Literature Review

The future of the hospice physician: HOPE, staffing & technology Maxwell TEC; podcast by Tom Maxwell with Dr. Andrew Mayo and Dr. Tiffany Richter; 12/15/25... In this episode, Tom sits down with two of the most respected clinical leaders in the country: Dr. Andrew Mayo (Chief Medical Officer, St. Croix Hospice) and Dr. Tiffany Richter (Chief Medical Officer, Agape Care Group). They break down the debate between full-time vs. contracted physicians, the "hybrid" model that is winning, and the heartbreaking regulatory gaps preventing dialysis patients from accessing hospice care. Plus, they share deeply personal stories that remind us why we do this work. 

Palliative and end of life care: CEJA reports American Medical Association (AMA); updated 12/15/25 Reports by the Council on Ethical and Judicial Affairs (CEJA) interpret the AMA Principles of Medical Ethics to provide practical ethics guidance on timely topics. When the AMA House of Delegates adopts the recommendations of a CEJA report they become Opinions in the Code of Medical Ethics. The body of the report, which sets out CEJA’s ethics analysis, is archived and remains available as a resource to help users apply guidance. [Go to the original AMA source to access its CEJA reports:]

Palliative and hospice care in prostate cancer: A scoping review Urologic Oncology; by Andrew Glaza, Aidan Kennedy, Minhaj Jabeer, Siddharth Ramanathan, Agyeiwaa Obeng, Bernadette Zwaans, Jason Hafron; Jan 2026 Advanced prostate cancer presents therapeutic and prognostic challenges at the end of life. Palliative and hospice care improve quality of life, reduce hospitalizations, and enhance patient-centered decision-making. ...  On average, 40.4% of patients received palliative care, 14.74% hospice, and 1.3% received both. Early integration was associated with better quality of life, fewer hospital admissions, reduced aggressive interventions, and increased cost savings. Most referrals occurred late in the disease trajectory. ... Future research should focus on barriers to timely referral and evaluate their effects on clinical and economic outcomes in prostate cancer.

My patient was gone. I had to help his family see it: The art of medicine means sitting with families’ grief and hope Stat10 - First Opinion; by Raya Elfadel Kheirbek; 12/15/25 Bullets tore through Michael Thompson’s car at a stop sign, ending the life of a 35-year-old father in an instant. Just minutes earlier, he had dropped his 8-year-old daughter, Emma, at dance class, her pink tutu bouncing as she waved goodbye. Now, in the ICU, his young body lay tethered to machines — ... a ventilator’s hiss forcing his chest to rise. ... His family’s grief filled the room, raw and heavy, as I prepared to document our meeting. On the screen, a pop-up appeared: “Patient is deceased; do you want to continue?” Its cold bluntness paled against their pain. Michael looked alive. His chest rose and fell with the ventilator. ... Medicine isn’t just tests or machines. It is presence — sitting with families in their grief, faith, and love. Our tools should support that presence, not interrupt it with cold prompts. ... Most U.S. hospitals lack clear guidelines for these situations, leaving families and clinicians alike in limbo. They also worried about organ donation — a decision fewer than 1% of families consent to after brain death, often because the body still looks alive.Editor's Note: We thank the palliative care physicians, nurses, social workers, and chaplains who provide sensitive presence with families in the unbearable spaces between hope and loss, especially when life support decisions arise. In this season, may we pause to honor those who carry this sacred work—and remember the families who have had to accept harsh truths while machines still “breathe.”

Palliative care interventions for caregivers of people with advanced dementia: A meta-analysis Sigma Global Nursing Excellence - Worldviews on Evidence-Based Nursing; by Ita Daryanti Saragih, Ira Suarilah, Hsun-Kuei Ko, Ice Septriani Saragih, Bih-O Lee; 12/11/25 Conclusion: Palliative care interventions were successful in reducing conflict in decision-making of caregivers of people with advanced dementia. ... Linking Evidence to Action: Future palliative care interventions for caregivers of advanced dementia patients should focus on developing the contents of palliative care materials based on evidence-based evaluations and explore strategies to improve engagement between patients, caregivers, and healthcare professionals.

Evaluating the impact of the End-of-Life Nursing Consortium Curricula: A systematic review of assessments and outcomesJournal of Hospice & Palliative Nursing; by Olga Ehrlich, Theresa Jizba, Mariela Hristova, Christine S Davidson, Dennis C Powless, Toni L Glover; 12/25The End-of-Life Nursing Education Consortium (ELNEC) curricula prepare nurses to provide high-quality, evidence-based palliative care to patients with serious illness and their families. The original ELNEC program has been adapted to include nursing subspecialties and online learning modules, reaching nurses and students worldwide. This systematic literature review described the outcomes of nursing knowledge, attitudes, practice changes, and patient outcomes in studies that used ELNEC as a primary intervention. The findings revealed significant enhancements in knowledge of palliative care among nursing students and nurses, as well as a notable positive shift in attitudes toward caring for seriously ill and dying patients. However, findings also indicate a need for studies that apply rigorous methods using valid and reliable assessment instruments aligned with nursing competencies.

The ethical challenge of negative compassion: How excessive empathy in end-of-life care affects decision-making and patient autonomy Journal of Hospice and Palliative Nursing; by Victoria Pérez-Rugosa, Gina Lladó-Jordan, Pablo de Lorena-Quintal, Esther Domínguez-Valdés, Antonia Rodríguez-Rodríguez, Carmen Sarabia-Cobo; 12/11/25 Online ahead of print ... 3 key themes emerged: decision paralysis and emotional overload, conflicts between personal beliefs and professional responsibilities, and institutional barriers to ethical practice. Findings reveal that excessive emotional involvement can hinder the implementation of patients' documented wishes, potentially compromising patient autonomy and increasing caregiver distress. The study highlights the need for institutional policies that support emotional resilience, structured debriefing, and ethics training. ... These insights are highly relevant for palliative nursing practice, offering guidance for supporting staff and upholding patient-centered care in end-of-life settings.

Q&A: What is the relationship between AI and clinical informatics? CDW Healthcare; by Jordan Scott; 12/8/25 ... Health systems are seeking ways to address workflow inefficiencies with artificial intelligence, but if those tools aren’t implemented with a deep understanding of existing workflows and IT environments, then they aren’t likely to succeed. Clinical informaticists are well versed in health IT implementation and the change management required to ensure buy-in and adoption. HealthTech spoke with Murielle Beene, senior vice president and chief health informatics officer at Trinity Health — a large, not-for-profit health system with 92 hospitals across 25 states — about how AI is changing the field of clinical informatics. 

Ask Sheri: Overcoming fear and expressing thanks Lovin' Life; by Sheri Simpson; 12/7/25Dear Sheri, When my mother’s health began to decline, our family found ourselves standing at the edge of something we couldn’t quite prepare for. ... From the very first visit, the hospice team wrapped my mother — and our entire family — in comfort, dignity and compassion. They didn’t just care for her; they cared about her. They learned her favorite songs, listened to her stories, and treated her as the vibrant, funny, loving woman she’d always been. The nurses would hum along when she sang softly, and one even brought her a small, crocheted blanket because she noticed how much mom loved the color lavender. Hospice is not about giving up, it’s about giving more: more peace, more presence, more love. Azorna Hospice helped us see that. ...

The complex quandary over hospice relatedness Hospice News; by Jim Parker; 12/5/25 Questions over which services are deemed related to patients’ terminal diagnosis in hospice care are crucial, and physicians’ determinations of those factors may be growing more complex. ... CMS has taken a stance that essentially all the care needed by a terminally ill patient should be covered through the benefit. However, that is not always what happens in practice. ...  When considering relatedness, physicians must take a holistic approach, according to Dr. Lauren Templeton, hospice physician consultant at Weatherbee Resources and Physician Council member at The Pennant Group. ... In most cases, hospices should err on the side of considering conditions related, when possible, for the sake of their patients, Templeton indicated. “If it’s impacting the plan of care for our patients, that would make it related for us,” Templeton said.

Approaching end-of-life discussions with hospital patients Medscape; by Amanda Loudin; 12/2/25 ... Around 35% of Americans die in the hospital, which makes it particularly important that hospitalists are equipped to have end-of-life discussions with patients and their families. Yet many doctors come poorly prepared for these moments, leaving them uncomfortable when the conversations are necessary. “Most doctors receive training in how to deliver bad news surrounding a diagnosis, but that’s about it,” said Wyatt. “Doctors like cures and staving off death.” ... The issue is often compounded by the fact that patients and their families haven’t had these conversations, either, ...

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. 

Rainbow dedicates tree and memorial bench in honor of beloved nurse practitioner Kristina Heimsch Rainbow Community Care; Jefferson, Wisconsin; by Rainbow Community Care Team; 10/13/25Rainbow Community Care hosted a touching dedication ceremony on Monday, October 6, to honor the life and contributions of Kristina Heimsch, a cherished nurse practitioner who passed away in April 2025 at the age of 37. Held in collaboration with Kristina’s family, the event established a peaceful and lasting tribute to her presence within the Rainbow family. A Fire Maple tree, which was generously gifted by McKay Nursery of Waterloo, now stands on the front lawn of the Rainbow Hospice Care Inpatient Center. Kristina’s family also donated a memorial bench in her memory.