Literature Review

Common hospice medications linked to higher risk of death in people with dementia EurkAlerts! American Association for the Advancement of Science (AAAS); by Michigan Medicine - University of Medicine; 10/14/25 ... [For] the growing number of Americans with dementia who enter hospice, their course is often long and unpredictable — making it especially important to ensure treatments align with each person’s goals and stage of illness. A new University of Michigan study published in JAMA Network Open finds that medications commonly prescribed to ease symptoms such as agitation, anxiety, and delirium — benzodiazepines and antipsychotics — may carry major unintended risks for people with dementia receiving hospice care. Among more than 139,000 nursing home residents with Alzheimer’s disease and related dementias enrolled in hospice between 2014 and 2018, those who began taking a benzodiazepine or an antipsychotic after enrollment were 41% and 16% more likely to die within six months, respectively, than very similar hospice patients with dementia who did not receive these medications.

The unacknowledged grief oncologists face and the need for closure Medscape; by Mark A. Lewis, MD; 10/8/25 Hello, Medscape. It's Mark, and I just got back from a patient's funeral. I know — even for an oncologist, that sounds grim, but I have my reasons and I'd like to explain them to you. ... One of them is deeply personal. When my father died, his oncologist came to his memorial service, and that made a huge impression on me. I was 14 years old at the time. ... Now, there's a whole other video to be recorded, if not a whole book to be written, about how a patient dying shouldn't necessarily be viewed as a failure. Immortality, after all, is never the goal. ... I've been absolutely astonished by what I've learned about my patients posthumously. ... Most meaningfully, you get to witness the ripple effect of the patients on their families who love them and who will carry on their traditions and even some of their character traits. 

Mental healthcare delivery in palliative care: Patient and caregiver perspectives Journal of Pain and Symptom Management; by Mia Pattillo, Jeffers Guthrie, Molly Nowels, Maureen Ekwebelem, Karolina Sadowska, Milagros Silva, M Carrington Reid, Daniel Shalev; 10/8/25 ... Results: Participants described strong therapeutic relationships with palliative care clinicians, who offered informal mental health support through conversations, medication management, and referrals.  ...Conclusions: Patients and caregivers view integrated mental healthcare as a valuable addition to palliative care. Integration models should include specialist mental health providers, address caregiver needs, and offer flexible delivery formats. Palliative care's transdiagnostic scope, interdisciplinary structure, and psychosocial orientation make it a strategic site for integrated care.

What we get wrong about death, according to end-of-life workers Yahoo Lifestyle, originally appeared on HuffPost; by Monica Torres; 10/10/25 The one big thing that people have in common is that we all will die, and we likely will experience the death of someone we love, too. ... That’s why it can help to hear the insights of people who see death all the time, because understanding it now can help us better process grief about others and feel more at ease when thinking about our own mortality. ...

For this doctor, LGBTQ+ care is about the mission and the moment American Medical Association (AMA); by Timothy M. Smith; 10/8/25 ... [Shail Maing, MD] is a hematology-oncology and palliative care physician at Dana-Farber Cancer Institute (DFCI), in Boston, where she is also the inaugural DFCI Network health equity and inclusion liaison. In addition to her work caring for patients, Dr. Maingi’s passion is advocacy, particularly on health inequities for LGBTQ+ patients. She was the founding chair of the American Academy of Hospice and Palliative Medicine’s LGBTQ Special Interest Group. “We’re living in a very diverse world, with much more acceptance and acknowledgement that health care is for everybody—that there are differences that are unexplored, and we can't pretend everybody has the same set of needs,” said Dr. Maingi ...

Wisconsin rarely grants compassionate release as aging, ailing prisoners stress systems Wisconsin Watch; by Mario Koran and Sreejita Patra; 10/7/25 Increased use of compassionate release could ease costs and crowding with minimal risks to public safety, experts say. But it remains off limits to many prisoners. ... Wisconsin grants few applicants compassionate release, leaving many severely ill inmates in short-staffed prisons that often struggle to meet health care needs. Wisconsin courts approved just 53, or 11%, of 489 compassionate release petitions they received between January 2019 and June 2025 — about eight petitions a year, Corrections data show. Courts approved just five of 63 petitions filed in all of 2024. 

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.  ...

Living with injustice: Gary Tyler had his life taken away, yet managed to claw it back. The Progressive Magazine; by Bill Lueders; 10/6/25 Just as I sat down to write this review of former death row inmate Gary Tyler’s memoir, I noticed that its publication date is the fifty-first anniversary of the day that upended his life: October 7, 1974. This undoubtedly deliberate timing, like the book itself, serves to help close the circle around Tyler’s remarkable—at times, almost unbelievable—life journey. That was the day Tyler, then a sixteen-year-old Black youth, was arrested for the shooting death of a thirteen-year-old white boy at their high school in Destrehan, Louisiana, about twenty-five miles from New Orleans. He was taken into custody and beaten so severely that he was left with permanent physical scars, as well as psychological ones. Police and prosecutors ignored and withheld evidence of his innocence, and suborned perjury by threatening witnesses. One witness, Natalie Blanks, was told she would be charged as an accessory to murder and miss out on her baby’s life if she didn’t falsely testify that she saw Tyler fire a gun from inside a bus. Stitching Freedom: A True Story of Injustice, Defiance, and Hope in Angola Prison is, for much of its first half especially, an intensely bleak book.Editor's Note: See previous significant posts in our newsletter about Gary Tyler and this transformative hospice program at Angola Prison.

Grief etiquette in the digital age: Why waiting, listening, and respecting family wishes matters more than ever National Funeral Directors Association (NFDA) - Remembering a Life; by Dr. Camelia L. Clarke; 10/2/25When my nephew died unexpectedly, I was still reeling from the news when my phone began to buzz with notifications. Within an hour, his death was already circulating on social media. The world had found out before our family had even begun to process the loss, let alone notify our closest friends and relatives. I remember feeling overwhelmed, exposed, and, most of all, heartbroken—not just by the loss itself, but by how quickly and impersonally it became public knowledge. As a funeral director and grief educator for nearly thirty years, I’ve witnessed this scenario unfold countless times. 

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:

Hospice: A vital safety net for sepsis survivors South Florida Hospital News and Healthcare Report; by Lauren Loftis, MD, VITAS regional medical director; 10/1/25Sepsis remains one of the most complex and deadly medical conditions treated in hospitals today. ... For patients with advanced illness or multiple comorbidities, the post-sepsis period is often marked by functional decline, emotional distress, and a high risk of rehospitalization or death. ...For sepsis survivors with advanced illness, hospice offers a bridge between high-intensity hospital care and the realities of life at home. It provides interdisciplinary support—including a physician, nurse, hospice aide, social worker, chaplain, volunteer, and bereavement specialist—tailored to the patient’s evolving needs.

Strengthening mental health literacy enhances job well-being in palliative care Oncology Nures Advisor; by Megan Garlapow, PhD; 10/1/25 Positive mental health literacy (PMeHL) significantly improved job well-being among palliative care nurses, with job crafting acting as a partial mediator in this relationship, according to a study published in BMC Psychology. These results highlight the importance of psychological resources and proactive role adjustments for supporting nurses working in high-stress palliative care settings.Editor's Note: "Job crafting" is the process by which employees actively shape and redefine their roles to enhance job satisfaction, engagement, and meaning in their work.