Literature Review

"I don't get to feel this good very often:" Virtual reality intervention for veterans receiving end-of-life careJournal of Palliative Medicine; by Megan E Gately, Steven D Shirk, Anastasia Canell, Alexandra Laffer, Melanie Corle, Kristen Dillon; 2/26We explored the use of VR [virtual reality] with patients receiving inpatient HPC [hospice and palliative care]. Twenty-five veterans with complex medical and psychiatric comorbidities at a Veterans Affairs hospital participated. Data related to self-reported pain and well-being, as well as session feedback, were gathered. Despite some challenges with setup, 91% reported enjoyment, and 90% would participate again. Travel experiences were most popular, allowing reminiscence and touring of bucket-list destinations. Program feedback suggested improvements in anxiety, mood, and boredom.

"Black box" artificial intelligence for mortality prediction: a mixed- methods study of palliative care team, patient, and caregiver perspectives Annals of Palliative Medicine; by Beatrice Bridge, Ahmed Y Alasmar, Lauren Gunn-Sandell, Regina M Fink, Stacy M Fischer, Elizabeth Juarez-Colunga, Eric G Campbell, Matthew DeCamp; 2/26/26 Background: New artificial intelligence (AI)-based mortality prediction algorithms could support both patients' prognostic awareness and person-centered palliative care. ... Results: Among 53 interviewees, 18 expressed only concern about black box AI-based prognostication, 17 expressed only unconcern, and 18 interviewees expressed mixed sentiments. Reasons for concern related to: data transparency, mistrust of machines or their creators, patient-clinician communication, bias, and accuracy. Reasons for unconcern related to: inexplicability not unique to AI, greater accuracy, not using AI in isolation, trust in science, and being evidence-based. Notably, "accuracy" and "trust" appeared in both.

Palliative care for multiple sclerosis: Managing progressive disease with compassion Ashland localtownpages, Aubrey, TX; by Press Services; 3/5/26 Multiple sclerosis presents unique challenges that require specialized support throughout the disease journey. Patients experience unpredictable symptoms including fatigue, pain, mobility issues, and cognitive changes. These symptoms shift and intensify over time, affecting daily life for both patients and their families. Sovereign Hospice addresses these complex needs through palliative care and hospice at home service across the Dallas-Fort Worth Metroplex.

Developing a tool to advance person-centred care in hospice: The little things are the big thingsPalliative Care and Social Practice; by Mary Ellen Macdonald, Sophia Salmaniw, Lisa McNeil-Campbell, Anne Frances D’Intino, Lynette Sawchuk, Cyndi Corbett, Logan Lawrence; 2/23/26 Person-centred care has become the cornerstone of quality palliative and end-of-life care. Yet, there is a dearth of both practical guidance and tools to operationalize how to ensure palliative end-of-life care is optimally person-centred. Noting this lacuna, a new hospice in Eastern Canada developed and piloted their own tool, called the SELFY (Share, Explore, Learn and Focus on You!), the intention being to standardize their institution’s commitment to high-quality person-centred hospice care.

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. 

Chronic pain and unrecognized grief: epistemic barriers to personal and social recognition Medicine, Health Care and Philosophy; by Christopher Jude McCarroll, Ying-Tung Lin, Dominik Koesling, and Claudia Bozzaro; 3/29/26 What is it to grieve? What is the nature of grief? ... Importantly, a close examination of the phenomenology of chronic pain helps illuminate the ways in which it also involves the kind of losses that we can grieve over. The losses involved in experiences of chronic pain impact one’s practical identity in ways that can lead to grief. This chronic pain grief remains largely unrecognized, however. We outline four epistemic barriers to recognizing the grief involved in experiences of chronic pain. ...

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. 

Themed digest for palliative care professionals: Spiritual support for children ehospice | PACED; February 2026 Spiritual support remains one of the most complex and, at the same time, most essential elements of palliative care. In the February PACED digest, we present articles exploring the integration of spiritual care into nursing practice, families’ experiences in paediatric palliative care, and the role of professionals in discussing end-of-life issues with children and adolescents. This issue includes materials on professional competencies, system-level recommendations, and parents’ lived experiences. Together, they offer insight into how spiritual and value-based questions shape clinical practice and influence the quality of support provided to families. ...

Navigating end-of-life decisions with Islamic ethics WisconsinMuslimJournal.org; by Sandra Whitehead; 2/20/26 Medical College of Wisconsin Professor Aasim I. Padela, M.D., founder and president of the Initiative on Islam and Medicine, discussed Islamic bioethics during a January workshop on end-of-life decisions at the Islamic Society of Milwaukee. ... About 50 people attended the four-hour workshop, Islamic Bioethics & End-of-Life Healthcare Decisions, held Jan. 31 at the Islamic Society of Milwaukee. It featured experts with backgrounds in medicine, palliative care, hospice and Islam. Speakers made presentations and led discussions about practical steps, resources and strategies to help Muslims “transition from a state of uncertainty about end-of-life healthcare to thoughtful preparation for it,” a workbook given to participants stated.

Q&A: Why are more Americans under 50 years of age dying of colorectal cancer? Medscape; by Keith Mulvihill; 2/10/26 First, the good news: Fewer Americans younger than 50 years are dying from cancer vs just a decade ago — reflecting progress in prevention, early detection, and treatment. There is, however, one big exception. Colorectal cancer mortality has been steadily inching up, and the disease now stands as the leading cause of cancer death in this age group, up from the fifth-leading in the early 1990s. ... The outlier is colorectal cancer, where mortality has been rising by about 1% per year since 2005. And it’s a pattern seen in both men and women. ... [The researchers are asked,] "Can you offer some possible reasons for the declining mortality in most of the cancers you studied?" 

Palliative care utilization and timing for patients undergoing solid organ transplantation in a large multicenter cohortTransplantation; by Matthew W Kenaston, Ryan Baldeo, Tyler K Murphy; 1/26Palliative care ... referrals in transplant programs are infrequent, often reactive, and the benefits remain unclear. We retrospectively studied 12,676 heart, liver, lung, and kidney transplants across 3 Mayo Clinic sites (2018-2024). PC encounters were classified as pretransplant (≤1 y before admission), peritransplant (during hospitalization), or posttransplant (≤1 y after discharge). Only 8.3% engaged PC, with patterns varying by organ and timing. Timing of inpatient consultation showed a strong positive correlation with hospital length of stay, and pretransplant PC coincided with higher rates of goals-of-care discussions and fewer hospital interventions. Adapting screening criteria to focus on high-risk recipients, PC was associated with fewer short-term readmissions for heart and lung recipients.

What my sister Ellen taught me about dignity and the importance of being seen: A powerful reflection on person-centered care, bias, and the true meaning of human dignity in medicine Good Men Project; by Harvey Max Chochinov; 2/23/26 Several years before her death at the age of 55 years due to complications of cerebral palsy, my sister Ellen was again in hospital, this time in intensive care and on the brink of respiratory collapse.  ... I’ve spent my entire career as a psychiatrist working in palliative care. This has included leading a large program of research, examining most aspects of end-of-life experience for patients nearing death. Recently I have recast the Golden Rule for healthcare professionals, reminding them they must aspire to a higher standard. I have coined this The Platinum Rule: do unto others as they would want done unto themselves. This means that healthcare professionals can’t presume to know what is in the patient’s best interest based on what they themselves would want in those circumstances; in other words, they need to take the time to consider the patient’s goals, hopes and wishes.

Hospice use rising for seniors following ICU stays U.S. News & World Report; by Deanna Neff, HealthDay News; 2/25/26For many older Americans, the intensive care unit (ICU) is a place of aggressive, life-saving intervention. However, a new national study reveals that more seniors are choosing a different path — transitioning from the high-tech world of the ICU to the comfort-focused environment of hospice. ... Between 2011 and 2023, the number of Medicare beneficiaries discharged to hospice after an ICU stay increased significantly, researchers from Boston University’s School of Medicine found. This shift occurred even as overall death rates remained steady, suggesting that the change in setting wasn’t tied to more people dying, but rather about how and where people spent their final days.Editor's Note: We posted a similar article on 2/23/26. We post this article for your awareness and use, due to its high profile in U.S. News & World Report.