Literature Review

[Italy] Vicarious post-traumatic growth in health professionals facing their patients’ end of lifeEuropean Journal of Trauma & Dissociation; by David Faggi, Gabriella Aprea, Chiara Fioretti; 3/26This study explored forms of vicarious post-traumatic growth perceived by professionals working in EoL [end of life] care settings. The findings indicate the presence of positive transformations, consistent with the construct of vicarious post-traumatic growth, among professionals who work daily in contact with patients’ suffering and finitude. The four themes identified (care as witnessing and mission; learning to live with death anxiety; personal vulnerability and resources; and authentic communication  [with terminally ill patients].The authors discuss the results, considering clinical implications and the potential role of post-traumatic growth in protecting healthcare professionals from distress and psychological suffering due to daily contact with death and dying.

Scotland rejects assisted dying at final stage: MSPs cite coercion fears and palliative care gaps in decision Newser; by Arden Dier; 3/18/26 Scotland has just turned down a chance to become the first part of the UK to allow assisted dying despite widespread support among the public. After five debate sessions and a rare Friday sitting, members of the Scottish Parliament rejected the Assisted Dying for Terminally Ill Adults (Scotland) Bill late Tuesday by 69 votes to 57, ... The free vote cut across party lines, ... Opponents repeatedly warned of coercion ... and arguing efforts should instead focus on better end-of-life care. Supporters ... shared personal stories of family members' suffering, insisted robust protections—including doctor checks to determine whether a person was being coerced—were built in.Editor's Note: Scotland's debate resonates with those throughout the U.S. and other countries. I invite you to revisit a "most read" article from our newsletters, "PositivelyJAX Award: The purple bench of Compassionate St. Augustine." Pair these with Daniel Goleman's "cognitive empathy," for which you might not agree--or feel it the same as another--but you do seek to learn and understand the other person's perspective.

Will Scotland be the first [in the UK] to legalise assisted dying? BBC News; by James Cook, Scotland editor; 3/16/26 For more than a year, Scottish politicians have been grappling with matters of life and death as they debated one of the most contested bills in the history of devolution. Tuesday's (3/10) final Scottish Parliament vote on the Assisted Dying for Terminally Ill Adults (Scotland) Bill is seen as too close to call. But, if it passes, Scotland could become the first nation in the UK to legalise assisted dying. ... Critics of the bill have called it dangerous and say MSPs should focus instead on improving end-of-life care. ... [Supporters of the bill have] said the result was a "bulletproof" bill which amounted to "the toughest and most comprehensively-safeguarded" such legislation in the world.

[Australia] The male approach to dementia caregiving: A scoping reviewAustralasian Journal on Ageing; by Vincent O Poisson, Amy E Peden, Roslyn G Poulos, Adrienne L Withall, Helen Jones, Kaele Stokes, Claire M C O'Connor; 3/26The proportion of male caregivers of people living with dementia has been rising since the 1990s.  Four main themes were identified [in this review of the literature]: gender differences in caregiver burden; male caregivers adopt a task-focused approach to gain control over caregiving; sons step into the caregiver role as a last resort; and males have specific caregiver needs. The findings suggest that socially constructed masculinity norms influence how men approach dementia caregiving. The findings also suggest that sons caring for a parent with dementia have a different approach to caregiving compared with husbands.

[United Kingdom] Specialist palliative care has the potential to reduce costs by up to £8,000 per person and improve quality of life, according to new research published in Palliative Medicine Innovation News Network; by Megan Traviss; 3/10/26 Led by researchers at King’s College London, the research considered two modes of palliative care for those living at home and for those in acute hospital settings. As well as significantly reducing the overall cost of care per person, specialist palliative care delivered at home and in the hospital was associated with improved quality of life for patients in their final months. Peter May, Senior Lecturer in Health Economics at King’s College London and lead author of the study, stated: “This is the first study to estimate the economic impact for England.

[Canada] What about the family? A content analysis of international legislative frameworks and guidelines on assisted dyingPolicy, Politics & Nursing Practice; by Charlotte Boven, Gilla K Shapiro, Liesbeth Van Humbeeck, Let Dillen, Nele Van Den Noortgate, Gary Rodin; 2/26When a person chooses assisted dying, the impact on their family can be profound. Legislation and professional guidelines not only regulate and standardize practice, but also support the delivery of high-quality care. Within this framework, bereavement care plays a vital role by helping families prepare for the death and potentially reducing the risk of prolonged grief. To improve quality care, there is a clear need to better integrate family support into assisted dying guidelines by establishing best practices for bereavement care. Future research should focus on family members' perspectives and needs.

Hospice care around the world: How other cultures approach end-of-life care - Gilchrist and Nkoaranga Palliative Care ehospice; by Gilchrist Hospice; 2/25/26 ... What began as a knowledge and skill-sharing partnership became something even greater: when Nkoaranga lost its main source of financial support in 2011, Gilchrist stepped up to fully fund the program’s annual operating budget. Today, through this enduring partnership, Gilchrist provides the $80,000 per year that allows Nkoaranga’s dedicated team to deliver life-changing care to patients and families who would otherwise go without. ... In 2024 alone, Nkoaranga’s small but mighty team conducted over 170 home visits and served 123 additional patients and families beyond their monthly caseload.

[Colombia] Early palliative care integration in end-stage liver disease: A narrative review of clinical strategies for symptom control and quality of lifeJournal of Pain & Palliative Care Pharmacotherapy; by Daniela Sarria-Gómez, Cristhian Camilo Martínez Torres, Diana Estrada-Bermúdez, Liliana Saavedra; 1/26End-stage liver disease (ESLD) is associated with a high symptom burden, poor prognosis, and limited access to curative disease. Despite growing evidence supporting the role of palliative care (PC), its integration into the routine management of ESLD remains limited and inconsistent. Key barriers to PC implementation include misconceptions about its use being limited to terminal phases, lack of referral criteria, and insufficient coordination between specialties. Evidence shows that early PC involvement improves symptom control (pain, dyspnea, pruritus, encephalopathy), decreases avoidable hospitalizations, and facilitates shared decision-making.

[Finland] A value chain analysis of digitalizing hospital-at-home services in Finland Health Care Management Review; by Fan Wang, Henna Härkönen, Gillian Vesty, Terhi-Maija Isakov, Petri Ahokangas, Irina Atkova, Miia Jansson, April-June 2026, online ahead of print Purposes: The aim of this study is to explore the value of digitalization in the hospital-at-home (HaH) value chain in Finland. This qualitative study used both deductive and inductive methods to map the HaH value chain and find out how digitalization can help improve value-added activities.Findings: This study highlights the value of data interoperability, remote and real-time digital solutions, data analytics in enhancing coordination and efficiency, optimizing service delivery, improving patient experience, and supporting cost-effectiveness across the HaH value chain.

[Japan] Effectiveness of music therapy combining life review and songwriting in patients with terminal cancer: A pilot study based on a mixed methods investigationBMC Palliative Care; by Nanami Nakaya, Ami Yamasato, Mayu Kondo, Shigeki Okino, Makoto Tokuhara, Banri Tsuda, Tetsuji Iida, Osamu Matsui, Koji Hino, Kenji Yamamoto; 1/26Spiritual well-being is a key protective factor against psychological distress in individuals receiving terminal cancer care, and several approaches have been proposed to enhance this aspect of care. In this study, we developed and evaluated the effectiveness of a novel intervention combining life review (a method known to improve spiritual well-being) with songwriting, a form of music therapy. Qualitative analysis of participants’ feedback yielded 77 codes, which were integrated into four major categories: (1) Positive feelings toward researchers or the music, (2) Recalling the past and realizing it was a good life, (3) Hope for the future, and (4) Sharing with others. The intervention significantly improved spiritual well-being, depression, and anxiety in individuals with terminal cancer.

[England] Almost one in three people in England die without the basic care they need Medical Xpress; by King's College London, edited by Lisa Lock; 2/16/26 About 170,000 people in England every year spend their final days in pain, distress or without vital support that should be available to everyone at the end of life. These are the findings of the first major study in more than a decade to estimate unmet palliative care needs among people at the end of life. The paper was led by researchers at King's College London and Hull York Medical School, University of Hull, with contributions from the University of Edinburgh and was published in the Journal of Health Services Research & Policy.

[United Kingdom] Valentine's Day dip raises £40,000 for hospice BBC News, Felixstowe, England, United Kingdom; by Jenny Kirk and Sharique Ahmed; 2/14/26 About 200 people have braved the winter temperatures and run into the North Sea off the Suffolk Coast, in aid of a local hospice. Felixstowe's rescheduled Christmas Day sea dip, for St Elizabeth Hospice in Ipswich, took place on the morning of Valentine's Day after originally being cancelled by bad weather. Ellie Main, from the hospice, called the dip a "local tradition" for the region, adding that a "significant" £40,000 had been raised so far. Emma and Gary came along with 10-year-old Millie from Ipswich, for their first winter dip. The family said they were "excited" and hoped to support the hospice that had cared for some family members.Editor's Note: While I surely love hospice, this show of love is more than I would be able to muster. For perspective, Felixstowe's geographical latitude is about the same as Calgary, Canada: Cold. 

[Republic of Korea] P-1080. Multidrug-resistant organism status and its association with hospice use and end-of-life care patterns in patients with advanced cancer referred palliative careOpen Forum Infectious Diseases; by Jeong-Han Kim, Jiwon Yu, Ye Sul Jeung, Shin Hye Yoo, Jin-ah Sim, Bhumsuk Keam; 1/26Multidrug-resistant organisms (MDRO) are increasingly prevalent and may contribute to more aggressive healthcare utilization near the end-of-life, particularly among patients with advanced cancer receiving palliative care (PC). MDRO status was associated with significantly lower use of community-based hospice care, including inpatient hospice ... and home hospice ... It was also linked to more frequent deaths in tertiary hospitals ... and higher intensive care unit admissions ... and renal replacement therapy ... Medical costs were consistently higher in the MDRO group across all end-of-life trajectory before death.