Literature Review

Hospice: A vital safety net for sepsis survivors South Florida Hospital News and Healthcare Report; by Lauren Loftis, MD, VITAS regional medical director; 10/1/25Sepsis remains one of the most complex and deadly medical conditions treated in hospitals today. ... For patients with advanced illness or multiple comorbidities, the post-sepsis period is often marked by functional decline, emotional distress, and a high risk of rehospitalization or death. ...For sepsis survivors with advanced illness, hospice offers a bridge between high-intensity hospital care and the realities of life at home. It provides interdisciplinary support—including a physician, nurse, hospice aide, social worker, chaplain, volunteer, and bereavement specialist—tailored to the patient’s evolving needs.

Rise in late-stage lung cancer in nonsmokers highlights need for awareness and screening Medscape Medical News; by Evra Taylor; 9/5/25 ... The common thinking is that lung cancer is a smoker’s disease, but that isn’t the full picture, Jessica Moffatt, PhD, vice president of programs and health system partnerships at Lung Health Foundation in Toronto, told Medscape Medical News. ... Moffatt and her colleagues are working to dispel the stigma that smokers “get what they deserve.” Rosalyn Juergens, MD, professor of oncology at McMaster University in Guelph, Ontario, and president of Lung Cancer Canada, said, “If you find out someone has lung cancer, your first question shouldn’t be ‘Did you smoke?’ It should be ‘What can I do to help you along this journey?’ ” 

How hospice chaplains improve patient outcomes Hospice News; by Jim Parker; 9/19/25 Patients may seek spiritual guidance from a number of places, but hospice chaplains remain essential. Hospice chaplains receive specialized training in caring for patients at the end of life that clergy in the larger community may not have. They are trained in active listening and to address the intricacies and sensitivities of end-of-live conversations with patients and families. Nearly 8,000 hospice chaplains are working in the United States, according to a study in the journal Work, Employment and Society. About 66% of these chaplains identify as men, and 20% are members of the LGBTQIA+ community. Close to 72% are white, 10.8% are Black and 8.5% are Latino. Nearly 42% of hospice chaplains have a bachelor’s degree, an equal percentage have masters degrees and 7% hold a Ph.D., the study indicated. Editor's Note: Hospice chaplains are often misunderstood or underestimated. Their role is not simply to pray or read Scripture, but to offer skilled, sensitive spiritual support—often through life-review, family conflict, presence, words and actions that honor diverse beliefs. Effective chaplains know when not to pray, how to avoid imposing religious language, and how to remain aware of their own biases while creating space for another’s faith or worldview. Their contributions can profoundly shape the patient and family experience at the end of life. When hiring, look for credentials such as BCC, BCCI, or BCC-PCHAC and learn more through the Association for Professional Chaplains. 

How a novel coaching intervention is building resilience and hope in adolescents and young adults with advanced cancer: A conversation with Abby R. Rosenberg, MD, MS, MA The ASCO Post; by Jo Cavaloo; 9/15/25 Each year, nearly 90,000 adolescents and young adults (AYAs; aged 15–39) are diagnosed with cancer, and approximately 9,300 die of the disease. ... AYAs are at increased risk for developing adverse long-term side effects from cancer and/or its treatment, including chronic conditions, secondary cancers, infertility, poor psychosocial health, and financial toxicity. ... The findings from a recent randomized phase III clinical trial investigating a novel resilience coaching intervention for AYA patients with advanced cancer are showing promising results in improving feelings of resilience and hope, as well as longer-term improvement in quality of life for these patients. ... In a wide-ranging interview with The ASCO Post, Dr. Rosenberg discussed the psychosocial impact of cancer on AYA cancer survivors, the results of the PRISM-AC study, and how AYA survivors are able to cope with having a terminal prognosis.

Family says bear attack victim to be transferred to hospice care KNWA/KFTA FOX-24, Little Rock, AR; by Justin Trobaugh; 9/9/25 The family of a Franklin County man says Sept. 8 that his condition has worsened and that he has been moved to hospice care. Vernon Patton, 72, is being held at the University of Arkansas for Medical Sciences after being attacked by a bear in the Mulberry Mountain area of Franklin County on Sept. 3. Patton was working on a gravel road with his tractor near Mulberry Mountain Lodge Park when the black bear attacked, according to Keith Stephens with the Arkansas Game and Fish Commission (AGFC). His son arrived to check on him and saw the bear actively attacking. Editor's Note: Executive leaders, traumatic events like this that lead to a hospice admission call for extra support for your clinical, direct care professionals and volunteers. They can experience secondary trauma as they tend horrific wounds, both physical (for the patient) and emotional (for family and friends). Also, what policies do you have in place to balance important community news and family privacy (e.g. staff or volunteers posting anything on social media).

When I go, I'm going green KFF Health News; by Paula Span; 9/8/25 More Americans are choosing burials in which everything is biodegradable. ... “Do you see a lot of interest in green burials?” I asked the friendly town cemetery commissioner who was showing me around. “I don’t think we’ve had a traditional burial in two years,” he said. “It’s all green.”

[Global] Palliative care for special populations ehospice; by Howard Kinyua; 9/1/25

Spokane hospice chaplain’s new book challenges comfort clichés at life’s endThe Spokesman-Review (Spokane, WA); by Mia Gallegos; 8/25/25“Hospice Chaplain: Interrupted” examines how caring for the dying transforms the caregiver, exploring the profound discomfort and unexpected revelations that emerge when chaplains sit with patients at life’s end. Written by the Rev. Scott Kinder-Pyle, a hospice chaplain and Presbyterian ordained minister in Spokane, the collection of poems following an introductory essay challenges some of the typical mechanisms pursued by those who accompany people within their final moments of life.

Musical organization brings comfort to hospice patients CBS 19 News, Charlottesville, VA by Jadyn Howard; 8/14/25 The Front Porch, a nonprofit music organization, partners with Hospice of the Piedmont to give musical performances to patients in their final months. "Mom doesn’t know her grandchildren or great-grandchildren, but Clara sings the song and words come out it’s beautiful so something about the brain remembers music," said Beth Johnson, daughter of a patient at Linden House for Assisted Living.  Clara George is a Front Porch musician who performs for Johnson's mother every Thursday. "People who have dementia a lot of times they can felt isolated or lonely or agitated and when I start playing with them I see their hands start to clap and sing along," said George.

Flu, COVID-19 vaccination rates falling among health care workers WWLP, Springfield, IL, originally Boston, MA; by Alison Kuznitz; 8/14/25 The rate of Massachusetts health care workers vaccinated against the flu and COVID-19 is declining, despite state officials pushing for the vast majority of providers to get their shots in order to stunt the spread of illnesses. The Department of Public Health’s goal is to achieve an annual flu and COVID immunization rate of 90% or higher among eligible health care personnel at all licensed facilities and emergency medical services. ... During the 2024-25 respiratory virus season, an average of 83.5% of providers in acute care hospitals were vaccinated against the flu, ... That compares to ... 52.3% in nursing homes, 68.7% in rest homes, 52.2% in adult day health programs, 21.2% in EMS and 65.4% in hospice. Editor's Note: Is 65.4% high enough for health care workers who consistently tending many of the most vulnerable persons receiving health care? What are the vaccination rates for your organization? 

New report gives healthcare providers fresh guidance on communicating with older adults McKnights Long-Term Care News; by Donna Shryer; 8/7/25 A new report from the Gerontological Society of America reveals critical strategies for healthcare providers to improve communication with older adults, who now represent almost 17% of the US population. The comprehensive guide, titled “Communicating With Older Adults: A Review of What Really Works,” addresses the growing need for effective patient-provider interactions as America ages. Approximately one-third of adults aged 65 or more years have a disability that may affect communication, the report noted. 

Tennessee plans to execute inmate amid concerns his heart implant will shock him repeatedly CNN; by Dakin Andone; 8/4/25 Tennessee plans to execute Byron Black on Tuesday for the 1988 murders of a woman and her two young daughters, despite concerns from his attorneys that a device implanted to restore his heartbeat could repeatedly shock him as he’s put to death. The device – an implantable cardioverter-defibrillator, or ICD – is at the center of a court battle that has been unfolding for several weeks. Black’s attorneys want the device deactivated at or immediately before his lethal injection Tuesday morning. If it isn’t, they say the effects of the lethal injection drugs will cause the ICD to shock Black’s heart, perhaps repeatedly, in an attempt to restore it to a normal rhythm. This will cause Black a prolonged and torturous execution, the attorneys argue, violating Eighth Amendment protections against cruel and unusual punishment.Editor's Note: Though this is not a hospice case, this traumatic scenario for persons with implantable cardioverter-defibrillator being repeatedly shocked--even after death--is crucial for the hospice interdisciplinary to know. Clinical, ethical, and legal issues abound. Click here for Shocked at End-of-Life: An Educational Video for Hospice Workers about Implantable Cardioverter-Defibrillators, research published by the Journal of Pain and Symptom Management, May 2024.

The ‘accidental’ hospice chaplain The Dallas Weekly (DW), Dallas, TX; by Rev. Dorothy S. Boulware; 7/30/25 “I’m an accidental chaplain,” says Rev. Dr. Missiouri McPhee, an ordained African Methodist Episcopal minister who works with Orlando Health, a nonprofit healthcare company based in Florida. A Florida A&M University graduate, McPhee was working on her theology doctorate in Atlanta when a classmate, a chaplain at a hospital in Orlando, ... [kept saying to me,] "Missiouri, you need to come interview with my hospital." ... Fast forward a few years, and McPhee found herself taking on work as a hospice chaplain, arguably the most challenging and rewarding specialty in ministry. She currently works in the Central Florida area for VITAS Healthcare, a major provider of hospice and palliative care. ...