Literature Review

Enhancing psychosocial care at end of life: A novel simulation training programPalliative & Supportive Care; by Emilia Crnjak, Michelle Kerns, Mariah Stevens, Brianna O'Connell, Lauren Mednick; 4/26Providing psychosocial support to pediatric patients and their families at the end of life represents one of the most challenging yet vital aspects of healthcare practice. This study explored the use of simulation-based training to enhance the self-reported knowledge, skills, and comfort levels of child life specialists in providing psychosocial care during end-of-life situations. Forty-three child life specialists participated in the simulation-based training, which was combined with traditional didactic instruction, and the associated research study. Pre- and post-training surveys were used to assess impact of the training on child life specialists' self-reported knowledge of end-of-life care and comfort in providing this care. A statistically significant increase was seen in all measured aspects of self-reported knowledge and comfort in providing end-of-life care following the training.

Where do unhoused people go to die? The Denver Clarion, Denver, CO; by Hawke Baldwin; 5/4/26 ... On April 29th 9News presented its documentary “Refuge” in DU’s Anderson Academic Commons, giving viewers a glimpse into the reality of death. “Refuge” is a sad yet inspiring story that delves into end-of-life care for those both terminally ill and unhoused in Denver. ... A person featured in the film is James Patrick Hall, a Gregorian Frier and former engineer who founded Rocky Mountain Refuge, a haven for those in need of end-of-life care. The refuge is a hospice center providing home-style care for free. ... The documentary follows four unhoused and terminally ill individuals: Jennifer, Renne, James and Jose. All of whom were unable to find appropriate care anywhere else, so they turned to Rocky Mountain Refuge.

Assessment of survival and the decision to engage in palliative care when facing a defeat in the ICUMedical Decision Making; by Hossam Gad, Daniel Diedrich, and Krzysztof Laudanski; 4/24/26 Highlights

Virtual reality for serious illness: connecting, healing, and inducing awe | part one Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Kathleen Benton and Teri Yarbrow; 4/29/26 What if, even in the most limiting and uncertain moments of serious illness, a person could still experience freedom, movement, beauty, and a renewed sense of meaning? In this episode, Kathleen Benton and Virtual Reality (VR innovator Teri Yarbrow reveal how virtual reality is reshaping Hospice and Palliative Care by restoring something often lost in modern medicine—human experience.  As care becomes increasingly clinical and documentation-driven, VR creates space for patients to reconnect with meaning, beauty, and identity beyond their diagnosis.

Man in hospice had final wish of attending his 80th Kentucky Derby, and it's coming true WLKY-32, Louisville, KY; by Addie Meiners; 4/30/26 An 89-year-old Louisville native in hospice care wants to get in one final Kentucky Derby before he dies. Bob Weihe has been to 79 Derbies in a row. But in a wheelchair, unable to walk and unable to afford it, he feared his dying wish would not come true. But after a public appeal, it looks like he'll get that wish. Journalist David Begnaud shared a video online asking for help to grant it. Weihe’s passion for the Derby began in 1946 when he attended his first race at the age of 8 with his mother. ... Weihe’s wife, Barbara, has been his date to 62 Derbies, starting in 1957. ... Churchill Downs responded to Begnaud’s video, providing tickets to make Weihe’s wish come true.

Kansas veteran dies in hospice weeks after KWCH story on cancer fight, push for health benefits KWCH-12 News, Wichita, KS; by Matt Heilman and KWCH Staff; 4/28/26 A Kansas veteran whose story 12 News shared last month following the initial denial of her VA health benefits amid her cancer battle died Monday night in hospice care, her husband confirmed. Lorraina Robles, who served in the Air National Guard, most recently in Africa, fought stage 3 cervical cancer for over a year. Adding to the difficulty, her VA benefits for cancer treatment and other health benefits were denied following her return from deployment. 

Empassion, Karoo Health partner on cardiac-to-hospice transitions Hospice News; by James Warda; 4/28/26 Empassion Health and Karoo Health have unveiled a strategic partnership designed to provide a more seamless transition for patients from cardiac management to specialized serious illness care. This transition point, often referred to as “the gap,” is the period when traditional care cannot typically sustain the patient long-term, but they are not yet considered ready by insurance standards for hospice or palliative care, according to Empassion. Patients with advanced heart disease often drop into this gap. By bringing together Karoo’s cardiovascular care and Empassion’s palliative and hospice services, both organizations are working to eliminate that gap. 

Hope, uncertainty, and hard truths: the complexity of goals-of-care discussions in oncology OncLive - Oncology Live; by Maurie Markman, MD; 4/10/26 ... While appreciating considerable variation in how individuals deal with their [cancer] diagnosis, as well as understanding the potential for difficult conversations regarding the specifics of available therapeutic options and anticipated statistically defined survival, it remains essential that such discussions be held. ... What is the most appropriate conclusion regarding a goals-of-care discussion? Should this patient have been offered further testing and therapy, or, based on the facts of this case, was hospice referral perhaps a more reasonable suggestion?

CMS educational video: Hospice levels of care and how to bill for service intensity add-on (SIA) payments CMSHHSgov YouTube and CMS MLN Connects Newsletter; posted on CMS's YouTube channel 4/17/26, posted in CMS MLN Connects Newsletter 4/23/26 This video is intended to educate hospices on a service opportunity called a service intensity add-on payment. Hospice agencies are paid a daily rate for each patient enrolled in hospice regardless of the number of services provided on a given day, including days when hospice provides no services. Hospice benefits allow hospices to bill an additional payment on an hourly basis for registered nurse and social worker visits during the last seven days of a patient’s life in addition to their standard daily reimbursement.

Palliative care market: expanding healthcare focus on quality of life BriefingWire.com; Press Release; 4/23/26 Palliative Care Market is witnessing steady global growth due to the rising prevalence of chronic and life-limiting diseases such as cancer, cardiovascular disorders, respiratory illnesses, and neurodegenerative conditions. ... Technological advancements, such as telemedicine and remote patient monitoring, are further reshaping the palliative care landscape. These innovations allow healthcare providers to deliver continuous care to patients in remote or underserved areas, improving accessibility and reducing hospital dependency. Integration of digital health platforms is also enhancing coordination between multidisciplinary care teams, ensuring better patient outcomes.