Literature Review

Peaceful acceptance of illness among older adults with advanced cancer Journal of Pain and Symptom Management; by Sule Yilmaz, Elizabeth Gilbride, Sofiia Hryniv, William Consagra, Supriya G Mohile, Eva Culakova, Beverly Canin, Arul Malhotra, Rachael Tylock, Judith O Hopkins, Jane Jijun Liu, Jamil Khatri, Marissa LoCastro, Maya Anand, Allison Magnuson, Kah Poh Loh; 10/23/25 Context: Peaceful acceptance of illness is associated with lower psychological distress and increased engagement in advance care planning among adults with advanced cancer. Limited data exist on factors influencing illness acceptance in older adults. ... Conclusion: Patient psychological health, perceived prognosis, and caregiver education were linked to PEACE. Triadic interventions addressing these factors may enhance end-of-life care for older adults with advanced cancer.

Mental health resources: Finding the help you need MSN News; by Lisa Rapaport; 10/23/25 Whether youre coping with anxiety, depression, a substance use disorder, grief, or something else, there are organizations that can help you often for free. Here are some to reach out to when you need mental health support. ...

How to manage financial caregiving for an aging parent AOL.com; by Kerry Hannon; 10/25/25Steering end-of-life financial decisions for an aging parent is not a job many of us would choose. But we do — and feel our way through the messy emotions as best we can. ...[From an interview:] "[Your mom] was rejected for hospice care, which is covered by Medicare. Can you elaborate on that?""That was just such a slap in the face because it's a hard decision to go to hospice. ... My mom made that decision for herself, but my brother, the doctors, and me had to be on board with it in order for her to do it. The only reason they rejected her is because they thought she would be too costly. They do a cost-benefit analysis of how long that person is going to last— how much [in] resources is she going to consume? They decided that her diagnosis was too murky to justify putting her on hospice at that point. I finally found another hospice company to accept her. And she died in two weeks."

Teaching end-of-life care: Q&A with professor of medicine Medical Xpress; by Mahima Samraik, Yale University, edited by Sadie Harley; 10/20/25 Every year, thousands of families sit in hospital rooms hearing words no one wants to hear: "We have done everything we can." What happens next, whether doctors stay engaged or step away, can transform one of life's most difficult moments for patients and their families. Unfortunately, for too many patients, the shift from curative care to end-of-life care leaves them feeling stranded. ... "But it doesn't have to be this way," says Matthew Ellman, MD, professor of medicine (general medicine) at Yale School of Medicine (YSM) and director of Medical Student Palliative and End-of-Life Care Education. Ellman has spent decades at patients' bedsides and now teaches medical students about death and dying. In his recent essay in Academic Medicine, he draws from his personal experiences as a physician and encourages fellow doctors to embrace difficult conversations around end-of-life care.

Health Data Analytics Institute (HDAI) deploys innovative use of LLMs for summarizing and supporting patient preferences at a leading cancer center Bluegrass Live; by PR Newswire, Boston, MA; 10/20/25 An innovative new protocol called Better Real-time Information on Documentation of Goals of care for Engagement in Serious Illness Communication (BRIDGE-SIC) is being launched today at Dana-Farber Cancer Institute. BRIDGE-SIC uses Health Data Analytics Institute (HDAI) large language models (LLMs) to extract and summarize patients' goals of care conversations and their risk stratification tools for patient selection. The AI summaries identify and summarize prior goals of care conversations documented in patients' medical records and share them with inpatient and outpatient clinicians when patients with cancer are admitted to the hospital.

Study examines biological causes of cancer deaths: Tumors invading large blood vessels may be to blame, UTSW researchers say UT Southwestern Medical Center, Dallas, TX; by Newsroom; 10/16/25 The ultimate cause of death from cancer may not be metastatic disease, as researchers have long surmised, but an infiltration of tumors into major blood vessels that cause blood clots and multiorgan failure, a one-of-a-kind clinical study led by UT Southwestern Medical Center suggests. These findings, published in Nature Medicine, could spur interventions that extend the lives of patients with advanced cancers. 

Medicare aborts apparent plan to pause all physician payments during shutdown MedPageToday; by Shannon Firth; 10/16/25 Amid the federal government shutdown, the Centers for Medicare & Medicaid Services (CMS) on Wednesday appeared to announce a pause on all Medicare payments to doctors, but then quickly backed off. An initial notice stated that CMS had instructed all Medicare Administrative Contractors to temporarily hold "all claims paid under the Medicare Physician Fee Schedule, ground ambulance transport claims, and all Federally Qualified Health Center claims" with dates of service of Oct. 1 and later. ... But within hours, the agency issued another notice saying it would only stop processing claims related to expired programs such as certain telehealth and hospital-at-home services, both of which had been expected ahead of the shutdown.

The Center to Advance Palliative Care and the National Kidney Foundation make the case for the integration of palliative care into kidney disease management PR Newswire, New York; by The Center to Advance Palliative Care; 10/8/25 Despite facing high rates of distressing symptoms—including fatigue, pruritus, and pain—people living with advanced kidney disease are far less likely than those with cancer to receive appropriate pain and symptom management. And fewer than 10% of older adults receiving dialysis report having had conversations about their goals of care. These are two of the many important statistics highlighted in The Case for Palliative Care in Kidney Care, a new publication from the Center to Advance Palliative Care (CAPC) and the National Kidney Foundation (NKF), which emphasizes the critical need to integrate palliative care services into the treatment of patients with advanced kidney disease. 

Stories from an accidental Hospice Nurse by Shawn Brast, MSN, RN, CHPN ehospice; by Shawn Brast, Clinical Education Manager at Gilchrist Hospice in Baltimore; 10/9/25 ...  The strangest thing happened: after 30+ years in healthcare, I found my calling as a hospice nurse. Routinely, I am granted special access to some of the most intimate moments in patients’ and families’ lives. With my short experience as a hospice nurse, I have come across some awe-inspiring moments that have provided life lessons that must be shared for the greater good. ... [Shawn describes several hospice stories with his insights.] These types of “Aha!” moments continued since these three experiences, but it was these three experiences that set my direction to answer my calling. In doing so, I am becoming a better person, clinician, educator, researcher, student, husband and father.

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.

Gerontological nursing essentials for BSN students: Meeting aging population needs Nevada State | RN to BSN; 10/9/25 An aging population is transforming healthcare delivery, and nurses are increasingly called to address the complex needs of older adults. For students pursuing a Bachelor of Science in Nursing (BSN), learning the essentials of gerontological nursing provides the foundation to deliver compassionate, effective care. This specialty emphasizes not only clinical expertise but also communication, cultural competence, and advocacy for patient dignity. Explore what defines this field, the role of an adult gerontology nurse practitioner, and the pathways available to see how they can shape the future of elder care. Editor's Note: How is your organization supporting career growth for all staff members? While this article focuses on the RN-to-BSN pathway with a gerontological nursing emphasis, consider expanding professional development opportunities across your entire workforce—clinical and non-clinical alike. For example: