Literature Review

Palliative care intervention for patients with end-stage liver disease-A cluster randomized clinical trialJAMA Internal Medicine; by Manisha Verma, Victor Navarro, Andrzej Kosinski, Tamar Taddei, Richard Kalman, A. Sidney Barritt, Simona Jakab, Marina Serper, Eric Orman, Maya Balakrishnan, Mina Rakoski, Don Rockey, Kristel Hunt, Roniel Cabrera, Ayse Aytaman, Binu John, Gyorgy Baffy, Rohit Nathan, Elliot Tapper, Marina Roytman, Brendan McGuire, Nicholas Hoppmann, Christopher Woodrell, Marie Bakitas, Yang Yue, Bryce Reeve, Li Lin, Rebecca Tantala, Michael Volk; 4/26Palliative care improves quality of life (QoL) in advanced illnesses, but data in end-stage liver disease (ESLD) are limited. It is unknown whether palliative care delivered by hepatologists is effective when compared with palliative care specialists. This cluster trial found that palliative care delivered by trained hepatologists was comparable with palliative care delivered by palliative care specialists in improving QoL in patients with ESLD and was associated with greater improvement in patient satisfaction, demonstrating the effectiveness among enrolled patients.Assistant Editor's note: That's the beauty of palliative care. It can be layered upon many other specialties and sub-specialties and utilized by a variety of health care disciplines. The science of palliative care, the skill and knowledge base involved, is adaptable and valuable for almost anyone working in direct patient care in many different health care settings.

Early electronic advance directives reduce burdensome end-of-life care News Medical & Life Sciences | Wiley; 5/20/26 Advance directives document patient preferences for future care, including end-of-life. An analysis in the Journal of the American Geriatrics Society found that older patients with an advance directive that had been uploaded into the electronic health record at least six months before death were 25% less likely to experience potentially burdensome end-of-life care (19.9% versus 26.8%) and 31% less likely to have died in the hospital (23.2% versus 32.1%).

Trinity Homes sees home health, hospice transition Minot Daily News, Minot, ND; by MDN Staff; 5/21/26 Trinity Health has announced it has contracted with CHI Health at Home and Hospice and CaringEdge to provide hospice services to residents at Trinity Homes. Both are established Minot-area providers. Ensuring continuity of care has been the top priority throughout this transition, according to Trinity, which has worked closely with CHI Health at Home and Hospice and CaringEdge to facilitate a smooth transition for patients and their families. The transition of patients is complete, Trinity reported.

States with the most, fewest licensed nurses per capita Becker's Clinical Leadership; by Mariah Taylor; 5/21/26 The National Council of State Boards of Nursing found the District of Columbia has the most licensed nurses per capita, while Utah is the state with the fewest for the second year in a row. ... Becker’s used 2025 Census data to calculate how many nurses are in each state per 100,000 population. Here are the five with the most and the five with the fewest nurses. ...Most [list starts with highest]: District of Columbia ... Alaska ... New York ... Minnesota ... Massachusetts ... Fewest [list starts with lowest]: Utah ... Washington ... Georgia ... Idaho ... Texas ...

AI: as much peril as promise? KFF; podcast/transcript hosted by Chip Kahn III with guest Robert Wachter, MD; 5/19/26 Episode 4, AI Series: What does AI mean for patients in bed and doctors at the bedside? Host Chip Kahn and guest Dr. Robert Wachter, Chair of the Department of Medicine at the University of California, San Francisco, discuss whether AI will produce a different kind of doctor in the future — a “clinician curator rather than a clinician-diagnostician.” The answer could define the future of medicine and the doctor-patient relationship.

Redwood Newsmakers: Hospice of Humboldt Palliative Care Program Redwood News; by Ross Rowley; 5/20/26 We’re here with Karen Ayres, nurse practitioner with Hospice of Humboldt, talking about home-based palliative care and the growing need for these services here in our community. Hospice of Humboldt started this program in 2022. ... “So we started this service called home-based palliative care,” she said. “While we are part of Hospice of Humboldt, we are one of the services they offer. We’re not hospice care, we’re palliative care. ..."

Maui Hospice calms jitters after feds freeze new Medicare sign-ups Hoodline; by Marc Suzuki; 5/20/26Hospice Maui moved quickly this week to calm worried island families after federal officials hit pause on new Medicare hospice and home health enrollments. The Wailuku nonprofit stressed that long-standing, Medicare-certified providers like itself are not the focus of the federal action, and that patients already in its care will continue to receive visits, medications and support services without interruption. The organization also pointed families to a direct phone line for anyone who wants a real person to walk them through what the freeze does and does not mean.

Readers write: When CIOs need to be in the room with patient engagement technology in new construction projects HIStalk - Healthcare IT News & Opinion; by Brad Storm; 5/18/26 Installing equipment may seem like the end goal at the start of a new construction project. But there’s so much more involved, especially when it comes to patient engagement technology for your new facility. As an IT professional, you need to be in the room during four key steps of the process.

The trouble with most of us is that we would rather be ruined by praised than saved by criticism. ~ Norman Vincent Peale

CMS’s nationwide moratorium on new hospice and home health enrollments: operational, transactional, and enforcement risks for existing providers, healthcare organizations, and investorsClark Hill; by Jose Vela Jr.; 5/19/26 ... Key Takeaway: The larger issue may no longer be whether fraud exists within isolated hospice or home health agencies. ... Healthcare organizations, investors, healthcare professionals, and operational leaders affiliated with hospice and home health providers may wish to evaluate ownership structures, pending transactions, enrollment status, billing practices, referral relationships, operational controls, reimbursement exposure, and existing government scrutiny before operational disruptions, payment suspensions, recoupment activity, or enforcement actions arise.

Calvert youth generosity celebrated at annual ‘Boots & Bling’ event Maryland BayNet, Prince Frederick, MD; by Hospice of the Chesapeaker; 5/19/26The can-do spirit of Calvert County’s 4-H youth helped make “Boots & Bling: A Culinary Experience” a fundraising success for Hospice of the Chesapeake. ... One of the evening’s featured moments focused on the story of the Hospice Hog, shared by T.J. Ireland. In 2019, Ireland and his brother, Colby Ireland, donated proceeds from the sale of one of their 4-H market hogs to honor their grandmother and support Hospice of the Chesapeake. Their first hog, Harry, raised $7,000 at the Calvert County Fair. After the Ireland brothers aged out of 4-H, the Said family continued the tradition. Together, the families have raised more than $150,000 through the sale of home-raised hogs. ... Ireland said the Said family plans to continue the tradition until Lena turns 19.Editor's Note: Do you need some inspiration? Read this. For context, revisit the 2026 "Boots & Bling" story we posted on 5/18/26 and celebrate this behind-the-scenes story of family tribute to a beloved grandmother.