Literature Review

Oncologists overtreat patients at end of life: “There’s a real deficit in our training”Oncology News Central; by Nathan I. Cherny, Robert A. Figlin; 1/29/25When it comes to end-of-life care for patients with cancer, “I think that there is a real deficit in our training,” says Nathan I. Cherny, MD, director of the Cancer Pain and Palliative Medicine Unit at Shaare Zedek Medical Center in Jerusalem, Israel. Dr. Cherney and colleagues recently examined factors contributing to oncologists overtreating patients at the end of life. He discusses key findings and ways to address this continued problem with Robert A. Figlin, MD, the Steven Spielberg Family Chair in Hematology-Oncology at the Cedars-Sinai Cancer Center in Los Angeles. “When one reads practice guidelines, they never include a section of when further treatment is more likely to be harmful than helpful,” Dr. Cherny notes. “Unless it appears in every illness guideline, the message does not necessarily get through that this is something that is really important.”

High reliability in action — a closer look at Unit-Based Quality Rounds Mass General Brigham; 1/7/25 ... “We’re creating a new process and I’m so proud of all of you because what you have accomplished so far has been amazing,” Nursing Director Vivian Donahue, RN, said at the opening of the huddle with just over 20 physicians, nurses, advance practice providers (APPs), unit staff and hospital and system senior leaders in attendance, including Thor Sundt, MD, chief of Cardiac Surgery for Mass General Brigham. ... At the unit’s first huddle in October, a conversation about the availability of hospice care generated a new referral process that connects patients receiving end-of-life care and their families to hospice services and ongoing emotional support for those coping with the passing of a loved one. At the Dec. 11 huddle, Donahue reported that the unit had provided this welcome, deeply appreciated additional support to five patients and their families.

Opioid painkillers less available to people of color HealthDay News / Coastal Breeze News, Marco Island, FL; 1/30/25 People of color now have less access to prescription opioid painkillers than white patients, an unintended consequence of efforts to stem America’s opioid epidemic. Communities of color have a 40% to 45% lower distribution of commonly prescribed opioids, compared to majority white communities, researchers reported in a study published Jan. 23 in the journal Pain. This could prevent opioid painkillers from reaching those in true need of them, like cancer patients, researchers said. 

‘Small but significant’ keys to amplifying hospice grief support Hospice News; by Holly Vossel; 1/29/25 Grief support service lines can be an important pathway for hospices to reach communities outside of their patient populations. Building strong bereavement programs comes with myriad considerations around community outreach, collaboration development and strategic planning. ... Similar to many hospices nationwide, Angela Hospice offers bereavement services to its hospice patient families and across communities throughout its service region. The hospice provider’s bereavement program includes one-on-one counseling sessions, group therapy, as well as education and informative online and in-person workshops. Angela Hospice additionally offers an annual summer grief camp for children, Camp Monarch. Editor's note: The CMS Hospice Conditions of Participation (CoPs) require each hospice to provide bereavement/grief support patients' families, both before the death and after. The CMS Hospice CoPs identify "bereavement" and/or "grief" 155 times. 

How a St. Louisan helps her community navigate death by filling out advance directives NPR - St. Louis on the Air; by Jada Jones; 1/28/25 When Vivial Lopez’s grandmother was on life support, her family was faced with many difficult decisions. Her grandmother did not have an advance directive, so her family did not know her final wishes. The experience of navigating her grandmother’s end-of-life plan without any direction led Lopez to advocate for families to prepare advance directives - especially those in Black and brown communities. Approximately only on ein three adults complete an advance directive for end-of-life care. Lopez works with the Gateway End-of-Life Coalition to empower members of the St. Louis community to navigate death through quality end-of-life care.  Editor's note: Click here for AARP - Find Advance Directives Forms by State, also available in Spanish.

Palliative care may improve quality of life in esophageal cancer Cure; by Tim Cortese; 1/27/25 Palliative care consultations helped patients with esophageal cancer at end-of-life experience better quality of life and less financial strain by reducing the need for intensive interventions, according to a poster presented at the 2025 ASCO Gastrointestinal Cancers Symposium. The mean length of hospital stay was 7.5 days (plus or minus 11.3 days) for patients who received palliative care and 8.9 days (plus or minus 14.9) for those who didn’t; and total charges were $97,879 (plus or minus $195,868) and $146,128 (plus or minus $321,830), respectively. Patients who received palliative care consultation had a Charlson Comorbidity Index of 9.4 (plus or minus 3.3) versus 9.1 (plus or minus 3.5) for patients who did not.

Concurrent Care Collaborative a safety net for pediatric patients Noozhawk, Santa Barbara, CA; by Easter Moorman; 1/26/25 Partners for Kids has initiated Santa Barbara County’s first Pediatric Concurrent Care Collaborative designed to offer comprehensive, compassionate, and coordinated care to seriously ill children from birth to 21 years of age. Spearheaded by Kieran Shah, president/CEO of VNA Health, and Rebecca Simonitsch, Quality Initiatives Program manager for Cottage Health, nine local organizations have joined to create a safety net for pediatric patients and their families to help them receive care close to home. The groups are: CenCal Health, Central Coast Home Health & Hospice, Cottage Children’s Medical Center, Dignity Health, Hearts Aligned, Herencia Indígena, Hospice of Santa Barbara, Teddy Bear Cancer Foundation, and VNA Health. 

Children’s book written by Manheim Township mother finally published 3 years after she died of cancer [video] LNP Lancaster Online, Lancaster, PA; by John Walk; 1/27/25 As she battled a rare sarcoma cancer over the last two years of her life, Manheim Township resident Ginny McCreary struggled to find a children’s book she could read to her two young daughters to help them better understand what she was going through. So McCreary wrote the book herself, sometimes on a smartphone while laying in bed late at night, ... McCreary died Aug. 15, 2021. She was 34. She left behind a self-published manuscript of the children’s book that sat idle for about two years but was not forgotten. ... The book has also made its way inside four Hospice & Community Care locations in Lancaster as well as Penn Medicine’s Ann B. Barshinger Cancer Institute in East Hempfield Township. [Video with Ginny's mother] "I'd love to get it to some cancer centers and hospice centers ..." [Click on the title's link for more information.]

Virtual nursing could upend traditional staff ratiosBecker's Clinical Leadership; by Paige Twenter; 1/13/25In conversations about virtual, team-based nursing services, the term "nurse-to-patient ratios" is an anachronism, according to nursing leaders at Providence and Trinity Health. Within the traditional primary nursing model, a virtual mountain of research demonstrates low nurse-to-patient ratios bolster safety and quality of care. However, as new virtual programs emerge and pick up steam, new research indicates that virtual nursing models improve communication, safety and quality — all without assigning a ratio.

Engaging the hospice community in end-of-life care in prisons (Part 2)ehospice; by Barry R. Ashpole; 1/21/25Part 1 offered a broad overview of the potential role community hospices can play to improve end-of-life care (EoLC) for a particularly vulnerable and underserved population. As has been widely acknowledged, prisons and correctional facilities are caught between the proverbial “rock and a hard place,” between issues of security and public safety and the civil rights of the prison inmates to healthcare comparable to what is available to the populace-at-large. Part 2 takes a closer look at specific initiatives by some community hospices to support prison inmates towards the end of life. Prior to conducting research for its 2020 report, ‘Dying Behind Bars: How can we better support people in prison at the end-of-life,’ Hospice UK had only anecdotal evidence of the important work that some hospices were engaged in to support prison inmates at the end of life. The scope of this support had not been established at a national level. After conducting a survey of hospice services across England, researchers found that 25 hospices – representing approximately 15% of hospices in the country – are indeed providing this care and support, working with 34 different prisons.Publisher's note: Also see: Engaging the hospice community in end-of-life care in prisons (Part 1) that was also discussed in Hospice News' Global challenges persist in bringing hospice care to incarcerated populations.

Transforming care: Spencer Health Solutions and Pharmerica partner to simplify medication management and improve lives The MarCom Journal, Morrisville, NC; by Leigh White, PharMerica and Daphne Earley, Spencer Health Solutions; 1/21/25In a move set to redefine how medication is managed, Spencer Health Solutions (SHS), a leader in innovative healthcare technology, and PharMerica, one of the nation’s largest and most trusted long-term care pharmacy services provider, are joining forces. This transformative partnership aims to make managing medications easier and more reliable for individuals with complex medication needs, senior living communities, and payers nationwide. ... Spencer Health Solutions (SHS) is dedicated to transforming medication management through innovative healthcare technology. ... PharMerica ... serves the long-term care, senior living, hospital, home infusion, hospice, behavioral, specialty and oncology pharmacy markets. 

Justice Department sues Walgreens over alleged part in opioid crisis Becker's Hospital Review; by Madeline Ashley; 1/17/25 The Justice Department on Jan. 16 filed a civil complaint against Walgreens Boots Alliance and its subsidiaries alleging unlawful dispensation of millions of prescriptions in violation of the Controlled Substances Act. The complaint, filed in the U.S. District Court for the Northern District of Illinois, also alleges that Walgreens sought reimbursements from federal health programs in violation of the False Claims Act, according to a Jan. 17 news release. The Justice Department alleges that Walgreens knowingly filled millions of invalid controlled substance prescriptions since August 2012, including excessive opioid quantities, early refills and a "dangerous and abused combination of drugs" ... The complaint suggests pharmacists at Walgreens filled the prescriptions "despite clear red flags" indicating the prescriptions were likely unlawful, ignoring other internal data and evidence from pharmacists about dispensing unlawful prescriptions.