Literature Review

‘Unmet needs’: Clinicians agree spiritual care important in cancer, but do not provide it Healio; by Josh Friedman; 6/17/26 Most clinicians agree that spiritual care is “essential” to taking care of patients with cancer, but only a fraction routinely screen for distress. In a survey of nearly 700 oncologists, hematologists and palliative care clinicians, more than 90% agreed spiritual suffering can negatively affect outcomes, yet many of those respondents reported screening should not be part of their professional role, and less than 15% said they always screened for spiritual distress.

Well-timed nudges help care providers to honor the wishes of patients with cancer according to study National Comprehensive Cancer Network; edited by Gaby Clark and reviewed by Andrew Zinin; 6/15/26 New research in the June 2026 issue of Journal of the National Comprehensive Cancer Network finds that small, targeted prompts delivered to both patients and providers at the right moment can significantly increase the number of serious illness conversations that take place. The randomized controlled trial out of Dana-Farber Cancer Institute tested two simple nudges designed to encourage important conversations between patients with cancer and their oncologists about goals and preferences for care. ... When these nudges were combined, these conversations occurred significantly more often.

The missing middle in healthcare—and why it matters | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Bridget Sumser and Sonya Dolan; 6/20/26 What happens between a life-changing diagnosis and hospice care?  In Part One of this thought-provoking conversation, Chris Comeaux welcomes Mettle Health co-founder Sonya Dolan and Director of Counseling & Programs Bridget Sumser to explore what they call healthcare’s “missing middle.” ... Together, they unpack how Mettle Health was created to provide a different kind of support: one centered on accompaniment rather than treatment, resilience rather than answers, and human connection rather than healthcare transactions.

The clinical relevance of sleep disturbance ("insomnia") in patients with advanced cancer receiving palliative care: A scoping reviewSupportive Care in Cancer; by Shauna Munir, Eva Jones, Faith Precious Omeokwe, Andrew Neil Davies; 5/26Sleep disturbance ("insomnia") is common in patients with advanced cancer receiving specialist palliative care. The studies highlight that sleep disturbance is associated with a range of physical symptoms (e.g. fatigue, drowsiness), a variety of psychological problems (e.g. anxiety, depression), impaired quality of life, and reduced overall survival. Sleep disturbance is an "orphan" symptom, and the results of this scoping review suggest that it deserves much greater attention. Indeed, healthcare professionals should screen all palliative care patients for the problem and, when identified, perform a thorough assessment and initiate an appropriate treatment.

The missing middle in healthcare—and why it matters | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Bridget Sumser and Sonya Dolan; 6/20/26 What happens between a life-changing diagnosis and hospice care?  In Part One of this thought-provoking conversation, Chris Comeaux welcomes Mettle Health co-founder Sonya Dolan and Director of Counseling & Programs Bridget Sumser to explore what they call healthcare’s “missing middle.” ... Together, they unpack how Mettle Health was created to provide a different kind of support: one centered on accompaniment rather than treatment, resilience rather than answers, and human connection rather than healthcare transactions.

[Italy] Understanding the evolving role of early palliative care in myelodysplastic syndromes: A 2026 narrative reviewAnnals of Hematology; by Pasquale Niscola, Valentina Gianfelici, Marco Giovannini, Carla Mazzone, Maria Ilaria Del Principe; 5/26Myelodysplastic Syndromes/Neoplasms (MDS) are a heterogeneous group of blood cancers characterized by a broad spectrum of symptoms and varying impacts on quality of life (QoL). Although the integration of early PC care has long been recognized as an essential part of comprehensive management for patients with solid tumors, experience in the context of MDS is still limited. However, symptom control, QoL, advanced care planning goals, the reduction of aggressive therapies, intensive care use, including intubation before death, and resource use in the end-of-life (EOL) phase are critical issues that are enhanced through early PC in MDS management. Additionally, integrating standard hematological measures with early PC leads to fewer visits and hospital admissions near the EOL, particularly during the last 30 days. Moreover, patients with early PC die at home or in hospice care at a rate nearly in line with their preferences.

Symptom-monitoring app helps patients with advanced cancer maintain quality of life The ASCO Post; by The ASCO Post Staff; 6/2/26 Use of a mobile app for proactive symptom monitoring helped patients with advanced cancer who were no longer receiving active anticancer treatment maintain their quality of life and reduced hospital utilization, according to findings from a randomized controlled trial presented at the 2026 ASCO Annual Meeting. The study evaluated SUPPORT+, a digital symptom-monitoring platform designed for patients receiving palliative care. The app sends weekly automated reminders prompting patients—or their caregivers—to complete a brief questionnaire about physical and emotional symptoms. Based on responses, the app provides self-management recommendations for mild or moderate symptoms and automatically alerts palliative care nurses when severe or worsening symptoms are reported. Nurses then follow up with patients through the app or by telephone.

Why pre-admission is hospice’s next operational advantage Hospice News; by Jack Silverstein; 5/29/26 When Dr. Darius Joshi named his San Jose, California-based hospice Redwood Hospice, the name had more significance than simply proximity to Redwood National and State Parks. [Rich metaphor of redwood trees for quality hospice care as related to referrals and admissions ...] ... Inside the rise of the pre-admission platform: three areas of improvement:

Compassion fatigue and spiritual care competence amongst palliative care nurses: a moderated mediation model of care quality and job satisfaction Journal of Clinical Nursing / Early View; by Enise Sürücü, Funda Veren, Hülya Kulakçı Altıntaş, Büşra Baş, and Zeynep Acar Demir; 5/30/26 Impact:

Sovereign Hospice releases guidance on home setup for end-of-life care NEWSnet, Aubrey, TX; by Sovreign Hospice; 5/31/26 Sovereign Hospice, a Dallas-Fort Worth-based hospice and palliative care provider, has released practical guidance for families preparing to receive end-of-life care at home. ... The guidance covers room selection, durable medical equipment placement, medication organization, caregiver strategies, and a clear explanation of the services hospice offers in a home setting. It is directed at families across the Dallas-Fort Worth Metroplex who are beginning to consider hospice at home service for a loved one with a life-limiting illness.