Literature Review

Association between patient-reported engagement and medical record of advance care planning among older adults in the ED: A cross sectional studyAmerican Journal of Hospice and Palliative Medicine; by Nanako Shirai, Tadayuki Hashimoto, Sho Fukui, Upeka Samarakoon, Gabriel Paasche-Orlow, Seth N. Randa, Yuchiao Chang, Charlotta Lindvall, Katren R. Tyler, Hacho B. Bohossian, Kate R. Sciacca, Karina Klein, Allyson C. Sage, Donovan Nielsen, Eric Hanson, Milton Joel, Timothy F. Platts-Mills, Angelo Volandes, Kei Ouchi; 12/25Most older adults in the U.S. visit the emergency department (ED) in their final 6 months of life, providing an opportunity to engage patients in advance care planning (ACP) conversations ... While many report ACP engagement, the link between self-reported engagement and pre-existing ACP documentation in the ED, where ACP documentation is especially critical, remains unclear. ACP engagement was measured using the validated ACP Engagement Survey. On ED presentation, patient-reported ACP engagement correlated with the presence of pre-existing ACP documentation in the EHR. Conclusion: The ACP Engagement Survey may help identify older adults less likely to have documented ACP,  guiding targeted interventions in the ED.

Senior living executive forecast 2026: ‘Step up or get stepped on’ Senior Housing News; by Austin Montgomery; 1/7/26 ... Today, senior living providers are focused on precision in operations, able to define value to customers, maintain attractive price points and manage rates that can strategically improve margin while not forcing out residents. ... Today, senior living providers are focused on precision in operations, able to define value to customers, maintain attractive price points and manage rates that can strategically improve margin while not forcing out residents.

Community-dwelling older adults with dementia more likely to be bedbound in final year of life McKnights Long-Term Care News; by Foster Stubbs; 1/2/26 Community-dwelling older adults with dementia were nearly five times more likely to be bedbound in the last year of their lives compared with those without dementia, according to a December study published in JAMA Network Open. ... “Our findings reflect the need for in-home support to older adults who are bedbound,” authors said. 

Malnutrition deaths are soaring in the US – especially among seniors Independent; by Brendan Rascius; 1/5/26 Malnutrition deaths are soaring in the United States — particularly among seniors — and the reasons are unclear, according to a new report. In roughly the last 10 years, deaths linked to malnutrition have skyrocketed by a factor of six, making it the fastest-growing killer in the country, The Washington Post reported, citing data from the Centers for Disease Control and Prevention. 

Is Alzheimer’s disease more common than previously thought? Medscape; by Megan Brooks; 12/24/25 Alzheimer’s disease (AD) may be more common than previously thought in some demographic groups, according to the first population-based study to use a blood test to gauge AD-related neuropathological changes (ADNCs). ... A “major advance” of this study is the use of blood-based biomarkers as a way to generate more accurate, population-level estimates of AD pathology, Nicholas Ashton, PhD, senior director of the Banner Fluid Biomarker Program, Banner Sun Health Research Institute in Sun City, Arizona, told Medscape Medical News.

Students deliver custom holiday cards to hospital patients Butler Eagle, Butler, PA; by Sol McCormick; 12/23/25 The next generation of medical professionals might not be ready to deliver health care just yet, but they found a way to deliver a different type of care just before the holidays. About 20 or so members of Butler Senior High School’s Medical Careers Club gathered Tuesday, Dec. 23, at Butler Memorial Hospital to distribute around 1,500 holiday cards to patients. Each card was handmade by students of all eight of Butler Area School District’s elementary schools. ... “A lot of patients were so grateful. One of them, last year when we went up to Clarion, she was in hospice and only had a week left. They said that was the first time they saw her smile for days,” Reese said.

Innovations in senior living  with Katie Smith Sloan Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Katie Smith; 12/17/25 What if aging services led the way in redesigning care—combining smart technology with deeper human connection?  That’s the challenge Katie Smith Sloan, President and CEO of LeadingAge, brings to the table as we unpack the data, the headwinds, and the promise across nonprofit senior living, home-based care, and hospice. ... Together, Chris and Katie explore how collaboration, innovation, and values-driven leadership can reshape aging services to better serve older adults—and those who care for them. 

The business of caring for older Americans is in a deepening crisis The Washington Post; by Shannon Najmabadi; 12/7/25 Jonas Atta-Kyereme helps 85-year-old David Reese dress in the morning and prepare for bed at night. He makes sure the retired pediatrician takes his medicine, and calms him when he gets anxious looking for his wife, Jane, who died last year. ... Home health workers and caregivers such as Atta-Kyereme, who immigrated from Ghana two years ago, fill a critical role in the health care ecosystem as America ages and demand for caregivers soar. ...

A Place for Mom’s refreshed marketing strategy focused on family stories, thought leadership Hospice News; by Jim Parker; 12/8/25 Upon the 25th anniversary of its founding, the senior services company A Place for Mom is undergoing a rebrand and redesigning its marketing strategy. The company’s name is not changing as part of the rebrand. Rather, A Place for Mom has a new logo and visual identity and has developed a data-driven, tech-enabled approach to marketing that leverages AI, social media and video content. This is coupled with efforts to further establish the company as a thought leader in the senior care space.

The tech-enabled evolution of home-based care: How technology is shifting care from hospital to home THL - Thomas H. Lee Partners, Boston, MA; posted on "Insight & Analysis | Healthcare"; 12/1/25 Key Takeaways:

[Norway] Intensive care of the very old - questioning the relationship between illness severity and the moral imperative to deliver life-saving carePhilosophy, Ethics, & Humanities in Medicine; by Gabriele Leonie Schwarz; 10/25Intensive care provision to very old patients is rapidly growing owing to demographic changes and increasing treatment intensity. However, intensive care carries only questionable benefit for the oldest patients, and many of them die after prolonged organ support. Departing from a clinical perspective, this study aims to explore the drivers for the expansion of critical care in advanced age, despite widespread awareness of its potential harms to patients, their families, healthcare professionals, and society. 

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.

End-of-life palliative care: Role of the family physician American Family Physician (AFP); by Tamara L. McGregor, MD, MA, Jared Morphew, MD, and Heather Ann Dalton, MD; 11/25 issue To care for patients at the end of life, family physicians should be able to evaluate the causes of symptoms, differentiate between distressing symptoms and common end-of-life changes, and balance treatment effectiveness with potential adverse effects, while ensuring alignment with the patient's values and wishes. Editor's Note: What networking, relationship-building, and education do you nurture with family physicians in your service areas?