Literature Review

[United Kingdom] Group treks Great Wall of China to raise £85k BBC News; by Emma Petrie; 5/31/25 A group of people who trekked along the Great Wall of China have raised more than £85,000 in support of a hospice. The team took on the challenge to fundraise for Dove House Hospice, which is a charity that provides respite and end-of-life care for people in Hull and East Yorkshire. The hospice warned they were facing a funding shortfall in April due to rising costs. ... Twenty people signed up for the site's latest fundraising challenge and set off for China 17 May, walking a 31-mile (50km) route along the Great Wall. Upon her return, Ms. [Ruth] Scott said: "It's not an easy walk, incredibly steep in places, ... The views are just unbelievable. You can't comprehend."

[United Kingdom] Hospice cuts 19 jobs to save £1.7m amid ‘worst financial crisis’ in its history LSE - The London School of Economics and Political Science; by Emily Moss; 5/29/25 A Yorkshire-based hospice charity has cut 19 jobs in the hope of reducing its annual costs by £1.7m as it faces what it has previously described as “the worst financial crisis” in its almost 40-year history. The Kirkwood, which provides palliative and end-of-life care for people living in and around Kirklees, West Yorkshire, said that an additional nine employees had agreed to reduce their hours or adjust their roles to enable the hospice to save money. The hospice opened its redundancy consultation in February. The initial plans placed 33 roles at risk of redundancy. At the time, the Kirkwood said it was facing the “worst financial crisis” in its history, citing a “perfect storm” of an increasing demand for hospice services versus rises in the prices of essential equipment, energy and food.Editor's note: This represents just one of many ongoing reports of financial crises, extreme fund-raising, closures and staff layoffs throughout the UK's hospices. Themes and patterns pair with trends we're seeing throughout the US.

[Sweden / Australia / UK] Harms of morphine for chronic breathlessness in relation to dose, duration and titration phaseJournal of Pain and Symptom Management; by Magnus Ekström, Fatima Alameri, Sungwon Chang, Diana Ferreira, Miriam J Johnson, David C Currow; 6/25In people with COPD and severe chronic breathlessness, the risk of adverse events was highest during the first week of treatment in a dose-related fashion but did not differ by titration phase or by dose of once-daily SR morphine between 8 and 32 mg/day.

WHO unveils new guideline to improve global access to controlled medicines World Health Organization; by Departmental update; 5/26/25 The World Health Organization (WHO) has released a rapid communication outlining its comprehensive new guideline on balanced national policies for controlled medicines. The guideline’s recommendations were officially presented during a high-level side event at the Seventy-eighth World Health Assembly on Friday 23 May 2025. It is designed to support countries in ensuring safe, equitable and affordable access to essential controlled medicines which are critical for treating acute and chronic pain, mental health conditions, substance use disorders and other serious health issues.

[UK] An exploration of perceived impact of receiving complementary therapies on service users during the palliative and end-of-life care phaseInternational Journal of Palliative Nursing; Jason Vickers, Brian Nyatanga, Hayley Holden; 4/25Background: To explore and understand the narratives of service users in the hospice setting regarding the value they place on complementary therapies and their perceived impact on overall wellbeing. The benefits derived from complementary therapy sessions include managing anxiety and stress, developing better sleep strategies and devising coping techniques for personal situations and contexts through guided discussions and personal reflection. 

[Philippines] Virtual mourning: How Filipinos utilize Facebook to express grief and seek support – A hermeneutic phenomenological studyMarc Kenneth F. Cabañero, Ma. Teresa Tricia Guison-Bautista; 4/25This study explores how grieving Filipinos use Facebook to cope with loss and seek support, integrating traditional mourning practices with digital expressions of grief. Using a hermeneutic phenomenological approach, in-depth interviews were conducted with ten bereaved Filipinos to examine their online grieving experiences. Thematic analysis identified three key themes: the blending of traditional mourning rituals with Facebook for emotional support, the validation and relief provided by online interactions, and the role of digital mourning in fostering healing. Findings suggest that social media enhances Filipino bereavement practices by strengthening community connections and preserving cultural traditions. The study emphasizes the need for culturally sensitive digital spaces and grief support services that integrate both online and offline mourning.

[United Kingdom] For, against, undecided: Three GPs give their views on assisted dying BBC News; by Catherine Burns and Vicki Loader; 5/13/25 If you ask these three doctors about being GPs, their answers are remarkably similar. "It can be the best job in the world," one tells me. It's "a privilege" another says. They all talk about how they love getting to know their patients and their families. But all three have different views on assisted dying. Right now, the law here is clear: medics cannot help patients to take their own lives. But that could change. The Terminally Ill Adults (End of Life) Bill is being debated in Parliament. And if it goes through, it will give some terminally ill patients in England and Wales the option of an assisted death. Here, three doctors - Abdul Farooq, Susi Caesar and Gurpreet Khaira, who all have a different view on assisted dying - tell us how they feel about the proposals.

[New Zealand] Nelson Airport Trees of Remembrance returns with new sponsorship tiers to support Nelson Tasman Hospice Nelson Tasman Hospice, Nelson, New Zealand; Press Release; 5/9/25 The much-loved Nelson Airport Trees of Remembrance activation is returning this holiday season, offering businesses a unique opportunity to give back to the community while boosting their brand visibility during the busiest travel period of the year. This year’s campaign introduces an exciting new structure with three sponsorship tiers—Gold, Silver, and Bronze—allowing even more businesses to take part in this heartwarming tradition that supports Nelson Tasman Hospice. The Trees of Remembrance campaign has been a cherished part of the Nelson Tasman community for over 30 years, offering individuals and businesses a meaningful way to honour loved ones while contributing to free hospice services. Sponsored Christmas trees will once again illuminate Nelson Airport from December 2025 through January 2026, spreading festive cheer to the thousands of locals and travellers passing through during the holiday season.Editor's note: Fall/Winter fund raising plans are surely underway for nonprofit hospices and foundations. What ideas does this article generate? What might you adapt for your community? 

Understanding grief: A journey with Belize Hospice and Palliative Care AssociationChannel 5 Belize; by Sabreena Daly; 5/2/25Grief is often seen as something that begins after a loss, but for many, it starts much earlier. Whether it’s the loss of a loved one, a role, a routine, or even a sense of identity, grief can take many forms and often arrives long before death itself. At the heart of this journey is the Belize Hospice and Palliative Care Association, which offers compassionate care not only for those nearing the end of life but also for their loved ones who walk that path with them. The organization provides support for anticipatory grief and healing, embracing the whole person—physically, emotionally, socially, and spiritually. This week, and for the rest of the month, Sabreena takes a deep dive into understanding grief. She brings us this week’s story and a look on the Bright Side, exploring how the association helps individuals navigate their grief journey with care and compassion.

[Sweden] A human right to assisted dying? Autonomy, dignity, and exceptions to the right to lifeNursing Ethics; Jon Wittrock; 4/25 Debates on assisted dying remain controversial and call out for conceptual clarification. What is the moral basis for assessing competing arguments, and what is the best way to frame these arguments in terms of actual and potential human rights? This article aims to investigate whether autonomy alone suffices as a moral source for human rights and whether, on this basis, there should be a positive human right to assisted dying, and a negative human right to assist others in dying. Drawing upon discussions in political theory, medical ethics, and human rights scholarship, the article develops an account of autonomy as multidimensional and subject to trade-offs.

[United Kingdom] New UK Centre hopes to change public attitudes towards grief University of Bristol, Bristol, UK; Press Release; 4/24/25 Grief affects everyone but is still very much a taboo subject in the UK. A new Centre - the first of its kind in the UK - hopes to shift public attitudes towards grief and create communities that are compassionate and connected in their support of people who are bereaved. The Centre for Grief Research and Community Engagement (Grief Centre) at the University of Bristol is launched today [24 April]. The Grief Centre will focus on interdisciplinary and multidisciplinary research into grief, death and loss, aiming to increase understanding of these fundamental aspects of being human and provide the space for new thinking, ideas and approaches.

[Switzerland] Comforting styles of serious illness conversations: a Swiss wide factorial survey studyBMC Medicine; by Robert Staeck, Carsten Sauer, Steven M. Asch & Sofia C. Zambrano; 4/14/25 Background: Serious illness conversations can cause discomfort in patients, potentially impeding their understanding and decision-making. Identifying ways in which physicians can reduce this discomfort may improve care. This study investigates which physician communication styles and characteristics individuals perceive as comforting in physician–patient serious illness conversations. ...  Methods: We conducted a nationwide online factorial survey in German, French, and Italian with 1572 Swiss participants from the public (51.4% women) aged 16 to 94. ...Conclusions: Taking time, providing clear information, and ensuring continuity of care are pivotal in enhancing comfort. Also relevant are the expression of sadness, physician self-disclosure, and a prior relationship with the patient.

Portugal: Government signs contracts for 3,000 palliative care beds MacauBusiness.com; by LUSA; 4/18/25 The government on Thursday [4/17/25] signed 90 financing contracts worth €88 million with the private and social sectors to create 3,300 places in the National Network for Integrated Continuing Care (RNCCI). ... The government on Thursday signed 90 financing contracts worth €88 million with the private and social sectors to create 3,300 places in the National Network for Integrated Continuing Care (RNCCI). ... The minister added that “the government’s determination is not to slow down the pace of implementation of the RRP”, emphasising that another 800 contracts will be signed in the coming weeks, in different areas.