. When hiring, look for credentials such as BCC, BCCI, or BCC-PCHAC and learn more through the Association for Professional Chaplains. 

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:

Morphine shortage impacts Massachusetts patients, hospice care and pharmacies GBH; by Marilyn Schairer; 9/16/25 Pharmacists and hospice care providers in Massachusetts say the industry is experiencing a shortage of morphine, a powerful prescription opioid painkiller. And while the causes of the shortage are unknown, it’s already affecting people who use the drug to treat severe pain, including cancer patients and people in hospice care. “There is a shortage,” said Dina Breger, pharmacy manager at Greater Boston Long Term Care Pharmacy in Walpole. She said it’s been at least a few weeks since the pharmacy was able to get morphine to patients that need it. Guest Editor's Note, by Drew Mihalyo, PharmD: Massachusetts’ morphine shortage highlights a worsening national crisis. These shortages stem from multiple factors—from DEA production quotas (with 2026 levels expected next week) to fragile supply chains and thin profit margins that discourage manufacturing. Without strong pre-arranged access systems, even hospice and cancer patients can be left without essential pain relief. Healthcare is not just about treatment—it’s about preserving dignity for those who need us most. Fixing this requires systemic change: national reserves, better incentives to sustain production, and stronger oversight—transparency in manufacturing, smarter quota setting, and rapid-response mechanisms to ensure patients are never left without care at the end of life.

How a novel coaching intervention is building resilience and hope in adolescents and young adults with advanced cancer: A conversation with Abby R. Rosenberg, MD, MS, MA The ASCO Post; by Jo Cavaloo; 9/15/25 Each year, nearly 90,000 adolescents and young adults (AYAs; aged 15–39) are diagnosed with cancer, and approximately 9,300 die of the disease. ... AYAs are at increased risk for developing adverse long-term side effects from cancer and/or its treatment, including chronic conditions, secondary cancers, infertility, poor psychosocial health, and financial toxicity. ... The findings from a recent randomized phase III clinical trial investigating a novel resilience coaching intervention for AYA patients with advanced cancer are showing promising results in improving feelings of resilience and hope, as well as longer-term improvement in quality of life for these patients. ... In a wide-ranging interview with The ASCO Post, Dr. Rosenberg discussed the psychosocial impact of cancer on AYA cancer survivors, the results of the PRISM-AC study, and how AYA survivors are able to cope with having a terminal prognosis.

O’Neill Healthcare Hospice creating Moments of Joy The Villager Newspaper, Bay Village, OH; 9/15/25 At O’Neill Healthcare Hospice, our mission goes beyond providing exceptional clinical care ... One way we do this is through our Moments of Joy program, an initiative devoted to creating meaningful experiences and lasting memories for those we care for. Recently, we had the privilege of honoring our patient, Frank, with a very special moment of joy outing, ... "back to the ballpark in person." ... Programs like Moments of Joy enable us to honor our patients’ stories and interests, celebrate their passions, and provide families with cherished moments to remember.Editor's Note: See our recent related posts, "Fulfilling end-of-life dreams: A scoping review of bucket lists in palliative and hospice care" and "Baptist Health Floyd's 'Three Wishes' project provides comfort during end-of-life process."

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.”

Heart disease tops US mortality in 2024, CDC reports McKnights Long-Term Care News; by Foster Stubbs; 9/12/25 The leading causes of death in the United States in 2024 were heart disease, cancer and unintentional injury, the Centers for Disease Control and Prevention said in a September report. ... In total, there were 3,072,039 total deaths that occurred in the US in 2024 with a death rate of 722.0 per 100,000 people. This was 3.8% lower than the totals in 2023. Death rates also decreased for all race and ethnicity groups but rates for Black people remain higher than those for all other groups. Overall, death rates were highest for males, older adults and Black people, demonstrating a need for further examination of the health of these demographic groups. Heart disease caused 683,037 deaths, cancer caused 619,812 deaths and unintentional injury resulted in 196,488 deaths. Mortality statistics were collected by The National Center for Health Statistics’ (NCHS) National Vital Statistics System (NVSS) using US death certificate data. [The CDC Report is at Vital Statistics Rapid Release, Number 039, September 2025.]

Baptist Health Floyd's 'Three Wishes' project provides comfort during end-of-life process FOX WDRB Media, Louisville, KY; Press Release; 9/8/25 Baptist Health Floyd patients and families facing end-of-life decisions now have extra support through the hospital's "Three Wishes" project. Baptist Health Floyd launched the Three Wishes Project a few months ago as a way to ease the burden faced by patients and their families who are nearing the end of their life. The program grants small, meaningful wishes to patients and their families, according to a news release. Baptist Health Floyd ICU RN Makenzie Stiffler, who leads the program, said "it is a way to humanize the death and dying process in ICU (Intensive Care Unit)." 

Reducing family caregiver burden may prevent 30-day ED readmissions among community-dwelling older adults, study finds McKnights Long-Term Care News; by Foster Stubbs; 9/9/25 Alleviating caregiver burden may reduce returns to the emergency department for older adults up to 30 days after a discharge, according to research published in the Journal of the American Medical Association. The study examined 1409 dyads or duos of community-dwelling patients 65 years or older and their family caregivers. ... [Questions] included items about strain in the caregiver’s role and personal life associated with caregiving. ... "We interpret these findings as evidence that caregiver burden may contribute to a negative care transition, associated with 30-day ED revisits, ..."

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 ...