Literature Review

Dignity in motion: How hospice care and wheelchair transportation shape senior comfort in Tacoma US Culture & Style Today, Tacoma, WA; Press RElease; 3/11/26 For seniors approaching the most sensitive stages of life, the quality of care is defined not only by what happens inside a home or medical facility but also by how individuals move between places. Transportation during hospice care and assisted living transitions must protect dignity, emotional calm, and physical safety. When medical transportation is handled with respect and patience, the entire care experience becomes gentler for both seniors and their families. ... 

Why Baylor Scott & White opted for an access redesign Becker's Hospital Review; by Kelly Gooch; 3/2/26 Dallas-based Baylor Scott & White Health, the largest nonprofit health system in Texas, has been undergoing a consumer-focused transformation aimed at expanding access. ... “One thing we heard consistently through all of that is just a need for more access,” Rob Watson, MD, chief clinical operations officer, told Becker’s. “Not just traditional access through what we would consider our large hospitals and clinics, but expanded options like digital and virtual as well as when they had an urgent need or an emergent need, more physical locations as well.”

Responsive emergency assessment and community team: an acute palliative medicine virtual ward with emergency department in-reach BMJ Supportive & Palliative Care; by Emily Holdsworth and Clare Rayment; 3/2/26 Objectives: More than 50% of people who die in England and Wales use an ambulance at least once in their last 3 months of life, and around 50% attend the emergency department (ED). In Bradford, an estimated 1000 patients a year are not recognised as being within the last year of life and do not access palliative care services. ... Methods: We created the Responsive Emergency Assessment and Community Team (REACT), comprised of both ED palliative medicine in-reach and a community virtual ward. The virtual ward accepts patients as ‘step-down’ from the hospital and ‘step-up’ from primary care to avoid hospital admissions through intensive holistic support.

“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. 

‘Magical outcomes’: The case for launching PACE Hospice News; by Jim Parker; 2/20/26 Programs for All-Inclusive Care of the Elderly (PACE) are extremely challenging to establish. Nevertheless, more hospices are other health care providers are investing in the model due to the positive outcomes participants are seeing. ... Hospice News caught up with Robert Pottharst, CEO of myPlace Health, to discuss the benefits of the PACE model and what it takes to establish a program.

New ‘care home’ for seniors aims to bring alternative to home health care WCAX-3 CBS, East Middlebury, VT; by Laura Ullman; 2/18/26 Vermont has a housing crisis for seniors trying to age in place. A nonprofit in Addison County is hoping to pioneer a new model to meet the needs of Vermont’s aging demographic. “Addison County Home Health looked for about a year and a half to find a space, ...” said Deb Wesley, the CEO of Addison County Home Health & Hospice. ... “Our goal is to provide a home for eight individuals who really are medically frail, are really unable to live at home alone, or require some increased assistance for their care,” Wesley said. ... Addison County Home Health & Hospice is hoping to open this care home in late spring.

Embedding care in the ED: Liz Goldberg and Lauren Southerland GeriPal; podcast by Alex Smith with Dr. Liz Goldberg and Dr. Lauren Southerland; 2/12/26 The idea of embedding various forms of non-emergency care in the emergency department makes a WORLD of sense.  If an older adult comes into the ED with a fall, the minimum the ED has to do is address the fall injury and send them out. But many emergency providers realize this is often a band aid.  They see that patient again the next time they fall.  And again.  And again.  The same could be said for the patient who is malnourished and dehydrated and admitted for “failure to thrive,” again. And again. Our two guests today, Liz Goldberg and Lauren Southerland, both emergency medicine physician-researchers, have had enough.  ...

About 1 in 15 older Emergency Department patients are prescribed high-risk medications Medscape; edited by Gargi Mukherjee; 2/13/26 Analysis of over 16 million emergency department (ED) encounters revealed that about 1 in 15 (6.5%) older adults received potentially inappropriate medications (PIMs) at discharge. Prescription rates declined with advancing age, from 8.3% among patients aged 65-74 years to 1.8% among those aged 95 years or older. Skeletal muscle relaxants and first-generation antihistamines were the most commonly prescribed high-risk medications.

MedBetterHealth expands into New York with CMS Dementia GUIDE Model through partnership with Continental Home Care Small Businesses in the News, Queens, NY; Press Release; 2/9/26 MedBetterHealth, a leading provider of comprehensive dementia care under the Medicare CMS GUIDE Model (Guiding an Improved Dementia Experience), today announced a major expansion of its services into the state of New York through a strategic partnership with Continental Home Care, a New York State licensed and Medicaid-approved home care agency.

Senior Nannies Home Care Services joins forces with Choice Health at Home Desert Sun, EIN Presswire, Tyler, TX; Press Release; 1/30/26 Senior Nannies Home Care Services and Senior Advantages Assisted Living Placement Services (“Senior Nannies”), ... is proud to announce it has joined forces with Choice Health at Home (“Choice”), a leading multi-state operator of home health, hospice, personal care, rehabilitation, and specialty in-home services. The transaction marks Choice’s entry into the Southeastern United States, establishing Florida as a strategic anchor and creating a scaled, integrated personal care platform to support a broader regional expansion.

DaVita’s strategic investment in Elara Caring aims to transform home-based kidney care Market Chameleon; Press Release; 2/3/26 DaVita has announced a major new partnership, joining forces with Ares Management to invest in Elara Caring—one of the nation’s leading home health providers. ... A standout feature of this partnership is the plan for DaVita and Elara to co-develop a specialized, kidney-focused in-home care model. Leveraging DaVita’s expertise in kidney health and Elara’s reach in home care, the initiative seeks to cut preventable hospitalizations and lower costs for high-acuity patients. For the growing population living with chronic kidney disease, this could open new, personalized options for treatment and stability at home—addressing a consistent challenge in value-based care.

Brookdale Senior Living continues downsizing with focus on owning communities McKnights Senior Living; by Lois A. Bowers; 2/2/26The future, including the future size, of the country’s largest senior living company was brought into sharper focus Friday during Brookdale Senior Living’s Investor Day. In the near term, that future appears to include a more aggressive portfolio pruning than previously announced. In the long term, CEO Nick Stengle didn’t rule out a potential return to the home health and hospice care space, although he said the company has no current plans to do so.

[Australia] The Palliative Aged Care Outcomes Program (PACOP): establishing a national framework to improve palliative care in long-term care facilities for older people BMC Geriatrics; by Johnson, C.E., Dai, Y., Bryce, L. et al; 1/31/26 Background: With an aging population worldwide, many countries face increasing challenges in delivering quality palliative care in long-term care facilities for older people (LTCFs). In Australia, a Royal Commission into Quality and safety of Aged Care in 2021 highlighted significant gaps in this field. In response, the Palliative Aged Care Outcomes Program (PACOP), a person-centred outcomes framework, was developed to address gaps in identification, assessment and management of palliative care needs in LTCFs.Conclusion: PACOP has achieved substantial uptake and early signs of successful implementation in Australian LTCFs. ...