Literature Review

Frailty predicts more than age: strategies for hospitalists Medscape; by Julie Peck; 8/25/26 An 85-year-old who remains active and independent may recover from pneumonia more quickly than someone 20 years younger with multiple chronic illnesses, poor nutrition, and declining mobility. Growing evidence suggests that frailty — a state of diminished physiologic reserve and increased vulnerability to stressors — is one of the strongest predictors of prolonged hospitalization, complications, functional decline, discharge to post-acute care, readmissions, and mortality, often outperforming chronological age alone.

‘Pitt’ Crew: all 13 Emmy-nominated actors on bedside manners, blow-ups and fan theoriesTheWrap; by Steve Pond and TheWrap Staff; 8/21/26 TheWrap magazine: “It’s such a collective effort,” Noah Wyle says of making the hit HBO Max hospital drama. ... The 13 acting nominees, one shy of the record set by “Succession,” spoke to TheWrap about life in the Pittsburgh Trauma Medical Center. Noah Wyle, Dr. Michael “Robby” Rabinovitch, Outstanding Lead Actor in a Drama Series: If Wyle’s Dr. Robby is a broken hero in the first season, he’s shattered in the second, mistreating his staff and acting so self-destructively that he seems borderline suicidal. His perpetually dark mood did not go unnoticed among “Pitt” fans. ... [Continue reading for descriptions by the actors about The Pitt's characters they portray: Dr. Frank Langdon, Dr. Jack Abbot, Dr. Dennis Whitaker, Dr. Melissa King, Dr. Cassie McKay, Charge Nurse Dana Evans, Dr. Baran Al-Hashimi, Louie Cloverfield, Duke Ekins, Roxie Hamler, Becca King, Ilana Miller.]Editor's Note: Use small excerpts in your staff meetings and clinical education to explore specific topics with engaging, memorable examples. Invite insights from attendees.

Hospice nurses at Minnesota-based Allina Health vote to authorize 7-day unfair labor practice strike CBS News Minnesota; by Nicholas Lentz; 8/24/26 Hospice nurses who work for Minnesota-based Allina Health have voted to authorize a seven-day unfair labor practice strike, the union representing them said on Monday. According to Service Employees International Union Healthcare Minnesota and Iowa, all workers who cast a ballot on Friday voted in favor of the strike. The authorization comes amid negotiations to reach a first contract that have been happening for more than a year, SEIU said. Members allege Allina Health is opposed to "creating a fair compensation system that would give nurses extra pay for extra work"  and refuses to pay salaried registered nurses a holiday premium when they are required to work on holidays. The union added that the company also doesn't allow hospice nurses to flex their schedules.

Doctors say they feel pressured to prioritize corporate interests over patients: report HealthcareDive; by Jill Hughes; 8/21/26 Corporate entities, including hospitals and health plans, now employ more than 80% of physicians nationwide, according to the Physicians Advocacy Institute.

Nurses, consider these documentaries Healthcare NOW Radio; by Zelda Meeker; 8/5/26 Tired of scrolling to find something to watch? We’ve got a list of excellent healthcare-related documentaries that will grab and keep your attention. Healthcare documentaries offer a window into the complexities of this world and show the daily struggles and triumphs of nurses, patients, and other healthcare providers. Over the past few years, several films have stood out for addressing critical and often controversial healthcare topics and offering insight into the realities of the healthcare system. Below are 12 such documentaries impossible for any nurse to ignore — films that are sure to stir emotions and provide perspectives on your career. ...

Clarence Braddock on the future of medical education Stanford Medicine; by Communications Staff; 8/16/26 Clarence Braddock discusses reinventing medical training: simulation, less rote memorization as AI brings info to bedside, shared decision-making, and why the process of curriculum change can matter more than the change itself. Clarence Braddock, MD, MPH, a nationally recognized medical educator and former Executive Vice Dean and Vice Dean for Education in the David Geffen School of Medicine at UCLA, joins Euan Ashley on The Future of Medicine to explore how we train future doctors, why changing long-established systems can be so difficult, and what leaders often misunderstand about creating meaningful change.

Healing thyself: managing moral injury in healthcare Psychology Today; by Wendy L. Patrick, JD, MDiv, PhD; 8/16/26 Key Points

Who should palliative care see? Diane Meier, Bob Arnold, and Justin Sanders GeriPal; by Alex Smith; 8/13/26 As Diane Meier remarks to start today’s podcast, palliative care has come a long way from the days when we were the “brink of death” consult. We’re seeing patients earlier and earlier in the course of illness.  In fact, the evidence base for specialist palliative care is arguably stronger in the outpatient setting than the inpatient setting.  In some ways, as Eric remarked, we are a victim of our own success. We’ve pushed on the boundaries of seeing patients earlier in the course of illness, we’ve demonstrated remarkable value to our colleagues and health systems: now they want us to see more and more patients, with conditions we would not have previously considered core to palliative care practice. Our guests modeled respectful disagreement, and we were somewhat surprised that there was more agreement than we expected.  

Medical aid in dying: Bridging ethical guidance and bedside communication in nursing practiceJournal of Hospice & Palliative Nursing; by Jeanna Ford, Phyllis Whitehead; 7/26As MAiD [Medical aid in dying] becomes more integrated into serious illness care, nurses, particularly those in hospice and palliative care, are increasingly the first clinicians to receive patient questions about this option. These inquiries are often embedded in broader concerns related to suffering, loss of autonomy, fear of prolonged dying, and desire for control rather than solely requests for hastened death. The Hospice and Palliative Nurses Association’s recent position statement on medical aid in dying emphasizes compassionate, nonjudgmental care, respect for autonomy, professional integrity, and the ethical obligation of nonabandonment while recognizing the complexities of conscientious objection. This manuscript examines the evolving legal and ethical landscape of MAiD, explores the professional implications for nursing practice, and introduces the EXPLORE (Elicit, Explore, Probe Suffering, Learn Values, Observe Pressures, Review Support, Evaluate Next Steps) communication framework, a practice-based model developed to provide nurses with a structured, evidence-informed approach for responding to patient-initiated MAiD discussions. 

[Portugal] Ketamine for cancer-related pain in palliative care: A systematic review of clinical use and safetyJournal of Pain & Palliative Care Pharmacotherapy; by Catarina Vitorino-Afonso, Paulo Reis-Pina; 7/26Ketamine has emerged as an adjuvant for opioid-refractory cancer-related pain in palliative care, but evidence remains limited. [This study found that] ketamine was used mainly as an adjuvant. Many reports described reduced pain and/or lower opioid use, although certainty was very low and attribution was limited by polypharmacy and regimen changes. Intravenous infusions were most common, but subcutaneous, oral, and intranasal routes were also used. Intranasal ketamine showed pragmatic utility for breakthrough pain, while oral ketamine was described in ambulatory palliative care settings.

Palliative care consults for the oldest-old: A retrospective study of referral patterns, patient characteristics, and clinical outcomes Geriatric Nursing; by John Cameron, Kalli Stilos, Anita Chakraborty; 8/11/26Objective: This study describes the characteristics and outcomes of patients aged 90 and older (the oldest-old) receiving inpatient palliative care consultation at a tertiary care hospital, to identify gaps and opportunities to improve care. ... Conclusion: Referrals for specialist palliative care in the oldest-old occur late in hospitalization, predominantly among those with non-cancer illnesses and poor functional status. Systemic changes, including the use of prognostication tools and enhanced collaboration between geriatric and palliative care services, are needed. Nurses are pivotal in advocating for earlier advance care planning (ACP) and identifying patients who would benefit from timely palliative integration to ensure goal-concordant care.

Hospice physician: pain management growing more complex for families Hospice News; by James Warda; 8/7/26  When a patient starts to receive hospice care, families often expect to focus on making memories, finding comfort and spending meaningful time together. However, many instead find themselves making frantic phone calls to multiple pharmacies, driving across town to locate medications, or waiting days for prescriptions that should be readily available, with a patient in need at home. According to the American Academy of Hospice and Palliative Medicine’s (AAHPM) Board of Directors Secretary, Dr. Michael Barnett, a hospice physician and former inpatient palliative care physician, this growing challenge is becoming an all-too-common part of end-of-life care.

Mandatory mortality surprise question screening in the ED: Identification and associations with end-of-life care outcomesJournal of Palliative Medicine; by Nancy Kim, Karen Jubanyik, Peiyuan Liu, Giselle O'Connor, Ling Han, Rohit B Sangal, R Lynn Fiellin, Jennifer Kapo, Elizabeth Prsic, Shelli Feder; 7/26Early identification of patients with serious illness remains challenging in the emergency department (ED), where clinical decisions are made under time constraints. The mortality surprise question (MSQ) is a brief prognostic screen that may help identify patients needing end-of-life services. Results: Among 113,397 admissions (74,816 patients), MSQ completion was 100%; 7.8% received a "No" response. A "No" response was strongly associated with increased palliative care consultation ... , ACP documentation ... , hospice referral ... , comfort-measures-only orders ... , hospice disposition ... , higher inpatient mortality ... , and increased 30-day readmission ... Palliative care consultation occurred earlier among MSQ "No" than MSQ "Yes" encounters.