Literature Review

Nurse executive graduate brings life to hospice care  Augusta University - JAGWire, Augusta, GA; by Nina Siso; 12/2/25 When someone says the word “hospice,” words like “illness” or “dying” might come to mind. But for Ashley Perkins, it’s more than that. “We bring life to the rest of the time you have. It’s about what’s important to you, and how we can help you with that,” Perkins said. Perkins is graduating from the Doctor of Nursing Practice Nurse Executive program through Augusta University’s College of Nursing. The program is designed exclusively for chief nursing officers, vice presidents of nursing and other nursing leaders aspiring to pursue executive-level nursing positions. Already a vice president of hospice services at a not-for-profit organization, Perkins pursued an advanced degree to be able to contribute more. 

From WhatsApp chat to worldwide connectionehospice; 11/25/25 When palliative care physician Ros Taylor reflected on the Global Palliative Doctors Network (GPDN) WhatsApp group, her words captured its essence — five guiding principles for a happier life: being connected, staying curious, continuing to learn, giving knowledge and support, and keeping the mind active. These principles lie at the heart of GPDN — a community built on connection, curiosity, and collective growth. What began as a simple WhatsApp chat among doctors has evolved into a global movement that transcends borders and brings together physicians dedicated to improving palliative care worldwide. [Click here for photo]

I went to a conference about death. Everyone was laughing. USA Today, Los Angeles, CA; by David Oliver; 12/2/25 Welcome to the EndWell Summit, a gathering of more than 700 caregivers, clinicians and advocates who've grieved, are grieving or are working with those at the end of their lives. Speakers included a pediatric palliative care physician, a global health economist and a prison hospice advocate, not to mention celebrities like Emma Heming Willis (Bruce Willis' wife) and Katherine LaNasa ("The Pitt"). It's an inviting space – ... --where casual conversations and formal talks about death are tear-jerking one second and laugh-out-loud funny the next. ... The conference's theme was "radical bravery." Don't get it twisted, though. Radical bravery is not about being fearless, but staying present even when dark clouds form above you.

How clinicians prenatally discuss management options and outcomes for congenital heart disease Journal of Pain and Symptom Management; by Samantha Syme, Kelsey Schweiberger, Judy C Chang, Ann Kavanaugh-McHugh, Nadine A Kasparian, Robert M Arnold, Kelly W Harris; 11/27/25 Online ahead of printA prenatal diagnosis of complex congenital heart disease (cCHD) introduces significant emotional, social, and financial stress for families. ... Fetal cardiology consultations offer an important opportunity to support families navigating uncertainty following a prenatal diagnosis of CHD. Clinicians approached these conversations with empathy and a focus on long-term outcomes, though discussions about management options varied. There is an opportunity for increased presentation and integration of palliative care consultants as a longitudinal, family-centered resource, regardless of mortality risk, which may enhance supports available to families during this highly emotional period.

Can tech restore the human side of care? Becker's Health IT; by Ella Jeffries; 11/14/25 Technology has been both a promise and a problem in healthcare. When EHRs arrived in hospitals, they were heralded as a revolution — bringing order to messy paper charts and standardizing how care was documented. But soon after, clinicians found themselves staring more at screens than at the patients sitting in front of them. Now, nurse leaders say the very systems that once distanced them from patients could hold the key to rebuilding that connection.

Rediscovering purpose in the hardest moments of cancer care Medscape; by Mark A. Lewis, MD; 11/7/25 ... I'm a GI oncologist, and about a quarter of my patients have metastatic pancreatic cancer. Treat that awful disease often enough and, believe me, you start to doubt your own abilities as a supposed healer. I mean, talk about overpromising and underdelivering. ... When you judge your worth by your outcomes, especially longevity, imposter syndrome sets in like dry rot, and feelings of ineffectiveness lead to therapeutic nihilism in the very caregiver that patients look to for hope. It turns out, though, the best antidote to self-pity is right in front of me every day: my patients. ...

Ethics: Electronic Health Record (EHR) evolution AMA Journal of Ethics; Nov 2025 issue ... This theme issue investigates which kinds of work EHRs should do—and for whom—and whose interests EHRs should serve when information is entered, organized, reviewed, responded to, extracted, or amended. This issue also investigates which values should inform EHR stewardship and innovation decisions and from whose perspectives the stakes of those decisions should be framed. [Articles include:

Coordinating at-home care, enhancing quality of life as a hospice nurse case manager Grand Haven Tribune; by Emmanuel Hospice; 11/19/25 Throughout her career, Brittany Rickert has explored nursing jobs in various settings but keeps getting drawn back to hospice. For her, there's little out there that offers such a unique and rewarding experience. "There are landmarks throughout our lives and death is one of them," says Rickert, a nurse of 15 years. "It is very special to be allowed into that sacred space with patients and their loved ones, to support them through such a pivotal portion of their life." ... She defines her position as the "coordinator of the patient experience altogether," working alongside an interdisciplinary team to bring supportive services directly to patients, wherever they call home.

Phoebe Sumter helps hospice patient say final goodbyes to "Moonshine" and "Cowboy," her beloved animals Phoebe Putney Health System, Americus, GA; Press Release; 11/14/25 ... Kate’s only wish was to see her horse, Moonshine. ... Kate’s close friend Sunday Laramore said, “She was an amazing horse trainer.  She had been doing that since very early adulthood.  She got Moonshine when he was 18 months-old; ... they had an amazing bond.” Kate’s condition was too unstable for her to return home to visit Moonshine, so the Phoebe Sumter care team began formulating a plan to bring Moonshine – and Kate’s dog, Cowboy – to the hospital to see her.  Less than an hour after the team learned of Kate’s desire to see her animals, the pets were loaded up and on the way to the hospital.

“I was horrified”: 34 surgeons and doctors recall their worst mistakes BoredPanda; by Justin Sandberg; 11/19/25 Someone asked “Medical professionals, what mistake have you made in your medical career that, because of the outcome, you've never forgotten?” and people shared their stories from fortunately comical to downright grim. ...#4.  I work in palliative care, ... I knew he wanted to be a DNR (do not resuscitate). I wrote it on my note. But I didn't re-fill out the hospital paperwork. The next day, I got to work to discover he'd been coded and was on a ventilator in the ICU. Instead of passing peacefully, his wife had to make the decision to turn off life support.  ...Editor's Note: Entry #20 comes from a hospice nurse describing a patient with severe bone pain started on morphine—then an out-of-town daughter arrived, shocked to see “Daddy on morphine.” What unfolded was realistic and tragic. This story highlights two timely essentials:

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?

Q&A: Prognostic preferences ‘a swinging pendulum’ for older adults with end-stage kidney disease (ESKD)Healio; by Lucas Laboy and Annie Liu, DO, MPH, MS; 11/17/25 Older adults with end-stage kidney disease and their care partners expressed dynamic prognostic preferences over time, according to study findings published in Clinical Journal of the American Society of Nephrology. Serious conversations with patients with ESKD can be difficult for nephrologists, according to Annie Liu, DO, MPH, MS, associate physician at Mass General Brigham, and colleagues. ... Key themes included:

When health care teams run short, physician burnout rises American Medical Association (AMA); by Sara Berg, MS; 11/4/25 ... Drawing on data from the AMA Organizational Biopsy®, the study reveals that inadequate team staffing was also linked to physicians’ intentions to cut clinical hours or leave their organizations. The findings underscore how sustained workforce shortages and daily understaffing continue to affect morale and retention in medicine long after the acute phase of the COVID-19 public health emergency. Participants included 970 physicians from 15 organizations.