Literature Review
Hospice of Wichita Falls hosts first Growing Through Grief Symposium
08/24/26 at 03:00 AMHospice of Wichita Falls hosts first Growing Through Grief Symposium KFDX Wichita Falls, TX; by Ashley Waters; 8/22/26 Hospice of Wichita Falls brought licensed professional counselors together for its first Growing Through Grief Symposium. ... "Grief as a child can really significantly impact their development growing up. So we want to try and mitigate that as much as possible and start working with them now," said Hospice of Wichita Falls Children's Program Specialist Sydney Reese. According to the National Alliance for Children's Grief, about 6 million children across the nation experience the death of a parent or sibling by the age of 18. Hospice of Wichita Falls was awarded the 2026 Grief Reach Grant to support childhood grief awareness efforts throughout Texoma [for helping professionals].
The phone call that taught me how to grieve
08/24/26 at 03:00 AMThe phone call that taught me how to grieveMedscape; by Bishal Gyawali, MD, PhD; 8/3/26 Mike (name changed) was one of my favorite patients. We aren’t supposed to have favorites, but we are human. And sometimes you just have that unexplainable bond with someone. ... When I returned from my travels, I learned that Mike had passed away. It was heartbreaking for me. ... When I picked up the phone to call his wife, I had butterflies in my stomach. These calls never get easier. I asked: “Hello, is this Jess? I am Dr. Gyawali from the cancer center.” “Thank you for calling,” she responded, her voice cracking a little. I told her that I knew Mike had passed away. She recounted that day with me. ... She said, “You know, Mike could easily pay to get treated at one of the top cancer centers in the world. But he chose to get treated in Kingston because he liked you and your team here.” As I was getting ready to put the phone down, Jess said, “I’m sorry for your loss, too, Doctor. I know how much he meant to you. I’m happy you were his oncologist. Please take care of yourself, too.” I hung up the phone and cried. ... Immediately after that phone call, I sent a text to some of my trainees: “If your patient dies, always call their family. Always. No exception.” Then I sat down to write this blog.
Hospice Wage Index, the Final Rule, and the signals CMS is sending | part two
08/24/26 at 12:00 AMHospice Wage Index, the Final Rule, and the signals CMS is sending | part one Teleios Collaborative Network (TCN); pocast hosted by Chris Comeaux with Annette Kiser and Judi Lund Person The 2027 Hospice Final Rule is more than a reimbursement update—it’s a window into where Centers for Medicare & Medicaid Services (CMS) believes hospice care needs to go next. In Part One, host Chris Comeaux sits down with hospice regulatory experts Annette Kiser and Judi Lund Person to look beyond the numbers and “read the tea leaves” in CMS’s latest rule. They unpack what hospice leaders need to understand about the Hospice Election Statement Addendum, the growing scrutiny of unrelated services and non-hospice Medicare spending, telehealth reporting, and the Service and Spending Variation Index (SSVI). As Judi explains, CMS’s commentary and responses to industry feedback can reveal as much about the agency’s direction as the regulations themselves.
‘Light Up a Life’: Rice County approves courthouse trees for Faribault Area Hospice initiative
08/23/26 at 03:55 AM‘Light Up a Life’: Rice County approves courthouse trees for Faribault Area Hospice initiative LeSeur County News, Faribault. MN; by Lauren Viska; 8/19/26 For 40 years, Faribault Area Hospice has turned the glow of hundreds of white lights into a celebration of lives well lived. Each light on its traditional “Light Up a Life” tree represents a person remembered, honored and celebrated by those who loved them. Since 1985, Faribault Area Hospice has placed thousands of white lights on a memory tree, with individuals sponsoring a light in memory of someone special. Proceeds from the lights go directly toward helping hospice patients in the Faribault area who are experiencing financial hardship. ... Now, after more than four decades of the tradition, Hospice is looking to bring that familiar glow to a new set of evergreens.
Hospice of Michigan receives more than $20k in donations following Josh & Jase visit
08/23/26 at 03:50 AMHospice of Michigan receives more than $20k in donations following Josh & Jase visit ABC-13, Grand Rapids, MI; by Mary Dupuis; 8/14/26 The viral social media duo Josh & Jase have helped raise more than $20,000 for Hospice of Michigan's statewide pediatric hospice program this summer. The fundraising campaign was launched in support of the Jo Elyn Nyman Pediatric Hospice Endowment Fund. ... Josh Cauldwell-Clarke and Jase Riley became famous on social media for their travel videos reacting to American food, culture and exciting experiences. ... During their time in Grand Rapids, Josh and Jase spent time with pediatric hospice patients and their families at Hospice of Michigan. After their social media post about the visit, more than 350 donations flooded in to Hospice of Michigan from across the country.
My husband was kicked out of hospice for dying too slowly. Here's what I learned about navigating hospice care.
08/23/26 at 03:45 AMMy husband was kicked out of hospice for dying too slowly. Here's what I learned about navigating hospice care. CBS News; by Kim Clark; 8/13/26 It was mid-January 2026, and my then-73-year-old husband, Mike Salmon, had just started bouncing back from a three-month ordeal of three operations related to aortic aneurysms, sepsis, and a terrifying descent into delirium tied to a stay in the intensive care unit. ... Abruptly, we were shunted onto hospice care — the dead-end spur of the American medical system. ... Mike joined that select group. His experience in and out of the hospice system revealed surprising lessons about how families can manage care. And getting removed from hospice revealed a little-known process that can represent a welcome respite for families like ours — but can be devastating for patients with serious chronic illnesses. Here's what we learned in our four months on and off hospice. ... Editor's Note: The initial descriptions and tone of this caregiver's experience raise significant red flags: ... "Choose one." A hospital nurse handed me a list of local hospice agencies. ... I just pointed to the name at the top of the alphabetical list, assuming they were pretty much the same. ... The problems with the organization I had chosen started immediately. ... Kristina Newport, chief medical officer of the American Academy of Hospice and Palliative Medicine, said I should also have checked the quality ratings on Medicare's Care Compare site and the National Hospice Locator. Those sites would have alerted me to our first agency's low ratings. [Disclosure: Hospice Analytics--the site for the National Hospice Locator and owned by 1520ai--is a sponsor for Hospice & Palliative Care Today.]
Treasure Coast Hospice launches new website to make hospice referrals easier for families and healthcare providers
08/23/26 at 03:40 AMTreasure Coast Hospice launches new website to make hospice referrals easier for families and healthcare providers Cision PRWeb, Stuart, FL; by Treasure Coast Hospice; 8/11/26 Treasure Coast Hospice has launched a newly redesigned website featuring an enhanced online referral experience that makes it easier for healthcare providers, patients, and families to connect with hospice care. The new website was developed to remove common barriers people may face when searching for hospice information and to make the referral process more accessible, efficient, and easy to understand. ... One of the most significant updates is a new online referral form with two distinct pathways: one for healthcare professionals and another for patients and loved ones.
The healthcare partnership nobody is talking about: hospice + FQHCs | part two
08/23/26 at 03:30 AMThe healthcare partnership nobody is talking about: hospice + FQHCs | part twoTeleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Kyle Ahlenstorf; 8/14/26 What if one of the most promising partnerships in serious illness care has been hiding in plain sight? In Part Two of The Healthcare Partnership Nobody Is Talking About: Hospice + FQHCs, Chris Comeaux continues his conversation with Kyle Ahlenstorf about the largely untapped opportunity for hospice and palliative care organizations to collaborate with Federally Qualified Health Centers (FQHCs). The discussion explores how hospice and palliative care can extend an FQHC's reach into the home while FQHCs bring an established infrastructure of primary care, behavioral health, care coordination, community health workers, and preventive services. Together, these capabilities could create a stronger continuum of care for patients with serious and chronic illness.
NPHI announces “Care You Can Trust” as 2026 National Hospice and Palliative Care Month theme
08/23/26 at 03:25 AMNPHI announces “Care You Can Trust” as 2026 National Hospice and Palliative Care Month theme National Partnership for Healthcare and Hospice Innovation (NPHI), Washington, DC; Press Release; 8/12/26 The National Partnership for Healthcare and Hospice Innovation (NPHI) today announced “Care You Can Trust” as the national theme for Hospice and Palliative Care Month 2026, observed throughout November. This year’s campaign will focus on helping patients, families and communities better understand what high-quality hospice and palliative care looks like — and recognizing the dedicated professionals and organizations providing that care every day. At a time when stories of fraud and abuse within the hospice sector have received significant national attention, NPHI believes it is of paramount importance for the public to hear the stories of providers who are delivering care the right way: delivering compassionate, high-quality care, supporting families during some of life’s most difficult moments and serving as trusted and respected partners in their communities. ... To support the campaign, NPHI has launched a comprehensive 2026 Hospice and Palliative Care Month Campaign Hub, with ready-to-use resources for hospice, palliative care and other advanced illness care providers across the country.
Reports from Duke University describe recent advances in managed care (the South had the lowest rates of hospice and palliative medicine-certified providers in the US, 2024): managed care
08/23/26 at 03:20 AMReports from Duke University describe recent advances in managed care (the South had the lowest rates of hospice and palliative medicine-certified providers in the US, 2024): managed careInsurance Newsnet; by Staff; 8/13/26 A new study on Managed Care is now available. According to news reporting originating in Durham, North Carolina, by NewsRx journalists, research stated, “To improve access to care for serious illness, policy makers need evidence on how workforce capacity aligns with the need for palliative care. This study evaluated the palliative care workforce and policy environments at the state level, using a new data source: the 2024 Center to Advance Palliative Care’s comprehensive Serious Illness Scorecard.” Funders for this research include US Department of Veterans Affairs, Duke University, US Department of Veterans Affairs, Durham Center of Innovation to Accelerate Discover and Practice Transformation (ADAPT) at the Durham Veterans Affairs Health Care System. Read the study here.
Honoring my daughter's final wishes
08/23/26 at 03:15 AMHonoring my daughter's final wishes Substack; by Larry Lehmer; 8/7/26 I own one pink shirt. I wear it once a year, on Feb. 28, my daughter’s birthday. It’s mostly her idea. “Please wear more pink!” she wrote for her husband, Paul, to read at her celebration of life. “To the men — you can pull it off.” It’s been three years since Paul had to deliver Meghan’s final words, at the Des Moines Botanical Garden, the same place where they began their married life 13 years earlier. “I once read ‘Love doesn’t die, people do’,” Meghan wrote. “So when love is all that’s left of me, give me away.” Meghan died on Aug. 8, 2023. It still hurts, of course, but we continue to celebrate her life, her devotion to family and try to honor her dying wish “that we all help each other a little more.” Here’s what I wrote about her in August 2023: ...
[Portugal] The ethical and psychosocial dimensions of palliative care in prison: A scoping review
08/23/26 at 03:10 AM[Portugal] The ethical and psychosocial dimensions of palliative care in prison: A scoping reviewJournal of Bioethical Inquiry; by Ana Gehl-Costa, P. Reis-Pina; 7/26With prison populations expanding and aging, palliative care (PC) is an urgent concern. People in prison (PIP) face chronic illness, mental health conditions, and social vulnerabilities, creating ethical and psychosocial challenges to dignified end-of-life (EOL) care... Ethical domains included structural neglect of PIP with life-limiting illness, barriers to compassionate release, compromised autonomy, denial of death in prison culture, and inadequacies in care quality and access. Psychosocial domains encompassed stigma, mistrust, isolation, existential suffering, and fractured social bonds. PIP-led hospice models offered companionship but raised tensions around labour, confidentiality, and the normalization of death in custody... Prison-based PC requires systemic reforms, staff training, family and advocacy involvement, and legal safeguards to ensure equitable, compassionate, and dignified EOL care.Publisher's note: This article was included in the August 2026 issue of End-of-Life Care Behind Bars - Current Thinking, by Barry R. Ashpole.
Strategic leadership and the future of corporate learning an in-depth analysis of modern workforce development trends
08/23/26 at 03:05 AMStrategic leadership and the future of corporate learning an in-depth analysis of modern workforce development trends Recruit-Talent.com | Employee Training & Development; 8/14/26The landscape of corporate learning and development (L&D) is currently undergoing a fundamental transformation, shifting from a traditional "cost-center" model toward a core strategic function essential for organizational survival. In the latest installment of the Chief Learning Officer’s “Learning Insights” series, a high-level examination of this evolution reveals how visionary leaders are navigating the complexities of workforce development in an era defined by rapid technological advancement and shifting employee expectations. ... Essential Qualities of the Modern Learning Leader ... Key leadership traits identified by industry experts include:
The greatest danger for most of us...
08/23/26 at 03:00 AMThe greatest danger for most of us is not that our aim is too high and we miss it, but that it is too low and we reach it. ~Michelangelo
Anonymous donor helps Grace House buy Highland Square’s Leonora Hall
08/23/26 at 03:00 AMAnonymous donor helps Grace House buy Highland Square’s Leonora Hall Signal Akron; Akron, OH; by Shams Mustafa; 8/17/26 A new chapter is beginning for Highland Square’s Leonora Hall after a nonprofit organization, Grace House Akron, purchased the property with the unexpected help of an anonymous donor. ... The acquisition means the property has a new owner following the closure of the Francesca Residence and the displacement of its mostly elderly residents. In a statement, Grace House representative Jen Boroff said that the nonprofit, which provides end-of-life care and housing for people who are indigent, unsheltered or abandoned, sees potential for the site to strengthen its mission and serve the broader community but that the organization has not yet decided how it will use the property.
Sunday newsletters
08/23/26 at 03:00 AMSunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!
Neighborhood poverty and end-of-life care among adolescents and young adults with cancer
08/22/26 at 03:40 AMEmpowering elderly Chinese Americans: Advance care planning educational workshop
08/22/26 at 03:35 AMEmpowering elderly Chinese Americans: Advance care planning educational workshopGeriatric Nursing; by Mengyao Zhao, Tammy Tyree; 7/26Advance care planning (ACP) is important to ensure an individual's values and preferences are followed at the end-of-life (EOL). However, elderly Chinese Americans have a much lower advance directive (AD) completion rate than the national average. This quality improvement project aimed to improve ACP engagement and AD completion rates among elderly Chinese Americans at a local senior center in Arizona. Three monthly culturally tailored educational workshops were conducted, and ... data analysis showed a significant increase in ACP engagement scores over time ... Additionally, AD completion rates rose by 220% after the intervention. These findings indicate that culturally tailored educational workshops can effectively improve ACP engagement and AD completion rates in elderly Chinese Americans.
Advance care planning in sickle cell disease: A scoping review
08/22/26 at 03:30 AMAdvance care planning in sickle cell disease: A scoping reviewJournal of Palliative Medicine; by Megan R Marshall, Miranda Ravicz Adelmann, Miriam A Osei, Sharl S Azar, Stephanie Kiser, Richard Newcomb; 7/26Sickle cell disease (SCD) is an inherited hemoglobinopathy characterized by abnormal red blood cell sickling, leading to pain, organ dysfunction, and early mortality. Its severe, unpredictable course and the emergence of complex decisions surrounding transformative therapies have prompted recommendations to integrate palliative care (PC) to support patients and families. The limited available evidence suggests that patients are open to ACP discussions with trusted clinicians, but few patients had participated in formal or informal ACP. Personal and environmental factors may influence ACP engagement, including patient-clinician trust, patient and clinician understanding of ACP in SCD, timing of ACP conversations, and previous experiences with critical illness or end-of-life care. Proposed steps for advancing ACP in SCD include education, early PC integration, and strengthened patient-clinician communication and relationships.
A brief advance care planning education intervention for socioeconomically disadvantaged dementia caregivers: A single-group pretest–posttest study
08/22/26 at 03:25 AMAdvanced medical care at home among patients with acute heart failure
08/22/26 at 03:20 AMGoal-concordant care for older adults with advanced heart failure: A retrospective cohort study
08/22/26 at 03:15 AMGoal-concordant care for older adults with advanced heart failure: A retrospective cohort studyPalliative Medicine; by Sarah Godfrey, Maryjane Farr; 7/26Older adults with advanced heart failure experience significant morbidity and mortality and face higher complication rates from advanced therapies. Of 212 patients, 91 (42.9%) underwent evaluation for advanced therapies, though few received a heart transplant (16, 7.5%) or left ventricular assist device (32, 15.1%). Most (148, 69.8%) had only one palliative physician visit. One hundred thirty-nine (65.6%) died, often in the hospital (55, 40%) and with life-sustaining therapy in the last 24 h (73, 52.5%). Most (167, 78.8%) received goal-concordant care, with the main reasons for discordance being the desire for advanced therapy (33, 15.6%) and complications post-implantation affecting quality of life (9, 4.2%). Conclusions: Few older adults received advanced therapies, and palliative care was underutilized, with many patients seeing palliative care only once. Most received goal-concordant care, but decisions were often made late, highlighting the need for earlier, longitudinal palliative care for these vulnerable patients.
Palliative care physicians' perceptions about using artificial intelligence for prognostication
08/22/26 at 03:10 AMPalliative care physicians' perceptions about using artificial intelligence for prognosticationJournal of Pain & Symptom Management; by Stacy M Fischer, Regina M Fink, Ahmed Y Alasmar, Eric G Campbell, Matthew DeCamp; 7/26Statistical and artificial intelligence (AI)-based methods have informed clinical prognostication for decades, evolving into machine learning models integrated into electronic health records. We conducted a national survey of n=2,500 Hospice and Palliative Medicine physicians in the United States (January 2024-March 2025) to assess current prognostic practices, AI knowledge, and perceived benefits and risks of AI-based prognostication. Conclusions: Palliative care physicians report limited current use of AI-based prognostic tools but generally favorable attitudes toward potential benefits, especially among current AI tool users.
[Israel] Existential suffering at the end of life in long-term care: A critical essay on recognition, dignity, and witness
08/22/26 at 03:05 AM[Israel] Existential suffering at the end of life in long-term care: A critical essay on recognition, dignity, and witnessPalliative Care & Social Practice; by Anat Romem, Rachel Bardach; 7/26Existential suffering is widely acknowledged in palliative care, but it remains inconsistently recognized and unevenly addressed in long-term care. This critical essay argues that the gap is not caused by clinician indifference, but by a persistent mismatch between whole-person ideals and care systems organized around measurable symptoms, risk management, task completion, and professional uncertainty. [This] ... essay identifies three interrelated shortcomings: the reduction of suffering to medically actionable symptoms; the depersonalizing effects of institutional routines on frail older adults; and the absence of shared existential literacy across interdisciplinary teams. The essay also cautions against romanticizing suffering or treating meaning-making as a clinical expectation. It proposes a practical framework of recognition, dignity, and witness: recognizing biography and identity as clinically relevant; protecting dignity in the ordinary details of care; and enacting witness ... Long-term care cannot resolve every existential wound, but it can reduce existential neglect by treating personhood as a core quality indicator of palliative care.
