Literature Review

[UK] Use of HidraWear in a malignant fungating wound at end of life: A case studyWounds UK; by Alison Schofield; 9/25Malignant wounds are a devastating complication associated with cancer, which are challenging to manage and can be distressing for patients, family members and healthcare professionals (HCPs). Management of malignant wounds can differ significantly from that of any other wound type, particularly as they often occur at end of life. Increased awareness and communication around this difficult wound type is needed, including case studies and sharing of HCPs’ experiences. This case study describes the treatment of an end-of-life patient in a hospice setting, with a challenging malignant fungating wound (MFW). This case highlights the importance of palliative symptom management and the benefits of using HidraWear in practice.

[Scotland] The University of Glasgow has partnered with The Prince & Princess of Wales Hospice to launch a bold new concept in sustainable fashion, in the heart of Glasgow University of Glasgow, Scotland, United Kingdom; by University News; 10/14/25 The University of Glasgow has partnered with The Prince & Princess of Wales Hospice to launch a bold new concept in sustainable fashion, in the heart of Glasgow. With more than 200,000 tonnes of textile waste generated annually in the UK, Worthwhile Wardrobe is a collaboration between the hospice and Adam Smith Business School that offers a more conscious and sustainable way to shop. High-end items donated to the hospice will be curated into the ‘Worthwhile Wardrobe’ collection, available at the Hospice Shop on Queen Street, Glasgow. When a customer purchases an item from the collection, they have the option to return it after use and receive a discount on their next Worthwhile Wardrobe purchase. This ensures that garments stay in the circular chain rather than being discarded after minimal wear. Professor Deirdre Shaw, Professor of Consumer Ethics and Sustainability at the Adam Smith Business School, said: “Worthwhile Wardrobe is all about doing good - for the planet and for people. By extending the life of clothes, you help reduce waste while supporting vital hospice care."

[Brazil] Integrating holistic communication into psychedelic-assisted therapies in hospice and palliative care: An approach based on Peplau's theoryJournal of Holistic Nursing; by Ana Cláudia Mesquita Garcia, Felipe Teixeira, Lucas Oliveira Maia; 9/25 Psychedelic-assisted therapy (PAT) has shown promising results in alleviating psychological and existential suffering among individuals with serious illnesses. This article explores the application of Peplau's Theory of Interpersonal Relations (PTIR) as a foundation for holistic communication in PAT, particularly in hospice and palliative care. We examine how PTIR's core concepts (person, health, environment, and nursing) along with its articulation of therapeutic roles, phases of the nurse–patient relationship, and the concept of anxiety as a signal of unmet needs, can be integrated into PAT's preparation, dosing, and integration phases. Drawing on a fictional case study involving a patient with advanced cancer, we illustrate how nurses can use PTIR to support emotional processing, foster insight, and promote personal growth during psilocybin-assisted therapy.

[England] One in five hospices ‘face a deficit of over £1m’ while many axe services – data MSN - The Irish News US; by  Jane Kirby and Ella Pickover; 10/9/25 One in five hospices in England have a deficit of more than £1 million, while many are cutting services, according to new data. Hospice UK said short-term Government funding has helped plug some gaps but the sector is still majorly struggling due to a lack of cash. Some 57% of hospices in England ended the last financial year (2024-25) in deficit, with a fifth having a deficit of more than £1 million.

[UK] From living well to dying well with dementia: The significance of an expanded understanding of loss for end-of-life carePalliative Care and Social Practice; by Joseph M Sawyer, Paul Higgs; 9/25As rates of dementia increase, the need for care is clear. Understanding what this looks like and how people might orientate the narratives and practices of care against a universally relatable version of success is less clear cut yet seems crucial if we are to progress towards an ideal of care that allows for a 'good' or 'dignified' death with palliative care. With this as a central focus, the paper examines the orientating principles that govern the current approach to dementia care. We map the evolution in academic theory from deficit-based models of care that identify impairments as a means to building resources to counter them, towards capacity-oriented approaches that focus on accommodating the new experiences that dementia brings. Where conventionally dementia has been viewed through the reductionist lens of being either a biological or social challenge to which there should be a matching solution, it is perhaps more useful to look at it from the inside out, to learn the lessons that dementia and its associated vulnerabilities may hold for humanity.

[Portugal] End-of-life care in the prison environment (supplement #22) ehospice, republished from by Portual Plus; 9/25/25 “Inmates who are dependent on assistance have a significant need for help from fellow prisoners,” stated Manuel Almeida dos Santos, secretary-general of the Obra Vicentina de Auxílio aos Reclusos (OVAR) [i.e., St. Vincent de Paul Work to Aid Prisoners], citing the lack of nursing aides and other professionals within prisons. “The shortage of human resources is not limited to prison guards. The deficiencies in prisons are even greater in other areas,” he argued. This concern was echoed by Vítor Ilharco, president of the Associação Portuguesa de Apoio ao Recluso [i.e., Portuguese Association for Prisoner Support], who mentioned cases of sick or elderly inmates who are bedridden, with their families paying “fixed amounts” to other inmates for assistance. Editor's Note: Log in to your newsletter account, type "prison" in the "Search" field, and compare this with many articles we've published on this topic; notably, "IL law calls for annual report on prison hospice, palliative care" and "Death and redemption in an American prison."

[China] "Love over fear": How nostalgic songs and relationship types buffer death anxietyHealth Communication; by Weixi Zeng, Junyi Chen; 8/25From the perspective of terror management theory (TMT), this study examines the potential of music to alleviate death anxiety. Multiple interaction effects among mortality salience, nostalgia, and relationship type indicated that romantic songs - especially nostalgic romantic songs - were more effective in reducing death anxiety than parent-child relationship songs. The findings highlight the defensive function of romantic relationship songs within the TMT framework, offering new insights for clinical interventions and public mental health practices aimed at managing death anxiety.

[Canada] Availability of respite care almost triples a palliative care patient’s chance of dying at home EurekAlert! - AAAS; News Release by McGill University; 9/22/25 Access to respite services for family caregivers increases a palliative care patient’s probability of dying at home almost threefold, according to a McGill University-led study. Previous surveys suggest most Canadians with a serious illness would prefer to spend the end of their lives at home. ... Funded by Quebec’s health ministry as part of its action plan for equitable access to quality palliative and end-of-life care, the study set out to find which factors matter most in helping patients avoid a transfer to a hospital or palliative care centre in their final days. Respite care – professional help that allows family caregivers to take short breaks –emerged as the strongest predictor, with patients 2.7 times more likely to die at home when it was available.

[Spain] First-ever global ranking of palliative care: 2025 World Map under the new WHO frameworkJournal of Pain & Symptom Management; by Vilma A. Tripodoro, Jesús Fernando López Fidalgo, Juan José Pons, Stephen R. Connor, Eduardo Garralda, Fernanda Bastos, Álvaro Montero, Laura Monzón Llamas, Ana Cristina Béjar, Daniela Suárez, Carlos Centeno; 8/25This study presents the first comprehensive global assessment of PC [palliative care] development, utilising the WHO Conceptual Framework as a multidimensional tool to monitor progress. Results reveal stark inequities: more than half of the global population lives in countries with Emerging or Progressing PC levels, while fewer than one-fifth are in Advanced systems. Despite methodological updates in 2025, the number of Advanced-level countries remains unchanged from 2017, suggesting limited progress. This is consistent with downgrades in countries such as Israel, Spain, Canada, Liechtenstein, Romania, and Mongolia, which may reflect data gaps, methodological shifts, or actual declines.

[United Kingdom] Guided by empathy: How smart hospitals innovate while staying patient-centric Forrester, United Kingdom; by Shannon Germain Farraher; 9/15/25 My Visit To A Smart Hospital As a former practicing clinician, I’ve walked the halls of many hospitals — but none quite like Baden Cantonal Hospital (KSB) in Switzerland. During my recent visit, I saw firsthand how KSB is changing the narrative as it transforms into an intelligent healthcare organization (IHO). Built over a decade, the facility consolidated 13 floors of operations into three, creating a streamlined, digitally enabled environment that redefines what modern care delivery can look like. Here are some of the things that stood out to me:

Photos show Ghana’s fantasy coffins as a stylish final restAP News; by Misper Apawu; 9/12/25ACCRA, Ghana (AP) — While fantasy coffins have been common among the Ga people of Accra, Ghana, they are becoming a widespread practice offering a colorful alternative to simple wooden boxes. Each piece is crafted not just to bury the deceased, but to embody the essence of their life. They can be so colorful that they can make dying seem attractive.

[UK] Does non-beneficial nasogastric tube feeding occur during end-of-life care? An audit of outcomes for those with a malnutrition universal screening tool score of 2Journal of Palliative Medicine; by Ross Andrew James Webster, Moitree Banerjee, Rachel King, Rosana Pacella, Antonina Pereira; 8/25The consideration of artificial nutrition and hydration (ANH) is recommended for individuals with reduced nutritional intake. However, placing long-term nonoral feeding tubes is not appropriate in those with advanced dementia or if the individual is likely to die imminently—“within hours or days”. In some instances, the provision of ANH in the weeks leading up to death may be considered a “Non-Beneficial Treatment.” In [this study a] total [of] 40 (47.6%) of 84 NGT [nasogastric tube]-flagged individuals were deceased within six months. Conclusions: NGT insertions in this cohort have a high likelihood of being considered “non-beneficial.”