Literature Review

Physicians’ end-of-life choices: a surprising study Medpage Today's KevinMD.com; by M. Bennet Broner, PhD; 1/3/26 In July, I wrote about the importance of end-of-life planning (EOL). Shortly after, I read a study that examined physicians’ EOL plans with advanced cancer and Alzheimer’s disease (stage unspecified). The study encompassed nations with different forms of aid in dying, from the U.S., where a terminal coma is the only option most states allow, to Belgium, where physician-assisted dying (PAD) and euthanasia are available. Although the term suicide has been used for PAD, it is incorrect, as no one who chooses these options desires to die; they just want a choice in how and when they do so. ... One would assume, as the researchers did, that physicians would utilize all available medical technology. However, they found that end-of-life choices were nuanced decisions. ...

Early palliative care interventions linked with reduced mortality in patients with advanced NSCLC undergoing ICI treatment Lung Cancers Today; by Cecilia Brown; 12/24/25 Early palliative care interventions were associated with reduced mortality and longer survival among patients with advanced non–small cell lung cancer who received immune checkpoint inhibitors (ICIs), according to a recent study. Researchers from the Case Western Reserve University School of Medicine and University Hospitals Seidman Cancer Center presented the study findings at the International Association for the Study of Lung Cancer (IASLC) and American Society of Clinical Oncology (ASCO) 2025 North America Conference on Lung Cancer.

25 years of progress: ELNEC and AACN transforming palliative nursing education Journal of Hospice & Palliative Nursing - JHPN / HPNA; by Cassandra Godzik, PhD, APRN, CNE, Deborah Trautman, PhD, RN, FAAN, Robert Rosseter, MBA, MS, FAAN, Pamela Malloy, MN, RN, FPCN,Jennifer DiBenedetto, PhD, APRN, Polly Mazanec, PhD, AOCN, ACHPN, FPCN, FAAN; 12/25 In the year 2000, leaders with the American Association of Colleges of Nursing joined with Dr. Betty Ferrell and her colleagues at City of Hope to address gaps in how nurses are educated to care for patients at the end-of-life and their families. ... To date, more than 1.7 million nurses have been educated with the ELNEC curriculum, and more than 1200 undergraduate and 440 graduate schools of nursing offer ELNEC training in palliative end-of-life care. The remarkable academic-practice partnership at the heart of ELNEC has dramatically changed nursing care for patients with serious illnesses and their families in the United States and globally. ... Editor's Note: As ELNEC celebrates its 25th anniversary, we honor a leadership legacy that has transformed nursing education and elevated end-of-life care worldwide. What began as a visionary collaboration between AACN and Dr. Betty Ferrell at City of Hope has become a global standard—preparing nurses for clinical excellence, compassionate presence, and interdisciplinary care. With deep appreciation, we celebrate Dr. Betty Ferrell, ELNEC, AACN, City of Hope, and the leaders who continue to champion this vital work forward.

The role of Artificial Intelligence in palliative oncology: Zeroing in on hematologic malignancies CancerNetwork - Oncology Journal; by Ram Prakash Thirugnanasambandam, MBBS, Ariana Bauer, MD, Christopher D’Angelo, MD; 12/3/25 AI revolutionizes palliative oncology by enhancing prognostication, symptom management, and personalized care for patients with hematologic malignancies. ... As AI becomes integrated into health care, it is vital that clinicians understand what it is and how it works. At its core, AI refers to computer systems designed to learn from data to help recognize patterns, make decisions, and support decision-making. ...

Unique ethical dilemmas occur in long-term care settings: Staff need ethics resources  Medical Ethics Advisor; by Stacey Kusterbeck; online ahead of print 12/1/25 issue ... “The position paper was developed in response to concerns from our members about the ethical challenges of the changing environment in long-term services,” says Jason M. Goldman, MD, MACP, president of the American College of Physicians. ... Discharge disposition, communication issues (either among the clinical team or between clinicians and parents), behavior problems, and goals of care were the top ethical issues reported. Lack of caregiver support was another frequent unique ethical concern. Editor's Note: Your hospice is in a unique role to provide ethics trainings for end-of-life care, and thus building trust, clinical best practices, and referrals. The CMS Hospice Conditions of Participation require: Hospices That Provide Hospice Care to Residents of a SNF/NF or ICF/MR (§ 418.112) (f) Standard: Orientation and training of staff. Finally, this rule requires a hospice to assure the orientation of SNF/NF and ICF/MR staff caring for hospice patients. Staff orientation must address the following topics: hospice philosophy; hospice policies regarding patient comfort methods, pain control, and symptom management; principles about death and dying; individual responses to death; patient rights; appropriate forms; and record keeping requirements.

Meet Oscar: The cat who could predict death and comfort patients in a Rhode Island hospice doggodigest - Cats, DD Animal News; by Andrew Alpin, MSc; 11/17/25 ... Oscar, a seemingly ordinary therapy cat, possessed what appeared to be an uncanny gift, the ability to predict when patients were nearing their final moments. It is still a matter of scientific research and debate as to whether animals especially cats and dogs can predict death. ...

When health care teams run short, physician burnout rises American Medical Association (AMA); by Sara Berg, MS; 11/4/25 ... Drawing on data from the AMA Organizational Biopsy®, the study reveals that inadequate team staffing was also linked to physicians’ intentions to cut clinical hours or leave their organizations. The findings underscore how sustained workforce shortages and daily understaffing continue to affect morale and retention in medicine long after the acute phase of the COVID-19 public health emergency. Participants included 970 physicians from 15 organizations.

[Canada] Sheridan awarded over $1 million to advance research on health equity, leadership systems and unhoused care Sheridan College, Ontario, Canada; Press Release; 11/10/25 Sheridan is advancing solutions to some of today’s most pressing social challenges — in healthcare, gender equity, and homelessness — through three applied research projects supported by more than $1 million in federal funding from the College and Community Social Innovation Fund (CCSIF). ... [This funding will]  support development of innovative solutions that address pressing social issues and the needs of our community: amplifying the voices of patients receiving palliative care to improve clinical trainings, empowering women with sustainable pathways to leadership and examining the impact of mobile primary care units for the homeless and underhoused.

FSU launches first Clinical Catalyst to unite providers and researchers to solve problemsFlorida State University News; by Kathleen Haughney; 10/21/25FSU held the first ever Clinical Catalyst as part of the 2025 Discovery Days, an event to bring together local clinical providers with researchers to find evidence-based solutions to pressing challenges in health and health care... Topics included mastectomy garments, pregnancy misinformation in social media, pacemaker complications, post-surgery stroke complications, trauma referral from rural areas, ER visits, same-day triage, team-based care, Parkinson’s disease and driving, and end-of-life care.

Study examines biological causes of cancer deaths: Tumors invading large blood vessels may be to blame, UTSW researchers say UT Southwestern Medical Center, Dallas, TX; by Newsroom; 10/16/25 The ultimate cause of death from cancer may not be metastatic disease, as researchers have long surmised, but an infiltration of tumors into major blood vessels that cause blood clots and multiorgan failure, a one-of-a-kind clinical study led by UT Southwestern Medical Center suggests. These findings, published in Nature Medicine, could spur interventions that extend the lives of patients with advanced cancers. 

The Center to Advance Palliative Care and the National Kidney Foundation make the case for the integration of palliative care into kidney disease management PR Newswire, New York; by The Center to Advance Palliative Care; 10/8/25 Despite facing high rates of distressing symptoms—including fatigue, pruritus, and pain—people living with advanced kidney disease are far less likely than those with cancer to receive appropriate pain and symptom management. And fewer than 10% of older adults receiving dialysis report having had conversations about their goals of care. These are two of the many important statistics highlighted in The Case for Palliative Care in Kidney Care, a new publication from the Center to Advance Palliative Care (CAPC) and the National Kidney Foundation (NKF), which emphasizes the critical need to integrate palliative care services into the treatment of patients with advanced kidney disease. 

Older COVID-19 survivors more likely to develop new-onset dementia, study finds McKnights Long-Term Care News; by Foster Stubbs; 10/3/25 Adults 50 years and older who survived COVID-19 had higher chances of developing new-onset dementia (NOD) compared to those who were not infected, according to an October study published in npj Dementia. Researchers analyzed data from 54,757 participants aged 50 years and older obtained from the UK Biobank. The sample included 16,017 participants with COVID-19 and 38,740 non-COVID participants. The COVID-19 group consisted of participants who were infected between Jan. 31, 2020 and Feb. 28, 2021, and the median observation period was about two years. 

'Traffic light care model will help generations'BBC News, West Midlands, England; by Chloe Hughes; 10/6/25 A man with a neuromuscular condition has said that a model of care developed in Shropshire to help patients like him will benefit future generations. ... Part of his care has involved using the Oswestry model developed by Prof Tracey Willis from the Robert Jones and Agnes Hunt Orthopaedic Hospital (RJAH) and her husband, Prof Derek Willis, Severn Hospice's medical director. It uses a "traffic light system" to help neuromuscular teams identify key stages in a patient's journey, in which hospice involvement would improve their quality of life. ... Patients are identified as green, amber or red.