Literature Review

Adrian woman accused of killing sister skips preliminary hearing, heads to trial court WTOL 11 - CBS, Toledo, OH; by Melissa Andrews; 9/30/26 The Adrian woman accused of killing her sister, a hospice patient, waived her right to a preliminary examination Wednesday and will now face arraignment in Lenawee County Circuit Court. ... According to a probable cause affidavit filed by Adrian Police, Frances Stewart was a cancer patient with autism who was receiving in-home hospice care at her Adrian residence. Investigators allege Virginia Stewart gave her sister an overdose of morphine while she was unconscious in bed and then removed her oxygen mask. Police said Fran Stewart died within about 15 minutes. The affidavit states two witnesses told investigators Stewart instructed them to "look away" or they could become "implicated."

Central Mass. man guilty of stealing patients’ opioid pills Mass Live; by Mike Grimala; 9/24/26 A man who worked at a Central Massachusetts hospice facility pleaded guilty to stealing patients’ opioids and taking them himself. Andrew Milgrim, a 41-year-old Gardner resident, pleaded guilty Wednesday to one count of tampering with a consumer product, according to the U.S. Attorney’s Office.  From 2024 to 2025, Milgrim diverted Oxycodone from patients at a hospice and memory care provider in Leominster, prosecutors said. Instead of dispensing Oxycodone pills that were prescribed to dementia patients, Milgrim consumed the pills himself.

Every nurse is an advocate ONS | Voice; by Brenda Van Sambeek; 9/15/26 ... Advocacy happens when we raise a safety concern, help a patient overcome barriers to treatment, mentor a new colleague, or suggest a better way to deliver care. Most nurses advocate regularly; we simply may not think of those actions as advocacy.Why Nurses Needs a Seat at the Table ...

Former VA nurse charged with intentionally abusing hospice patient News 8 Now, La Crosse/Toma, WI; by Sam Shilts; 9/10/26 A former registered nurse at the Tomah Veterans Affairs Medical Center faces a felony charge after prosecutors say she intentionally removed oxygen from a dying hospice patient, causing him great bodily harm. Beth Marie Holtz, 53, of New Berlin, was charged Wednesday in Monroe County court with intentionally abusing a patient causing great bodily harm. An arrest warrant was issued the same day. According to the criminal complaint, the incident occurred Aug. 17, 2025, involving a 75-year-old patient who had been admitted to hospice with pulmonary fibrosis and had a medical order for continuous oxygen supply.

Nonreporting of race and ethnicity in medical research harms us all JAMA Internal Medicine | Editorial | Health Equity; by Sharon K. Inouye, MD, MPH, Jerard Kneifati-Hayek, MD, MS, Annette Flanagin, RN, MA, Kirsten Bibbins-Domingo, PhD, MD, MAS; Raegan W. Durant, MD, MPH; 8/24/26 At JAMA Internal Medicine, we have become increasingly aware that some US researchers are unable to report on race or ethnicity as demographic variables to describe their sample or to conduct stratified analyses by these variables. In some cases, we have been informed that based on 3 recent US federal executive orders, the stewards of federal databases, such as those responsible for distributing data from the Centers for Medicaid and Medicare Services (CMS), are unable to release any race or ethnicity data for research purposes. The restrictions may be particularly prohibitive when study investigators are US federal employees. We have been informed of similar concerns occurring at other biomedical journals. Editor's Note: This theme recurs throughout our American history. Stark examples repeatedly emerged when I was researching and writing my recent e-book: A History of Care: 250 Years of Need, Service and Hope.

Deactivation of cardiac devices at the end of life: clinical and ethical challenges Current Heart Failure Reports; by Marie-Gabrielle Courtès, Fiona Ecarnot, Mathilde Giffard; 8/13/26 Device deactivation in patients with heart failure is an increasingly relevant clinical and ethical challenge as the use of cardiovascular implantable electronic devices expands. ... Deactivating implantable cardioverter defibrillators can prevent painful and unnecessary shocks at the end of life, which may otherwise prolong dying without improving quality of life. Multidisciplinary involvement, including palliative care consultation, is essential to support patient-centered decision-making and symptom management. This review synthesizes the latest evidence and consensus on device deactivation in heart failure, emphasizing the need for communication, initiated early in the disease course, as well as individualized care, and integration of patient preferences throughout the disease trajectory.Editor's Note: What Policies and Procedures does your organization have in place? What interdisciplinary education do you ensure for all IDG members regarding this challenge for patients, families, and legal representatives? This clinical and ethical challenges presents potentially horrific trauma for the patient and those present when the person is actively dying and dies. Clincial and legal knowledge, preparations, and communications, and documentation are crucial.

Medical aid in dying law would force Long Island Catholic nuns, ministries to 'abandon' their beliefs, Federal suit claimsNewsday; by Robert Brodsky; 7/21/26 A new [New York] state law that would allow life-ending medication to be made available to some terminally ill residents will force Catholic nuns and ministries, including several from Long Island, to "abandon their religious beliefs" or face fines, according to a federal lawsuit seeking to force changes to the law before it goes into effect next month. On Friday, four orders of Catholic nuns, including the Missionary Sisters of St. Benedict, which operates St. Joseph's Home for the Aged, an assisted living facility in Huntington, were joined by the Rockville Centre Diocese and the Catholic Health System of Long Island in filing the suit in New York's Northern District. 

Religious scripts for dying The Christian Century; by Aaron Klink; 7/20/26 Travis Pickell explores the moral burden placed on those who face end-of-life medical decisions but lack communal support. Amid much conversation about end-of-life care—its methods, costs, and ethics—there is little sustained attention to the question of why this subject generates so much political and moral controversy. The blame is sometimes placed on advances in medical technologies (such as ventilators and artificial nutrition and hydration) or in treatments (such as kidney dialysis and aggressive chemotherapy). But the reality is more complicated, argues Travis Pickell in Burdened Agency - Christian Theology and End-of-Life Ethics. ... Pickell devotes much of the book to exploring various theological understandings of death and outlining the “scripts for dying” created by each theology. 

 Former Skowhegan nonprofit director seeks early end to probation for thefts CentralMaine.com, Skowhegan, ME; by Jake Freudber; 7/8/26 Jason Gayne has paid the $70,000 in restitution owed to the Skowhegan Regional Chamber of Commerce and the Hospice Volunteers of Somerset County. ... Gayne has completed hundreds of hours of community service, well beyond what he was ordered to do. He has focused on providing for his family. And he has never violated the conditions of his probation. ... Now Superior Court Chief Justice Robert E. Mullen will determine whether to approve Gayne’s request for an early end to his probation. Gayne’s request, if granted, would effectively shave two years from the term included in his sentence.

HMN 2026: How AI in nursing raises questions about safety, ethics, and human care Health Medicine Network; by University of Pennsylvania, George Demiris et al; 6/26/26 As artificial intelligence systems spread through hospitals and clinics, a growing debate is emerging over whether the technology will ultimately strengthen nursing care—or gradually replace parts of it. That tension is at the center of a new University of Pennsylvania School of Nursing report, “Artificial Intelligence and Nursing Science: Opportunities, Challenges, Implications, and Guidelines,” published in Nursing Outlook. The paper warns that while AI could reduce paperwork and improve patient monitoring, it also raises concerns about bias, accountability, patient privacy and whether hospitals may view some nursing functions as replaceable.

Dying patients shouldn’t have to choose between dia­lysis care and com­fort The Boston Globe, Boston, MA; by Patricia Ramsden; 6/22/26 ... Medi­care cur­rently requires most end-stage kid­ney fail­ure patients to choose between dia­lysis and hos­pice bene­fits. ... People dying from other ter­minal ill­nesses do not face this harsh choice. For sev­eral years, Dia­lysis Clinic, Inc. (DCI), the only national not-for-profit dia­lysis organ­iz­a­tion, has col­lab­or­ated with not-for-profit hos­pice organ­iz­a­tions to offer con­cur­rent pal­li­at­ive dia­lysis and hos­pice care to selec­ted patients in Ten­nessee and West­ern Pennsylvania. A 2026 col­lab­or­a­tion between DCI and Care Dimen­sions, the largest hos­pice pro­vider in the state, expan­ded that model to East­ern Mas­sachu­setts. However, this innov­at­ive pro­gram, rely­ing on phil­an­thropic fund­ing, remains avail­able only to a few patients.

 The impact of assisted dying legislation on nursing practice in palliative care: a scoping review Journal of Advanced Nursing; by Marlene Werner, Christiane Kreyer, Sabine Pleschberger; 6/5/26 Aim: To review the literature on the state of research on the impacts of assisted dying on nursing practice within specialised palliative care. Results: Fifteen studies published between 2019 and 2024, all from Canada or the United States, met the inclusion criteria. Three themes were identified: (1) positioning and meaning, describing how nurses are required to position themselves and to renegotiate their values; (2) impact on core competencies, capturing changes in key nursing responsibilities; and (3) challenges in interpersonal relationships, referring to increased team conflicts and shifts in relationships with patients and their families. 

UChicago expands its offerings in biomedical ethics NewsWise; by University of Chicago Medical Center; 5/22/26 The University of Chicago Biological Sciences Division is expanding its educational opportunities in biomedical ethics with two new offerings: a biomedical ethics concentration within its Master of Science in Biomedical Sciences (BMS) program and a new online biomedical ethics certificate through the MacLean Center for Clinical Medical Ethics. Together, the offerings are designed to meet growing demand from students and healthcare professionals seeking formal training in how to navigate ethical questions in medicine, research, and patient care. ...