Literature Review

Missed opportunities to promote flourishing in cancer care: a brief examination of multiple myeloma Supportive Care in Cancer; by Natalie Tuckey, Hannah R. Wardill, Xavier Symons, Melissa Cantley, Kathina Ali, Hayley Beer, Gregory B. Crawford, Angelina Yong & Matthew Iasiello; 7/8/26... We propose that certain elements of flourishing, such as meaning and purpose, deep personal relationships, and cultivating virtue, can be uniquely realized if targeted appropriately toward the end of life. ...  Participants reported personal growth following their diagnosis through acceptance, meaning-making, and connection, yet reported the loneliness of dying with cancer with a desire to have discussions about death with their clinicians in addition to them maintaining treatment. On the contrary, health professionals were hesitant to discuss death with their patients, balancing hope in treatments with preparation for dying. We argue that the hesitation to discuss death thwarts the opportunity to flourish and that existing solutions such as dignity therapy, meaning-centered psychotherapy, early palliative care, and multidisciplinary support can close this gap without diminishing hope in treatments.Editor's Note: For a recent, similar research article about "flourishing," examine "Flourishing within vulnerability: on human fragility and the conditions for a habitable environment."

Hospice of New York revamps hospital-based Hospice IPU, Palliative Program Hospice News; by Jim Parker; 7/8/26 Hospice of New York has reinvigorated its inpatient unit at Wyckoff Heights Medical Center, as well as developed an inpatient palliative care program. The program begins with one nurse practitioner and one social worker. Today it not only includes those disciplines, but also an attending physician and two nurses, according to founding nurse practitioner Simon Ubabov of Hospice of New York. Ubabov manages the palliative care service while the attending physician oversees the hospice inpatient unit. “Palliative care, hospice IPUs increase not just objectively the patient’s experience, not just the monetary remuneration that the facility gets, but more importantly the overall care that these patients get at the end of life,” Ubabov told Hospice News.

Dignity therapy: What matters most in end-of-life care? Medscape; by Irene Salvetti, MD; 7/7/26 ... Many patients, especially in advanced stages of illness, express the fear of no longer being themselves, of becoming a burden, or of losing their sense of meaning, role, and memory. In these experiences, suffering is not merely physical but also related to identity, relationships, and spirituality. The way patients perceive themselves as viewed by others is an important determinant of their sense of dignity. Dignity therapy was developed to give voice to this often-overlooked aspect of the experience of illness. ...  Harvey Max Chochinov introduced dignity therapy as a brief psychotherapeutic intervention for individuals with advanced or terminal illness, with the goal of preserving a sense of personal dignity during times of frailty, dependence, and the approach of death.

At Hospice Austin’s summer camp, kids find joy together after experiencing loss KUT 90.5, Austin, TX; by Olivia Aldridge; 6/29/26 On a Friday in mid-June, middle school-aged kids lined up for their shot at a summer camp rite of passage: the infamous high ropes course at John Knox Ranch in Fischer, Texas. The ranch hosts Camp Brave Heart, Hospice Austin’s annual camp for kids and teens who have experienced loss. 13-year-old Alisa bravely stepped up to the challenge first. Soon enough, she was strapped into a harness, inching along ropes strung 30 feet in the air. “You are rocking this!” the counselor belaying her from the ground yelled as Alisa neared the end of the course. “Take a second — you want to look at the view?”

Supporting mental health in end-of-life care – associate professor Sarah Yardley ehospice; by Dr. Sarah Yardley; 6/29/26 [Based on hospice observations described earlier in this article] ... I propose several ideas that support relationship centered care:

HPCC Announces APHSW-C® AccreditationHospice & Palliative Credentialing Center; Press Release; 6/25/26On June 10, the National Commission for Certifying Agencies (NCCA) granted accreditation to the Hospice and Palliative Credentialing Center (HPCC) for demonstrating compliance with the NCCA Standards for the Accreditation of Certification Programs for its Advanced Palliative Hospice Social Worker–Certified (APHSW-C®) program. NCCA sets the national benchmark for high-quality voluntary certification programs across diverse industries. This accreditation affirms that the program has successfully met the stringent standards required for accreditation and is regarded as a trustworthy, vetted credential program. The APHSW-C® program, which has 843 active certificants, is designed for experienced hospice and -palliative social workers. The APHSW-C® examination consists of 150 multiple-choice items, and individuals must meet a set of requirements to be eligible to sit for the exam. Testing windows are available in March, June, September, and December of each year. 

Family caregivers' perspectives on challenges and support needs in hospital-based palliative care for persons living with dementia Baylor Medicine | Texas Medical Center Documents ; by Jung Kwak, Anita Chary, Sarah Stayer, Kwaku Duah Oppong, Sumin Yoon, Snehal Patel, and Elizabeth A Kvale; originally pub 11/17/25, reposted online 6/23/26Palliative care needs of hospitalized persons living with dementia (PLWD) and their family caregivers remain poorly understood. ... Thematic analysis of interviews revealed three themes: the value of palliative care in navigating end-of-life uncertainty in dementia, uncoordinated and reactive care during hospitalization, and lack of guidance for post-hospital transitions. While caregivers valued palliative care for emotional and decision-making support, findings underscore the need for earlier integration and improved coordination across hospital teams to better support families.

[Portugal] Reiki and Therapeutic Touch for symptom burden and quality of life in palliative settings: A systematic reviewPalliative Medicine; by Raquel Pontes-Gomes, Paulo Reis-Pina; 5/26Evidence regarding Reiki and Therapeutic Touch in palliative and end-of-life care remains limited and heterogeneous. Nine studies involving 415 participants were included: five mixed-methods studies, three randomized controlled trials, and one qualitative cross-sectional study conducted in North America (n = 6) and Europe (n = 3). Cancer was the predominant diagnosis.  Some studies reported improvements in symptoms (pain, anxiety, depression, fatigue, and stress), and in quality-of-life domains (sleep, relaxation, energy, hope, and emotional well-being). Qualitative findings described perceived relaxation, comfort, and emotional support. Further well-designed studies are needed to clarify their potential role in palliative care.

Penn Medicine’s approach to clinical care AI tools focuses on problems they want to solve Patient Safety & Quality Healthcare (PSQH); by Christopher Cheney; 6/12/26 Penn Medicine has embraced a range of AI tools in clinical care such as a new collaboration with K Health that includes AI tools to engage patients and tee up visits with clinicians. ... With so many AI tool options becoming available in clinical care, it is important for senior leaders to have a focused approach for AI tool adoption, according to Srinath Adusumalli, MD, vice president and chief health information officer at Penn Medicine. “At the highest level, when we adopt AI tools in clinical care, we focus on the problems we are trying to solve,” Adusumalli says. 

By the Bay Health recognized as 2026 Golden Bell Honoree for Innovative Healthcare Workforce Development Program ByTheBayHealth.org News, Larkspur, CA; by Sarah Robertson; 5/27/26 By the Bay Health has been named a 2026 Golden Bell Honoree by the Marin County Office of Education (MCOE) and the Marin County School Boards Association (MCSBA) in recognition of its Pathways to Care Careers initiative ... The award recognizes By the Bay Health’s longstanding partnership with Marin County schools and its commitment to expanding access to healthcare career education for high school and college students. A key component of the initiative is the Introduction to the World of Healthcare course at San Marin High School. Funded by private donations to By the Bay Health, the course is taught by a By the Bay Health clinician and clinical guest lecturers through a partnership with the Marin County Office of Education.Editor's Note: Congratulations on this innovative partnership and investment in future healthcare professionals. May this intergenerational model inspire other healthcare organizations to help cultivate the next generation of compassionate care.

First do no harm: communication surrounding non-beneficial treatments American Journal of Hospice and Palliative Medicine; by Cassie Stanzler, MD, Adam Marks, MD, MPH, and Laura Taylor, MD, MSc; 5/21/26 Despite a consensus in the medical community that clinicians should not offer non-beneficial treatments (NBTs) to their patients, little guidance exists on the particular communication needs around this fraught topic. While intended in the spirit of non-maleficence, setting limits around NBTs can be seen by patients and families as abandonment, resulting in conflict. In this paper, we propose a framework to guide Palliative Care clinicians in communicating about these complex issues with patients and families. ... Our framework emphasizes proactive relationship building with patients and families, close attention to their values, and compassionate limit-setting when medically appropriate.