Literature Review

If consuming too much caffeine causes short term memory loss, just imagine what consuming too much caffeine can do!

Additional CMS website information for the Hospice Wage Index Final RuleCMS; compiled by Judi Lund Person; 8/4/26 Downloads on CMS website that provide additional information for the final rule:

Medical aid in dying: Bridging ethical guidance and bedside communication in nursing practiceJournal of Hospice & Palliative Nursing; by Jeanna Ford, Phyllis Whitehead; 7/26As MAiD [Medical aid in dying] becomes more integrated into serious illness care, nurses, particularly those in hospice and palliative care, are increasingly the first clinicians to receive patient questions about this option. These inquiries are often embedded in broader concerns related to suffering, loss of autonomy, fear of prolonged dying, and desire for control rather than solely requests for hastened death. The Hospice and Palliative Nurses Association’s recent position statement on medical aid in dying emphasizes compassionate, nonjudgmental care, respect for autonomy, professional integrity, and the ethical obligation of nonabandonment while recognizing the complexities of conscientious objection. This manuscript examines the evolving legal and ethical landscape of MAiD, explores the professional implications for nursing practice, and introduces the EXPLORE (Elicit, Explore, Probe Suffering, Learn Values, Observe Pressures, Review Support, Evaluate Next Steps) communication framework, a practice-based model developed to provide nurses with a structured, evidence-informed approach for responding to patient-initiated MAiD discussions. 

[Sweden] Effects and user-reported experiences of a self-management mobile health app for grieving adolescents: Randomized controlled trialJournal of Medical Internet Research; by Rebecca Rhodin, Rakel Eklund, Anneli Silvén Hagström, Rolf Gjestad, Atle Dyregrov, Josefin Sveen; 7/26Adolescents who experience the loss of a family member are at increased risk of adverse mental health outcomes, yet many face barriers or may be reluctant to access in-person or group-based support. This study evaluated the short- and long-term mental health effects of Alba - Youth in Grief, a preventive self-management mobile app for bereaved adolescents. Intention-to-treat analyses showed moderate reductions in prolonged grief symptoms at 12 months among adolescents randomized to Alba compared with the control group, with no significant effects at the 2- and 6-month follow-ups. The app group also demonstrated greater reductions in grief reactions, posttraumatic stress symptoms, and depressive symptoms compared with controls, with the strongest effects observed at long-term follow-up.

[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.

Darkness cannot drive out darkness: only light can do that. Hate cannot drive out hate: only love can do that.  ~Martin Luther King Jr.

California’s new emergency hospice regulations: key requirements for providers JD Supra; by Margia Corner, Elicia Grilley Green, Lena Zinner; 8/13/26 For the first time in California’s history, hospice agencies have become subject to comprehensive hospice-specific licensing regulations adopted on an emergency basis and effective June 22, 2026. ... The new regulations apply to both existing licensees and new applicants, add significant new requirements for CDPH approval of transactions and other operational changes, such as the licensee’s physical location, and authorize CDPH to conduct unannounced inspections to verify compliance. Providers would benefit from reviewing their operations against the new requirements below.

Women Swimmin’ for Hospicare celebrates 23 years ithaca.com, Ithaca, NY; by Grant Terwilliger; 8/11/26 On the morning of Aug. 8, 330 women swam 1.2 miles from Camp Comstock to Myers Park to support Hospicare services. The swimmers participated in groups and were accompanied by paddlers in kayaks. Go the Distance fundraisers, swimmers, volunteers and spectators raised $663, 940 for Hospicare through 6,000 donations, according to the Women Swimmin’ for Hospicare website. ... “Twenty three years ago, two powerful, determined women decided to swim across the lake for the first time to celebrate a 60 birthday and raise money for hospice care,” said Emily Hopkins, director of development and community relations for Hospicare. “Fast forward to today, swimming in their wake, we have swimmers ages 18 to 82 who swam across the lake today.”  

Treasure 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.

[Canada] Daughter says elderly father chose MAiD due to 'loss of hope' after not qualifying for hospice LiveAction.org; by Bridge Sielicki; 8/11/26 Colleen De Vos told EWTN News Nightly that her 85-year-old father died in 2023 after being diagnosed with terminal chronic obstructive pulmonary disease (COPD). Though he had initially agreed to hospice or in-home palliative care, he was denied the care he needed. “He was turned down on two occasions, deeming that his diagnosis wasn't enough to warrant hospice care,” De Vos said. “That was a surprise to us because we could see he was deteriorating very quickly.” Nevertheless, he was able to qualify for MAiD. “The irony of the availability of MAiD that could be arranged very quickly... sidelined us very much,” she said. ...