Literature Review

Palliative care should be integrated into cardiology therapy earlier, says study Medical Xpress; by Inka Väth; 3/25/26 An international group of authors has called for a shift in cardiovascular care. ... For clinical practice, the group of authors therefore recommends a stronger structural integration of palliative care content into cardiology. This includes interdisciplinary care teams, shared treatment models, and more intensive training in internal communication and symptom management. Palliative care should also be given greater consideration in medical education. ... Palliative care should be the standard in cardiology, not the exception. After all, the success of sustainable cardiology will not be measured solely by how long people live, but by how well they can live.

Trauma-informed palliative care: A systematic scoping review of evidence sources describing concepts relevant to an emerging field of practice Palliative Medicine; by Rebecca Salama, Jane Simpson, Fiona J. R. Eccles, Maddy French; 3/23/26 Background: Trauma-informed palliative care aims to improve end-of-life experiences by recognising and responding to the presence of psychological trauma. While many practitioners support the approach, they also acknowledge the need to build a stronger evidence base.Results: ... the review identified a substantial body of evidence that describes concepts relevant to its approach. These findings provide a valuable starting point for future research.

VA Pittsburgh chaplains: Providing hope, healing and spiritual support for Veterans U.S. Department of Veterans Affairs; by Jordan Harris; 3/9/26 From suicide prevention to end-of-life care, VA Pittsburgh Healthcare System (VAPHS) chaplains deliver compassionate, holistic support that strengthens the well-being of Veterans and staff. Chaplains provide more than spiritual guidance -- they offer hope, comfort and connection when Veterans need it most. Whether it’s supporting someone through a mental health crisis, walking alongside families during end-of-life care, or simply listening in moments of uncertainty, chaplains are a steady presence. Their work helps Veterans find meaning, resilience and peace as part of their healing journey.

Alliance submits comment letter on the Department of Education’s notice of proposed rulemaking, ‘Reimagining and Improving Student Education’ (RISE) National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 3/3/26 The National Alliance for Care at Home (the Alliance) has submitted a response to The Department of Education’s proposed rule, titled Reimagining and Improving Student Education (RISE).  While the Alliance appreciates the Department’s aim of promoting fiscally responsible spending, the comment letter expresses concern that the proposed rule’s narrow definition of professional degree, and the resulting exclusion of nursing, physical therapy, physician assistant, occupational therapy, and social work advanced degree programs, would have a unintended consequence for the healthcare workforce and the millions of Americans who depend on care delivered in the home.

Penn Medicine Collaborative providing holistic care to cancer patients healthleaders; by Christopher Cheney; 3/10/26 Key Takeaways:

Chronic pain and unrecognized grief: epistemic barriers to personal and social recognition Medicine, Health Care and Philosophy; by Christopher Jude McCarroll, Ying-Tung Lin, Dominik Koesling, and Claudia Bozzaro; 3/29/26 What is it to grieve? What is the nature of grief? ... Importantly, a close examination of the phenomenology of chronic pain helps illuminate the ways in which it also involves the kind of losses that we can grieve over. The losses involved in experiences of chronic pain impact one’s practical identity in ways that can lead to grief. This chronic pain grief remains largely unrecognized, however. We outline four epistemic barriers to recognizing the grief involved in experiences of chronic pain. ...

Hyperactive Delirium during hospice patients’ last week of life in a home care setting 

Why time becomes ever more precious towards the end of our days ehospice; by Brian Dolan, OBE; 3/2/26 In health care, conversations about finance, workforce, and facilities often dominate the agenda. Yet, the most valuable and universal currency within our health systems is something less tangible but far more immediate: time. ... Time is the thread that connects patients and staff, shaping experiences, outcomes, and well-being. For patients, time is deeply personal. It is the time that comes dripping slow as hours are spent waiting in emergency departments, days of confinement to a hospital bed, and, ultimately, the quality of the life they return to when they are finally discharged. For staff, time determines how effectively they can deliver care, make decisions, and balance the demands of an increasingly pressured system. 

Palliative care physician explains living and dying with ALS Forbes; by Adaira Landry, MD, MEd; 2/26/26 Actor Eric Dane’s recent death from amyotrophic lateral sclerosis (ALS) has drawn national attention. ... Beyond the headlines lies a deeper and more urgent discussion: what life—and death—look like for patients living with ALS. To better understand both the clinical and scientific landscape, I spoke with Dr. Maria “Marissa” Mapa, an internal medicine and palliative care physician who treats patients with ALS, and Dr. Melanie Leitner, chief scientific officer of the ALS Investment Fund, about current and future research directions.

Navigating end-of-life decisions with Islamic ethics WisconsinMuslimJournal.org; by Sandra Whitehead; 2/20/26 Medical College of Wisconsin Professor Aasim I. Padela, M.D., founder and president of the Initiative on Islam and Medicine, discussed Islamic bioethics during a January workshop on end-of-life decisions at the Islamic Society of Milwaukee. ... About 50 people attended the four-hour workshop, Islamic Bioethics & End-of-Life Healthcare Decisions, held Jan. 31 at the Islamic Society of Milwaukee. It featured experts with backgrounds in medicine, palliative care, hospice and Islam. Speakers made presentations and led discussions about practical steps, resources and strategies to help Muslims “transition from a state of uncertainty about end-of-life healthcare to thoughtful preparation for it,” a workbook given to participants stated.

When the prognosis shifts: How communication strategies can help patients and families plan for what’s next Cancer Nursing Today; by Monique Nugent, MD, MPH, Gina Mohr, MD, Sarah Anderson, DNP, AGACNP-BC, OCN, WCC, Sarah May, MD; 2/20/26 Monique Nugent, MD, MPH, author of Prescription for Admission and hospitalist at South Shore Health, joined Cancer Nursing Today and Urban Health Today to moderate a collaborative roundtable focused on leading challenging conversations in healthcare settings, including key takeaways and educational insights for oncology nurses. A multidisciplinary panel of experts accompanied Dr. Nugent ... [to discuss] how oncology nurses and other healthcare professionals should approach end-of-life discussions with patients and caregivers and why in-depth planning for these conversations is critical.

“You’re not just there to do a job”: a qualitative examination of Canadian long-term care worker strengths BMH Health Services Research; by Duneesha Goonetilleke, Nick Boettcher, Sofia Celis & Bonnie Lashewicz; 2/25/26, online ahead of print Results: We present three themes identifying interlocking expressions of strength. First, during crisis, workers stretched roles, redistributed tasks, and supported one another to sustain care under extreme constraint. Second, staff upheld person-centred care in their daily actions, working from values of dignity, relationships, and residents’ goals. Third, workers translated experience into learning and advocacy, articulating ideas to improve staffing, role clarity, leadership practices, and visitation approaches. Across these expressions, workers’ tenacity, togetherness, and shared purpose enabled collective action, although these strengths often entailed costs such as fatigue and moral strain. 

Hospital chaplain shares what end-of-life patients regret most Religion Unplugged; by Elizabeth Eisenstadt Evans; 2/24/26 ... In her research focused on the greater Boston area, Brandeis University professor (now President of Bryn Mawr College) Wendy Cadge found that many chaplains — whether they serve in hospitals, prisons or the military — often focus on end-of-life care and “big questions,” ones that might arise more forcefully in a time of crisis. ... When I’m with people near the end of their lives, what I most often witness is not fear of death itself, but grief over unfinished relationships and or unexpressed parts of the self. Many people grieve time they now see as wasted on what felt urgent in the moment but unimportant in hindsight — work that eclipsed connection, worry that crowded out presence, obligations that pulled them away from what actually nourished them. Alongside this is grief for words left unsaid, tenderness withheld, and versions of themselves they didn’t feel permitted to become.