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All posts tagged with “Clinical News | Physician & Nursing News.”
Life lessons from a palliative care psychologist - and how to support a dying loved one
10/07/25 at 03:00 AMLife lessons from a palliative care psychologist - and how to support a dying loved one HELLO! onMSN; by Pilar Hernán; 10/5/25 ... Psychological support becomes a fundamental pillar for providing comprehensive and humane care, from managing emotional pain to adapting to the new reality. MD Anderson Cancer Centre psycho-oncologist Fátima Castaño helps us understand the process, explaining how we can support a loved one in palliative or end of life care, and shares the powerful life lessons she has learned through her work.
Grief etiquette in the digital age: Why waiting, listening, and respecting family wishes matters more than ever
10/06/25 at 03:00 AMGrief etiquette in the digital age: Why waiting, listening, and respecting family wishes matters more than ever National Funeral Directors Association (NFDA) - Remembering a Life; by Dr. Camelia L. Clarke; 10/2/25When my nephew died unexpectedly, I was still reeling from the news when my phone began to buzz with notifications. Within an hour, his death was already circulating on social media. The world had found out before our family had even begun to process the loss, let alone notify our closest friends and relatives. I remember feeling overwhelmed, exposed, and, most of all, heartbroken—not just by the loss itself, but by how quickly and impersonally it became public knowledge. As a funeral director and grief educator for nearly thirty years, I’ve witnessed this scenario unfold countless times.
'I spent 36 years holding dying patients' hands'
10/06/25 at 03:00 AM'I spent 36 years holding dying patients' hands' BBC News, Ireland; by Grace Shaw; 10/5/25 For hospice nurse Trish Carling, holding a dying patient's hand through the dark hours of the night was a privilege to share. The 66-year-old has just retired after 36 years working in palliative care at St Michael's Hospice in Harrogate. Her first shift was in November 1989, and she has worked almost every Christmas Eve and New Year's Eve since. Despite the demands of the job, she originally chose the pathway because it worked around family life when her children were young. "At first I found the night shifts practical - they then became my preferred hours," she said. ... [Continue reading]Editor's Note: In what ways do you honor your longtime employees? How do you tell their stories of passionate compassion? Of loyalty to your core mission through changing times and operational practices? So many of these valued employees began in a pre-digital era. Imagine: before cell phones, the internet, websites, electronic employee files, EMR systems, and so much more. Crucial employee data can get lost especially during organizational name changes, Mergers & Acquistions, or a short-term leave of absence. Let this article be a catalyst for you to research and honor your employees with long tenures. Without their faithful foundations, your work today would not be the same.
How personalized medicine empowers patients and cuts healthcare costs
10/05/25 at 03:00 AMHow personalized medicine empowers patients and cuts healthcare costs Becker's Hospital Review; by Mary Sirois; 10/1/25 ... How do we unlock a new era of healthcare excellence? The answer lies in a fundamental shift: personalized care delivered within a truly patient-centered framework that improves satisfaction for patients and clinicians while enabling better clinical, operational, and financial outcomes across the healthcare ecosystem. ... Imagine a healthcare system where:
Emergency physicians and hospice & palliative medicine: A growing trend in fellowship training
10/04/25 at 03:05 AMEmergency physicians and hospice & palliative medicine: A growing trend in fellowship trainingJournal of Pain and Symptom Management; by Alexander Zirulnik, Caroline Meehan, Daniel Markwalter, Jennifer Gabbard, Alyssa Tilly, Paul Zimmerman, Jensy Stafford, Justin Brooten; 9/25Emergency Medicine (EM) has played a foundational role in Hospice and Palliative Medicine (HPM) since the subspecialty's formal recognition. EM is one of the fastest-growing sources of applicants to HPM fellowships, reflecting rising recognition of palliative care's value in acute care. This trend has important implications for workforce planning, specialty integration, and the future of dual-trained EM-HPM clinicians.
Sought-after physician specialty roles are taking longer to fill
10/03/25 at 03:00 AMSought-after physician specialty roles are taking longer to fill Modern Healthcare; by Tim Broderick; 9/24/25 The time it took to fill open positions for the most sought-after physician specialties increased to almost five months in 2024, according to new research. The nonprofit Association for Advancing Physician and Provider Recruitment, with research firm Industry Insights, examined 2024 data from more than 15,000 searches of the association’s site, 61% of which were related to physician searches. ... The analysis found the estimated median days to fill the selected jobs increased by 11.5%, to 145 days in 2024 from 130 days in 2023. Oncology positions were the hardest to fill, at an estimated median of 332 days. Cardiology positions followed with an estimated median of 248 days to fill. [Access to the full article might be limited per a paywall.] Editor's Note: Oncology and cardiology are now the two hardest physician specialties to fill. This matters for hospice care because, according to NHPCO’s Facts and Figures 2024, cancer and circulatory diseases join Alzheimer’s and other nervous system disorders as the top three hospice diagnoses—together representing nearly three-fourths of all admissions. Delays in recruiting oncologists and cardiologists risk postponing timely palliative and hospice referrals. Newly hired specialists in these fields also need focused training—and intentional relationship-building with hospice teams—to ensure patients and families receive seamless, compassionate care.
Visiting Nurse Association rejects Cape Cod Healthcare's latest contract proposal
10/03/25 at 03:00 AMVisiting Nurse Association rejects Cape Cod Healthcare's latest contract proposal Cape Cod Times, Hyannis, MA; by Desiree Nikfardjam; 10/2/25 Visiting Nurse Association of Cape Cod registered nurses have voted "overwhelmingly" to reject Cape Cod Healthcare's contract offer that was proposed on Sept. 11, according to a press release. The offer was the "last, best, and final" from Cape Cod Healthcare, according to the statement. The nurse association members are represented by the Massachusetts Nurses Association. ... The Visiting Nurse Association's nurses provide essential home health and hospice care to patients across Cape Cod and the Islands and had previously voted 96% in favor of authorizing a three-day strike if progress at the bargaining table was not made.
Grieving someone who’s still here
10/03/25 at 03:00 AMGrieving someone who’s still here Psychology Today; by Bob Uslander, MD; 10/2/25 Grief does not always begin after death. For many families facing dementia, terminal illness, or a slow decline, it arrives before the final goodbye—quietly, persistently, and often without recognition. This is known as anticipatory grief: the emotional process of mourning a loved one who is still alive. As a palliative care physician, I see this every day. Spouses tell me they feel like they have already lost their partner. Adult children struggle with the reversal of roles, becoming the caregiver to the parent who once cared for them. Caregivers often oscillate between love, exhaustion, guilt, and detachment. None of this means they are doing it wrong. It means they are grieving.
Strengthening mental health literacy enhances job well-being in palliative care
10/02/25 at 03:00 AMStrengthening mental health literacy enhances job well-being in palliative care Oncology Nures Advisor; by Megan Garlapow, PhD; 10/1/25 Positive mental health literacy (PMeHL) significantly improved job well-being among palliative care nurses, with job crafting acting as a partial mediator in this relationship, according to a study published in BMC Psychology. These results highlight the importance of psychological resources and proactive role adjustments for supporting nurses working in high-stress palliative care settings.Editor's Note: "Job crafting" is the process by which employees actively shape and redefine their roles to enhance job satisfaction, engagement, and meaning in their work.
Ethics of disclosure in pediatric end-of-life care
10/02/25 at 03:00 AMEthics of disclosure in pediatric end-of-life care American Nurse; by Adrianna Watson, PhD, RN, CCRN, TCRN, and Rachel Clement, BSN, RN; 9/30/25 An ethical case study analysis Takeaways:
Hospice: A vital safety net for sepsis survivors
10/02/25 at 03:00 AMHospice: A vital safety net for sepsis survivors South Florida Hospital News and Healthcare Report; by Lauren Loftis, MD, VITAS regional medical director; 10/1/25Sepsis remains one of the most complex and deadly medical conditions treated in hospitals today. ... For patients with advanced illness or multiple comorbidities, the post-sepsis period is often marked by functional decline, emotional distress, and a high risk of rehospitalization or death. ...For sepsis survivors with advanced illness, hospice offers a bridge between high-intensity hospital care and the realities of life at home. It provides interdisciplinary support—including a physician, nurse, hospice aide, social worker, chaplain, volunteer, and bereavement specialist—tailored to the patient’s evolving needs.
Confidential conversations in palliative care: An ethnographic exploration of trust and interpersonal relationship between nurse and patient
10/02/25 at 03:00 AMConfidential conversations in palliative care: An ethnographic exploration of trust and interpersonal relationship between nurse and patient Journal of Clinical Nursing; by Tove Stenman, Bodil Holmberg, Ylva Rönngren, Ulla Näppä, Christina Melin Johansson; 9/30/25 Confidential conversations in palliative care are grounded in fragile, dynamic trust, necessitating ongoing presence, sensitivity and adaptability from RN. To support these interactions, healthcare environments must prioritise privacy, relational continuity and communication training. Future research should investigate how organisational structures and clinical settings influence confidential conversations. ... Healthcare environments should facilitate confidential conversations by ensuring relational continuity and minimising distractions. Communication training that emphasises presence and management of silence can strengthen nurse–patient relationships, enhancing patient care and emotional support.
Rise in late-stage lung cancer in nonsmokers highlights need for awareness and screening
10/01/25 at 03:00 AMRise in late-stage lung cancer in nonsmokers highlights need for awareness and screening Medscape Medical News; by Evra Taylor; 9/5/25 ... The common thinking is that lung cancer is a smoker’s disease, but that isn’t the full picture, Jessica Moffatt, PhD, vice president of programs and health system partnerships at Lung Health Foundation in Toronto, told Medscape Medical News. ... Moffatt and her colleagues are working to dispel the stigma that smokers “get what they deserve.” Rosalyn Juergens, MD, professor of oncology at McMaster University in Guelph, Ontario, and president of Lung Cancer Canada, said, “If you find out someone has lung cancer, your first question shouldn’t be ‘Did you smoke?’ It should be ‘What can I do to help you along this journey?’ ”
Instilling hope: A comprehensive model of cancer care for younger adults
10/01/25 at 03:00 AMInstilling hope: A comprehensive model of cancer care for younger adults Targeted Oncology; by Andrea Eleazar, MHS and Shane Dormady, MD, PhD; 9/29/25 In the past decade, the incidence of numerous cancer types has increased, particularly among younger adults under age 50. For younger adults, many of whom are primary breadwinners of their households or in the height of their educational or professional careers, a cancer diagnosis at this life stage can be unexpected and jarring. ... In an interview with Targeted Oncology, Shane Dormady, MD, PhD, medical director of El Camino Health Cancer Center, describes the unique needs and challenges of younger adults, outlines El Camino Health’s comprehensive care strategy, and offers insights and considerations for treating and interacting with this patient population.
C-suites invest in nurse-led clinical research
10/01/25 at 03:00 AMC-suites invest in nurse-led clinical research Becker's Clinical Leadership; by Mariah Taylor; 9/29/25 Nationwide, health systems are increasingly turning to nurse scientists to close evidence gaps, answer pressing clinical questions and translate bedside observations into measurable patient outcomes. ... “Nurses ask the best questions; they are closest to patients and see gaps in care firsthand,” Linda Chlan, PhD, RN, associate dean for nursing research at Rochester, Minn.-based Mayo Clinic, told Becker’s. “But to move from ‘I think this works better’ to real evidence, you need data, and that comes from rigorous scientific inquiry.” This is where nurse scientists fill the gap between curiosity and evidence-based changes in protocols and practices. Nurse scientists help bedside staff build their studies, mentor them through the process, and help them turn data into evidence-based practice and demonstrate return on investment.
Long COVID hitting doctors and nurses hard
09/30/25 at 03:00 AMLong COVID hitting doctors and nurses hard Medscape; by David Brzostowkicki; 9/3/25 Jeffrey Siegelman, MD, contracted COVID-19 in August 2020 and, 3 months later, published a paper online in JAMA about his experiences. Today, he’s still dealing with the symptoms, as one of many healthcare providers who have long COVID. He said his experience highlights the impact of long COVID on hundreds of thousands of doctors, nurses, and other healthcare workers, by some estimates, who have been on the frontlines fighting the pandemic from the beginning. “I reflect on that paper from JAMA, and I thought that 3 months was a long time,” said Siegelman, associate professor of emergency medicine at the Emory University School of Medicine and a practicing emergency room doctor in Atlanta. “And here I am, 5 years later, and I still have symptoms. I think that’s the case for a lot of patients with long COVID, that it just keeps getting longer.”
There is urgent need to integrate respiratory and palliative care
09/30/25 at 03:00 AMThere is urgent need to integrate respiratory and palliative care American Journal of Managed Care (AJMC); by Maggie L. Shaw and Natasha Smallwood; 9/27/25 Patients with serious, nonmalignant respiratory illnesses experience profound and prolonged symptoms that significantly reduce their quality of life, explained Natasha Smallwood, BMedSci, MBBS, MSc, on day 1 of the European Respiratory Society Congress 2025. “Someone with COPD, might live with, on average, 11 symptoms for a few years, which is actually far worse than living with lung cancer,” she said. ... The core concept involves collaboration between respiratory clinicians, general practitioners, and palliative care specialists to deliver a different, more holistic type of care.
Cook Children’s physician testifies in Jarvey trial
09/30/25 at 03:00 AMCook Children’s physician testifies in Jarvey trialTexomas, Wichita Falls, TX KFDX/KJTL; by Joshua Hoggard; 9/26/25AUTHOR’S NOTE: This story contains details from trial proceedings that include allegations of abuse against a child victim. Due to the content of this story, discretion is advised before reading. ...Hospice physician concludes first week of trial: After lunch, Carlton called Dr. J. Robert Parkey to the witness stand. Dr. Parkey works with United Regional Healthcare Systems and specializes in hospice medicine. ... Dr. Parkey testified that he provided care for the victim after he was born, noting the severe medical issues the child was born with, including an abnormal brain. ... Dr. Parkey testified that the victim “exceeded all expectations” of the Hospice care team by surviving, ... He testified that the team instructed Jarvey on how to properly care for the child once he transitioned from hospice care to home care. Dr. Parkey testified that if Jarvey had reached out to the Hospice team, plenty of resources would’ve been made available to her, but to his knowledge, Jarvey never contacted them regarding the care of her son.
New Missoula palliative care clinic celebrates expansion of patient care options
09/29/25 at 03:00 AMNew Missoula palliative care clinic celebrates expansion of patient care options KPAX-8, Missoula, MT; by Cynthia Carranza; 9/25/25 Missoula now has a dedicated space for patients and families to have serious conversations about life-limiting illnesses with the opening of a new Palliative Care clinic. The new clinic inside Partners in Home Care held its grand opening this week, celebrating the facility that has been serving patients since July. ... The new clinic on Palmer Street will complement, not replace, existing home visit services.
Advance care planning with people living with dementia: Ethical considerations of physicians in the United States and the Netherlands
09/27/25 at 03:35 AMAdvance care planning with people living with dementia: Ethical considerations of physicians in the United States and the Netherlands The Journals of Gerontology; by Jingyuan Xu, David R Mehr, Marieke Perry, K Taylor Bosworth, Kate McGough, Wilco P Achterberg, Hanneke Smaling, Jenny T van der Steen; 8/25Interviews with 50 Dutch physicians and 47 American physicians and 3 nurse practitioners generated three themes of ethical considerations: 1) Respecting the autonomy of the person with dementia, 2) Rationality as the basis for decisions and subsequent actions, and 3) Minimizing burden and suffering. The complexity of ACP [advance care planning] for people living with dementia is reflected in the challenges within each ethical consideration and the tensions between them, especially between autonomy and rationality. We recommend an approach to ACP that balances the ethical considerations, focusing on the values of the people living with dementia and allowing flexibility in future decision-making to take the current best interest of the person into account.
Integrating the clinical nurse specialist into a multi-state hospice in a large healthcare system
09/27/25 at 03:25 AMIntegrating the clinical nurse specialist into a multi-state hospice in a large healthcare systemJournal of Hospice and Palliative Nursing; by Jennifer Jarrett Lee, Melissa Robinson; 8/25Advanced Practice Registered Nurses are increasingly recognized for their role and impact in hospice and palliative care. The integration of a CNS into the practice of a large, multistate Hospice and Palliative Care program is discussed in this article. A timeline is provided with 4 phases of integration with priorities identified and specific strategies that were implemented to overcome challenges during the process. The value of CNS practice to the organization is highlighted in 3 practice exemplars, showing return on investment in terms of increased patient safety and implementation of evidence-based practice for home infusions, developing nurse confidence through complex case reviews, and reducing staff injuries through developing a Safe Patient Handling program.
A decade of interactive educational exchange: Impacting interprofessional palliative care education
09/27/25 at 03:15 AMA decade of interactive educational exchange: Impacting interprofessional palliative care educationJournal of Pain and Symptom Management; by Laura J Morrison, Shirley Otis-Green, Julie Bruno, Pamela N Fordham, Elise C Carey; 9/25The interprofessional clinical practice model is arguably the most impactful and generative aspect of hospice and palliative care (HPC) clinical practice. This article describes the innovative shared interprofessional leadership model, andragogical infrastructure, program development, educational impact, and critical lessons from the Interactive Educational Exchange (IEE). In response to a deficit in interprofessional HPC educational opportunities for rapid scholarship dissemination and mentorship, interprofessional leaders from medicine, social work and nursing proposed and implemented the IEE at the Annual Assembly of Hospice and Palliative Care presented by the American Academy of Hospice and Palliative Medicine and Hospice and Palliative Nurses Association from 2010-2020. The reported outcome measures for interprofessional scholarship and engagement, session evaluations, and attendance demonstrate why this successful innovation was repeated annually for over a decade pre-COVID.
New AAHPM CEO on ensuring widespread access to hospice and palliative care
09/26/25 at 03:15 AMNew AAHPM CEO on ensuring widespread access to hospice and palliative care Hospice News; by Jim Parker; 9/25/25 Workforce, access to care, reimbursement and public policy are top agenda items for the A merican Academy of Hospice and Palliative Medicine as new CEO Pierre M. Désy takes the reins. ... Hospice News sat down with Désy to discuss the academy’s current priorities and the top issues facing hospice and palliative medicine. ... [Jim Parker] "Could you tell me some of your top priorities as you come into this new role?" [Dr. Pierre Désy] I have been focusing on listening and alignment. So the first part is a listening tour and relationship building tour, where I’m talking with every board member, one on one. I’m talking with committee chairs, council chairs. I’m speaking with all of our partners, every staff person, sponsors and individual donors.
Let's face (to face) it: Important changes to hospice face-to-face attestation requirements and other tidbits from the 2026 Hospice Final Rule
09/26/25 at 03:00 AMLet's face (to face) it: Important changes to hospice face-to-face attestation requirements and other tidbits from the 2026 Hospice Final Rule Husch Blackwell; podcast by Meg Pekarske; 9/24/25 ... All in all, the news is positive: while there is a new requirement for the F2F attestation to be signed and dated, the signed and dated F2F clinical note on its own can now serve as the F2F attestation. In this episode, Husch Blackwell attorneys Meg Pekarske and Andrew Brenton share their thoughts on what the updated F2F attestation rules mean for hospice operators and weigh in on other components of the final rule, including CMS’s attempt at housekeeping by clarifying the types of hospice physicians who can certify patients.
A hospice intervention for caregivers: Improving home hospice management of end-of-life symptoms (I-HoME) pilot study
09/26/25 at 03:00 AMA hospice intervention for caregivers: Improving home hospice management of end-of-life symptoms (I-HoME) pilot study Journal of the American Geriatrics Society; by Veerawat Phongtankuel, Sara J. Czaja, Taeyoung Park, Jerad Moxley, Ronald D. Adelman, Ritchell Dignam, Dulce M. Cruz-Oliver, Micah Denzel Toliver, M. C. Reid; 9/24/25 Background: While home-based hospice care seeks to reduce suffering at the end of life (EoL), patients continue to experience a high symptom burden. High symptom burden contributes to adverse outcomes, including patient suffering, burdensome care transitions, and caregiver burden. Yet, most caregivers lack formal education in patient symptom management despite providing up to 65 h of care per week. ... Conclusion: The I-HoME intervention was feasible to implement in the home hospice setting and acceptable to caregivers and hospice staff. Future efficacy trials are needed to determine whether this caregiver-focused intervention ... can measurably improve patient and caregiver outcomes in the home hospice setting.