Literature Review
Post-diagnosis cannabis use and its association with health status and quality of life in cancer survivors
10/17/26 at 03:20 AMPost-diagnosis cannabis use and its association with health status and quality of life in cancer survivorsSupportive Care in Cancer; by Nasim Kasiri, Corinne McDaniels-Davidson, Neal Doran, Sandip P. Patel, David R. Strong, Humberto Parada Jr; 9/26We included 652 respondents in this study, which were weighted to represent the cancer center patient population [58.6% non-Hispanic White; 58.5% female; 51.8% ≥ 65 years]. Most reported above average status for mental health (67.2%) and QoL [quality of life] (64.2%), and almost half (47.1%) reported above average physical health. Odds of post-diagnosis cannabis use were significantly higher among survivors with average or below average mental health ... Conclusion: Cancer survivors reporting average or below average health status or QoL had higher odds of cannabis use.
Best case/worst case: A multisite randomized trial of scenario planning for patients with late-stage kidney disease
10/17/26 at 03:15 AMBest case/worst case: A multisite randomized trial of scenario planning for patients with late-stage kidney diseaseJournal of American Geriatrics Society; by Lily N. Stalter, Bret M. Hanlon, Kyle J. Bushaw, Jenna Nitkowski, Anne Buffington, Katharine L. Cheung, Amy B. Zelenski, Kristine Kwekkeboom, Amar D. Bansal, Deidra Candice Crews, Holly M. Koncicki, Daniel Lam, Alvin H. Moss, Maya K. Rao, Dawn Felicity Wolfgram, Jeniann Yi, Carrie Brill, Tamara Isakova, Margaret L. Schwarze; 9/26Best Case/Worst Case (BC/WC) is a communication tool to support nephrologists and older adults with advanced chronic kidney disease with decisions about dialysis. We compared the effectiveness of training nephrologists to use BC/WC versus usual care on receipt of palliative care, quality of life (QOL), quality of communication, dialysis initiation, and death. While we hypothesized that improving prognostic awareness and communication would increase palliative care utilization, the challenges of connecting patients with life-limiting kidney disease to palliative care are multifaceted, well documented, and likely not surmountable with a communication intervention alone. Conclusion: Training nephrologists to use the BC/WC communication tool does not significantly affect receipt of palliative care or other measurable clinical outcomes.
Palliative social workers' contributions to cultivating prognostic awareness: A qualitative study using the Prognostic Awareness Impact Scale framework
10/17/26 at 03:10 AMPalliative social workers' contributions to cultivating prognostic awareness: A qualitative study using the Prognostic Awareness Impact Scale frameworkJournal of Palliative Medicine; Arden E O'Donnell, Juliet Jacobsen, Rennie Bimman, Sarah Stone, Taylor B Wensley, Judith G Gonyea; 9/26Prognostic awareness is central to informed, value-concordant care for patients with serious illness. Although often conceptualized as cognitive understanding of a time-based prognosis, emerging research highlights prognostic awareness as a multidimensional process involving cognitive understanding, emotional coping, and adaptive response. Objective: To describe the strategies hospital-based specialty-level palliative social workers use to cultivate prognostic awareness, using the Prognostic Awareness Impact Scale (PAIS) framework of cognitive understanding, emotional coping, and adaptive response. Conclusions: APHSW-C SWs play an important role in supporting patients' and families' understanding of the likely disease trajectory and prognosis, viewing their work as an ongoing, relational, and emotionally mediated process. Findings suggest that the PAIS may offer a useful framework for identifying profession-specific contributions to this process.
[Italy] Staff confidence and barriers to complex clinical communication in nursing homes: A convergent mixed-methods study
10/17/26 at 03:05 AMSocial work roles and ethics in U.S. medical aid in dying
10/17/26 at 03:05 AMSocial work roles and ethics in U.S. medical aid in dying Health & Social Work; Cynthia Helen Nover; 9/26This article fills a gap in the literature by discussing U.S. social work roles and MAiD [medical aid in dying] through an ethical decision-making framework and suggests social work roles, ethics, and risks of MAiD. Mandatory reporting expectations for U.S. social workers may cause confusion with MAiD, so it is important to distinguish between harm to self and MAiD (which is legal in 12 states and the District of Columbia) for hastening death. Relevant ethical expectations include self-determination, social justice, dignity and worth of a person, informed consent, and competence. Terms related to MAiD, including voluntary stopping of eating and drinking, and the current U.S. legal context for social work practice in this area are also described herein.
Saturday newsletters
10/17/26 at 03:00 AMSaturday newsletters focus on headlines and research - enjoy!
National trends in types of hospice disenrollment among older adults with dementia, 2012-2019
10/17/26 at 03:00 AMYou know you’ve reached middle age when...
10/17/26 at 03:00 AMYou know you’ve reached middle age when you’re cautioned to slow down by your doctor, instead of by the police. ~Joan Rivers
[Turkey] “Life still has meaning for me!” Exploring sources of meaningful life among palliative care patients: A qualitative study
10/17/26 at 03:00 AM[Turkey] “Life still has meaning for me!” Exploring sources of meaningful life among palliative care patients: A qualitative studySupportive Care in Cancer; by Hazal Sonbahar Ulu, Güleser Güney Yılmaz, Ayşenur Baysal Yiğit, Elif Merve Cesur, Şeyma Sarışen, Rıfat Bozkuş, Sedef Şahin; 9/26 Palliative care has increasingly shifted from a biomedical model toward holistic approaches that address physical, psychological, social, and spiritual needs. Meaning in life is a key determinant of quality of life in advanced illness, yet patient perspectives on how meaning is constructed within inpatient settings remain underexplored. This study aimed to explore how individuals receiving inpatient palliative care at a tertiary hospital in Turkey construct and sustain meaning in their daily lives. Meaning in palliative care appears to be sustained through social connectedness, spirituality, hope, participation in meaningful occupations, supportive environments, and continuity of identity. Integrating occupation-focused interventions, spiritual care, and environmental modifications within palliative care services may help preserve continuity, dignity, and emotional well-being.
[Tanzania] Partnership in practice: How Tanzanian and United States leaders are advancing palliative care
10/16/26 at 03:25 AMPartnership in practice: How Tanzanian and United States leaders are advancing palliative careeHospice; 10/15/26A two-decade partnership between Global Partners in Care (GPIC) and the Evangelical Lutheran Church of Tanzania (ELCT) shows how sustained, reciprocal learning can expand access to palliative care and inspire new models of community-based support in both Tanzania and the United States. GPIC (formerly the Foundation of Hospices in Sub-Saharan Africa – FHSSA) and ELCT have worked together to advance palliative care in Tanzania and the United States. In Tanzania, the partnership has expanded services for orphans and vulnerable children, those with life-threatening illnesses, and populations affected by HIV/AIDS. In the United States, lessons from Tanzanian partners have strengthened community-based approaches to palliative care.
Palm Beach caretaker accused of stealing more than $10K from elderly woman
10/16/26 at 03:20 AMPalm Beach caretaker accused of stealing more than $10K from elderly womanWPBF; by Vanessa Laurent; 10/14/26A longtime live-in caretaker is facing felony charges after police said she stole thousands of dollars from an elderly Palm Beach woman with dementia, including through checks allegedly made out to herself.Publisher's note: While not specifically about hospice, this is an important reminder about caring for vulnerable patients.
HopeWest Gala raises funds for Delta County families experiencing aging, serious illness, and grief
10/16/26 at 03:15 AMHopeWest Gala raises funds for Delta County families experiencing aging, serious illness, and griefDelta County Independent [CO]; by HopeWest; 10/13/26This year’s HopeWest Gala, themed “A Night of Romantic Renaissance,” transformed the Bill Heddles Recreation Center on Sept. 19 into a world of fiery dragons and faraway castles. The sold-out event raised more than $77,000 to support HopeWest programs and services throughout Delta County. 323 guests gathered in support of the HopeWest mission to profoundly change the way the community experiences aging, serious illness and grief, one family at a time.
SOS Y1 A31 – How many hospices are there in the USA???
10/16/26 at 03:10 AMSOS Y1 A31 – How many hospices are there in the USA???Substack; by Joan Teno; 9/21/26This analysis asks how many hospices listed in federal data appear to be functioning, “real” hospice programs. Although 6,669 hospices were listed in the August 2026 refresh, many lacked patient experience data, had very small numbers of deaths, or were not shown in PECOS as able to bill Medicare. The biggest concern is the large group of unrated hospices with fewer than 50 deaths, especially because many are for-profit and concentrated in a few states such as California and Texas. Using several screening rules, the estimate of likely real hospices may be substantially lower than the total number listed, potentially closer to 3,600–5,200 depending one of my 3 proposed rules. Overall, the findings suggest that public hospice listings may include many programs that are inactive, questionable, or no longer able to participate meaningfully in Medicare.
At life’s end, needs change and hospice responds knowingly
10/16/26 at 03:05 AMAt life’s end, needs change and hospice responds knowinglyUW Medicine [WA]; by Colleen Steelquist; 10/14/26Q&A: A hospice nurse explains how end-of-life care can help patients and families trade intervention for comfort and connection. Fifty years ago, most Americans with terminal illnesses died in hospitals, often receiving hard-hitting treatments that they might have avoided had they truly understood their prognosis. Today, that portion is under a third. The rise of hospice care, which Medicare began covering in the early 1980s, is largely responsible for this sea change. Centered explicitly on pain control and quality of life, hospice offers patients and families permission to stop aggressive interventions, to focus on comfort over cure, and sometimes to be at home... [Amrit Singh, a hospice nurse care coordinator at Harborview Medical Center] explained the benefits of hospice care in a Q&A...
Being in healthcare is...
10/16/26 at 03:00 AMBeing in healthcare is assessing your patient's neuro status by asking what day it is... then checking your watch to see if they're right because you have no clue what day it is...
Wings of Hope joins NorthStar Care Community
10/16/26 at 03:00 AMWings of Hope joins NorthStar Care CommunityNorthStar Care Community press release; 10/15/26NorthStar Care Community is anchored by its founding members – Arbor Hospice, Centrica Care Navigators, Hospice of Michigan, and now includes the newly affiliated member Wings of Hope.
Developing effective and efficient leadership teams
10/16/26 at 03:00 AMDeveloping effective and efficient leadership teamsForbes; by Ryan Dewey Smith; 10/13/26[Based on the documentary Air Force Elite: Thunderbirds], Guy Legare and I began discussions applicable to our leadership on four themes that stood out to me:
The cost of aging at home: Why caregiving can quickly become a burden for Florida families
10/16/26 at 03:00 AMThe cost of aging at home: Why caregiving can quickly become a burden for Florida familiesWINK Investigates [FL]; by Olivia Jean; 10/13/26For many older adults, staying in the home they know and love is the goal. However, when a loved one needs help bathing, getting dressed, preparing meals, taking medication, or simply getting through the day, families can quickly discover that care comes with a significant price tag.
The ache of watching someone slowly fade away
10/16/26 at 03:00 AMThe ache of watching someone slowly fade awayeHospice; by Riddhi Tomar; 10/9/26No one prepares you for the grief of gradual disappearance. For loving someone who is still here, and yet, in ways both visible and invisible, is already beginning to leave. For watching familiarity fade while your love remains exactly where it has always been. People who visit after a month or even weeks often say, “He was alright the last time I saw him. How did things change so quickly?” But the truth is, they didn’t change quickly. We watched every inch of the journey...
When clinical AI becomes a safety issue, cybersecurity stops being optional
10/16/26 at 03:00 AMWhen clinical AI becomes a safety issue, cybersecurity stops being optionalNetcrook / Industrial Cybersecurity & Critical Infrastructure; by Netaegis; 10/14/26[Health Sector Coordinating Council’s Cybersecurity's] HSCC’s new AI clinical resilience playbook reflects a hard truth in healthcare: if artificial intelligence touches care delivery, then patient safety, operational continuity, and cyber risk have to be managed together. Healthcare has spent years treating AI as an efficiency tool. The more clinical systems depend on it, the more the risk picture changes. A new playbook from [HSCC's] Working Group puts that shift into plain terms by framing AI resilience as a clinical and security problem at the same time. The practical takeaway is simple but important: in healthcare, AI is not just software. It can sit inside workflows that affect diagnosis, monitoring, documentation, scheduling, and care coordination. That means failures, unexpected behavior, or tampering can carry consequences that go beyond IT disruption.
[Canada] Expert Q&A: New palliative care resource for frontline workers supports people experiencing homelessness
10/16/26 at 03:00 AM[Canada] Expert Q&A: New palliative care resource for frontline workers supports people experiencing homelessnessUniversity of Victoria press release; by Stephanie Harrington; 10/13/26National curriculum builds on community expertise. A new palliative and end-of-life care resource is providing frontline workers nationally with tools and strategies to better support people who are aging with serious illness alongside poverty and homelessness. The University of Victoria-led collective of researchers, frontline workers and palliative care practitioners launched the new curriculum at the Montreal International Congress on Palliative Care. Kelli Stajduhar is a Canada Research Chair (Tier 1) in Palliative Approaches to Care in Aging and Community Health at UVic and professor in the School of Nursing and Institute on Aging & Lifelong Health. She heads the UVic research program that developed the curriculum, called Palliative Care Is… Strengthening Community-Based Approaches to Palliative and End-of-life care in Homeless and Harm Reduction Settings.
Takeaways from an evaluation of Google’s diagnostic chatbot, AMIE
10/15/26 at 03:10 AMTakeaways from an evaluation of Google’s diagnostic chatbot, AMIESTAT by Mario Aguilar; 10/13/26The Lancet last week published the results of a Google Research study, funded by Alphabet, with Beth Israel Deaconess Medical Center exploring the feasibility and safety of Google's company’s experimental diagnostic chatbot. In the study, roughly 100 urgent care patients chatted with Articulate Medical Intelligence Explorer, or AMIE, which created a list of possible diagnoses and management plans. The encounters with the chatbot were observed by a supervisor who could step in, and patients later saw a clinician.Publisher's note: While I found both the STAT and Lancet articles a bit technical, it's fascinating to begin reading about studies using AI for patient diagnosis purposes. The STAT article may require a subscription; The Lancet journal article referred to is: Conversational diagnostic artificial intelligence in ambulatory primary care: a prospective feasibility study; 10/26.
LA County fraud: Which 2026 scandal tops the list?
10/15/26 at 03:05 AMLA County fraud: Which 2026 scandal tops the list?Film Daily; by Simone Barbon; 10/14/26Los Angeles County’s 2026 docket of public-fund thefts keeps growing, and the dollar figures are hard to ignore. Homelessness contracts, Medi-Cal billings, and a landmark sex-abuse settlement now sit under overlapping state and federal probes that stretch from Culver City boardrooms to hospice billing offices. The cases together expose how oversight gaps turned routine county spending into slush funds and how recovery efforts may drag into 2027.
As organ supply expands, equity must be reimagined
10/15/26 at 03:05 AMAs organ supply expands, equity must be reimaginedJAMA Network; by Lisa B. VanWagner, John Bucuvalas, David S. Goldberg, Ali Zarrinpar; 10/12/26For decades, transplant has been defined by scarcity... That landscape is changing... Focusing on organ scarcity as the primary barrier to equitable transplant has obscured upstream inequities in referral, evaluation, and listing. Population-based analyses suggest that only a minority of patients dying with end-stage organ failure are evaluated for transplant. For example, the national waiting list for liver transplant is currently fewer than 9000 candidates, but this number represents only a small fraction of the estimated 70 000 to 75 000 annual deaths from cirrhosis in the US. Expanded supply may expose, rather than resolve, inequities that have long been obscured by scarcity.
How unexpected health crises can affect retirement savings and long-term wealth
10/15/26 at 03:05 AMHow unexpected health crises can affect retirement savings and long-term wealthThe Clinton Courier [MS]; 10/13/26Retirement planning usually focuses on building enough savings to support a comfortable life after leaving the workforce... Yet even a carefully prepared financial plan can face serious challenges when an unexpected health crisis occurs. A sudden injury, serious illness, or medical emergency can change a household’s financial priorities almost overnight. Money intended for retirement may need to cover hospital bills, rehabilitation, medications, or ordinary living expenses during a period without income. For some families, these costs create financial pressure that continues long after the immediate medical situation improves.Publisher's note: Should hospices include financial discussions with patients and/or families as part of holistic care? Why or why not? If so, how...?
