Literature Review

Too late to help? Disparities in palliative and hospice care among veterans with pancreatic cancer—A 10-year retrospective study at a VA medical centerJournal of Clinical Oncology; by Jonathan Blackmon, Mirza Mashaal Khan, Rahul Reddy Tirumalareddy, Zohair  Siddiqui, Saurin Chokshi, Alva Bowen Weir III; 1/26Pancreatic cancer is characterized by high symptom burden, rapid progression, and poor prognosis. ASCO [American Society of Clinical Oncology] guidelines recommend palliative care consultation at diagnosis or within 8–12 weeks. Despite guideline recommendations, many patients with pancreatic cancer did not receive timely palliative or hospice care. Delays were more pronounced among rural and Black patients, highlighting persistent disparities in access. These findings support the implementation of a quality improvement initiative at the Memphis VA to standardize early palliative care referrals for high-risk populations.

Retired VA Nurse shares what she learned from over 10,000 dying veteransTampa Bay 28-ABC, Tampa Bay, FL; by Wendy Ryan; 1/30/26“Everything I've learned that has really mattered, I learned from the dying. Perspectives shift dramatically as death approaches. The day before you're given a terminal diagnosis, you take your life for granted. The day after, you wake up,” said Deborah Grassman, reading her book ‘Soul Injury.’ For over three decades as a VA hospice nurse practitioner, Deborah Grassman helped over 10,000 veterans take their final breath in peace. In those sacred moments, she began to see something they all carried. She calls it a “Soul Injury”, a wound that quietly haunts you. ... 

Gerald’s Law reintroduced in Congress to permanently protect veterans’ burial benefits National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 1/22/26 Representatives Bergman (R-MI) and Budzinski (D-IL) formally reintroduced Gerald’s Law as a standalone bill to permanently protect burial benefits for veterans who receive Veterans Affairs (VA) furnished hospice care outside of a VA facility. The National Alliance for Care at Home (the Alliance) applauds this bi-partisan effort to close a critical gap in benefits impacting seriously-ill veterans and their families. 

‘A hug from the community’: Pikes Peak Hospice seeks red, white and blue blankets for veteran patients The Colorado Springs Gazette, Colorado Springs, CO; by O'Dell Isaac; 1/7/25 Last year, as part of an ongoing effort to honor local military veterans, Pikes Peak Hospice and Palliative Care performed more than 100 “bedside salutes” and pinning ceremonies for veteran patients. The ceremonies include the gift of a handmade red, white and blue blanket, sewn or crocheted by a volunteer. ... Each year, Pikes Peak Hospice provides care to more than 2,200 patients and their families in the region, nearly 25% of whom are former service members, according to veteran liaison Sonya Bergeron.Editor's Note: This is a beautiful example of community gratitude in action. These handmade red, white, and blue blankets offer comfort, honor service, and often remain with families long after a veteran has died. What percentage of your hospice’s patients are veterans, and how do you honor them?

Here's a salute to 104-year-old World War II veteran Anita Morris Jacksonville.com - The Florida Times-Union, Jacksonville, FL; by Beth Reese Cravey; 12/18/25 Community Hospice & Palliative Care patient Anita Morris, right, receives a service flag from the guard's Amanda Boyd, a Boatswain's Mate Second Class. Morris, who enlisted in the Coast Guard in 1942, was honored for her service as she approached her 104th birthday. ... She is a patient of Community Hospice & Palliative Care, which organized the ceremony. 

Memorial bricks at William Childs Hospice House pave way for comfort, community and healing Space Coast Daily, Palm Bay, FL; by Space Coast Daily; 11/29/25 Under a beautiful November sky, more than 200 family members and friends gathered on a recent Saturday morning in front of the Butterfly Garden, nestled on the grounds of the William Childs Hospice House. Attendees joined the Health First Foundation’s annual Brick Paver Dedication Ceremony, a heartfelt tradition held each November during National Hospice and Palliative Care Month. ... One such brick was in honor of Arthur “Lou” Larmay, 94, who passed in July while in Hospice care. During his final weeks, Lou was commended by Hospice with a ceremony honoring his military service – and his days as a jazz musician. Gathering in the garden after his passing was just what his mourning loved ones needed.

Evaluation and treatment of malignant neuropathic painAmerican Journal of Hospice and Palliative Medicine; by Lillian Boehmer, Belal Dakroub, Glenn Pebanco; 10/25Cancer-related neuropathic pain (CRNP) is difficult to identify, assess, and treat, often requiring higher analgesic needs and resulting in poorer outcomes. Objectives: To evaluate the effectiveness of guideline-directed therapy for CRNP in veterans treated at the West Palm Beach VA Healthcare System (WPB VAHCS) Hematology/Oncology Center and managed as outpatients by a pain and palliative care clinical pharmacy practitioner (CPP). Following CPP intervention, pain scores improved ... and PEG [Pain, Enjoyment, and General Activity] scores improved ... CPP-guided use of guideline-directed therapies significantly improved pain intensity and function in veterans with CRNP. Buprenorphine may reduce medication burden in geriatric patients with multimodal pain, reinforcing its value in structured palliative care models.    

Care of the dying patient: Maximizing compassionate care on the battlefield Military Medicine; by Kathryn B Muir, Jeremy Edwards, Rebeccah Dindinger, Benjamin Ingram, Benjamin Baker; 11/9/25... Palliative care has also been employed throughout history on the battlefield and is a vital component of compassionate care for dying patients. Unfortunately, its use on the battlefield is an unpalatable topic with little formal documentation. ... We must prepare now to reduce the pain and suffering of dying patients on the battlefield and potentially mitigate the degree of moral injury sustained by the personnel managing those casualties. Consider ...

Difference-making factors linked to higher reach of Specialist Palliative Care among people with heart failure across a national sample of VA Medical Centers American Journal of Hospice and Palliative Medicine; by Yan Zhan, PhD, RN, MBA, Edward J. Miech, EdD, Erica A. Abel, PhD, MD, and Shelli L. Feder, PhD, APRN, FPCN, FAHA; 11/10/25 Conclusion:  High Specialist Palliative Care (SPC) reach among people with advanced heart failure (aHF) was linked to combinations of several modifiable factors related to staffing, cardiology involvement, and outpatient palliative care. These findings provide actionable insights into improving SPC delivery across VAMCs.Editor's Note: What education or other partnerships do you have with VA Medical Centers in your service areas? Or, what gaps for veterans exist because of a lack of VA Medical Centers? Use these "combinations of modifiable factors related to staffing, cardiology involvement, and outpatient palliative care" for your strategic planning to improve care for veterans struggling with advanced heart failure.

Care-A-Van will make the rounds on Veterans Day Texarkana Gazette, Texarkana, TX; 11/2/25 Hospice of Texarkana will take to the streets again this Veteran's Day with its annual Care-A-Van, a rolling tribute to the men and women who have served the country. On Nov. 11, staff, volunteers and community partners will visit senior and assisted living centers throughout the area to thank and recognize local veterans, according to a news release from Hospice of Texarkana. ... Each stop will feature live patriotic music, certificate presentations and the giving of a U.S. flag to each veteran. In 2024, the Care-A-Van honored 110 veterans, and organizers hope to surpass that number this year, according to a news release.

Supporting bereaved caregivers: Adaptation of the REACH behavioral interventionOmega; by Jennifer Martindale-Adams, Jeffrey K Zuber, Deanna Stark, Linda O Nichols; 9/25The brief REACH VA intervention for bereaved caregivers, adapted from the REACH VA (Resources for Enhancing All Caregivers' Health) behavioral caregiver intervention, was piloted October 2023 to March 2025. REACH is structured and standardized to focus on information about grief and bereavement, support, and physical and emotional well-being through problem solving, cognitive reframing, and stress management, but targeted to each bereaved caregiver's specific needs through a Risk Assessment. An accompanying Notebook provides information on practical issues, understanding grief, grief activators, and moving from the caregiver role. On average, caregivers reported significant improvements in depressive symptoms, anxiety, stress, and symptoms of anger ... In February 2025, through the Department of Veterans Affairs Caregiver Support Program, each VA facility implemented the program. 

Hundreds of veterans to be honored at Summit Park during welcome home celebration ABC WCPO-9, Blue Ash, OH; by Taylor Woods; 9/24/25Hospice of Cincinnati is hosting its fourth annual welcome home celebration for veterans at Summit Park, honoring their service and sacrifice with special tributes. Meet Karl Matson, a retired Air Force veteran who now enjoys taking long walks at the park. ... "It's incredibly powerful to see the country honoring veterans today, especially for the Vietnam War veterans, they came back in during a tough time," Matson said. He is a hospice volunteer. According to Hospice of Cincinnati, one out of four hospice patients are veterans. Matson said it's important to recognize their sacrifices. Tributes will be given to veterans of each era, honoring those who are still around and those who are no longer with us.

Wound care at Sheridan VA gives 95-year-old Veteran a second chance: Veteran removed from hospice care at Sheridan VA after wounds heal VA News; by Jesus Flores; 9/12/25 When 95-year-old Air Force Veteran Roy Clifton arrived at Sheridan VA Medical Center (SVAMC) in March 2025, he thought he didn’t have much time left. “I had a bone infection in both feet and could barely walk,” he said. “Then I had a fall that caused a bleed in my brain. That’s when I decided to call it quits and go to hospice.” ... [Scroll ahead to this hospice's expert wound care.] Although both feet had exposed bones, and the injuries looked and smelled bad, Clifton’s body was healing. ... Clifton’s condition improved so much, he was taken off hospice care. “It made me feel great to survive hospice,” he said, smiling. “They’re all great. The staff took good care of me.”