Literature Review

[Sweden] Effects and user-reported experiences of a self-management mobile health app for grieving adolescents: Randomized controlled trialJournal of Medical Internet Research; by Rebecca Rhodin, Rakel Eklund, Anneli Silvén Hagström, Rolf Gjestad, Atle Dyregrov, Josefin Sveen; 7/26Adolescents who experience the loss of a family member are at increased risk of adverse mental health outcomes, yet many face barriers or may be reluctant to access in-person or group-based support. This study evaluated the short- and long-term mental health effects of Alba - Youth in Grief, a preventive self-management mobile app for bereaved adolescents. Intention-to-treat analyses showed moderate reductions in prolonged grief symptoms at 12 months among adolescents randomized to Alba compared with the control group, with no significant effects at the 2- and 6-month follow-ups. The app group also demonstrated greater reductions in grief reactions, posttraumatic stress symptoms, and depressive symptoms compared with controls, with the strongest effects observed at long-term follow-up.

[Portugal] The ethical and psychosocial dimensions of palliative care in prison: A scoping reviewJournal of Bioethical Inquiry; by Ana Gehl-Costa, P. Reis-Pina; 7/26With prison populations expanding and aging, palliative care (PC) is an urgent concern. People in prison (PIP) face chronic illness, mental health conditions, and social vulnerabilities, creating ethical and psychosocial challenges to dignified end-of-life (EOL) care... Ethical domains included structural neglect of PIP with life-limiting illness, barriers to compassionate release, compromised autonomy, denial of death in prison culture, and inadequacies in care quality and access. Psychosocial domains encompassed stigma, mistrust, isolation, existential suffering, and fractured social bonds. PIP-led hospice models offered companionship but raised tensions around labour, confidentiality, and the normalization of death in custody... Prison-based PC requires systemic reforms, staff training, family and advocacy involvement, and legal safeguards to ensure equitable, compassionate, and dignified EOL care.Publisher's note: This article was included in the August 2026 issue of End-of-Life Care Behind Bars - Current Thinking, by Barry R. Ashpole.

[England] 'Magical' hospice unit opens after £16m revamp BBC News, West Yorkshire, England; by Cara Thorpe and Jack Conlon; 8/4/26  A new hospice facility which aims to "transform" the care given to patients and their families has opened its doors in West Yorkshire. The £15.8m inpatient unit at Overgate Hospice in Elland has taken two years to build after a previous eight years of planning. ... The new hospice building includes:

[Greece] Patient-reported outcome measures in palliative care: A systematic review to inform health policy and health system performanceHealth Policy; by Maria Katharaki, Christos Triantafyllou, Julie Ling, Joao Breda; 7/26Health systems increasingly recognise palliative care as an essential component of universal health coverage. Assessing palliative care quality and value remains challenging, as key outcomes are often missed by routine indicators. Patient-reported outcome measures (PROMs) can address this gap, but their use remains fragmented. Seventy studies were included. The most commonly used PROMs were the Integrated Palliative Care Outcome Scale (IPOS), Edmonton Symptom Assessment Scale (ESAS), and the EORTC QLQ-C15-PAL instrument. Implementation challenges included patient frailty, workload and time constraints, limited standardisation, and poor integration into clinical workflows and health information systems.

[Scotland] We aim to grant dying wishes with special final ambulance trips BBC News, Northeast Scotland; by Ken Banks; 7/29/26 A group of Aberdeen paramedics have launched a venture aimed at granting terminally ill patients around Scotland a final journey to a place or event that is special to them. Kieran Hutcheon, 30, was inspired to act after his mother was unable to even go out for a coffee with him before she died from cancer. With co-founders Dan Bickmore, 37, and Karen Gill, 46, their Wish Ambulance Scotland charity has been formed. They plan to use a vehicle that is not as clinical as an actual ambulance, but can carry any necessary equipment for patients. Their aim is to offer relatively simple trips such as going to a favorite beach.

[Italy] Fever in a palliative care setting: Clinical insights and implications from a prospective observational cohort studyPalliative Medicine; by Stefania Cheli, Elena Angeli, Oscar Corli, Sofia Dinegro, Agostino Zambelli, Tania Carta, Romina Shazivari, Michaela Smolikova, Paolo Franceschi, Francesco Molà, Yara Silva Cruzeiro, Emilio Clementi, Andrea Gori; 5/26Fever is a frequent but complex symptom in adults with a limited prognosis, arising from multifactorial causes beyond infection. The study was conducted in an inpatient hospice palliative care unit within the Luigi Sacco Hospital in Milan, Italy (January and December 2024). Fever occurred in 40% of patients, with a median onset of 5.5 days after admission. In 39.7% of cases, fever was attributed to infections, mainly catheter-associated urinary tract infection. Its strong association with medical devices highlights the need for proportional, personalised interventions that primarily consider prognosis, symptom relief, and quality of life.

[United Kingdom] Hospice marks 35th anniversary with exhibition BBC News, Channel Islands and Guernsey, United Kingdom; 7/18/26 A charity is marking 35 years of providing specialist hospice care for people with life-limiting illnesses, through an art installation. Les Bourgs Hospice was founded in 1991 and the photographic exhibition in the Brian White Gallery at Guernsey Museum, Candie, celebrates the people and community behind it. The States of Guernsey said the gallery consisted of a series of about 70 portraits which captured "the people whose dedication, compassion and commitment" helped shape what the hospice is about. 

[United Kingdom] Development of the ‘Culturally Informed Ecological Model of Grief’ – a national qualitative study of bereavement experiences among ethnically diverse communities BMC Medicine; by Catriona R Mayland, Emily Fisher, Adejoke O Oluyase, Nikel-Shaniece Hector-Jack, Toslima Khatun, Rukia Saleem, Naureen Khan, Shirin Shahid, Riffat Mahmood, Gurpreet Grewal-Santini, Monika Afolabi, Candice Wang, Sarah Ng, Rashmi Kumar, Katherine Bristowe, Emily Harrop, Zoebia Islam, Jonathan Koffman, Gurch Randhawa, Lucy E Selman & Sabrina Bajwah; 7/14/26  Background: Among people from ethnically diverse communities, evidence regarding bereavement experiences and support needs is limited; there are known inequities in access to formal bereavement support. Conclusions: Racism was evident across multiple settings and closely intertwined with bereavement, compounding the emotional burden of grief. This study represents the largest qualitative investigation of bereavement among ethnically diverse communities in UK healthcare to date, providing a robust evidence base for improving equity in support. Bereavement services must prioritise cultural safety and actively address structural racism. The ‘Culturally Informed Ecological Model of Grief’ offers a new framework guiding more equitable bereavement support, relevant across national and international contexts.

[Germany] Doctor with “lust for murder” convicted in deaths of 15 patients in Germany, sentenced to life in prison Europe Says; 7/8/26 A German palliative care doctor accused of killing 15 patients and described by prosecutors as having “a lust for murder” was convicted Wednesday and sentenced to life in prison. The 41-year-old Berlin doctor, identified only as Johannes M., allegedly killed 12 women and three men between September 2021 and July 2024 using deadly cocktails of sedatives. On at least five occasions, he allegedly set fire to the victims’ apartments to cover up the killings. ... The doctor allegedly “administered an anesthetic and a muscle relaxant to his patients without their knowledge or consent,” the Berlin prosecutor’s office said in a statement. “The latter paralyzed the respiratory muscles, leading to respiratory arrest and death within minutes.”