Literature Review

Advancing Symptom Alleviation with Palliative Treatment (ADAPT): A qualitative study to understand how a nurse and social worker palliative telecare team improved quality of life in chronic illnessJournal of Applied Gerontology; Amy Ladebue, Juliana G. Barnard, Leah M. Haverhals, Brianne Morgan, Kelly Blanchard, Marilyn Sloan, David B. Bekelman; 5/25 The Advancing Symptom Alleviation with Palliative Treatment (ADAPT) trial found that a nurse and social worker palliative telecare team (providing care via phone) improved quality of life in older Veteran patients with chronic illness. Our objective was to describe clinician and patient experiences of ADAPT and how ADAPT influenced Veterans’ quality of life. We used thematic analysis on structured interviews with 36 randomly selected patients, semi-structured focus groups with nine palliative care intervention team clinicians, and clinical intervention summaries of 147 patients. ADAPT proved to be an effective model for most Veterans by improving Veterans’ health care delivery and navigation and promoting timely and holistic health care and teaching skills that improved wellbeing. ADAPT also helped to improve patient engagement and sense of agency.

A World War II hero is facing his final battle - with Medicare | PennLive letters PennLive Patriot News; by PenLive Letters to the Editor; 6/5/25 “Is this how one treats a 100-year-old World War II Army veteran?” I am such, having defended my country in the Philippines and then as one of the first GIs to step on Japan’s shores when it surrendered. Today, I am a widower, living alone under hospice care in the same small, comfortable home my wife and I cherished for so many years. My health condition has deteriorated dramatically, due to the ravages of ESRD, bladder cancer, anemia, high blood pressure, depression, and loss of balance. I am mostly bedridden, waiting for the inevitable. And yet, just now, I have received a Notice of Discharge from hospice because of an “extended prognosis,” literally meaning in lay terms that, “I’m living too long for hospice and Medicare purposes.” They argue that I’m now able enough medically to make it on my own without hospice care! ... I know I have only weeks, perhaps a month to live, but their rejoinder is simply, “Thank you for your service, but get out of our sight.”Editor's note: Click here for a similar related article and my editor's note, Dementia patient discharged from hospice over Medicare requirement. Here’s why it happened. (One of our "most read" Sunday posts.) These cases are too common. Basic communication, information, and coordinated care planning can mitigate much of the distress and pain. How does this dynamic play out with the patients and families you serve?

I work with dying Veterans. Here's why I don't automatically thank them for their service.HuffPost Personal; by Scott Janssen; 5/26/25“'What’s it like having people thanking you for your service everywhere you go, James?' I asked. 'You might think this is an exaggeration but you asked,' he said. 'It’s an act of violence.'” ... “When you’re looking back on a life that includes the cataclysmic violence and horrific loss and grief of war, this life review process can be psychologically and spiritually complex ― even painful.”Publisher's note: An interesting reminder that care is individualized.

Veterans honored ahead of Memorial Day with picnic hosted by Hospice of Texarkana KSLA-TV 12, Shreveport, LA; by Fred Gamble; 5/17/25 Hospice of Texarkana held its third annual Veterans Appreciation Picnic Friday (May 16) honoring the service and sacrifice of area military veterans and their families. Organizers said with Memorial Day just around the corner, the event gave attendees a time to relax and connect with each other. 

"Taps" Bugle Call: USMC Drum & Bugle Corps [YouTube]YouTube, filmed at the National Mall, Washington DC, retrieved from the internet 5/22/25Editor's note: We invite you to start this Memorial Day with this reflective playing of "Taps," with backdrops of the Washington Memorial, the Vietnam Veterans Memorial, the Korean War Veterans Memorial, and more. Ongoing, we share with you these resources below for the veterans and their families whom you serve.

Memorial Day 2025: Resources, events, and ways to honor our fallen heroes Hope for the Warriors; retrieved from the internet 5/22/25 Each year, as the last Monday of May approaches, we are reminded that Memorial Day is more than just the unofficial start of summer. It is a sacred time to honor the brave men and women who made the ultimate sacrifice for our freedoms. Ways to Honor and Remember:

[Pre-Memorial Day Outreach] Hospice of Texarkana to host Veterans Appreciation Picnic on Friday Texarkana Gazette, Texarkana, TX; by Gazette Staff; 5/14/25 Hospice of Texarkana will have its third annual Veterans Appreciation Picnic from 10 a.m. to 2 p.m. Friday at the Hospice of Texarkana Care Center grounds, ... The picnic is open to all current and former members of the U.S. Armed Forces ... The picnic not only celebrates veterans but also fosters community, allowing attendees to connect, share stories, and relax in a supportive and respectful environment, according to a news release. Guests will enjoy complimentary lunch and beverages and are encouraged to bring lawn chairs for outdoor seating. "As part of our 'We Honor Veterans' program, this event reflects our deep appreciation for the sacrifices made by our nation's heroes," said Cynthia Marsh, executive director of Hospice of Texarkana. "With Memorial Day around the corner, it's a meaningful time to come together in honor and reflection."Editor's note: What great community outreach!

Team work makes the dream work for hospice veteran Veterans Administration, VA.gov; by Douglas A. Etter; 5/12/25 When Marine Corps Veteran Ivson Shelley came to the Lebanon VA Medical Center for a follow-up visit with his oncologist, Suhail Ali, MD, the staff was concerned about how much the former New York resident had declined since his last appointment. They didn’t think he could be cared for at home any longer, so a decision was made with the family to admit him to the medical center’s hospice unit Thursday afternoon. Once there, the Marine shared a heartfelt wish with the staff – he wanted to marry his lifelong love, Wanda Rivera. The couple had dated more than 50 years ago and rekindled their relationship 10 years ago. Upon hearing the Vietnam Veteran’s wish, the VA team, lead by Hospice Nurse Manager Jessica Himes, RN and Hospice Social Worker, Erin Miller, MSW, LCSW quickly came together to make it happen. Palliative care nurse Melissa Buchinski, RN began to research what the requirements were to secure a marriage license for the couple. ... [Continue reading this inspirational story.]

Long-overdue recognition: Vietnam veterans welcomed home at emotional ceremony Grice Connect; by DeWayne Grice; 3/29/25 A poignant and heartfelt welcome home ceremony was held at Ogeechee Area Hospice, honoring Vietnam veterans from the surrounding communities. The event, filled with emotional tributes and personal stories, aimed to provide long-overdue recognition for the sacrifices made by these veterans. The ceremony, organized by Ogeechee Hospice, the American Legion Post 90, and Georgia Department of Veteran Affairs, brought together veterans, their families, and community members. The atmosphere was one of gratitude and respect, as attendees acknowledged the often-overlooked service of those who served during a tumultuous period in American history.Editor's note: We add this to previous posts, 

SouthernCare Hospice of Milan decorates Vermilion and Milan with yellow ribbons in honor of Vietnam Awareness Day The Morning Journal, Milan, OH; by Heather Chapin; 3/23/25 SouthernCare Hospice of Milan has hung yellow ribbons throughout Vermilion and Milan in honor of Vietnam Awareness Day, which is observed March 29. ... “Many people are still unaware of Vietnam Veterans Day, often confusing it with Veterans Day in November,” Huhra stated. National Vietnam War Veterans Day honors the veterans who served in the Vietnam War, with the date chose to mark the withdrawal of the last United States combat troops March 29,1973, he stated. “On March 29th, please show support to Vietnam Veterans that you know by saying ‘Welcome Home,’ ” the release stated. “It’s a national effort to acknowledge and thank the service and sacrifices of those who served in the Vietnam War, recognizing that they were not given the proper welcome upon their return from duty.”Editor's note: More information is at the U.S. Department of Veterans Affairs, Vietnam War Veterans Day, March 29, 2025.

Hospice of Redmond presents a Welcome Home Vietnam Veterans Day CeremonyCascade Business News; by CBN; 3/18/25... Did you or someone you know serve in the military between 1955 and 1975? Hospice of Redmond would like to thank you for your service. This year marks the 50th anniversary for the end of the Vietnam War. The Scottish American Military Society will present veterans and their spouses with a Vietnam Lapel pin which was established in 2011 by Congress and administered by the DOD. Editor's note: Click here for more about this 50th Anniversary, National Vietnam War Veterans Day, March 29, 2025

104-year-old WWII veteran honored for his service while in hospice WCCO via CNN Newsource, Cottage Grove, MN; by Reg Chapman; 3/9/25 A World War II veteran in Minnesota has the honor of being the oldest resident in his town. Even at his remarkable age, Don Tietz has not lost his wit or his humor. After he was drafted during World War II, Tietz found himself a long way from his hometown farm. Tietz served as a truck driver, hauling ammunition across America’s campaign into Europe. ... “We spearheaded across France,” he said. ... He also faced the true grim realities of war. ... “There was 212, only 12 of us came back,” he said. ... Tietz now represents a different era of grit and perseverance. Surrounded by friends and family, the Allina Health Hospice Team showed their gratitude to Tietz for his service by giving him a heartfelt ceremony, where he was awarded a pin and certificate. Most importantly, Tietz was given an opportunity to reflect on all of those years.Editor's note: Click here for the We Honor Veterans Program developed by NHPCO (now the National Alliance for Care at Home) in collaboration with the Department of Veterans Affairs (VA).

Bayada Home Health Care introduces first Director of Veterans Affairs HomeCare, Pennsauken Township, NJ; 2/28/25  As part of its ongoing commitment to U.S. veterans and their families, BAYADA announced the appointment of U.S. Army Veteran Ally O’Neal to director of Veterans Affairs, BAYADA Hospice. BAYADA created this new position, with the help of O’Neal, to ensure its hospice services are tailored to meet the unique physical, emotional and psychological needs of veterans and their families. As BAYADA director of Veterans Affairs, O’Neal will work collaboratively with clinicians, clinical educators, service providers, community organizations and veteran service agencies to enhance the quality of care and support provided to veteran patients and their families, something dear to O’Neal's heart.