Literature Review

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



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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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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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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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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Dad demands answers after daughter dies of rare cancer: why are so many kids getting sick in this community? (exclusive)

08/18/26 at 03:00 AM

Dad demands answers after daughter dies of rare cancer: why are so many kids getting sick in this community? (exclusive)People; by Wendy Grossman Kantor; 8/14/26Lilly Dalton grew up a few miles from Ladera Ranch, where at least a dozen young people and children have been diagnosed with Ewing sarcoma. Three days after graduating from college at Loyola University in New Orleans, Lilly Dalton told her parents her stomach hurt. Doctors found a tumor on the 21-year-old’s liver and she was diagnosed with a very rare, one-of-a-kind cancer. Lilly was raised in Laguna Niguel, a city in Orange County, Calif. — just six miles from Ladera Ranch, where 12 children and young adults have been diagnosed with another rare cancer, Ewing sarcoma. “That’s not a coincidence,” says her father, Brian Dalton, 49, who now lives in Meridian, Idaho, with Lilly’s mom, Nicole Dalton, 50. 

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The art and skill of caring for terminally ill patients in clinical research and beyond

08/18/26 at 03:00 AM

The art and skill of caring for terminally ill patients in clinical research and beyondClinical Leader; by Kamila Novak; 8/14/26

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Impact of palliative care consultation on neonatal end-of-life care utilization

08/15/26 at 03:25 AM

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[Canada] Daughter says elderly father chose MAiD due to 'loss of hope' after not qualifying for hospice

08/14/26 at 03:00 AM

[Canada] Daughter says elderly father chose MAiD due to 'loss of hope' after not qualifying for hospice LiveAction.org; by Bridge Sielicki; 8/11/26 Colleen De Vos told EWTN News Nightly that her 85-year-old father died in 2023 after being diagnosed with terminal chronic obstructive pulmonary disease (COPD). Though he had initially agreed to hospice or in-home palliative care, he was denied the care he needed. “He was turned down on two occasions, deeming that his diagnosis wasn't enough to warrant hospice care,” De Vos said. “That was a surprise to us because we could see he was deteriorating very quickly.” Nevertheless, he was able to qualify for MAiD. “The irony of the availability of MAiD that could be arranged very quickly... sidelined us very much,” she said. ...

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Palliative care consults for the oldest-old: A retrospective study of referral patterns, patient characteristics, and clinical outcomes

08/13/26 at 03:00 AM

Palliative care consults for the oldest-old: A retrospective study of referral patterns, patient characteristics, and clinical outcomes Geriatric Nursing; by John Cameron, Kalli Stilos, Anita Chakraborty; 8/11/26Objective: This study describes the characteristics and outcomes of patients aged 90 and older (the oldest-old) receiving inpatient palliative care consultation at a tertiary care hospital, to identify gaps and opportunities to improve care. ... Conclusion: Referrals for specialist palliative care in the oldest-old occur late in hospitalization, predominantly among those with non-cancer illnesses and poor functional status. Systemic changes, including the use of prognostication tools and enhanced collaboration between geriatric and palliative care services, are needed. Nurses are pivotal in advocating for earlier advance care planning (ACP) and identifying patients who would benefit from timely palliative integration to ensure goal-concordant care.

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LATE vs Alzheimer’s: Biomarkers, Mixed Dementia, and Clinical Realities with Nate Chin and Sterling Johnson

08/07/26 at 03:00 AM

LATE vs Alzheimer’s: Biomarkers, Mixed Dementia, and Clinical Realities with Nate Chin and Sterling Johnson GeriPal; podcast by GeriPal with Sterling Johnson and Nate Chin; 8/6/26 Up until just a couple years ago, an 85-year-old patient presenting with gradual, amnestic memory loss was almost automatically presumed to have Alzheimer’s disease. However, new biomarkers and the recognition of conditions like Limbic-predominant age-related TDP-43 encephalopathy (LATE) are reshaping our understanding of cognitive decline in older adults. It’s looking more clear that pure Alzheimer's dementia is rare in older adults, and co-occurring pathologies that may include Alzheimer’s, LATE, Lewy Body, and vascular neuropatholigies, are the rule rather than the exception. ... Sterling Johnson is a clinical neuropsychologist and researcher who leads the CLARiTI study, which is attempting to uncover the intersecting causes of dementia.  Nate Chin is the medical director and Clinical Core Co-Leader for the Wisconsin Alzheimer’s Disease Research Center (ADRC), the host of the Dementia Matters podcast, and author of a new book When Memory Fades.  

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The living dead among us - a call to recognize social death

08/06/26 at 03:00 AM

The living dead among us - a call to recognize social death ehospice; by Aizaq P. Davis; 8/5/26... In healthcare, we often focus on physical symptoms.

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