Literature Review

3 Wishes Program humanizes end-of-life care University of Washington Department of Medicine; by Vishva Nalamalapu; 4/15/26 In hospitals, healthcare teams tend to zero in on patients’ conditions and treatments. When patients are nearing the end of their lives, however, it’s important for them to feel like their whole selves. Matthew Smith, a physician assistant at UW Medical Center – Montlake in Seattle, founded the hospital’s 3 Wishes Program to create experiences and keepsakes that recognize the patient’s personality. Wishes commonly fall into one of three categories: humanizing the room, connecting with loved ones and creating keepsakes for them. Costs for attaining these wishes tend to be minimal and covered by donations. Since it began in 2022, the program has fulfilled about 1,500 wishes for more than 600 patients. 

Sovereign Hospice: addressing late-stage renal condition care gaps in Fort Worth MyCarrollCountyNews.com, Dallas, TX; by Sovereign Hospice; 4/16/26 End-stage kidney disease affects hundreds of thousands of Americans each year. When kidneys can no longer sustain life without dialysis or a transplant, families are left to make decisions that few feel prepared for. Sovereign Hospice ... is drawing attention to a gap many families face: not knowing that hospice care services exist as a legitimate, fully supported option at this stage of illness. ... For patients with end-stage kidney disease, the shift away from aggressive treatment means that symptom management becomes the priority. Common symptoms at this stage include fatigue, pain, restlessness, and fluid retention. The interdisciplinary team is trained to address all of these through individualized care plans.

Music in the last hours: finding humanity in the ICUAmerican Journal of Hospice and Palliative Medicine, from Piura, Peru; Carlos F. Ugas-Charcape, MD, PhD and Cristopher A. Tarazona Chapilliquen; 3/27/26Objective: To describe the use of personalized music as a comfort measure during the final hours of life in the ICU and reflect on its impact on the patient, family, and care environment. ...Conclusions: Personalized music represents a simple, patient-centered adjunct that may enhance comfort and dignity in the final hours of life.Editor's Note: For more detailed research, case studies and therapeutic guidance for using music in the "last hours" with hospice and palliative patients and families, I invite you to explore "The Final Cadence," a chapter in my book Music of the Soul - Composing Life Out of Life. 

Your wishes, your voice: Ochsner doctors encourage families to plan ahead for National Healthcare Decisions Day NOLA.com; by Amanda McElfresh; 4/12/26 Every year on April 16, National Healthcare Decisions Day serves as a reminder that medical emergencies rarely arrive with warning. When they occur, the decisions surrounding treatment often must be made within minutes. For healthcare providers, including those in Ochsner emergency departments, the day highlights a simple yet powerful message: Conversations about medical wishes should happen long before a crisis unfolds.

Expanding access to palliative care for patients with advanced liver diseaseAAAS - EurekAlerts!, Philadelphia, PA; describes JAMA Internal Medicine at doi: 10.1001/jamainternmed.2026.0571; 4/13/26 A new multicenter trial led by Manisha Verma, MD, and Victor Navarro, MD, at Jefferson Einstein Philadelphi Hospital demonstrates a new approach that could potentially transform access to palliative care for patients with ALD and address a major care gap. In the PAL LIVER trial, a large cluster-randomized study conducted across 19 U.S. centers, researchers evaluated whether hepatologists trained in primary palliative care could match the effectiveness of palliative care specialists in delivering quality-of-life benefits to patients with ALD, including those with decompensated cirrhosis and liver cancer. With 935 patients enrolled, this is one of the largest trials to date in liver disease palliative care.

Connecting palliative care and age‑friendly care to support what matters most Institute for Healthcare Improvement; by Marian Grant; 4/8/26 ... The 4Ms Framework of an Age-Friendly Health System identifies the core subjects that should drive the care of older adults. The 4Ms (What Matters, Medication, Mentation, and Mobility) align with the approach of palliative care teams and are part of their comprehensive assessment. Age-friendly leaders and team members can use the expertise of palliative care colleagues to implement the 4Ms. Editor's Note: Click here for a great graphic of this "4Ms Framework." It states, "For related work, this graphic may be used in its entirety without requesting permission. Graphic files and guidance at www.ihi.org/AgeFriendly.

Spiritual distress screening by nurses to increase comprehensive spiritual support of patientsJournal of Hospice & Palliative Nursing; by Nair, Archana; Patterson, Dorothy; Hauver, Bethany; Labadie, Chelsey; 4/26This project aimed to address a gap in nurses’ awareness of spiritual care and comprehensive spiritual support of patients in a breast oncology clinic at a National Cancer Institute (NCI)-designated Comprehensive Cancer Center through interdisciplinary collaboration with chaplaincy. Following education, nurses screened patients during their initial visit to the breast surgical oncology clinic who were experiencing moderate to severe distress for related existential themes of distress using an assessment tool and referred them to chaplaincy or social work based on the screening results. Nurse-initiated chaplain referrals increased significantly during the study period, with the most common distress themes being stress, hopes/fears, and assistance/help. Patient acceptance of referrals averaged 18.7% for chaplaincy and 33.1% for social work. By enhancing nurses’ understanding of spiritual care and the role of chaplaincy, the clinic was able to improve the provision of comprehensive spiritual support, contributing to holistic patient care. 

Sovereign Hospice shares what MS families should know about palliative care Press Services, Dallas/Fort Worth, TX; Press Release; 4/9/26 As National Healthcare Decisions Day approaches on April 16, 2026, Sovereign Hospice, a service area business based in Aubrey, Texas, is drawing attention to the care options available to families affected by multiple sclerosis. MS is a complex, progressive neurological condition, and many families reach critical decision points without a clear picture of what palliative care or hospice care can offer them.

How does Parkinson’s progress? End-stage symptoms and what to expectMass General Brigham; by Todd M. Herrington, MD, PhD; 4/7/26 The journey with Parkinson’s disease looks extremely different from person to person. ...

Quality improvement project: Implementing a mortality screening tool post hospital discharge to guide goals of care conversations and improve hospice admissions Geriatric Nursing; by Chelsea Goston, TeriAnn Benson, Heather Coats; 4/2/26 online ahead of print Problem: Bloom Healthcare has insufficient identification and under use of hospice services for eligible patients with chronic conditions. This gap leads to unnecessary hospitalizations, high costs, and suboptimal end-of-life experiences. ...Conclusions: The prognosis screening tool effectively facilitates timely hospice admissions and goals of care conversations in home-based care settings, enhancing end-of-life care and patient centered outcomes.

‘Startling’: Palliative care services often not provided for severe brain metastases Healio; by Josh Friedman; 3/3/26 Half of patients with the most severe brain metastases may not be receiving palliative care consultations. Those who do have a significantly higher likelihood of filling out advance directive documentation and getting hospice care, and they have similar OS as those who did not receive consultations. ... “We have to rephrase the word fighting,” [Rohit Singh, MD, medical oncologist and assistant profess at University of Vermont] said. “I tell my patients, you’re not giving up fighting [getting palliative care]. You’re fighting for what’s better for you. You’re fighting for your quality of life. That’s you making it better. You’re not giving up anything. You are making sure whatever time we have aligns with your goals.”Editor's Note: Powerful communication from Dr. Singh. Reframing “fighting” can serve as a catalyst for alignment—across patients, families, and care teams. Palliative care isn’t surrender; it’s a deliberate choice to prioritize what matters most.