Literature Review

[Canada] Hospice placements provide nursing students new perspectives BarrieToday.com; by Marg Bruineman; 4/26/24 As Georgian College works toward having its first graduating class in its bachelor of science in nursing (BScN) degree program next year, students are moving into practical placements in health care. Among them is a new opportunity to explore opportunities in hospice and end-of-life care – a field that continues to develop to meet the needs of an aging population. ... The response from the hospice community, she says, was encouraging. Georgian now has agreements with all nine hospices in the Simcoe-Muskoka-York area that were approached, including hospices in Vaughan and Richmond Hill. The students work onsite for 72 hours over three weeks allowing them to immerse themselves into the setting.

April’s ending, and so is my motivation to do spring cleaning. ~ Anonymous

Experiences of hospice staff beyond the frontlines during COVID-19: A qualitative secondary analysis study Journal of Palliative Care and Social Practice; by Thanga Harini Sundaramoorthy, John I MacArtney, Abi Eccles; 4/12/25Three main themes were identified: (1) Blurred margins: Participants discussed facing difficulty separating work and home life and taking stresses and thoughts about work home. (2) Isolation, loneliness and social interactions ...  (3) Disruption to family and personal commitments: Some staff felt unable to see or support their parents, partners and children during the pandemic subsequently impacting their psychological and emotional well-being. Conclusion: Hospice staff compromised aspects of their personal life and family responsibilities during the pandemic to carry out their role at work. Workplaces and organisations should aim to support hospice staff more broadly to help with managing work-related pressures and balancing personal commitments in future emergency periods.Editor's note: Use this evidence-based research with your Emergency Disaster Preparedness Plans. Click here for the CMS.gov Emergency Preparedness Rule. Click here for Wisconsin's CMS Emergency Preparedness Rule Toolkit: Hospices.

Unleashing Prosperity Through Deregulation of the Medicare Program (Executive Order 14192)- Request for Information CMS.gov - Medicare Regulatory Relief; retrieved from the internet 4/29/25... We are requesting comments include clear and concise information, and where practical: data, example(s), narrative anecdotes, and recommended action(s). Prior RFI comments submitted have helped better understand specific challenges and experiences and in turn helped inform our work. The targeted topic areas in this request are, in part, based on information from individuals within the populations we serve. You may respond to some, or all of the topics listed in this RFI. As applicable, please specify the care setting, geographic area, specialty (e.g., primary care), and/or specific CMS policy (or policies) referred to in your response. ... Comments received before the close of the comment period may be made available for viewing by the public. Submitters should not include any confidential or personal information. CMS will not respond individually to comments received. ...[The form to submit comments is at the end of its webpage: Medicare Regulatory Relief | CMS.

 Just when the caterpillar thought the world was over, it became a butterfly. ~ Chuang Tzu

Bristol Hospice expands, rebrands palliative care program Hospice News; by Holly Vossel; 4/25/25 Bristol Hospice has expanded and rebranded its palliative care program amid rising demand for these services. The hospice provider on Wednesday launched the Bristol Palliative Care program, designed to support seriously ill patients with chronic or life-limiting conditions. Formerly the Advanced Illness Management (AIM) program, the rebranding reflects the hospice’s enhanced patient-centered services and sprawling geographic footprint.

Prayer for patients? Readers and ethicists respondMedscape; by Alicia Ault; 4/24/25 ... In a recent Medscape column, Andrew N. Wilner, MD, related the story of a physician offering to pray for his wife at the conclusion of a routine visit. She had no previous relationship with the clinician and only a minor complaint. Wilner found the physician’s action disturbing and wrote in his column that while there might be situations where prayer would be appropriate, his wife’s visit did not fit in that category. Some readers took issue with Wilner’s response. ... He thinks there are a lot of considerations to weigh before a doctor should ask. “Prayer is very personal, and religious beliefs are very, very personal,” said Wilner, adding that “For some people, they’re profound.” Others might be agnostic, and it is not likely possible to know all of this if there is no prior patient-doctor relationship, said Wilner.

Hospice volunteers and their four-legged best friends Parkview Health, Fort Wayne, IN; by Alison Eckert, Hospice Volunteer Coordinator; 4/20/25 ... As the demand for pet therapy services for hospice patients has increased over the years, we have expanded our team of volunteers. We now have 13 volunteers with certified therapy dogs who visit hospice patients at the Parkview Hospital Randallia Supportive Care Unit, Parkview Regional Medical Center, nursing and assisted living facilities, and some patients receiving hospice care in their homes throughout Northeast Indiana. ... [Description of standard volunteer requirements.] ... For those interested in becoming a pet therapy volunteer with Parkview Hospice, the process includes a few more steps. In addition to the training mentioned above, all animals must be certified pet therapy dogs, insured, and up-to-date on vaccinations. 

Elliot, Southern New Hampshire health systems say separate is better The New Hampshire Union Leader, Manchester, NH; by Dave Pierce; 4/25/25 Although the Elliot Hospital in Manchester and Southern New Hampshire Medical Center in Nashua are just 20 miles apart and share many similarities and goals, that hasn’t been enough to bridge an unforeseen chasm that’s widened over their seven-year partnership. This week, their parent company, SolutionHealth, which also includes Home Health & Hospice Care in Merrimack, started the separation process, holding public forums for community input. 

Why are we so afraid to talk about our own death? Deseret News; by Holly Richardson; 4/21/25 We are more than comfortable with true-crime and first-person shooter games, but a lot of us do not want to talk about our own mortality. ... ... A whopping 84% of the U.S. population over age 13 ... consumes true crime media, according to Edison Research. It’s the most common topic among top-ranked podcasts. First-person shooter video games are the most popular genre. ... So why is it so hard to talk about our own mortality? Maybe we think we can live forever. ... A survey done last year explored reasons why people are uncomfortable talking about death. The top reason given (37%) was that people did not want to upset others, and the second (34%) was that it is too depressing to think about. About one in five say they’ll “cross that bridge when they come to it” or that they are afraid of dying. Ten percent are afraid that talking about death will somehow make it more likely to happen.Editor's note: While this data gives insights into communication with patients and families, Advance Directives, and community outreach, I find myself reflecting those of us who have chosen palliative, hospice, and/or grief care as our vocations. Do we protect ourselves from facing our own mortality by staying in "helper" roles, and avoiding our own human vulnerabilities? What conversations have you had with your family? What Advance Directives and legal plans do you have in place (or not)? 

Hospice of the Chesapeake unfurls new advanced lung care program Hospice News; by Jim Parker; 4/25/25 Maryland-based Hospice of the Chesapeake has unveiled a new Advanced Lung Care Program. The hospice and palliative care provider developed the program in partnership with the American Lung Association and the National Partnership for Healthcare and Hospice Innovation (NPHI). The initiative is designed to provide specialized care for patients experiencing severe symptoms from chronic lung disease, which includes chronic obstructive pulmonary disease (COPD), chronic bronchitis, emphysema, asthma, cystic fibrosis, bronchiectasis, pulmonary fibrosis, sarcoidosis and pulmonary hypertension. 

7 signs at home care is needed for someone with dementia VeryWell Health; by Christopher Bergland; 4/25/25 ... At-home dementia care can look different for every family. Some people live alone and may get by with periodic check-ins from professionals in the dementia care community throughout the week. Others might require daily visits from Alzheimer's home care dementia services. Sometimes, a paid caregiver comes to the house daily, or unpaid loved ones provide 24/7 in-home care.

Two palliative care pioneers share their essential qualities for nurse leadershipehospice; 4/22/25“Four thousand miles apart, and prior to the establishment of the launch of the Global Palliative Nursing Network (GPNN), living very separate, parallel lives, Yangden Paki and Halima Ibrahim share many of the key qualities required to enable them as nurses to introduce, establish and grow palliative care provision in their respective countries – Bhutan and Sudan.