Literature Review

Four nurses in two weeks assaulted at Essentia Hospitals: Nurses say violence is a consequence of unsafe staffing and inaction Minnesota Nurses Association, Brainer, MN; Press Release; 10/28/25Nurses with the Minnesota Nurses Association (MNA) are once again outraged and deeply concerned after two more violent assaults on nurses at Essentia Health. A nurse at Essentia Health St. Joseph’s Medical Center in Brainerd was attacked by a patient last Thursday, followed by another assault at the same facility over the weekend. The latest incidents come less than two weeks after two nurses were injured at Essentia Health St. Mary’s Medical Center in Duluth. Four nurses assaulted in under two weeks reflects a dangerous pattern in Essentia facilities—one that nurses have been warning about for years.Editor's Note: Continue reading for preventable actions and red flags, "True safety comes from care-based prevention." These were hospital settings; the home care settings your staff and volunteers enter provide much higher risks with less control. Ask your direct care staff for examples of professional situations that were unsafe. Office-based leaders, you might be surprised. Examine your workplace violence policies, procedures, trainings, incident reporting, and follow-up.

New ACP paper provides ethical guidance amid controversies and changing practices in organ transplantation American College of Physicians (ACP), Philadelphia, PA; Press Release; 10/28/25 The American College of Physicians today issued a position paper on ethical considerations surrounding organ transplantation, saying the needs of the donor patient and family must be prioritized and the process should be trustworthy and transparent. “Ethical Issues in Organ Transplantation: A position paper from the American College of Physicians” was published in Annals of Internal Medicine.  It clarifies the duties and roles of care teams of prospective donor-patients, recipient-patients, and organ procurement teams, reaffirming that end-of-life decision making for prospective donor-patients must center on their best interests independent of organ donation potential. ... “This guidance is relevant to all involved in organ transplantation and particularly to internal medicine physicians who advise their patients about advance care planning and organ donation, caring for them prior to organ transplantation,” said Jason M. Goldman, MD, MACP, President, ACP. 

Stitched with love: Allied’s memory bears offer comfort to grieving families in Northeast Pennsylvania WVIA News - PBS/NPR, Scranton, PA; by Lydia McFarlane; 10/27/25 Barbara Rushinski received a bear made of her partner’s pajamas after he passed in hospice care at Allied Services. She was so moved, she put her sewing skills to good use and joined the team of volunteers making the bears for grieving families in Northeast Pennsylvania. ... Allied offers its memory bears to grieving families whose loved ones died in hospice. ... Joyce Wizda started the program at Allied more than six years ago when she joined the healthcare system as a social worker. ... She estimates the volunteers make about 150 bears a year. ... Wizda encourages families to send in clothing items from their loved one’s closet to ease their grieving journey.

How to manage financial caregiving for an aging parent AOL.com; by Kerry Hannon; 10/25/25Steering end-of-life financial decisions for an aging parent is not a job many of us would choose. But we do — and feel our way through the messy emotions as best we can. ...[From an interview:] "[Your mom] was rejected for hospice care, which is covered by Medicare. Can you elaborate on that?""That was just such a slap in the face because it's a hard decision to go to hospice. ... My mom made that decision for herself, but my brother, the doctors, and me had to be on board with it in order for her to do it. The only reason they rejected her is because they thought she would be too costly. They do a cost-benefit analysis of how long that person is going to last— how much [in] resources is she going to consume? They decided that her diagnosis was too murky to justify putting her on hospice at that point. I finally found another hospice company to accept her. And she died in two weeks."

Pumping irony: When the hospice is inhospitable Experience Life; by Craig Cox; 10/22/25 ... University of Michigan researchers, reviewing the health records of some 139,000 hospice patients diagnosed with dementia, found that nearly half of them were given benzodiazepines, a class of drugs designed to relieve agitation and anxiety. ... The results, in many cases, were deadly. ... “For patients who are not actively dying, patients and families may prioritize preserving cognition, communication, and function — goals that may be compromised by sedating medications,” she writes. “This further underscores the need for dementia-specific hospice interventions to help offer scalable, nonpharmacologic approaches, to equip hospice clinicians with effective alternatives.”

Letters without limits: Linda McDaniel The Johns Hopkins News-Letter; by Max Siauw and Linda McDaniel; 10/18/25 Letters Without Limits, founded by students at Johns Hopkins and Brown University, connects volunteers with palliative care and hospice patients to co-create “Legacy Letters.” These letters capture memories, values and lessons that patients wish to share, preserving stories that might otherwise be lost. By honoring these voices and preserving legacies, Letters Without Limits hopes to affirm the central role of humanism in medicine, reminding us that every patient is more than their illness and that their voices deserve to be heard. As you read these powerful Legacy Letters, we invite you to pause, reflect and recognize the beauty in every life.

Mental healthcare delivery in palliative care: Patient and caregiver perspectives Journal of Pain and Symptom Management; by Mia Pattillo, Jeffers Guthrie, Molly Nowels, Maureen Ekwebelem, Karolina Sadowska, Milagros Silva, M Carrington Reid, Daniel Shalev; 10/8/25 ... Results: Participants described strong therapeutic relationships with palliative care clinicians, who offered informal mental health support through conversations, medication management, and referrals.  ...Conclusions: Patients and caregivers view integrated mental healthcare as a valuable addition to palliative care. Integration models should include specialist mental health providers, address caregiver needs, and offer flexible delivery formats. Palliative care's transdiagnostic scope, interdisciplinary structure, and psychosocial orientation make it a strategic site for integrated care.

Rehab patients practice skills by building hospice care packages as Oak Park police and Lincoln Rx donate supplies. Feiga Bowick connects it all.  The Detroit Jewish News; by Rochel Burstyn; 10/9/25 ... Small steps can quickly snowball and make a big difference. Feiga Bowick, LMSW, CDP, the manager of Social Services and Community Engagement at PARC Home Care and Hospice of Southeast Michigan, ... [described] her recent hospice collaboration with Life Skills Village ... a rehabilitation center mainly for patients who have developmental delays and traumatic brain injuries. “I met with their occupational therapist ...: "How could these patients help others in a way that would be helpful to their own recovery?” Bowick said. “Many patients at Life Skills Village are working on fine motor skills and organizational skills, and we decided to try and get items together so they could create care packages for PARC hospice patients — while practicing their skills.” [Continue reading this inspirational story.]

Studying connection at life’s end: Dean’s distinguished research fellowship captures social realities of dying individuals Royal Purple - founded 1901, La Crosse, WI; by UW-La Crosse University Marketing & Communications; 10/6/25 ... The project was sparked in late 2024 when [senior Maddi Jo] Baumann approached [faculty menot Angela] Geraci with an idea rooted in personal experience and public health urgency. Inspired in part by the U.S. Surgeon General’s advisory on the loneliness epidemic, Baumann wondered: What happens socially to people who are dying? Key findings: what drives social change at the end of life? The team’s early findings point to several factors that influence social relationships during the dying process:

'I spent 36 years holding dying patients' hands' BBC News, Ireland; by Grace Shaw; 10/5/25 For hospice nurse Trish Carling, holding a dying patient's hand through the dark hours of the night was a privilege to share. The 66-year-old has just retired after 36 years working in palliative care at St Michael's Hospice in Harrogate. Her first shift was in November 1989, and she has worked almost every Christmas Eve and New Year's Eve since. Despite the demands of the job, she originally chose the pathway because it worked around family life when her children were young. "At first I found the night shifts practical - they then became my preferred hours," she said. ... [Continue reading]Editor's Note: In what ways do you honor your longtime employees? How do you tell their stories of passionate compassion? Of loyalty to your core mission through changing times and operational practices? So many of these valued employees began in a pre-digital era. Imagine: before cell phones, the internet, websites, electronic employee files, EMR systems, and so much more. Crucial employee data can get lost especially during organizational name changes, Mergers & Acquistions, or a short-term leave of absence. Let this article be a catalyst for you to research and honor your employees with long tenures. Without their faithful foundations, your work today would not be the same.

How personalized medicine empowers patients and cuts healthcare costs Becker's Hospital Review; by Mary Sirois; 10/1/25 ... How do we unlock a new era of healthcare excellence? The answer lies in a fundamental shift: personalized care delivered within a truly patient-centered framework that improves satisfaction for patients and clinicians while enabling better clinical, operational, and financial outcomes across the healthcare ecosystem. ... Imagine a healthcare system where:

Strengthening mental health literacy enhances job well-being in palliative care Oncology Nures Advisor; by Megan Garlapow, PhD; 10/1/25 Positive mental health literacy (PMeHL) significantly improved job well-being among palliative care nurses, with job crafting acting as a partial mediator in this relationship, according to a study published in BMC Psychology. These results highlight the importance of psychological resources and proactive role adjustments for supporting nurses working in high-stress palliative care settings.Editor's Note: "Job crafting" is the process by which employees actively shape and redefine their roles to enhance job satisfaction, engagement, and meaning in their work.