Literature Review

All posts tagged with “Clinical News | Physician & Nursing News.”



Why traditional primary care fails frail elders and the future need for specialized models | part one

07/30/26 at 03:00 AM

Why traditional primary care fails frail elders and the future need for specialized models | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Dr. Bethany Snider; 7/29/26 Traditional primary care wasn't designed for today's frail elders—and that gap may be one of healthcare's greatest challenges. As America's population ages, healthcare leaders face an urgent question: Is the traditional primary care model enough to care for frail older adults with complex medical, functional, and social needs?  In Part One of this thought-provoking conversation, Chris Comeaux welcomes Dr. Bethany Snider, Chief Medical Officer of Everent Health, to explore why the future of serious illness care requires a fundamentally different approach. Together, they unpack the emerging concept of the frail elder practice—a longitudinal, interdisciplinary model that extends beyond office visits to meet patients where they are, both physically and emotionally.

Read More

At and end-of-life care home, a young cancer survivor finds his calling

07/29/26 at 03:00 AM

At and end-of-life care home, a young cancer survivor finds his calling  The Buffalo News, Buffalo, NY; by Jon Harris; 7/28/26  Seated in the chapel at Sloan Comfort Care Home, 22-year-old Evan Folsom reflected on what working at the end-of-life facility has meant to him. "The Home did come at the right time for me," said Folsom, hours after finishing an overnight shift there, and a day before taking the daylong Medical College Admission Test. Folsom survived a brain tumor as a toddler and spent years recovering. That alone shaped an interest in medicine. ... His work at Sloan Comfort Care Home helped him come to terms with certain issues and fueled his interest in studying the complex moral and ethical questions that arise in medicine. So he took a "shot in the dark" and applied to Harvard Medical School's Master of Science in Bioethics program, along with a few other schools. He got into all of them but chose Harvard because Boston holds a special full-circle meaning for him. Massachusetts General Hospital, the largest teaching hospital of Harvard Medical School, is where he received treatment as a toddler. "Harvard was specifically deep for me, because that's kind of where my journey started," he said. Folsom leaves for Boston on Aug. 1 ...

Read More

Physicians: proposed California rule threatens livelihood, providers

07/29/26 at 03:00 AM

Physicians: proposed California rule threatens livelihood, providersHospice News; by Jim Parker; 7/28/26Some hospice medical directors contend that proposed emergency regulations in California represent a threat to their livelihood, as well as creating access risks for patients. The California Department of Public Health (CDPH) proposed the rules in June in an effort to combat fraud. Within the 143-page document, the sticking point for physicians is a requirement that, if finalized, would limit hospice medical directors to serving only one hospice. CDPH recently held an online stakeholder meeting regarding the proposal in which several physicians called on the agency to allow medical directors to serve as many as three hospices, or to eliminate the limitation altogether for at least some doctors.

Read More

WVU Medicine gave $25K in cash to hundreds of aspiring nurses. Did it work?

07/29/26 at 03:00 AM

WVU Medicine gave $25K in cash to hundreds of aspiring nurses. Did it work? Becker's Clinical Leadership; by Paige Twenter; 7/27/26 When WVU Medicine started handing aspiring nurses up to $25,000 in cash, the bet was that money for life’s expenses, not just tuition, would keep them in school. Early returns suggest it is. As of late July, the Morgantown, W.Va.-based system had signed 985 students to its Aspiring Nurse Program and expected to cross 1,000 within a month, said Jessica Huffman, DNP, RN, assistant vice president of system nursing services. The program, which launched in August 2023 at two sites before expanding systemwide, gives students their stipends upfront to cover living costs — a flat tire, a utility bill, groceries — in exchange for a three-year commitment to work as a full-time direct care registered nurse at the 25-hospital system. The premise, drawn from student surveys, was that money is what pushes West Virginia nurses out of school before they finish, not a lack of aptitude.

Read More

[Global] Following WHO Global Cancer Report, international nursing and palliative care leaders call for urgent workforce investment for rising cancer needs

07/28/26 at 03:00 AM

[Global] Following WHO Global Cancer Report, international nursing and palliative care leaders call for urgent workforce investment for rising cancer needs World Health Organization (WHO) and Internationalouncil of Nurses (ICN); Joint Statement on World Health Organization (WHO) Global Status Report on Cancer 2026; 7/24/26Based on the evidence in WHO’s recent Global Status Report on Cancer 2026, the International Council of Nurses (ICN), International Society of Nurses in Cancer Care (ISNCC) and International Children's Palliative Care Network (ICPCN) urge leaders to invest in and protect the nursing and health workforce to urgently strengthen health systems and improve cancer outcomes across the full continuum of care. ICN, ISNCC, ICPCN welcome the report’s clear message that the future of cancer care will not be secured through medicines and technology alone, but through the health workforces that are the backbone of care. We affirm that meeting the world’s most urgent cancer challenges depends on investing in nurses and multidisciplinary teams; addressing workforce shortages and burnout; and moving away from medicalized models towards people-centered, equitable health care across prevention, treatment, survivorship, rehabilitation and palliative services.

Read More

Keyser Campus nursing students use VR to assist in training

07/27/26 at 03:00 AM

Keyser Campus nursing students use VR to assist in training West Virginia University School of Nursing; Press Release; 7/22/26 When students in the WVU School of Nursing Keyser Campus program start classes this fall, they will be aided and assisted by the latest technology that will allow them to explore human anatomy with a view from the inside out. Future nurses at WVU Potomac State College will be assisted in their clinical and lab studies with the use of sophisticated Virtual Reality equipment – state-of-the-art goggles that, through AI technology, allow the wearer to experience conditions, symptoms, and even assess and possibly diagnose conditions within the human body. ... It brings students — albeit digitally — into an autopsy examination, an open heart surgery, or even bedside with a child in the ER getting fitted with a cast for a broken leg.

Read More

How the nurse-led model of care reimbursement gap undermines health equity

07/25/26 at 03:45 AM

Read More

Caring with confidence: A guided approach to end-of-life care

07/25/26 at 03:35 AM

Caring with confidence: A guided approach to end-of-life careJournal of Pain & Symptom Management; Laura Maldoon, Stacy L. Nilsen; 6/26Nurses may face uncertainty when caring for dying patients due to inadequate education and experience. This uncertainty coupled with varying practices for end-of-life care may affect both care quality and nurses’ attitudes. In nurses caring for hospitalized End-of-Life patients, does having a guided End-of-Life template and care resources, compared to current practices, improve registered nurse attitudes in providing individualized end-of-life care? Two inpatient nursing units received a 30-minute End-of-Life educational intervention utilizing the City of Hope’s Comfort, Airway, Restlessness and Delirium, Emotional and Spiritual Support (CARES) toolset as a standard resource to assess and prioritize end-of-life symptom management and family communication. This project suggests improved comfort and confidence among RNs in providing end-of-life care with the use of the CARES toolset. Nurses also demonstrated increased interest in seeking additional education.

Read More

[Italy] Fever in a palliative care setting: Clinical insights and implications from a prospective observational cohort study

07/25/26 at 03:05 AM

[Italy] Fever in a palliative care setting: Clinical insights and implications from a prospective observational cohort studyPalliative Medicine; by Stefania Cheli, Elena Angeli, Oscar Corli, Sofia Dinegro, Agostino Zambelli, Tania Carta, Romina Shazivari, Michaela Smolikova, Paolo Franceschi, Francesco Molà, Yara Silva Cruzeiro, Emilio Clementi, Andrea Gori; 5/26Fever is a frequent but complex symptom in adults with a limited prognosis, arising from multifactorial causes beyond infection. The study was conducted in an inpatient hospice palliative care unit within the Luigi Sacco Hospital in Milan, Italy (January and December 2024). Fever occurred in 40% of patients, with a median onset of 5.5 days after admission. In 39.7% of cases, fever was attributed to infections, mainly catheter-associated urinary tract infection. Its strong association with medical devices highlights the need for proportional, personalised interventions that primarily consider prognosis, symptom relief, and quality of life.

Read More

Local nurse goes to Washington DC to meet with elected officials about hospice fraud

07/24/26 at 03:00 AM

Local nurse goes to Washington DC to meet with elected officials about hospice fraud YubaNet.com, Grass Valley, CA; by Foothills Compassionate Care; 7/22/26 Last month, at end of June, Registered Nurse, Kellie Bolle of Foothills Compassionate Care, traveled to Washington DC to meet with elected officials on the issue of fraud, waste and abuse in hospice care. ... With a rapidly escalating fraud crisis in hospice care, reputable, mission-focused organizations and providers are having to answer for a growing number of bad actors. Foothills Compassionate Care invites the public to an interactive town hall that will include: An update on national efforts to combat hospice fraud, insights from Clinical Care Manager Kellie Bolle, MSN, RN, CHPN, following her advocacy meetings in Washington, D.C., information about how to identify a reputable hospice provider, a discussion of hospice, palliative care, and the Medicare hospice benefit, and an open question-and-answer session with hospice professionals. Free and open to the public. [On Wednesday, July 29, 2026. Go to this article for their RSVP to the public.]

Read More

Nursing philosophy: What it is and why it matters in BSN education

07/24/26 at 03:00 AM

Nursing philosophy: What it is and why it matters in BSN education Nevada State University; by RN to BSN; 7/23/26... A nursing philosophy is a personal statement of the values and motivations that guide a nurse’s practice. It is not a job description or a list of clinical competencies; rather, it is a reflection of what nursing means to the individual practitioner and how that meaning informs the way they show up at work. A well-developed philosophy of nursing typically addresses several core areas:

Read More

The evolving role of hospice CMOs

07/22/26 at 03:00 AM

The evolving role of hospice CMOs Hospice News; by Jim Parker; 7/21/26 For hospices, the role of the chief medical officer is expanding beyond the role of overseeing the medical staff and into the regulatory and business operations arena. CMOs in 2026 need a broader skill set than clinical knowledge, according to Dr. Martha Presley, CMO of Alive Hospice. After a previous stint as a medical director for Alive Hospice. Pressley returned as CMO in March 2025 upon the retirement of Dr. David McRay. “Historically, chief medical officers have been very focused on the management of other clinical staff. This is becoming a more operational role than I think it has ever been in the past,” Presley told Hospice News. ... The role of a hospice CMO increasingly blends advanced medical practice with executive leadership, including clinician oversight, handling quality and compliance, administrative operations, building community and referral partnerships and mentoring staff.

Read More

Difficult discussions: How UTC nursing faculty are using AI to teach the hardest conversations in care

07/22/26 at 03:00 AM

Difficult discussions: How UTC nursing faculty are using AI to teach the hardest conversations in care The University of Tennessee Chattanooga, Chattanooga, TN; by Chuck Wasserstrom; 7/20/26 Two University of Tennessee at Chattanooga College of Nursing faculty members recently shared their work on AI-assisted simulation with an international audience, leading a webinar on how the technology can help prepare graduate nurse practitioner students for difficult conversations in palliative care: Dr. Chris Doneski, director of UTC’s acute care nurse practitioner program and a simulation faculty member, and Dr. Rosebelle Peters, nursing simulation program director and senior lecturer. ... The presentation centered on a gap the two faculty members see in graduate nursing education. Doneski said students often receive training in procedures, prescribing and transition to practice, but communication training for difficult situations can be harder to build in meaningful ways. ... The recorded webinar is available through HealthySimulation.com. Users must register for a free account to view it.

Read More

Palliative Care team manifests dreams of butterbeer and Harry Potter

07/22/26 at 02:00 AM

Palliative Care team manifests dreams of butterbeer and Harry Potter Vanderbilt Health News, Nashville, TN; by Jill Clendening; 7/20/26 After Mike Guth and his family learned that his pancreatic cancer had advanced beyond treatment, the Vanderbilt Health Palliative Care team worked magic to make a dream trip possible. ... Mike, 53, a beloved high school social studies teacher in southern Indiana and father of four, was diagnosed with Stage 2 pancreatic cancer in early 2025. ... Mike has always loved the magical lore of Harry Potter, excitedly consuming the books and movies with their children (now adults). Mike perhaps seized inspiration from the plot twists of the fantasy series to say he still longed to visit The Wizarding World of Harry Potter in Orlando, Florida. With careful planning to manage symptoms and stay on top of hydration, the Vanderbilt Health Palliative Care team surprised the Guths and said his dream was doable. ... Palliative care physician Zack Watson, MD described, "for him to have that time with his kids and his wife. Hopefully, this gave them an anchor of joy in the midst of this really tough time." On July 14, Mike died peacefully at home, surrounded by his loved ones.

Read More

Person who makes a difference: Dubuque volunteer brings personal, professional experience to service

07/21/26 at 03:00 AM

Person who makes a difference: Dubuque volunteer brings personal, professional experience to service Telegraph Herald, Dubuque, IA; by reade Snelling; 7/19/26 After a lifetime of caring for people in the community, one might find that some time off was in order. Allen Meurer didn't, though. During and after his long career of serving Dubuque as a physician, Meurer has also been a caregiver and resource for older adults throughout the city. Now, as a volunteer at Bethany Home, Hospice of Dubuque, Hawkeye Care Center and Harmony Healthcare, plus serving on the board of directors of the first two organizations, he doesn't seem to be slowing down anytime soon. "That's my passion, end-of-life care," Meurer said. "Since I retired about four years ago, I just continued on visiting the nursing homes like I did for my career."

Read More

Restaurant owner shelves Easter plans to fulfill dying man's last wish to feed his hospice nurses

07/20/26 at 03:00 AM

Restaurant owner shelves Easter plans to fulfill dying man's last wish to feed his hospice nurses Daily Good; by Good News Network; 4/7/26 Frank Ozimek spent his final days in hospice care, but what occupied his mind wasn't his own suffering -- it was how to thank the nurses who had tended to him with such devotion. When his brother Ken struggled to find a restaurant open on Easter to fulfill Frank's wish to feed the hospice staff, Tommy Milani, owner of a local pizza shop, didn't hesitate: "Absolutely, whatever you need, Ken." Milani set aside his holiday plans and delivered pizzas to the entire nursing staff, completing a circle of care that began with strangers and ended with gratitude. In his last act, Frank found a way to say what perhaps mattered most -- that he had seen the kindness given to him, and wanted to give it back.  

Read More

Mount Sinai South Nassau partners with MJHS to launch inpatient hospice program

07/20/26 at 03:00 AM

Mount Sinai South Nassau partners with MJHS to launch inpatient hospice program LI Herald Oceanside, Island Park, NY; by Abigail Grieco; 7/17/26 Mount Sinai South Nassau has expanded its continuum of care services by launching an inpatient hospice program through a new clinical partnership with MJHS Hospice and Palliative Care, providing specialized end-of-life care for patients whose needs cannot be met at home. The hospital announced that the new service will offer around-the-clock hospice care for patients facing life-limiting illnesses, while also providing support for their families during one of life’s most difficult transitions. ... The program combines the expertise of Mount Sinai South Nassau's clinical staff with MJHS Hospice's specialized team of hospice professionals.

Read More

Personal experience fuels Jeannie Meyer's commitment to helping the homeless die with dignity

07/20/26 at 03:00 AM

Personal experience fuels Jeannie Meyer's commitment to helping the homeless die with dignity UCLA Health; by Sandy Cohen; 7/15/26  The UCLA Health palliative care nurse is a national advocate for recording end-of-life wishes for unhoused individuals. Jeannie Meyer, MSN, didn’t realize she was homeless as a child. She thought everyone moved from place to place, hotel to hotel, and never answered the phone or the door in case a bill collector was on the other side. “I knew what ‘eviction notice’ meant when I was 5 years old,” she says. Those childhood experiences made her empathetic, but it was the pain of learning that her alcoholic father died on Skid Row that inspired Meyer, a palliative care nurse at UCLA Health, to advocate for advance care planning for homeless people.

Read More

When technology meets its limits: Integrating Medical Aid in Dying with withdrawal of a left ventricular assist device

07/18/26 at 03:00 AM

Read More

Nurse practitioner: my patient qualified for hospice. I couldn’t get her there

07/17/26 at 03:00 AM

Nurse practitioner: my patient qualified for hospice. I couldn’t get her there The Examiner News; by Diane Pagan; 7/15/26 ... I’ve been Marie’s primary care nurse practitioner for seventeen months. She was referred to me at the time by her PCP because she could no longer physically manage going into the office. She suffered from dementia and her gait was worsening ... Marie’s daughter chose a hospice agency close to her home. The agency reviewed my referral and notes and accepted Marie into their program. The next step was to send them a Certificate of Terminal Illness (CTI) stating that Marie had a terminal illness with an anticipated life expectancy of 6 months or less. Then the obstacle arose. I couldn’t sign the form. ... The inability of nurse practitioners to sign a CTI does not stem from their lack of education or clinical expertise in determining when a patient is nearing end of life. The restriction is rooted in federal Medicare law, written more than 40 years ago, when the role of nurse practitioners was very different than it is today.

Read More

VITAS medical director: improve hospice referrals for cancer patients

07/17/26 at 03:00 AM

VITAS medical director: improve hospice referrals for cancer patients Hospice News; by Jim Parker; 7/16/26 Hospice utilization among some cancer patients is leveling off and slowing growth, but healthcare providers and medical educators can adopt certain strategies to move the needle. This is according to Dr. Ileana Leyva, regional medical director for VITAS Healthcare. ... Neuro-degenerative, lung and cardiac diseases are gaining more prominence among hospice diagnoses. In 2024, senile degeneration of the brain was the most common terminal diagnosis among Medicare decedents at 9%, followed by Alzheimer’s at 6%, according to the National Alliance for Care at Home. Chronic obstructive pulmonary disease rounded out the top three at 4.2%. Lung cancer was the 11th most common diagnosis that year, at 2.1%, the highest rate for any form of cancer. Hospice News spoke with Leyva about the barriers that prevent cancer patients from accessing hospice sooner and what stakeholders can do to drive improvement.

Read More

Meet the pair traveling Route 66 to encourage blood donation amid shortage

07/17/26 at 03:00 AM

Meet the pair traveling Route 66 to encourage blood donation amid shortage The Oklahoman; by Carla Hinton; 7/14/26 As part of their 'Miles For Kindness' movement, two women are traveling Route 66 to encourage people to donate blood. Two women whose lives have been affected by blood donation are traveling miles from home in a colorful decommissioned ambulance to raise awareness about the nation's blood supply shortage. Marie Forrestal and Lori Talbot left their homes in Cranford, New Jersey, about a week ago to travel Route 66 to share their "Miles of Kindness" message. The pair stopped in Oklahoma City on Monday to host a blood drive at the Drybar salon at Classen Curve, in partnership with Our Blood Institute. The two sat in lawn chairs near their ambulance while visiting with customers and others who dropped by. 

Read More

Calendar Year (CY) 2027 Medicare Physician Fee Schedule Proposed Rule

07/16/26 at 03:00 AM

Calendar Year (CY) 2027 Medicare Physician Fee Schedule Proposed Rule CMS Newsroom; Fact Sheet; 7/14/26 paired with U.S. Department of Health and Human Services, CMS CY 2027 Payment Policies under the Physician Fee Schedule, 7/16/26; summary by guest editor Judi Lund Person On July 14, 2026, the Federal Register posted the CY 2027 Medicare Physician Fee Schedule proposed rule – CMS-1848-P. The CMS Fact Sheet on the proposed rule can be found here. While the proposed rule is 1,592 pages, there are two items of note to hospice and palliative care readers: 1) Supporting Beneficiaries Planning for Future Medical Decisions.CMS is proposing to create two new HCPCS codes to describe advance care planning (ACP) services furnished by clinical staff under the direct supervision of the billing physician or other practitioner. These new codes will more accurately distinguish and value the work done by billing practitioners from time spent by their clinical staff providing ACP services. We are further proposing that the existing ACP CPT codes 99497 and 99498 would only be used to report time personally spent by the billing practitioner. 2) RFI on Community-based Palliative Care, asking questions on eligibility for serious illness care and palliative care, the future of care management services and advanced primary care management.   

Read More

Cardiologists treating increasingly complex patients as America ages

07/16/26 at 03:00 AM

Cardiologists treating increasingly complex patients as America ages Medscape; by Sarah Amandolare; 7/14/26 ... Heart failure (HF) affects 15%-20% of adults over 80, according to the American Heart Association/American College of Cardiology/Heart Failure Society of America Guideline for the Management of Heart Failure. HF with preserved ejection fraction (HFpEF), which becomes more likely after age 80, is related to other common conditions of aging, including hypertension, chronic kidney disease, diabetes, and obesity. “Almost by definition, most people that have HFpEF have multiple comorbidities,” Hummel said. “You have to account for a lot of them when you’re thinking about how to help the patient best.” This population also has higher chances of developing dementia and frailty, which affect 35% of adults age 90 and older and 31% of octogenarians, respectively. Older adults hospitalized for HF also have a high likelihood of polypharmacy; 68% take 10 or more medicines.

Read More

Evaluation of a pharmacist-driven discharge medication reconciliation service

07/16/26 at 03:00 AM

Evaluation of a pharmacist-driven discharge medication reconciliation service Pharmacy Times; by Missy Montino, PharmD, Madison Holmes, PharmD, BCPS, Shannon Pierce, PharmD, CPh, BCPS, Randi Silcox, PharmD, Anna-Marie Freeland, PharmD, Bola Habeb, MD; 7/13/26 Introduction: Medication reconciliation is a systematic process utilized to ensure the accuracy and consistency of a patient’s medication information across transitions in care. It involves comparing the patient’s current medication regimen with the prescribed medications to identify and resolve discrepancies, such as omissions, duplications, dosing errors, or potential drug interactions. ... Discussion and Conclusion: ... This study adds to the body of evidence supporting pharmacy’s positive impact on patient health outcomes, specifically in reducing 30-day readmission rates and identifying clinical interventions. This reinforces the benefit of a pharmacist-driven discharge medication reconciliation service. ...

Read More