Literature Review

What do the ashes symbolize in life, death, and cultural rituals? Brain Wise Mind - Symbolism; by Jodie Lawrence; 1/26/25In this article, you’ll explore the rich symbolism behind ashes, from themes of loss and renewal to connections with the cycle of life. By understanding these meanings, you can gain a deeper appreciation for how ashes play a role in various rituals and practices. Get ready to uncover the significance that lies within these seemingly simple remnants. ... Ashes symbolize a range of profound concepts, particularly in relation to life and death. You can find their meanings in various cultures and traditions, reflecting significant themes.

[UK] Coming to terms with dying: Advance care planning as a conduit between clinicians, patients, and conversations about death and dying - A qualitative interview studyPalliative Medicine; Rowena Jane Eason, Lisa Jane Brighton, Jonathan Koffman, Katherine Bristowe; 2/25Advance care planning elicits multiple complex thoughts, emotions, and behaviours, with responses ranging from the procedural to the profound. Discussions empowered and instilled confidence, promoted openness with relatives, encouraged people to make the most of their time remaining, and sometimes contributed to coming to terms with their mortality. Factors influencing experiences of discussions reflected the complexity and diversity in participants' lives, personalities, and life experiences, with discussions exposing the realities of living with terminal illness. 

The most common way people give up their power is by thinking they don't have any. ~Alice Walker

Tracking US health care spending by health condition and countyJAMA; Joseph L. Dieleman, PhD; Meera Beauchamp, BS; Sawyer W. Crosby, BA; Drew DeJarnatt, MS; Emily K. Johnson, MSc; Haley Lescinsky, MPH; Theresa McHugh, PhD; Ian Pollock, MLS; Maitreyi Sahu, MPH; Vivianne Swart, MPH; Kayla V. Taylor, MPH; Azalea Thomson, MPH; Golsum Tsakalos, MS; Maxwell Weil, MS; Lauren B. Wilner, MPH; Anthony L. Bui, MD, MPH; Herbert C. Duber, MD, MPH; Annie Haakenstad, ScD, MA; Bulat Idrisov, MD, MSc; Ali Mokdad, PhD; Mohsen Naghavi, MD, MPH, PhD; Gregory Roth, MD, MPH; John W. Scott, MD, MPH; Tara Templin, PhD, MS; Christopher J. L. Murray, DPhil, MD; 2/25Health care spending in the US totaled $3.8 trillion in 2019 and is projected to reach more than $7 trillion by 2031. Within the US, spending varies dramatically across states, although many key drivers of health care spending, such as access to care, service prices, disease and injury prevalence, and underlying need for health care, vary at more local levels. Broad variation in health care spending was observed across US counties. Understanding this variation by health condition, sex, age, type of care, and payer is valuable for identifying outliers, highlighting inequalities, and assessing health care gaps.

Knowledge of and preferences for medical aid in dyingJAMA Network Open; Elissa Kozlov, PhD; Elizabeth A. Luth, PhD; Sam Nemeth, BA; Todd D. Becker, PhD, LMSW; Paul R. Duberstein, PhD; 2/25In the US, approximately 74 million people (22%) live in a jurisdiction that allows medical aid in dying (MAID), a legal practice that allows terminally ill patients to obtain a prescription for medication to end their life. In this online survey study of 3,227 US adults, 51.3% did not know if MAID was legal in the US, and 50.8% did not know if MAID was legal in their state. In the full sample, 44.0% expressed interest in using MAID if terminally ill. This study suggests that there is substantial interest across all demographic groups in using MAID, but significant knowledge gaps exist about its legality, which may be associated with observed racial and ethnic and educational differences in MAID’s use. These findings highlight the need for public education, policy initiatives, and patient-clinician discussions to ensure equitable access to patient-centered end-of-life options and informed decision-making. 

Algorithm-based palliative care in patients with cancer-A cluster randomized clinical trialJAMA Network Open; Ravi B. Parikh, MD, MPP; William J. Ferrell, MPH; Yang Li, MS; Jinbo Chen, PhD; Larry Bilbrey; Nicole Johnson, BSN; Jenna White, MSW; Ramy Sedhom, MD; Natalie R. Dickson, MD; Stephen Schleicher, MD; Justin E. Bekelman, MD; Sandhya Mudumbi, MD; 2/25In this randomized clinical trial conducted in a community oncology network between November 2022 and December 2023 among 562 patients with advanced cancer identified by an automated electronic health record algorithm, default orders increased palliative care consultation (44% vs 8%) and decreased end-of-life systemic therapy (6% vs 16%) compared with usual care but did not improve patient-reported or hospice outcomes. The findings suggest that default algorithm-based palliative care orders are a scalable implementation strategy to increase palliative care referrals and reduce intensive end-of-life care. 

Increasing awareness and access to integrated behavioral health and palliative care: An introduction to the American Journal of Hospice and Palliative Medicine'sAmerican Journal of Hospice and Palliative Care; James Gerhart, Michael Hoerger, Stacie Levine, Sean O'Mahony; 2/25Mental health symptoms are common in the general population and are overrepresented in patients receiving palliative care and hospice services. This introduction to the special issue on Mental Health in Palliative Care and Hospice highlights the ongoing need for research and training to prepare our palliative care workforce to address the concerns of patients experiencing serious illness and mental health concerns. Multilevel approaches are needed to enhance understanding of mental health needs among people with serious illness. Public health outreach is needed within our communities, targeted support is needed for family caregivers, and structured training for palliative care and hospice clinicians is needed to enhance competent mental health in these settings.

Explaining racial and ethnic disparities in advance care planning: A decomposition analysisJournal of Pain and Symptom Management; Yifan Lou, Emma Zang, Qianqian Li; 2/25The ACP [advance care planning] disparities between White and Hispanic populations were nearly twice as large as the disparity between White and Black populations. Interventions targeting less educated older Black and Hispanic individuals should be prioritized to narrow the ACP disparity. Negative healthcare experiences in previous care and household dynamics should be addressed while working with Black and Hispanic older adults, respectively.

The 8 new rules of IT leadership — and what they replaceCIO; by Mary K. Pratt; 3/3/25 The technology landscape is rapidly evolving — so too is the way IT chiefs should lead their organizations. Here’s which old rules of IT leadership are no longer relevant and what has replaced them. ... Here, veteran CIOs, researchers, and advisers share the changes they’re seeing, offering a look at the new rules of IT leadership along with the old ones they’ve replaced. 

Local teen helps patients at the end of life preserve memories 10 Tampa Bay YouTube channel; 3/6/25 A bittersweet and beautiful story this morning. A local teen is helping  patients at the end of life preserve memories to pass on to family. The Lifetime Legacies program through Empath Health can be in the form of a journal or a video, too. ... It's hard to think about, losing a loved one, but this is a great way to celebrate their lived experience. ... While chipping away at Bright Futures Community service hours, Zoe Lazanowski found purpose and passion. ... A volunteer with Suncoast Hospice (a member of Empath Health), Zoe helps interview patients who want to be part of the Lifetime Legacies program. Memories are documented from their childhood, family history, and sharing special stories. "One of my favorite things to ask was what advice they would have for the family ..."

Children and family bereavement needs on the rise at Hospice of Santa Barbara Santa Barbara Independent, Santa Barbara, CA; by Hospice of Santa Barbara; 3/5/25 It’s not just adults who are impacted by grief and loss in our community. Children are as well. One in five children will experience the death of someone close to them by age 18, and one in twenty children will experience the death of one or both parents before reaching adulthood. Although death and grief are inevitable parts of life, these statistics highlight just how many children are impacted. Children are especially vulnerable when they lose a close loved one, and without professional support, grief can be especially paralyzing and overwhelming. ... Hospice of Santa Barbara’s Children and Family Services program provides free professional support and coping tools for children, teens and their families ... HSB is active in local campuses, providing professional weekly support groups from elementary to college age students. On-campus counseling services provide a vital space for open communication, support and the development of coping skills.Editor's note: What specialized child, teen and family bereavement services are you providing? Missing? What more can you do, with life-changing outcomes for those you serve?

Executive Personnel Changes - 3/7/25

Unity Hospice and Palliative Care, with over 30 years experience, broadens services to southern Wisconsin EIN Presswire; by Unity Hospice and Palliative Care; 3/6/25 Unity Hospice and Palliative Care is expanding its services to Southern Wisconsin, bringing decades of expertise in delivering personalized, heartfelt care and support to individuals and families facing life-limiting illnesses. The new location will serve patients in Kenosha, Milwaukee, and Racine counties, ensuring greater access to high-quality hospice and palliative care. "For over 30 years, Unity Hospice and Palliative Care has provided expert, compassionate support to patients and families," said Michael Klein, CEO of Unity Hospice and Palliative Care. "Expanding to Southern Wisconsin allows us to bring that same commitment to even more communities, ensuring that individuals facing serious illness receive the personalized care they deserve."