Literature Review

[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.”

[Canada] How mobile palliative care unit is making a difference Ontario Hospital Association - New Models of Care, Ontario, Canada; Press Release; 9/9/25 Launched earlier this year, the PEGASUS program, short for palliative expertise group for ambulatory support and unified solutions, is an innovative, mobile model of care that brings palliative medicine directly to patients in outpatient clinics across the hospital. Rather than establishing a traditional clinic space, the PEGASUS team “flies” to where the need is. ... The result: a consultation-based team that integrates seamlessly into existing ambulatory clinics, avoiding duplication of services and focusing on enhancing continuity of care. 

[Japan] Clinical and communication factors associated with family conflict in palliative care units: A survey of bereaved families in JapanCancer Medicine; by Jun Hamano, Kento Masukawa, Masanori Mori, Takashi Yamaguchi, Hiroyuki Otani, Hiroto Ishiki, Yutaka Hatano, Isseki Maeda, Satoru Tsuneto, Yasuo Shima, Tatsuya Morita, Yoshiyuki Kizawa, Mitsunori Miyashita; 9/25Family conflict is a common problem in palliative care and has been identified as a potential barrier to providing appropriate care... Our findings suggest that abrupt clinical deterioration is associated with family conflict. Confirming patients' and families' wishes regarding CPR during hospitalization may help reduce family conflict in PCUs.

[United Kingdom] Stories of unpaid carers supporting loved ones with dementia at the end of their lives ehospice, London, UK; by NIHR Applied Research Collaboration (ARC) South London; 8/30/25The artwork from Dementia Journeys, a powerful exhibition at Science Gallery London which ran from April to June 2024, can now be viewed online.The Dementia Journeys exhibition was created in response to Empowering Better End-of-Life Dementia Care (EMBED-Care) – a research programme that aims to generate a step-change in how care is provided for people at any age with any type of dementia. 

[Germany] Yes, we (still) can! A qualitative study on the dynamic process of team resilienceJournal of Management; Silja Hartmann, Matthias Weiss, Martin Hoegl; 7/25Research on psychological resilience in the workplace is on the rise, aiming to better understand how to successfully manage adverse events. To address this research gap, we conducted a qualitative study with a palliative care team that experienced work-related adverse events. This model specifies the experience of adverse events as loss events and illustrates how teams can counteract these losses and enact team resilience through the relational process of caring. Caring in teams can be enacted through four dimensions, which we refer to as understanding, being with, doing for, and enabling. By enacting these caring dimensions, teams can heal social safety and collective action capabilities and can moreover build valuable resources, which may buffer resource loss and fuel resource growth in subsequent team resilience episodes.

[Iceland] Medication causes and treatment of delirium in patients with and without dementiaBrain and Behavior; by Anita Elaine Weidmann, Rut Matthíasdóttir, Guðný Björk Proppé, Ivana Tadić, Pétur Sigurdur Gunnarsson, Freyja Jónsdóttir; 7/25This summary offers the most detailed summary of medication-related information for delirium in patients with and without dementia to support prescribing decisions. While the detailed results can be used to support a multicomponent approach to delirium care, they also support the call for categorizing delirium into distinct etiological subgroups. The effect of medication on gut microbiome diversity and composition should be considered.

[United Kingdom] Dying patients bundled into ambulances and transferred in their final hours after 'cruel' managers shut hospice without warning Daily Mailm United Kingdom; by Liz Hull; 8/15/25 Dying patients were bundled into emergency ambulances and moved in their final hours after managers shut down a hospice without warning. Nurses on duty at the Sue Ryder Wheatfields Hospice, in Leeds, were left in tears after being told to ring relatives of end-of-life patients with the distressing news that their loved ones were being immediately transferred. ... One woman died within five hours of being moved, while another two patients had passed away within 48 hours. At least two families lodged formal complaints about their treatment in the aftermath.