Literature Review

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.

Moral distress is the wound behind bedside careKevinMD.com; by Amanda Dean, RN; 8/9/2026A physician I follow on social media is an incredibly talented artist. He turns medical scenarios into cartoon sketches, as if they belong in a Sunday newspaper instead of on a telephone screen. One of his recent renderings depicted the typical ICU patient: intubated, sedated, and surrounded by machines. Standing beside the hospital bed were two individuals with captions over their heads saying, “Look at all of this! This is torture! He is suffering!” An identical image was placed by its side, the only difference being the captions overhead. This time they read, “Look at all of this! What amazing care! He’s getting everything!” The images invited almost 200 comments, ranging far and wide along the opinionated spectrum. ...

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.

LATE vs Alzheimer’s: Biomarkers, Mixed Dementia, and Clinical Realities with Nate Chin and Sterling Johnson GeriPal; podcast by GeriPal with Sterling Johnson and Nate Chin; 8/6/26 Up until just a couple years ago, an 85-year-old patient presenting with gradual, amnestic memory loss was almost automatically presumed to have Alzheimer’s disease. However, new biomarkers and the recognition of conditions like Limbic-predominant age-related TDP-43 encephalopathy (LATE) are reshaping our understanding of cognitive decline in older adults. It’s looking more clear that pure Alzheimer's dementia is rare in older adults, and co-occurring pathologies that may include Alzheimer’s, LATE, Lewy Body, and vascular neuropatholigies, are the rule rather than the exception. ... Sterling Johnson is a clinical neuropsychologist and researcher who leads the CLARiTI study, which is attempting to uncover the intersecting causes of dementia.  Nate Chin is the medical director and Clinical Core Co-Leader for the Wisconsin Alzheimer’s Disease Research Center (ADRC), the host of the Dementia Matters podcast, and author of a new book When Memory Fades.  

What hospice care really means to a grieving familyKevinMD.com; by Ton La, Jr., MD, JD; 8/3/26Before my grandfather entered hospice, I believed it was where physicians sent patients to die. I saw it as the end of treatment, a quiet admission that medicine had given up. It was only through watching my grandfather’s final years that I came to understand hospice differently: not as the abandonment of care, but as one of its most compassionate forms. ... On Christmas morning, my uncle called to tell me my grandfather had fallen into a coma. His physicians urged us to say our goodbyes. When I arrived, the room was filled with family members offering prayers, and our rabbi came. Sitting beside him, I held his hand and prayed with everyone else. He passed away, and my entire world fell apart. ...   

MUSC College of Nursing expands global role in palliative care education through ELNEC partnership Medical University of South Carolina, Charleston, SC; Press Release; 7/30/26 The Medical University of South Carolina (MUSC) College of Nursing (CON) has joined the End-of-Life Nursing Education Consortium (ELNEC) as an official partner. This partnership strengthens national and global efforts to prepare the healthcare workforce for the growing demand for palliative care. Alongside City of Hope and the American Association of Colleges of Nursing, the MUSC College of Nursing reinforces a shared commitment to improving the quality of palliative care in the United States and around the world. “We are proud to join ELNEC in advancing palliative care education at a time when the need has never been greater. ...” said Catherine Durham, DNP, APRN, dean of the College of Nursing. 

Hospice and Palliative Medicine Advisory Committee Meeting Summary | Spring 2026American Board of Internal Medicince | ABIM Blog, Philadelphia, PA; by ABIM; 7/31/26 The Hospice and Palliative Medicine Advisory Committee held its spring meeting on April 28, 2026. Representatives from the American Academy of Hospice and Palliative Medicine (AAHPM) and guests from the University of Colorado joined for a portion of the meeting. ... The following is a summary of the spring meeting. ... Furman S. McDonald, MD, MPH, President and CEO of ABIM and the ABIM Foundation, discussed progress on ABIM’s strategic initiatives, including:

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.

One clinician, every conversation: Palliative care delivery by solo APRN hospitalists in Critical Access HospitalsJournal of Hospice & Palliative Nursing; by Melissa Skoff; 7/26Advanced practice registered nurses (APRN) who practice as solo hospitalists in critical access hospitals are often underrecognized in their role in providing palliative and end-of-life care. This article describes the full scope of the solo APRN hospitalist in a critical access hospital setting with close attention to how complex patient demands contribute to the challenges in providing high-quality end-of-life communications. This article examines clinical, educational, and ethical dimensions of this work, and presents a case example that illustrates how these pressures present during a shift. Strategies to strengthen rural palliative care capacity are discussed, including tele-palliative care, remote ethics support, and APRN-centered education. As rural workforce shortages persist and continue to rise, alongside rising patient acuity, naming and addressing these structural gaps is essential in improving quality of care and protecting the well-being of a solo APRN hospitalist.

Adopting the fourth pillar of acute care surgery: the current state of palliative medicine in trauma care Current Trauma Reports; by Alison Haruta and Kathleen O'Connell; 7/30/26Although most older trauma patients survive hospitalization, many deaths occur within six months after discharge, making early goals-of-care (GOC) discussions essential. However, palliative care consultation remains significantly underused, occurring in only 2–4% of severely injured trauma cases. ... Primary palliative care skills are essential for trauma surgeons, though effective integration into the trauma system has been variable. As the need grows, the specialty palliative care work force cannot keep up with demand, highlighting the need for surgeons to learn and perfect their primary palliative care skills, including communication skills and holistic symptom management. Palliative care should function as a core pillar of trauma care, ensuring dignity, reducing non-beneficial treatments, and improving end-of-life experiences for patients and families.

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.

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 ...