Literature Review
All posts tagged with “Clinical News | Spiritual Care News.”
A patient’s visit home
02/19/26 at 03:00 AMA patient’s visit home Parkview Health; by Tim O'Sullivan, Parkview Hospice; 2/17/26 The Canal Stock Farm is more than a historical landmark along Old 24 in New Haven, Indiana. It is the home to now six generations of Ronald Hockemeyer’s family. Over the past year, members of the Parkview Hospice team had the privilege of getting to know Ron and the legacy of his familial home. ... Ron expressed his desire to have just one more day on the farm with his Parkview Hospice social worker, Emily Zimmerman. Emily was aware of a new program that makes the wishes of Parkview Hospice patients come true. She filled out the application and identified all the resources needed to secure a safe visit. Through the generosity of donors to the Parkview Foundation Hospice Fund, Ron’s day on the farm was made a reality.
Cognitive decline is often linked to hearing loss: This may be why
02/19/26 at 03:00 AMCognitive decline is often linked to hearing loss: This may be whyMedicalNewsToday; by James McIntosh; 2/16/26
Psychosocial oncology: The Omega Project
02/17/26 at 03:00 AMPsychosocial oncology: The Omega Project Taylor & Francis | Death Studies; by Matthew Loscalzo and Linda A. Klein; 2/14/26This article reports on an interview with J. William Worden that focuses initially on the Omega Project (1968–1986) that studied end-of-life care. Worden explains the four phases of the project with specific populations, goals, and key concepts that emerged. The discussion then shifts to the development of psychosocial oncology and palliative care. Finally, Worden offers some thoughts on the development of the hospice movement in the United States, the role of religion in coping with mortality, coping with personal loss, and his advice to new medical or graduate students just starting out.
What can we learn from death in the age of longevity?
02/17/26 at 02:00 AMWhat can we learn from death in the age of longevity? Time; by Arianna Huffington; 2/16/26 ... Research on those at the end of life shows that our values change as death approaches. At the end, we don’t crave more status or more things, but more connection. A study on terminally ill patients found that common reflections include concern for loved ones, gratitude, and spirituality. Another found that the most commonly discussed topics included accepting one's imperfections, celebrating and appreciating what you have, giving, and service to others. And a study of hospice patients found that they showed “the desire to grow and change at this critical time.” If hospice patients can grow and change at the end of life, why not grow and change now? ... It is a surprising, but important, lesson to learn: bringing death into our lives is what paradoxically allows us to live more fully.
The impact of religious and spiritual care on parents or caregivers in pediatrics: A scoping review
02/14/26 at 03:40 AMThe impact of religious and spiritual care on parents or caregivers in pediatrics: A scoping reviewJournal of Health Care Chaplaincy; by Salvador Leavitt-Alcántara, Samantha Summers; 1/26This scoping review examines the literature on the impact of spiritual and religious care on parents or guardians of children admitted to high acuity pediatric hospital units. Results reveal themes of positive impact of spiritual or religious care on several components of parents/caregivers' in the areas of emotional coping, grief and bereavement, positive parental perception of the impact of chaplains in high acuity settings, and outside spiritual/religious guidance and support during the medical decision-making process.
How an ethics course can prep you for med school: It can strengthen communication and empathy and help with complex treatment and research decisions.
02/11/26 at 03:00 AMHow an ethics course can prep you for med school: It can strengthen communication and empathy and help with complex treatment and research decisions. U.S. News & World; by Neha Raju; 2/10/26 Medical school applicants often focus on the most tangible parts of preparation: grades, MCAT scores, clinical hours and research. Ethics courses, when considered at all, are sometimes treated as peripheral or “nice to have” rather than genuinely useful. That view misses how central ethical reasoning has become ...
Expanding access to compassionate hospice care in Northern Virginia
02/11/26 at 03:00 AMExpanding access to compassionate hospice care in Northern Virginia The Jewish Federation of Greater Washington; Press Release; 1/27/26 We are excited and proud to share that JSSA, a longtime Federation partner, is expanding its hospice services to Northern Virginia—an important step in ensuring individuals and families in our region have access to high-quality, community-based end-of-life care when it matters most. ... For more than 40 years, JSSA has been a trusted provider of hospice care in Montgomery County, supporting patients and families with expert clinical care alongside emotional and spiritual support. This expansion builds on JSSA’s more than 45 years of serving Northern Virginia through mental health services, aging-in-place programs, and its Holocaust Survivor Program.
Spreading the principles of palliative care to all corners
02/09/26 at 03:00 AMSpreading the principles of palliative care to all corners Health Affairs; by Jessica Nutik Zitter; 2/2/26 My daughter Sasha is a first-year medical student. ... Most recently, she has been envisioning herself as a palliative care physician. She tells me it may be the only specialty that will allow her to practice her values. As a long-time palliative care physician who has acted as an evangelist for the specialty, I surprised myself with a reflexive response. “I’m not sure that’s the best choice for you,” I said. ... Something needs to change—for our patients and for ourselves. ... I propose several strategies ...
How ‘rest’ became the biggest four-letter word in healthcare
02/09/26 at 02:00 AMHow ‘rest’ became the biggest four-letter word in healthcareMedscape; by Eric Spitznagel; 1/30/26As a resident at Yale New Haven Hospital in New Haven, Connecticut, he did his best to get enough of it, which wasn’t often. Even when he managed a full night’s sleep, it didn’t bring the relief he expected. His body might slow down, but his mind didn’t. “My mind kept racing through patient records,” Jacobs said. “So even sitting on the couch wasn’t helping.” He was on the cusp of understanding what few healthcare workers figure out: True rest requires more than lying down. It requires something that pulls your attention out of the mental loops that medicine trains clinicians to spin 24/7. ...
“This is what loneliness looks like”: A description of a high-risk population of palliative and oncology patients
02/06/26 at 03:00 AM“This is what loneliness looks like”: A description of a high-risk population of palliative and oncology patients American Journal of Hospice and Palliative Medicine; by Tamia Ross, MSPH, Ruwanthi Ekanayake, BA, Lucy Rabinowitz Bailey, MPH, Kain Kim, MD, and Emily Pinto Taylor, MD; 1/9/26 Background: Loneliness exacerbates symptom burden and reduces quality of life in serious illness. Social prescribing–linking patients to non-clinical community activities–offers a novel approach to address loneliness in palliative care. Results: Most patients were older, non-Hispanic Black women experiencing financial strain, food insecurity, and transportation barriers. Anxiety exceeded depression severity; mood disorders, loneliness, and social isolation were leading referral reasons.
A qualitative study of chaplains spiritual care for persons with dementia in long-term care
01/31/26 at 03:25 AMA qualitative study of chaplains spiritual care for persons with dementia in long-term careJournal of Applied Gerontology; by Meganne K. Masko, Sarah McEvoy, Jung Kwak, Kathryn Lyndes, Alexia M. Torke, Shelley Varner Perez, George Fitchett; 12/25This study explored how chaplains provide spiritual care for residents with dementia in long-term care, which is not well understood. We conducted six separate semi-structured focus groups with a total of 16 chaplains who provide care for people with dementia in long-term care facilities across the U.S. Two main themes emerged: the broad and multifaceted role of chaplains in long-term care, including responsibilities to residents, staff, and family, and dementia-specific spiritual care adaptations and delivery practices, including learning through experience, using multisensory tools, relying on presence, music, and emotional resonance. Chaplains’ adaptive, person-centered spiritual care for residents with dementia highlights the need for dementia-informed chaplaincy training and greater integration of chaplaincy into interdisciplinary care planning in long-term care settings.
Integrating psychiatric and hospice services: Legal and clinical considerations for involuntary commitment in multimorbid end-of-life care
01/30/26 at 03:00 AMIntegrating psychiatric and hospice services: Legal and clinical considerations for involuntary commitment in multimorbid end-of-life care American Journal of Hospice and Palliative Medicine; by Ilana Marmershteyn, BS, Darian Peters, BS, Victor Milev, BS, Mario Jacomino, MD, MPH, and George Luck, MD, FAAHPM; 1/28/26 Multimorbid patients at the end-of-life face complex medical, psychosocial, and psychiatric challenges. Hospice care aims to address physical, emotional, and spiritual needs; however, psychiatric comorbidities, particularly acute crises, remain under-recognized and inconsistently managed. The intersection of psychiatric intervention, hospice care, and legal frameworks such as involuntary commitment presents significant clinical and ethical challenges.
Fly fishing support group provides new angle on grief processing: The grieving can find peace in the rhythm of fishing
01/30/26 at 03:00 AMFly fishing support group provides new angle on grief processing: The grieving can find peace in the rhythm of fishingTimes Courier, Ellijay, GA; by Jackson Elliott; 1/28/26 Few people understand grief like a hospice chaplain. “I’ve experienced about 5,000 deaths,” former hospice chaplain Rick Gillert said. “And I’ve helped those families and patients through the grieving process." “‘I had this idea in the back of my head of combining professional grief care with fly fishing,” he said. During his time as a hospice chaplain, he would often seek peace from the difficulty of the work by going fishing the next day. “I can almost imagine my anxieties, my worries as leaves falling on the water and washing away,” Gillert said. In his program, clients join a group and go through a 10-week course on fly fishing, processing grief and coping skills.
How do I tell my patient they’re dying?
01/28/26 at 03:00 AMHow do I tell my patient they’re dying? Medscape; by Lisa Mulcahy; 1/27/26 Ruth Parry, PhD, still remembers a conversation she mishandled as a junior National Health Service stroke rehabilitation physiotherapist many years ago. ... Since then, Parry has analyzed nearly 100 video consultations between practitioners and patients with poor prognoses in stroke and head injury and with terminal diagnoses. Her research explores a critical clinical dilemma: How do doctors navigate the delicate balance of providing fair, accurate information about dire prognoses while respecting a patient’s feelings and personal choices?
Briana Kohlbrenner: End-of-life care is under threat End-of-life care is under threat - as demand for hospice grows, workers say staffing and pay must keep pace
01/28/26 at 03:00 AMBriana Kohlbrenner: End-of-life care is under threat - as demand for hospice grows, workers say staffing and pay must keep paceVTDigger, Vermont; commentary by Briana Kohlbrenner; 1/27/26 As demand for hospice grows, workers say staffing and pay must keep pace. University of Vermont Home Health and Hospice (UVMHHH) is at a crossroads. As Vermont’s population ages, the demand for hospice care is growing. ... We are asking for fair and transparent pay scales, safe staffing and equity within the UVM Health system. Though we wear the same logo on our badges, we are paid less than our counterparts in other parts of the UVM Health system. A new nurse starting at UVM Home Health and Hospice earns $6.72 less per hour than a new nurse at the UVM Medical Center.
Participants praise palliative care program for the homeless
01/27/26 at 02:00 AMParticipants praise palliative care program for the homeless Medscape; by Kate Johnson; 1/26/26 Patient perspectives about a palliative care outreach intervention for adults experiencing homelessness are overwhelmingly positive, according to a qualitative, descriptive study of the Palliative Education and Care for the Homeless (PEACH) program in Toronto. “While previous research suggests persons experiencing homelessness emphasize symptom management needs at the end of life, our findings also underscored unmet primary care, medical supply, and psychiatric needs,” wrote lead author Alexander R. Levesque, MD, of the Dalla Lana School of Public Health at the University of Toronto, and coauthors.
Husband with Parkinson's was admitted into at-home hospice program and has dramatically improved. Have others experienced this?
01/26/26 at 03:00 AMHusband with Parkinson's was admitted into at-home hospice program and has dramatically improved. Have others experienced this? Aging Care; by Klwolf; 1/21/26 My DH has Parkinson’s that has been getting progressively worse for months. In early December we had him assessed for hospice and he was admitted. Since then, he’s improved dramatically. Has anyone else experienced dramatic improvement AFTER hospice enrollment? The hospice staff simply shrugs and says this sometimes happens and that we need to be prepared for him to revert back to his previous state. Editor's Note: Many clinicians have seen individuals improve after hospice enrollment, often due to better symptom control, reduced stress, or consistent interdisciplinary care. The concern here is not the improvement itself, but the hospice team’s reported response. A shrug can feel dismissive to families already living with uncertainty. How do we teach teams to communicate about improvement—honoring hope while preparing families with clarity, compassion, and trust?
Why asking about “critical abilities” is misguided: Lessons learned from the updated Serious Illness Conversation Guide
01/23/26 at 03:00 AMWhy asking about “critical abilities” is misguided: Lessons learned from the updated Serious Illness Conversation Guide Journal of General Internal Medicine; by Joel Michael Reynolds, PhD and Michael Pottash, MD, MPH; 1/20/26 The Ariadne Labs’ Serious Illness Care Program is a care delivery model that aims to improve conversations between patients and their clinicians about serious illness. This is accomplished through its foundational tool: the serious illness conversation guide. ... As of 2022, the Serious Illness Care Program has a footprint in over 44 countries and in all 50 states. The conversation guide had been translated into over 13 languages and nearly 18,000 clinicians had been trained on its use. In 2023, the Serious Illness Care Program released an updated conversation guide. ... Gone was the future-oriented question about critical abilities: “What abilities are so critical to your life that you can’t imagine living without them?” A more present-focused question about activities replaced it: “What activities bring joy and meaning to your life?” ... The revision of the Serious Illness Conversation Guide signals more than a semantic change. Its revision of the critical abilities question instead reflects a deeper reckoning with the ethical limitations of traditional advance care planning and with the import of disability bioethics.
An Anderson Township nursing home patient died of natural causes — until the coroner called it homicide
01/23/26 at 03:00 AMAn Anderson Township nursing home patient died of natural causes — until the coroner called it homicide ABC WCPO-9, Cincinnati / Anderson Township, OH; by Dan Monk; 1/21/26 An Anderson Township nursing home is under scrutiny after a patient’s death was changed from natural causes to homicide by the Hamilton County Coroner. Robert Meyer was a patient at Forest Hills Healthcare Center, ... He died on Sept. 6, 2025, soon after being transferred to a hospice facility in Blue Ash. No autopsy was conducted because the original death certificate said Meyer died of natural causes. However, as his funeral approached, his daughter raised concerns about his care at Forest Hills. Tammy Maham sent the coroner pictures of neck bruises that Meyer incurred in the days before his death. That led to Meyer’s disinterment, a Sept. 22 autopsy and a revised death certificate that lists “physical elder abuse” as the immediate cause of death by homicide.
Patients' perceptions of autonomy in palliative care: Two patient interview exemplars
01/23/26 at 03:00 AMPatients' perceptions of autonomy in palliative care: Two patient interview exemplars Palliative Care and Social Practice; by Kristen Tulloch, Julia Acordi Steffen, John P Rosenberg; 1/19/26 Results: Four themes were identified: (a) my involvement in healthcare decisions, (b) change to my autonomy during illness progression, (c) self-assessing my abilities to exercise autonomy and (d) my coping mechanisms for loss of autonomy. Palliative care patients perceived and managed their autonomy amidst their illnesses, revealing a sense of loss of autonomy extending beyond healthcare into many daily activities. Participants wished to exercise autonomy in nuanced ways, varying in intensity across many aspects of their lives, underscoring the importance of recognising and respecting individuals' wishes for autonomy.Editor's Note: The authors’ focus on coping with loss of autonomy is essential. As illness progresses, autonomy can erode not only in medical decisions but across daily life, identity, and meaning—losses that are too often overlooked in clinical care. The frequently misapplied “Five Stages of Grief” can further blur this reality, reducing complex, personal experiences to linear expectations not supported by contemporary grief research. Understanding how patients adapt to loss of autonomy is foundational to truly person-centered palliative care.
If you think you don't need a chaplain, reconsider
01/20/26 at 02:00 AMIf you think you don't need a chaplain, reconsider Parkview Health | Family Medicine, Diseases & Disorders, Fort Wayne, IN; by Karen Kosberg, chaplain, Parkview Hospice; 1/18/26"I'm not religious." "I don't need anyone preaching at me.""I don't want a chaplain yet!"These are some of the responses I have heard over the years as a hospice chaplain. These statements are reactions to the offer of a visit. So once and for all, let's answer the question: Why a chaplain? ...Editor's Note: Continue reading this excellent description of our too-often-neglected hospice chaplains. Reach out to learn more about your hospice chaplains. Find meaningful ways to thank and honor them.
Preparedness as a bridge: How religious coping shapes acceptance of death in dementia caregiving
01/17/26 at 03:15 AMPreparedness as a bridge: How religious coping shapes acceptance of death in dementia caregivingClinical Gerontologist; by L. Blake Peeples, Lauren Chrzanowski, Benjamin T. Mast; 12/25This study examined the role of religious coping and preparedness in shaping caregivers’ acceptance of death following the loss of a care recipient with Alzheimer’s disease or related dementias. Bivariate analyses indicated that both positive and negative religious coping were significantly associated with greater preparedness, and preparedness was strongly related to acceptance. Findings suggest that interventions focused on religious coping enhance preparedness which improves caregivers’ acceptance in the bereavement process.
New clinical ministry degree for those called to become chaplains
01/15/26 at 03:00 AMNew clinical ministry degree for those called to become chaplains AdventHealth, Orlando, FL; by Jennifer Audette; 1/12/26 Chaplains are an integral part of the healing process. They are with patients and families at their most vulnerable moments, and health care organizations are in profound need of board-certified chaplains. To meet this need, AdventHealth University will begin offering a Master of Arts in Clinical Ministry degree in Fall 2026. ... The graduate degree program, which is 100 percent online, is grounded in theology, ethics, and psychology. Courses include Grief & Loss, Narrative Counseling, and World Religions. The Clinical Ministry degree ... can serve as an academic bridge for those who plan to go on to pursue certification through organizations such as the Board of Certified Chaplains Inc.
Top 10 leadership pivots for 2026
01/14/26 at 03:00 AMTop 10 leadership pivots for 2026 Forbes; by Julie Kratz; 1/4/26 ... “Psychological safety is the most powerful differentiator in building high-performing teams. Those who report feeling psychologically safe are 31% more likely than those who don’t to be a high performer,” as stated in a recent Wiley Workplace Intelligence study of high performing teams. When cultural factors like psychological safety are linked to performance, leaders pay attention. Consider these leadership pivots heading into 2026:
How honoring patient autonomy prevents medical trauma
01/13/26 at 03:00 AMHow honoring patient autonomy prevents medical trauma Medpage Today's KevinMD.com; by Sheryl J. Nicholson; 1/11/26 Holding my mother in my arms as she took her last breath changed the way I understand care. That moment ... was heartbreaking and transformative. Her unwavering faith and peaceful passing contrasted sharply with the confusion that followed when CPR began despite her do-not-resuscitate (DNR) order. I felt helpless. The experience became the catalyst for my commitment to advocacy and ethical clarity. It taught me that even well-intentioned interventions can violate patient autonomy and erode trust when systems fail to honor advance directives. ... Ethical implications: autonomy and systemic gaps ... Actionable steps for clinicians: ...
