Literature Review

Cardiologists treating increasingly complex patients as America ages Medscape; by Sarah Amandolare; 7/14/26 ... Heart failure (HF) affects 15%-20% of adults over 80, according to the American Heart Association/American College of Cardiology/Heart Failure Society of America Guideline for the Management of Heart Failure. HF with preserved ejection fraction (HFpEF), which becomes more likely after age 80, is related to other common conditions of aging, including hypertension, chronic kidney disease, diabetes, and obesity. “Almost by definition, most people that have HFpEF have multiple comorbidities,” Hummel said. “You have to account for a lot of them when you’re thinking about how to help the patient best.” This population also has higher chances of developing dementia and frailty, which affect 35% of adults age 90 and older and 31% of octogenarians, respectively. Older adults hospitalized for HF also have a high likelihood of polypharmacy; 68% take 10 or more medicines.

What do UK hospice websites communicate about the meaning of palliative care? BMJ Supportive & Palliative Care; by Lucy Williams, Charlotte Browne, Paul Perkins, and Vanessa Taylor; 6/30/26Objectives: Hospice websites are an important source of information for the public. This study examined whether information communicated about palliative care aligned with WHO and the International Association for Hospice and Palliative Care (IAHPC) definitions of palliative care. ... Conclusions: Key information was often missing, and opportunities to educate the public and address misconceptions are being lost. Hospice websites need reviewing and content updating to help improve public understanding of palliative care. Editor's Note: What does your website communicate? What information does it omit, and why? In a time of heightened scrutiny and rampant fraud, examine your website for strengths, gaps, and opportunities to educate and support the public with integrity, authenticity, and empowered choice.

Hospice care provider and compassion fatigue research projectPersonal communication; by Michelle Jackson; 6/10/26Researchers at Missouri State University are conducting a research survey regarding compassion fatigue, resilience, and participation in meaningful activities for hospice care providers. Participation deadline 7/12/26. For additional information and to participate, click here.

Kids should be involved in their health care. Here's how to make that happen Medical Express; by Stuart Ekberg, Anthony Herbert, Katie Ekberg, The Conversation; 6/12/26 Research suggests children who actively participate in their own treatment recover faster from surgery, have less anxiety and feel more valued. ... Our new research suggests this may be because we focus too much on what children say, while ignoring the many other ways children communicate. Our study focused on pediatric palliative care services. ... This can include severe cerebral palsy, genetic syndromes such as Trisomy 18, neurological and metabolic conditions such as childhood dementia, and advanced cancers such as leukemia and brain tumors. ... We focused on pediatric palliative care services because they support children of all ages, from infants to young adults. And they support children who can speak and also children who do not speak.

The ASCENT Consortium to Publish Two Requests for ApplicationsASCENT Consortium press release; 6/4/26The ASCENT Consortium is pleased to announce plans to publish a Request for Applications (RFA) for the ASCENT Research Scholar and Pilot and Exploratory Studies Awards Programs.

Dying for a change: understanding compassionate release policies in the United States ehospice; by Shivani Kaushki, PhD, MSSW; 5/25/26 As the United States prison population continues to age, the question of how society supports incarcerated individuals at the end of life has become increasingly urgent. ... Conducting a systematic review utilizing rigorous PRISMA guidelines, this study analyzed decades of research examining U.S. compassionate release policies, programs intended to allow terminally ill or severely debilitated individuals to spend their final days in the community instead of a correctional facility.

7 dog breeds that can sense when their owner is about to die Doggodigest; by Gargi Chakravorty; 5/20/26 ... Stories of dogs refusing to leave their owner’s side during their final days or acting strangely before a loved one passes away have fueled curiosity about whether dogs truly possess a sixth sense about death, and scientific research has begun to explore this phenomenon, revealing that dogs’ extraordinary senses may allow them to detect subtle biological and behavioral changes in humans. Science suggests dogs may sense approaching death not through psychic ability but through scent. What follows isn’t mythology. It’s a look at seven dog breeds whose sensitivity, emotional intelligence, and extraordinary olfactory wiring make them especially attuned to the moments most of us can’t yet perceive.

PARC Retreat explores how aging, workforce strains, and federal debt are reshaping U.S. health care Penn LDI - Leonard Davis Institute of Health Economics; by Hoag Levins; 5/13/26 Penn Gathering of Experts Examines the Growing Pressures Facing Older Americans In predicting the future of U.S. health care, it is important to recognize that the long-term health of the population depends not just on medical policy, innovation, or care delivery, but on whether the federal government can sustainably finance the systems that pay for that care, Penn Wharton School Professor and national budget expert Kent Smetters, PhD, told the May 1, 2026 Penn Population Aging Research Center Annual Retreat. 

Empower Oversight widens state fraud queries to New York Hospice Regulator Empower Oversight Whistleblowers & Research, Washington, DC; Press Release; 5/1/26 Empower Oversight has filed a public records request with New York’s Center for Hospice and Palliative Care, the state agency responsible for regulating the hospice industry, as part of its broader investigation into fraud involving federal taxpayer funds. The request seeks documents that shed light on potential systemic failures in hospice oversight, and on how the agency has identified, responded to, or declined to act on known fraud indicators. ... For a copy of the letter click here.

Researchers at University of Pittsburgh target managed care (The state of hospice: Impacts on equity, quality, and nursing-an AAN consensus paper): managed care Insurance Newsnet; by a news reporter-staff news editor at Insurance Daily News; 4/24/26 ... This consensus paper examines the current state of hospice care in the US and the impact of changing hospice business models on health equity, healthcare quality, and nursing practice. Review of current literature and government policy statements related to hospice care and payment. Recommendations include updating policies to account for private equity involvement, evaluating current quality measures, addressing the existing Medicare Hospice Benefit, ensuring transparency and oversight for hospice agencies, and ensuring patient and caregiver education about hospice services.

New research shows earlier hospice election could save Medicare over $1 billion annually National Alliance for Care at Home, Alexandria, VA; Press Release; 4/23/26 A new analysis commissioned by the Research Institute for Home Care (the Institute) reveals that if Medicare beneficiaries elected hospice care just five days earlier, the program could save between $1.19 billion and $1.5 billion annually.  The analysis, conducted by ATI Advisory, demonstrates how modest, clinically appropriate changes in hospice timing could generate significant Medicare savings while improving patient outcomes. These findings are particularly relevant as Medicare spending on hospice services increases by nearly 10% annually, and overall enrollment of Medicare beneficiaries using hospice continues to grow.

Music in the last hours: finding humanity in the ICUAmerican Journal of Hospice and Palliative Medicine, from Piura, Peru; Carlos F. Ugas-Charcape, MD, PhD and Cristopher A. Tarazona Chapilliquen; 3/27/26Objective: To describe the use of personalized music as a comfort measure during the final hours of life in the ICU and reflect on its impact on the patient, family, and care environment. ...Conclusions: Personalized music represents a simple, patient-centered adjunct that may enhance comfort and dignity in the final hours of life.Editor's Note: For more detailed research, case studies and therapeutic guidance for using music in the "last hours" with hospice and palliative patients and families, I invite you to explore "The Final Cadence," a chapter in my book Music of the Soul - Composing Life Out of Life. 

Improving quality for gender-diverse hospice patients Hospice News; by Holly Vossel; 4/8/26 Various factors impede the ability of transgender and gender-diverse individuals to receive goal-concordant care at the end of life. Individuals in the LGBTQIA+ community often face greater risks of privacy violations, cultural suppression, disrespect and trauma compared to others, according to Amanda Monteiro, palliative care social worker at Mount Sinai Hospital. ... LGBTQIA+ individuals are often referred to hospice or palliative care later in their disease trajectories compared to others, according to Dr. Alexis Drutchas, palliative care physician at the Dana-Farber Cancer Institute. ... Clinicians need better tools to help guide end-of-life conversations with gender-diverse patients and their loved ones, said Dr. Ramón Rodriguez, palliative care physician at Massachusetts General Hospital.Editor's Note: For a definitive, groundbreaking resource, examine LGBTQ-Inclusive Hospice and Palliative Care : A Practical Guide to Transforming Professional Practice, by Kimberly D. Acquiva.