Literature Review

All posts tagged with “Clinical News | Advanced Illness Management News.”



National Alliance VP: palliative care should occur throughout continuum

09/04/26 at 03:00 AM

National Alliance VP: palliative care should occur throughout continuum Hospice News; podcast hosted by Jim Parker with Katie Wehri; 9/3/26 Palliative care should be offered via home health, but not only through home health. This is according to Katie Wehri, vice president for regulatory affairs, quality and compliance at the National Alliance for Care at Home. The U.S. Centers for Medicare and Medicaid Services recently clarified in a proposed rule that palliative care is available via the home health benefit. Hospice News recently sat down with Wehri on the Elevate podcast to discuss the implications of this clarification for providers, as well as other avenues CMS could consider to expand palliative care.

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Evasiveness in everyday hospital palliative care practice: a focused ethnography

09/04/26 at 03:00 AM

Evasiveness in everyday hospital palliative care practice: a focused ethnography Journal of Clinical Nursing; by Carolien van Leussen, Evelien Kuip, Renske Kruizinga, Els van Wijngaarden; 9/2/26 Conclusion: This study shows how evasiveness in hospital-based palliative care is produced and sustained through biomedical routines, organizational pressures and professional and personal orientations. These factors make it difficult to realize the holistic ideals of palliative care in everyday practice. As a result, patients' fears, uncertainties and end-of-life wishes often remain insufficiently explored, whereas organizational routines shape what is considered appropriate and possible in clinical interactions.

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Hospice Savannah launches Georgia Care Innovators to unite growing family of services

09/04/26 at 01:00 AM

Hospice Savannah launches Georgia Care Innovators to unite growing family of services WJCL-22 ABC, Savannah, GA; by Emma Hamilton; 9/3/26 After more than 45 years of providing end-of-life care, Hospice Savannah has launched Georgia Care Innovators, a new organizational identity to reflect its expanding range of healthcare and community services. Hospice Savannah will continue operating under its established name as a central part of the organization. ... “Our story has never been defined by a single service,” said Kathleen Benton, president and CEO of Georgia Care Innovators. “It’s been defined by listening to our community, recognizing unmet needs and asking how we can help.” ... The Georgia Care Innovators family includes:

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Alzheimer’s blood test gets FDA clearance, but not CMS coverage

09/03/26 at 03:00 AM

Alzheimer’s blood test gets FDA clearance, but not CMS coverage Inside Health Policy, Washington, DC; by Jessica Karins; 9/2/26 A blood test aiming to help with early identification of Alzheimer’s disease, including in primary care settings, by detecting buildup in the brain of the key Alzheimer’s biomarker amyloid beta plague, has been cleared by FDA, but the test and others in its category are not yet covered by CMS or any Medicare Administrative Contractors, its developer confirmed, with MACs having to make an individual determination for each patient of whether payment for the test is appropriate.

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Beloved celebrities who opened up about their battles with dementia

09/02/26 at 03:00 AM

Beloved celebrities who opened up about their battles with dementia MSN; by Travis Reeed; 8/31/26 Dementia and Alzheimer’s disease have affected people from many walks of life, including some of the most recognizable figures in entertainment, politics, and culture. Their experiences helped bring greater attention to memory loss, cognitive decline, and the challenges faced by families and caregivers. From Hollywood legends to celebrated musicians and political leaders, these individuals continued to leave lasting legacies despite their health struggles. Their stories also helped encourage public conversations about conditions that were once poorly understood or rarely discussed openly. [Click on the slides to see personalized stories of Tony Bennett, Sally Kirkland, Ronald Reagan, Sean Connery, Margaret Thatcher, Rita Hayworth, and Jimmy Stewart.] 

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Palliative care is about living better — not giving up

09/02/26 at 03:00 AM

Palliative care is about living better — not giving up Patch, Westport, CT; by Hartford HealthCare, featuring Dr. Sara Dost; 8/31/26 For many patients and families, the words palliative care can be difficult to hear. Some assume it means treatment has stopped. Others confuse it with hospice care or believe it is only appropriate during the final stages of life. But according to Dr. Sara Dost of Hartford HealthCare's Cancer Institute at St. Vincent's Medical Center, palliative care is about something much different: helping people feel better and live as fully as possible while facing a serious illness. “I like to call palliative care supportive care,” Dr. Dost said. “We help patients deal with side effects, decision-making and the challenges that can come with a serious illness. Think of us as an extra layer of support.”

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The death I feared, and the peace I found

09/01/26 at 03:00 AM

The death I feared, and the peace I found Gillette News Record; by Michelle Mathal; 8/29/26 ... From the dreaded day my brother was diagnosed, to two years later when my parents tragically died in a car accident and I surfaced from the glacial water knowing I had to live to be his caregiver, to grieve alone. ... We enrolled in hospice earlier than most because Tomas was falling and losing movement in his left hand. ... No one told me that caring for a dying person would be so intimate. When I dressed him in the morning, I realized we had the same hands and feet, big enough that we should’ve been a foot taller. No one told me about the deep trust between caregiver and patient. It is a sacred pact not bound by blood, but an understanding that we would be seen at our most vulnerable and sensitive times, but not judge each other for these moments, but respect one another despite them.

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I lost my sister to cancer. Here’s what I learned about medically assisted death.

08/31/26 at 03:00 AM

I lost my sister to cancer. Here’s what I learned about medically assisted death. The Washington Post; by Steven Petrow; 8/29/26 The same year that my parents died, my sister, Julie, then 55, was diagnosed with advanced ovarian cancer. Five years and three recurrences later, she’d exhausted all viable treatment options. At that point, she’d undergone one nine-hour surgery, six courses of chemotherapy and had joined two clinical trials. Like my parents’ physicians had done, Julie’s doctor eventually recommended palliative care, with at-home hospice, to keep her comfortable during her last months. ... [Julie, 61, chose legal MAID in 2023.] Approaching MAID as a journalist, I had questions: How is eligibility determined, what are the safeguards, does it always work, is a health care professional involved and many others. As a brother, however, I was conflicted and confused, and my questions felt more urgent and personal. ... [Access might be limited by a paywall.]  

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Concurrent palliative care and systemic treatment among young adults with advanced cancer

08/29/26 at 03:40 AM

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When less is more: Palliative decision-making in a bedbound patient with advanced illness and bilateral pleural effusions

08/29/26 at 03:35 AM

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Acupuncture vs massage for insomnia and pain in advanced cancer: Exploratory RCT

08/29/26 at 03:30 AM

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[Indonesia] Mindfulness-based spiritual interventions for patients with advanced cancer receiving palliative care: A systematic review of randomized controlled trials

08/29/26 at 03:05 AM

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[Israel] Hadassah Hospice: bringing meaning to life

08/28/26 at 02:00 AM

[Israel] Hadassah Hospice: bringing meaning it life Hadassay.org | Medicine & Research, Jerusalem, Israel; Press Release; 8/26/26 "Outside, there may be conflicts and wars, but inside these walls is a small microcosm, disconnected from the outer world, that concentrates on humanity." This is how Dr. Daniel Azoulay described the Inna and Jack Kay Hospice at Hadassah Hospital Mount Scopus. ... This October, the hospice is marking 40 years since its founding by Dr. Reuven Fink and nurse Ruth Shahal-Gassner. In the quiet place Dr. Azoulay describes, the staff provides end-of-life palliative care to some 220 patients every year. "There's a closeness here among Jews and Muslims, religious and secular people. At the end of life, everyone is the same — everybody asks that their suffering be alleviated and battles the same anxieties and fears," said Dr. Azoulay, who is head of palliative service and responsible for the Hospice Department.Editor's Note: May we listen and learn. In the midst of our deluge of political wars each way we turn, may we find ways to "concentrate on humanity." Read again: "There's a closeness here among Jews and Muslims, religious and secular people. At the end of life, everyone is the same — everybody asks that their suffering be alleviated and battles the same anxieties and fears."

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Spirituality and religiosity in end-of-life decision-making in intensive care units: a systematic review of preferences, ethical framing, and meaning-making

08/27/26 at 03:00 AM

Spirituality and religiosity in end-of-life decision-making in intensive care units: a systematic review of preferences, ethical framing, and meaning-making Cureus; by Dimitrios G. Apostolakis, Nikiforos V. Angelopoulos, Spiros Georgakis, Fotios Tatsis, Foteini Veroniki, Konstantinos Stamatis, Georgios Papathanakos, Mary Gouva, Vasilios Koulouras; 8/25/26 End-of-life decision-making in intensive care units (ICUs) is a complex and ethically challenging process shaped not only by clinical factors but also by patients' values, cultural contexts, and spiritual or religious beliefs. ...  [Spirituality] demonstrated a multidimensional role, facilitating acceptance of death, promoting support for palliative care in some contexts, and contributing to meaning-making during the end-of-life process. Cultural and contextual factors moderated these relationships, and the provision of spiritual care by healthcare professionals was associated with less aggressive end-of-life care. ... Integrating spiritual assessment and culturally sensitive spiritual care into routine clinical practice may enhance shared decision-making and improve alignment between treatment decisions and patients' values, preferences, and goals of care.

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American Society of Nephrology (ASN) comments on CY2027 ESRD PPS QIP Requests for Information (RFIs)

08/27/26 at 03:00 AM

American Society of Nephrology (ASN) comments on CY2027 ESRD PPS QIP Requests for Information (RFIs)American Society of Nephrology; official comments letter from ASN to Centers for Medicare & Medicaid Services; 8/24/26RE: CMS-1846 Medicare Program; CY2027 Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System, Acute Kidney Injury Dialysis (AKI) Payment, and ESRD Quality Incentive Program On behalf of the more than 37,000,000 Americans living with kidney diseases and the 22,000 nephrologists, scientists, and other kidney health care professionals who comprise the American Society of Nephrology (ASN) ... In this letter, ASN provides feedback on the following requests of information (RFIs): ...

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Frailty predicts more than age: strategies for hospitalists

08/26/26 at 02:00 AM

Frailty predicts more than age: strategies for hospitalists Medscape; by Julie Peck; 8/25/26 An 85-year-old who remains active and independent may recover from pneumonia more quickly than someone 20 years younger with multiple chronic illnesses, poor nutrition, and declining mobility. Growing evidence suggests that frailty — a state of diminished physiologic reserve and increased vulnerability to stressors — is one of the strongest predictors of prolonged hospitalization, complications, functional decline, discharge to post-acute care, readmissions, and mortality, often outperforming chronological age alone.

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Wound care fraud: key insights for healthcare providers in 2026

08/25/26 at 03:00 AM

Wound care fraud: key insights for healthcare providers in 2026 JD Supra; by Lynette Byrd; 8/21/26 The U.S. Department of Justice (DOJ) and U.S. Department of Health and Human Services Office of Inspector General (HHS OIG) are prioritizing wound care fraud enforcement in 2026. Healthcare providers are facing scrutiny under the False Claims Act and Anti-Kickback Statute, with audits and investigations leading to substantial liability (among other consequences) in many cases. ... Allegations of wound care-related health care fraud can take many different forms. ... While it is critical that elderly patients (including hospice patients and other terminally ill patients) receive appropriate care, there are limits to what is considered appropriate when billing Medicare or Medicaid for wound care. ...

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Ethics of artificial intelligence prognostication in palliative care: perspectives from a national survey of palliative care physicians

08/25/26 at 03:00 AM

Ethics of artificial intelligence prognostication in palliative care: perspectives from a national survey of palliative care physicians BMJ Supportive Palliative Care; by Ahmed Y Alasmar, Lauren Gunn-Sandell, Stacy M Fischer, Regina M Fink, Elizabeth Juarez-Colunga, Eric G Campbell, Matthew DeCamp; 8/2-/26, online ahead of print ... Although global consensus is emerging about the importance of ethical principles for artificial intelligence (AI), such as respecting autonomous choice, promoting patient well-being, reducing bias, trust, and more, little is known about how palliative care physicians perceive these issues. This study aims to improve understanding of palliative care physicians' perspectives about the ethics of AI-based prognostication. Conclusion: Palliative care physicians see the potential of AI-based prognostication to improve palliative care and also express ethical concerns. Implementation of AI requires context-specific ethical guidance responsive to palliative care, where relationships and communication are paramount.

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Neighborhood poverty and end-of-life care among adolescents and young adults with cancer

08/22/26 at 03:40 AM

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Goal-concordant care for older adults with advanced heart failure: A retrospective cohort study

08/22/26 at 03:15 AM

Goal-concordant care for older adults with advanced heart failure: A retrospective cohort studyPalliative Medicine; by Sarah Godfrey, Maryjane Farr; 7/26Older adults with advanced heart failure experience significant morbidity and mortality and face higher complication rates from advanced therapies. Of 212 patients, 91 (42.9%) underwent evaluation for advanced therapies, though few received a heart transplant (16, 7.5%) or left ventricular assist device (32, 15.1%). Most (148, 69.8%) had only one palliative physician visit. One hundred thirty-nine (65.6%) died, often in the hospital (55, 40%) and with life-sustaining therapy in the last 24 h (73, 52.5%). Most (167, 78.8%) received goal-concordant care, with the main reasons for discordance being the desire for advanced therapy (33, 15.6%) and complications post-implantation affecting quality of life (9, 4.2%). Conclusions: Few older adults received advanced therapies, and palliative care was underutilized, with many patients seeing palliative care only once. Most received goal-concordant care, but decisions were often made late, highlighting the need for earlier, longitudinal palliative care for these vulnerable patients.

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[Israel] Existential suffering at the end of life in long-term care: A critical essay on recognition, dignity, and witness

08/22/26 at 03:05 AM

[Israel] Existential suffering at the end of life in long-term care: A critical essay on recognition, dignity, and witnessPalliative Care & Social Practice; by Anat Romem, Rachel Bardach; 7/26Existential suffering is widely acknowledged in palliative care, but it remains inconsistently recognized and unevenly addressed in long-term care. This critical essay argues that the gap is not caused by clinician indifference, but by a persistent mismatch between whole-person ideals and care systems organized around measurable symptoms, risk management, task completion, and professional uncertainty. [This] ... essay identifies three interrelated shortcomings: the reduction of suffering to medically actionable symptoms; the depersonalizing effects of institutional routines on frail older adults; and the absence of shared existential literacy across interdisciplinary teams. The essay also cautions against romanticizing suffering or treating meaning-making as a clinical expectation. It proposes a practical framework of recognition, dignity, and witness: recognizing biography and identity as clinically relevant; protecting dignity in the ordinary details of care; and enacting witness ... Long-term care cannot resolve every existential wound, but it can reduce existential neglect by treating personhood as a core quality indicator of palliative care.

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[UK] The multidimensional impact of malnutrition in incurable cancer

08/22/26 at 03:00 AM

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If you lost a spouse/domestic partner in recent weeks read this today

08/20/26 at 03:00 AM

If you lost a spouse/domestic partner in recent weeks read this today AfterTalk; by Larry Lynn; 8/17/26 I remember when I lost my first wife 30+ years ago, and recall how unprepared I was to deal with financial issues in the moment. I made mistakes that cost me later, so let me keep this simple. ... 

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New York's Medical Aid in Dying Act takes effect: what clients and providers need to know

08/20/26 at 03:00 AM

New York's Medical Aid in Dying Act takes effect: what clients and providers need to know JDSupra; by Dana Walsh Sivak; 8/18/26 ... Provider Obligations and Protections

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45 minutes saved per admission: how one hospice is re-shaping their business

08/19/26 at 02:00 AM

45 minutes saved per admission: how one hospice is re-shaping their businessHospice News; by Jack Silverstein; 8/17/26When Dar Miller came to Faith Hospice of Arizona two years ago, the organization’s census was just over 100 and their staff worked overtime to enter patient profiles. Now, their average daily census is 135-140, while their nurses have more time available at the bedside and with families. The change? Faith Hospice’s relationship with their pharmacy partner OnePoint Patient Care, whose combination of collaboration, communication, integrated technology and process ensures that hospices are not only getting the best pharmacy service possible, but that their operation is always evolving with the times.

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