Literature Review

End-of-life palliative care: Role of the family physician American Family Physician (AFP); by Tamara L. McGregor, MD, MA, Jared Morphew, MD, and Heather Ann Dalton, MD; 11/25 issue To care for patients at the end of life, family physicians should be able to evaluate the causes of symptoms, differentiate between distressing symptoms and common end-of-life changes, and balance treatment effectiveness with potential adverse effects, while ensuring alignment with the patient's values and wishes. Editor's Note: What networking, relationship-building, and education do you nurture with family physicians in your service areas?

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?"

Sage advice on aging and dying from a Colorado geriatrician CPR News; by Andrea Dukakis; 11/17/25 Geriatricians – doctors trained to treat older adults – are a scarce commodity across the country and in Colorado. The state has about a million residents aged 65 and older and, according to the most recent data available, only 110 geriatricians. ... Here are five things we learned about aging from Dr. Erika Altneu, a geriatrician in Salida:

A doctor’s mystery cancer gives her a new medical educationMedscape; by Kelly Curtin-Hallinan; 11/7/25At some point, every doctor becomes a patient. For many physicians, experiencing serious illness and treatment is humbling, eye-opening, and, in the end, transformative. Dr. Patient is a Medscape series telling these stories... I don’t look like a cancer patient. I didn’t have chemotherapy. I didn’t lose my hair. It’s not obvious to anyone, if they don’t see my enormous abdominal scar, that something crazy has happened to me. To this day, my prognosis is unknown...Publisher's note: Consider how being a hospice patient or family member changes the quality of hospice care you provide...

31 shocking confessions people made to their doctors and nurses on their deathbed BussFeed; by Hannah Marder; 11/12/25 Being on your deathbed puts everything into perspective, and sometimes, the dying have something big to get off their chests. No one knows this better than those who work with the dying, who bear witness to these disturbing confessions. ...Editor's Note: This BuzzFeed feature compiles unverified, anonymous accounts of “deathbed confessions” shared by clinicians online. While written for popular appeal, it touches a truth familiar to hospice and palliative professionals: dying patients often reveal deeply held truths when facing the end. We share it as a reminder that such moments call for clinical steadiness, ethical awareness, and the presence of board-certified chaplains—those uniquely trained to meet these revelations with compassion and care.

Achieving goal-concordant care with goals of care consultations in the Emergency Department American Journal of Hospice and Palliative Medicine; by Stacy Nilsen, PhD, RN, Diane Wintz, MD, Kelly Wright, MSN, MBA, RN, Debra Poeltler, PhD, MPH, RN, Sharp Mary Birch Hospital for Women and Newborns, San Diego, CA; 10/24/25 Introduction: Time constraints may be prohibitive to adequate goals of care (GOC) discussions and could delay critical decision making in urgent or emergent situations. ... Method: A retrospective record review was conducted for patients 65 and older at a single community hospital between January and December 2023. Included patients had at least one GOC documented discussion with a nursing team called Advanced Illness Management (AIM) and were admitted or placed in observation. ... 3377 patients met the inclusion criteria. ... Conclusions: There were positive findings in LOS, ICU, and cost with AIM consultation within 24 hours of presenting to the ED, when compared to waiting for a later consultation, supporting consideration of forward-placement of GOC discussion.

The sliver of light after losing a child: Personal perspective - a child's loss can provide elusive and rare gifts. Psychology Today; by David R Patterson PhD, ABPP; by 11/10/25 I have often said that working with patients who are dying has brought an ironic, but transient, feeling of exhilaration to my life. Most care providers who work in hospice will explain to us that people who are aware of their impending mortality have a sense of being in the present that those of us who are not so close to that inevitability can only admire from a distance. ... I don’t know whether this resonates with other parents that have lost a child, but I can say that a very clear impact of my son’s loss has been to become acutely aware of my own mortality. ... After living with my son’s death for three years, I am only just beginning to grasp the lessons that his death is teaching me.

"The Wounded Generation": Bearing the invisible scars of war CBS News; by Lesley Stahl; 11/9/25 In 1984, President Reagan commemorated the 40th anniversary of the invasion of Normandy, and paid tribute to the World War II soldiers known as "The Greatest Generation." ... But in his new book, historian David Nasaw calls them "The Wounded Generation." "They are the Greatest Generation, but they returned from war, bringing wounds home with them that are invisible; they're psychic wounds," he said. "Now we know that a lot of those wounds were PTSD. But PTSD was not diagnosed for 40 years after the return of the World War II veterans. ... Nasaw said [of his own father,] "He came home smoking three or four packs of Luckys a day. He came home with a heart condition from the war. He dies at age 61. And I had never had the chance to find out what happened in Eritrea, what he went through. So, what do I do as a historian? I can't find out his story, so I jumped in to find out the story of his generation."Editor's Note: While most World War II veterans are now gone, many of today’s hospice patients—particularly those who served in combat—carry similar invisible scars. Their psychic wounds, once unnamed, often resurface in life’s final chapter. This story also echoes in their adult children, who now seek to understand the unspoken pain that shaped their families. For more insight and support—especially regarding post-9/11 veterans—see the Wounded Warriors Project. 

Bereavement support for oncology nurses caring for patients and families Journal of Hospice & Palliative Nursing; Tami Borneman, RN, MSN, CNS, FPCN, Paige Hayward, and Haley Buller, MSHSC; 10/28/25 Six themes emerged from the open-ended question that asked participants to share case studies describing a patient or family member that they had cared for who was experiencing grief and nurse interventions: (1) treatment failure/out of options, (2) unexpected death or recent loss, (3) impending death, (4) multiple or overlapping losses, (5) coping, and (6) anticipatory grief. 

Living with dementia report emphasizes that even those with advanced disease have stories to share JAMA Medical News; by Rita Rubin, MA; 10/31/25 As the average age of the US population has risen, so has the number of people living with Alzheimer disease and related dementias. And yet, dementia is still a highly stigmatized condition, a new collection of essays published by the Hastings Center for Bioethics points out. Clinicians, caregivers, and loved ones could improve the lives of the more than 7 million people in the US who are living with dementia if they only recognized that such individuals still have their own stories to tell, even when they can’t express themselves the same way they did before their symptoms appeared. 

Four nurses in two weeks assaulted at Essentia Hospitals: Nurses say violence is a consequence of unsafe staffing and inaction Minnesota Nurses Association, Brainer, MN; Press Release; 10/28/25Nurses with the Minnesota Nurses Association (MNA) are once again outraged and deeply concerned after two more violent assaults on nurses at Essentia Health. A nurse at Essentia Health St. Joseph’s Medical Center in Brainerd was attacked by a patient last Thursday, followed by another assault at the same facility over the weekend. The latest incidents come less than two weeks after two nurses were injured at Essentia Health St. Mary’s Medical Center in Duluth. Four nurses assaulted in under two weeks reflects a dangerous pattern in Essentia facilities—one that nurses have been warning about for years.Editor's Note: Continue reading for preventable actions and red flags, "True safety comes from care-based prevention." These were hospital settings; the home care settings your staff and volunteers enter provide much higher risks with less control. Ask your direct care staff for examples of professional situations that were unsafe. Office-based leaders, you might be surprised. Examine your workplace violence policies, procedures, trainings, incident reporting, and follow-up.

[United Kingdom] New end-of-life checklist designed to remove stress in time of crisis Independent; by Aine Fox; 10/27/25 Marie Curie has published an end-of-life checklist to encourage the public to think about their end-of-life care. The list, curated by clinicians, covers everything from wills to wakes and what we might want to happen to pets and social media accounts when we die. The document features five categories, including legal and money matters, people, pets and things important to me, an advance care plan, my funeral, a wake or celebration of life, and making and leaving behind memories. Editor's Note: To download USA Advance Directives for each state, visit (1) CaringInfo (set up by NHPCO 15+ years ago), A Program of the National Alliance for Care at Home, or (2) AARP's Find Advance Directives Forms by State (uses CaringInfo's form, but more user-friendly navigation).