Literature Review

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.

Unique ethical dilemmas occur in long-term care settings: Staff need ethics resources  Medical Ethics Advisor; by Stacey Kusterbeck; online ahead of print 12/1/25 issue ... “The position paper was developed in response to concerns from our members about the ethical challenges of the changing environment in long-term services,” says Jason M. Goldman, MD, MACP, president of the American College of Physicians. ... Discharge disposition, communication issues (either among the clinical team or between clinicians and parents), behavior problems, and goals of care were the top ethical issues reported. Lack of caregiver support was another frequent unique ethical concern. Editor's Note: Your hospice is in a unique role to provide ethics trainings for end-of-life care, and thus building trust, clinical best practices, and referrals. The CMS Hospice Conditions of Participation require: Hospices That Provide Hospice Care to Residents of a SNF/NF or ICF/MR (§ 418.112) (f) Standard: Orientation and training of staff. Finally, this rule requires a hospice to assure the orientation of SNF/NF and ICF/MR staff caring for hospice patients. Staff orientation must address the following topics: hospice philosophy; hospice policies regarding patient comfort methods, pain control, and symptom management; principles about death and dying; individual responses to death; patient rights; appropriate forms; and record keeping requirements.

“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?

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:

Transfusion access central to hospice decision-making among patients with blood cancers The ASCO Post; by Julia Cipriano, MS, CMPP; 11/13/25Based on the results of a multicenter cross-sectional survey study published in JAMA Network Open by Raman et al, patients with blood cancer who were potentially hospice-eligible placed the greatest importance on transfusion access compared with routine hospice services. “The high value placed on transfusion access suggests that this factor is central to hospice decision-making and highlights the need for novel hospice delivery models that incorporate palliative transfusion access for patients with advanced blood cancers,” the investigators commented. Editor's Note: Revisit our previous post, "Access to hospice and certain services under the hospice benefit for beneficiaries with end-stage renal disease or cancer."

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.

10 common sibling clashes while caring for parents—and how to resolve them AOL.com; 11/10/25 Sibling conflicts over the care of elderly parents are quite common, along with disputes over estates and inheritance. ... 

What is the best way for CNOs to tackle change management? healthleaders; by G Hatfield; 11/10/25 CNOs need to be equipped to support their nurses throughout times of change. With many constant changes happening in healthcare, from mergers and acquisitions, to leadership changes, to new technology implementation. All of these shifting variables have major impacts on the nursing workforce in any health system and can cause major disruptions in workflow and nurse wellbeing. CNOs must also keep in mind that big changes affect patients as well. The challenge for nurse leaders lies in handling that change with patience, confidence, and clear intentions. CNOs must design change management strategies that are inclusive, transparent, and responsive, while being as communicative as possible throughout the entire process.

HPNA announces 2026 award recipients Hospice and Palliative Nurses Association (HPNA); Press Release; 11/10/25 The Hospice and Palliative Nurses Association (HPNA) congratulates the following individuals on being selected as 2026 HPNA Award recipients.

UW Health: Initiative enhances hospice and palliative care programs WisBusiness, Madison, WI; Press Release; 11/4/25 A new UW Health initiative improves the hospital’s hospice care process to ensure patients receive the best, most coordinated care possible throughout their end-of-life journeys. The initiative provides inpatient and emergency department hospice enrollment at University Hospital, ensuring that patients nearing the end of life receive timely, compassionate support and more coordinated care between the health system and the hospice agency. This program, created in partnership with regional hospice organizations and hospital staff, aims to improve continuity of care for patients already getting care in the UW Health system, according to Dr. Jeff Pothof, chief quality officer and emergency medicine physician, UW Health. 

Medicare finalizes controversial cut to specialty care next year HealthcareDive; by Rebecca Pifer; 11/3/25 The CMS finalized the Medicare physician fee schedule for 2026 on Friday [10/31], one day before the statutory deadline. Medicare has locked in a controversial pay cut for specialty doctors next year, normalizing reimbursement between specialists and primary care doctors and curbing the influence of a powerful physician association in setting rates. ...  The -2.5% adjustment is meant to account for non-time based services becoming more efficient over time as technology improves and workflows become smoother. As a result, they’re easier to perform, so Medicare is overpaying, regulators say.

VITAS and Miami Dade College partner to shape the next generation of compassionate nurses South Florida Hospital News and Healthcare Report; by Daniel Casciato; 11/1/25 For Miami Dade College (MDC) nursing students Khadijah Norelus and Shanel Cantave, the decision to pursue nursing came from deeply personal experiences. Shanel was inspired after nearly losing her father to a hemorrhagic stroke. Khadijah’s calling was born when she witnessed the care and compassion a hospice nurse gave her cousin in his final moments. Today, both women are VITAS Scholars—recipients of the Miami Dade College LPN Scholarship supported by hospice provider VITAS Healthcare—and represent the next generation of caregivers preparing to serve South Florida’s communities amid a national nursing shortage.