Literature Review

End-of-life care and health promotion in Black and African American religious communities: A systematic reviewThe Journal of Aging & Social Change; by Chesney Ward; 10/25Blacks and African Americans have the highest mortality rates of any racial or ethnic group, yet they are less likely to complete advanced directives in the United States.  This systematic review found that faith-based health promotion for end-of-life planning is an effective strategy for engaging Black Americans in discussing end of-life care despite Black and African Americans’ preference for treatment. By implementing faith-based health promotion in churches, Black Americans are more likely to engage in end-of-life care discussions and complete advanced directives, enhancing their quality of life as they age.

Reducing moral distress through interdisciplinary collaboration: the impact of a weekly palliative care and neonatology conference BMC Palliative Care; by Kirthi Devireddy, Riddhi Shukla, Rachel Boren, James E Slaven, Rebecca A Baker, Jayme D Allen, Karen M Moody; 11/11/25 Conclusion: A neonatal intensive care unit (NICU) and palliative care-weekly-collaborative conference resulted in significantly decreased moral distress among NICU staff. Qualitative data revealed that both prolonging life with life-sustaining medical therapies (LSMTs) and ending it by withdrawing LSMTs in the context of prognostic uncertainty and institutional constraints creates significant moral distress among staff. Palliative care and NICU programs should consider implementing regular interdisciplinary collaborative conferences to address this distress.

31 shocking confessions people made to their doctors and nurses on their deathbed BussFeed; by Hannah Marder; 11/12/25 Being on your deathbed puts everything into perspective, and sometimes, the dying have something big to get off their chests. No one knows this better than those who work with the dying, who bear witness to these disturbing confessions. ...Editor's Note: This BuzzFeed feature compiles unverified, anonymous accounts of “deathbed confessions” shared by clinicians online. While written for popular appeal, it touches a truth familiar to hospice and palliative professionals: dying patients often reveal deeply held truths when facing the end. We share it as a reminder that such moments call for clinical steadiness, ethical awareness, and the presence of board-certified chaplains—those uniquely trained to meet these revelations with compassion and care.

The human cost of health care automation MedPageToday's KevinMD.com; by Christie Mulholland; 11/8/25 AI is rolling out in medicine faster than most of us can process. Ambient scribes documenting visits. Clinical decision support algorithms. Automated prior authorizations. The promises are compelling: reduced clerical burden, more face-time with patients, less burnout. I wanted this. As a palliative care doctor and director of physician well-being at my institution, ... [when] AI tools promised relief, I advocated for them. ... 

Hospice of the Valley launches support group for people with mild cognitive impairment Lovin' Life; by Lin Sue Flood; 11/2/25 Living with mild cognitive impairment (MCI) can be an isolating experience, but a new program from Hospice of the Valley offers a welcoming space for connection and support. GATHER is a peer-led group where individuals diagnosed with MCI can share their experiences, navigate emotions, and discover new coping strategies together. ... GATHER provides a safe environment for members to lead their own discussions. Unlike traditional support groups, members are empowered to guide conversations toward topics that are most relevant to them. This novel format models successful programs in Europe. 

[Scotland] Spiritual and cultural influences on end-of-life care decision-making: A comparative analysis of the Arab Middle East and the United KingdomCurrent Opinion in Supportive & Palliative Care; by Hanan Hamdan Alshehri, Chris McParland, Hibah Bahri, Bridget Johnston; 10/25Spiritual and cultural factors shape end-of-life decision-making in the Arab Middle East and the United Kingdom. Arab cultures emphasize dignity through faith and family, leading to collective decisions, while the United Kingdom focuses on individual autonomy. Both allow withdrawal from futile treatment to alleviate suffering, but Arab approaches are more family centric. Additionally, spirituality in Arab cultures is often collective and religious, compared to the personal and secular practices common in the United Kingdom.

Love, loss and last wishes fulfilled at Duke HomeCare & Hospice: Staff members regularly make miracles happen Duke Today, Durham, NC; by Working@Duke; 10/29/25 The bell chimed three times at Hock Family Pavilion, and everyone knew what it meant. Duke HomeCare & Hospice nurses and workers stepped into the hallway of Duke’s 12-person inpatient hospice facility, solemnly waiting in silence. Anthony Wilkie, a Duke Clinical Nurse, had been bracing himself for the moment with a mixture of sorrow and humility. When a bell rings three times at Hock Family Pavilion, a patient has just died and a ritual is about to begin. ...

Peaceful acceptance of illness among older adults with advanced cancer Journal of Pain and Symptom Management; by Sule Yilmaz, Elizabeth Gilbride, Sofiia Hryniv, William Consagra, Supriya G Mohile, Eva Culakova, Beverly Canin, Arul Malhotra, Rachael Tylock, Judith O Hopkins, Jane Jijun Liu, Jamil Khatri, Marissa LoCastro, Maya Anand, Allison Magnuson, Kah Poh Loh; 10/23/25 Context: Peaceful acceptance of illness is associated with lower psychological distress and increased engagement in advance care planning among adults with advanced cancer. Limited data exist on factors influencing illness acceptance in older adults. ... Conclusion: Patient psychological health, perceived prognosis, and caregiver education were linked to PEACE. Triadic interventions addressing these factors may enhance end-of-life care for older adults with advanced cancer.

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.”

Ensuring safe, effective transitions to hospice Hospice News; by Jim Parker; 10/22/25 Trust, coordination among staff and speedy processes are essential to hospice referral management. This is according to new research from Transcend Strategy Group. For the consulting firm’s most recent Insights Report it conducted in-depth interviews with hospice admissions and business development professionals to identify recurring themes, barriers and opportunities. ... “We have to remember that for the person calling this is probably one of the worst days of their life — if it’s a family member, or if they’re calling on behalf of themselves — and they need help urgently,” Tony Kudner, chief strategy officer for Transcend Strategy Group, told Hospice News.

‘I Prayed for Him’: Faith, Mystery, and Meaning in MedicineMedscape; by Eric Spitznagel;10/15/25Harold Koenig, MD, remembers the first time he didn’t just talk about spirituality with a patient but let it shape his care... Koenig found himself doing something unusual. “I prayed for him every day and told him I was praying for him,” he said. “This meant a lot to him.” Although he had prayed for patients in the past, Koenig never admitted as much openly in a hospital setting... Doctors are starting to talk openly about that spiritual dimension of their work.

What we get wrong about death, according to end-of-life workers Yahoo Lifestyle, originally appeared on HuffPost; by Monica Torres; 10/10/25 The one big thing that people have in common is that we all will die, and we likely will experience the death of someone we love, too. ... That’s why it can help to hear the insights of people who see death all the time, because understanding it now can help us better process grief about others and feel more at ease when thinking about our own mortality. ...

Gerontological nursing essentials for BSN students: Meeting aging population needs Nevada State | RN to BSN; 10/9/25 An aging population is transforming healthcare delivery, and nurses are increasingly called to address the complex needs of older adults. For students pursuing a Bachelor of Science in Nursing (BSN), learning the essentials of gerontological nursing provides the foundation to deliver compassionate, effective care. This specialty emphasizes not only clinical expertise but also communication, cultural competence, and advocacy for patient dignity. Explore what defines this field, the role of an adult gerontology nurse practitioner, and the pathways available to see how they can shape the future of elder care. Editor's Note: How is your organization supporting career growth for all staff members? While this article focuses on the RN-to-BSN pathway with a gerontological nursing emphasis, consider expanding professional development opportunities across your entire workforce—clinical and non-clinical alike. For example: