Literature Review

Hospital workers are revealing the heartbreaking regrets patients had on their deathbeds, and I'm at a loss for words BuzzFeed Staff; by Liz Richardson; 3/16/26 You may have heard about people's last words, but if there's anything even more haunting, it's the regrets they have on their deathbed. And, as you can imagine, those who work closely with dying patients have heard some unforgettable final regrets that stick with them for years. ... Several users shared the striking and heartbreaking regrets their patients shared, and wowww, it will hit you hard. Here's what they had to say: ... Editor's Note: This article reflects a more popularized perspective than we typically feature, but it raises themes that are deeply familiar in serious illness and end-of-life care. Hospice and palliative care teams are trained to meet these moments with presence, skilled communication, and interdisciplinary support—helping patients and families explore reflection, meaning, and connection in ways that extend far beyond the headlines.

Is hospice over-sedating my mom? AgingCare; by Ginger May; 3/11/26 This might be a common question. Mom was signed on to hospice nine days ago. ... Prior to hospice, she was alert and going down to meals each day and participating in conversations. ... Hospice recommended a small dose of morphine to reduce the cough and as they explained "to relax the airway." [Descriptions of her mother's decline. ...] Yesterday, I talked to the hospice nurse and told her I thought it was too much. The nurse disagreed and said mom needed it to prevent "air hunger" and is more comfortable with it than without it. I felt like if I disagreed too much, I was depriving my mother of "comfort." ...Editor's Note: Yes—this is a common question. Families often wonder whether medications intended for comfort are instead taking their loved one away too quickly. Leaders, listen carefully to this daughter’s experience with the hospice nurse. When families question a medication or express fear, what actually happens next? Are their concerns welcomed? Or, dismissed and perhaps even debated? Communication at the bedside does more than explain care. It shapes whether families carry trust—or regret—into bereavement.

Physicians are not providers: The ethical significance of names in health care: A policy paper from the American College of PhysiciansAnnals of Internal Medicine; by Lois Snyder Sulmasy, Jan K. Carney, for the ACP Ethics, Professionalism and Human Rights CommitteeMore than 25 years ago, Pellegrino and Relman noted the increasing commercialization of the learned professions, anticipating what many physicians are increasingly experiencing today: an impairment of their ability to practice in accordance with standards of medical ethics and professionalism. These hurdles to the physician’s ability to do right by the patient contribute to what leaders in medicine and the American College of Physicians have called deprofessionalization. An example is the use of the term provider to describe physicians and other health professionals. The use of this terminology has been reviewed in medical journal articles but has not been adequately explored as a matter of ethics and professionalism. Through that lens, this paper examines the trends, significance, and implications for patients, physicians, and health care of the use of the term provider.

Nursing's moral agency cannot be outsourced to AI, study warns Medical Xpress; by University of Pennsylvania School of Nursing; 3/10/26 As artificial intelligence (AI) rapidly integrates into clinical settings—from predicting patient outcomes to deploying humanoid "robotic nurses"—an article published in the Hastings Center Report warns that the core of nursing, its moral agency, must remain a human-driven responsibility. The article, What Does Moral Agency Mean for Nurses in the Era of Artificial Intelligence?, explores the growing tension between advanced algorithmic capabilities and the ethical obligations of the world's most trusted profession. While AI systems can now simulate empathy and generate context-aware responses, Penn Nursing's Connie M. Ulrich, Ph.D., RN, FAAN, the Lillian S. Brunner Chair in Medical and Surgical Nursing, Professor of Nursing, and Professor of Medical Ethics and Health Policy, and her co-authors argue that AI lacks sentience, intentionality, and accountability. The authors define a moral agent as a person capable of discerning right from wrong and being held accountable for their actions.

Sovereign Hospice guides Dallas-Fort Worth families through hospital discharge The Malone Telegram, Aubrey, TX; by Baaba Sampson; 3/12/26 Families facing hospital discharge for a loved one with a terminal illness often feel overwhelmed by the sudden shift in care responsibilities. Sovereign Hospice addresses this challenge by providing seamless coordination between hospital teams and home-based hospice services. The organization serves all counties within the Dallas-Fort Worth Metroplex, offering same-day admission and round-the-clock support.

Webinar for free CME/CE credit: Determining prognosis in cancer and non-cancer diagnosis VITAS Healthcare; Press Release; for 3/18/26, 1pm EDT Supported by evidence-based data, this webinar will help physicians and healthcare professionals identify hospice-eligible patients with advanced illnesses, including cancer, cardiac disease, lung disease, dementia, liver disease, stroke, and HIV/AIDS. Attendees will explore trajectories of dying, functional decline, and factors that support accurate diagnoses and prognoses for cancer and other key diseases that lead to hospice referrals. ... Presented by Lauren Loftis, MD

How America’s nursing shortage impacts health care Deseret News; by Lois M. Collins; 3/8/26 America has a nursing shortage, but where it is and who’s affected is not evenly distributed across the country. And even communities with an adequate or near-adequate supply must be vigilant to ensure that shortages don’t creep in. Key Points:

Longer-running state POLST programs improve end-of-life outcomes for SNF patients McKnights Long-Term Care News; by Kimberly Marselas; 3/9/26 Nursing home patients are more likely to die in the facility or in hospice than in a hospital in states with mature POLST programs, according to a new, first-of-its kind study. Physician Orders for Life-Sustaining Treatment, also known as POLST or MOLST, are standing orders meant to assist in decision-making at the end of life to ensure patients’ treatment preferences are documented. ... Researchers behind the new study said results suggest continued implementation and long-term use of POLST programs streamlined advance directives among residents, helped lessen unnecessary hospitalizations and limited aggressive care at the end of life. 

‘Don’t play God’ in end-of-life conversations Medscape; by Medscape's editorial team; 3/5/26 For many clinicians, the most difficult words to utter are not a complex diagnosis but a simple admission: “We have reached the end of what medical care can do to make your loved one better.” An ICU/emergency room (ER) nurse with 30 years of experience says avoiding this reality can “prolong the dying process” rather than an extension of meaningful life — and called “false hope in the next procedure, next drug, next consultation” the “cruelest thing a well-meaning caregiver can do.”

Oncologist perspectives on timely hospice referral: A qualitative study American Journal of Hospice and Palliative Care; by Andrew Lynch, Andrea Altschuler, Joseph P Cosgrove, Hannah Whitehead, Corey Schwartz, Raymond Liu, Mina Chang; 3/7/26 Background: Late hospice referral rates are on the rise and are associated with negative outcomes at the end of life (EoL). Rates of late hospice referral vary drastically from oncologist to oncologist, and behavioral and psychological factors among individual oncologists have been identified as potential contributors to this variability. ...  Conclusions: Numerous factors independent of hospice eligibility were reported to influence hospice referral practices among oncologists. While some factors represent challenging cultural and social barriers to timely hospice referral, other system- and patient-specific barriers offer opportunities for potential interventions. 

Love hurts: Leadership, quality, and the future of hospice & palliative care | part one Teleios Collaborative Network (TCN Talks); podcast by Chris Comeaux with Dr. Alex Smith and Dr. Eric Widera; 3/4/26 TCNtalks / Anatomy of Leadership host Chris Comeaux and co-host Cordt Kassner join forces with Dr. Eric Widera and Dr. Alex Smith of the GeriPal Podcast, leaders in Palliative Care and Hospice innovation discuss emerging quality measures, data-driven hospice analytics, research challenges, and the leadership needed to guide healthcare organizations through change. For professionals working in healthcare leadership and serious illness care, the conversation offers valuable insight into the policies, research, and innovations shaping the future of Hospice and Palliative Medicine.

Cambia Health Foundation releases comprehensive evaluation of Sojourns Scholar Leadership Program Business Wire, Portland, OR; Press Release; 3/3/26 Cambia Health Foundation today released the results of a comprehensive evaluation of its Sojourns Scholar Leadership Program, demonstrating the significant impact of a 10-year, $25 million investment in developing the next generation of palliative care leaders.  ... The program’s goals were measured against more than 175 sources, as well as 18 individual interviews, 5 focus groups and a comprehensive written survey completed by 117 individuals, including program participants and industry experts. Notable findings include: