Literature Review

Serious illness has mental health implications — palliative care can help Becker's Behavioral Health; by Dr. Simeon Kwan and Dr. Rowland Pearsall; 6/12/25 ... As health plans and providers strive to deliver whole-person, value-based care, we must recognize that treating the body is only part of the equation. Mental and emotional well-being are critical dimensions of serious illness, and they demand more focused attention. Fortunately, we have a powerful but often underutilized ally: palliative care. ... According to multiple studies, up to 40% of patients with advanced cancer experience clinical depression. Anxiety and spiritual distress are also common, particularly when facing the unknown or confronting the loss of autonomy. For those managing progressive illnesses over time, mental health concerns can erode treatment adherence, accelerate physical decline, and strain family caregivers.

A special tribute given to a special nurse Scottsdale Progress, Scottsdale, AZ; by Lin Sue Flood; 6/7/25 One of the original founders of Hospice of the Valley back in 1977 recently received an extraordinary visit from the Arizona Nurse Honor Guard, an organization that honors fellow nurses who have dedicated their lives to the profession. “I am just flattered and overwhelmed,” said Mary Audrey Mellor, who turns 92 in July. “Hospice of the Valley has always had my heart because it’s so compassionate and caring and loving.” Friends and family gathered together at her home at Vi at Silverstone in Scottsdale as she received a Florence Nightingale coin symbolizing comfort, gentleness, courage and an unwavering devotion to duty. Nurse Honor Guard volunteer Cindy Loucel then presented her with a second gift. “We have a quilt to cover you with our love and gratitude and to recognize all those patients you covered in kindness,” she said. “May it bring you comfort, as you gave so many others comfort.”

Hospice staff at UVM Home Health and Hospice vote to form union Vermont Biz - Vermont Business Magazine; by Tim, The University of Vermont Health Network - Home Health & Hospice; 6/6/25 After six months of organizing, a majority of the roughly 85 Hospice staff at UVM Home Health and Hospice voted Thursday to formalize their union. Hospice United will represent Nurses, LNAs, Social Workers, Chaplains, Bereavement Coordinators, Volunteers Coordinators, Cooks, and Admin Support in both the McClure Miller Respite House and the community-based team. ... With a 88% voting yes, this victory marks the establishment of union representation at every one of UVM Health Network’s seven locations. Once the votes are certified, staff will begin the process of bargaining their first contract with the UVMHN administration.  

Gaps in the coordination of care for older adults with or at risk for cardiovascular disease The American Journal of Managed Care; by Lisa M. Kern, MD, MPH,Joselyne E. Aucapina,Samprit Banerjee, PhD, Joanna B. Ringel, MPH, Jonathan N. Tobin, PhD, Semhar Fisseha, MPH, Helena Meiri, MA, RN, Madeline R. Sterling, MD, MPH, Kurt C. Stange, MD, PhD, Monika M. Safford, MD, Paul N. Casale, MD, MPH; 6/3/25 ... To determine whether older adults with cardiovascular disease (CVD) or CVD risk factors perceive gaps in communication among their providers and whether they consider those gaps to be consequential, we conducted a cross-sectional survey of Medicare beneficiaries 65 years and older with CVD or CVD risk factors and highly fragmented ambulatory care (reversed Bice-Boxerman Index score ≥ 0.85).

Hawai'i Pacific University alumni join forces to build a pioneering palliative care team for student excellence Special to The 'Ohana - HPU's Daily News, Honolulu, HI; 6/3/25 A group of HPU alumni from the nursing, social work, public health and business administration programs ... will be working towards steering a newly established palliative care team at HPU to assist nursing students, social workers and public health students to play an important role in understanding palliative care, hospice and communication with family and survivors. The team will play a role in setting up clinical placements in the community at St. Francis Palliative Care Units and Hospice, to give our nursing students invaluable hands-on experience in providing compassionate care for patients with serious and life-limiting illnesses. HPU Assistant Professor Joy Bliss, Ph.D., will also be designing simulations for “effective listening and communication skills,” to enhance student’s performance and skills in grief and this specialty of nursing. ... This initiative is not only an opportunity to strengthen the clinical training of nursing students, but also an essential step forward in improving the availability and quality of palliative care in Hawaiʻi. 

The importance of humanity in internal medicine I.M. Matters from the American College of Physicians; President's Message by Jason M. Goldman, MD, MACP; June 2025I recently attended the funeral of one of my long-time patients, who had required hospice care after a long battle with heart disease. Many of us have had the experience of telling a patient and their family that their disease has progressed and we have reached the limits of medical science. In training, we are taught to be compassionate but professional, maintaining a certain level of emotional detachment ... As internal medicine specialists, we have the awesome responsibility and privilege to be the doctor for our patients through decades of their life experiences and to offer them not just medical science, but also humanity and comfort. ... One of the greatest acts of charity a person can perform is to attend someone's funeral, as it is the only act of kindness that cannot be reciprocated. This patient had been in my practice for almost two decades, and I had the privilege of taking care of both her and her husband.Editor's note: Re-read this powerful statement, "One of the greatest acts of charity a person can perform is to attend someone's funeral, as it is the only act of kindness that cannot be reciprocated." 

Hospitalists should champion hospice as ‘life with dignity’ Medscape; by Julie Peck; 5/29/25 If anyone can put a positive spin on the end of life, it’s Charles Vialotti, MD, director of Hospice Care at Holy Name Medical Center’s Villa Marie Claire in Bergen County, New Jersey. Violotti, who at the age of 80 lives at the 20-bed Villa Marie Claire to serve its residents full-time, says the hospice industry needs hospitalists’ help with sort of a rebrand, one that will almost certainly have a positive effect on patient and family satisfaction. “Providers used to stress offering people death with dignity. And if you think about that, who is ever going to choose anything that offers death? Death in any form is still death,” Vialotti said. “So, we really like to focus on offering people life with dignity, giving people back choice, giving them the option to structure their final days, weeks, or months the way they would most like to see it happen."

‘A missed opportunity’ for small systems needing nurse Becker's Clinical Leadership; by Mariah Taylor; 5/8/25  In February, South Dakota officials approved the state’s first registered nursing apprenticeship program through Huron Regional Medical Center. The apprenticeship is designed to attract English-as-a-second language nurses into the field, Sioux Falls Live reported May 7. The program was started by Norma Torres Ortiz, RN, a travel nurse contracted with Avera Health who works part time at the Huron Regional Medical Center. Ms. Ortiz is originally from Puerto Rico where she worked as a nurse. When she moved to the U.S., she found herself struggling to pass the NCLEX and find a nursing job due to language barriers. ... Large systems are building international nursing programs that recruit and hire nurses through work visas; however, smaller systems don’t have the funds to hire large numbers of international nurses through an agency. This is where a nurse apprenticeship program can fill the gap. Huron Regional Medical Center launched its practical nursing apprenticeship in 2018. ...

State of the nursing workforce: 14 trends to know Becker's Clinical Leadership; by Mariah Taylor; 5/14/25 In 2025, the nursing workforce has stabilized compared to prepandemic numbers and is expected to grow. However, there are still several nursing challenges systems are facing. Here are 14 trends to know about the nursing workforce in 2025:

Primary mental health competencies for hospice and palliative medicine physicians: A Delphi studyJournal of Pain and Symptom Management; by Lisa Podgurski, Danielle Chammas, Keri O Brenner, Leah B Rosenberg, Neha G Goyal, Maria I Lapid, Sue E Morris, William F Pirl, Bridget Sumser, Benjamin W Thompson, Lindsey Wright, and Daniel Shalev; 5/20/25  Objectives: To establish and prioritize 'primary mental health competencies' for specialist hospice and palliative medicine physicians using expert consensus methods. Results: The expert panel proposed 68 competencies divided into: (A) psychological foundations of serious illness care, (B) diagnosis and management of mental health disorders in serious illness, and (C) systems-based practice. After first-round voting, 23 competencies were recirculated for a second vote. Following second-round voting, 32 competencies were included in the final list: 7 from part A, 20 from part B, and 5 from part C.

What it’s like to be…a hospice nurse Behavioral Scientist; by Dan Heath; 5/22/25 Comforting patients as they prepare to transition, navigating end-of-life regrets and frayed relationships, and providing support and advice for fearful families with Heather Meyerend, a retired hospice nurse. How does she know when the end is imminent? And what has the work taught her about the different ways we deal with death? In each episode of What It’s Like to Be…, bestselling author Dan Heath speaks with someone about what it’s like to walk in their (work) shoes.

UAB resident leaders complete Chief Residents Leadership Development Workshop UAB Medicine - The University of Alabama at Birmingham; by Katherine Gaither; 5/19/25 Fourteen UAB chief residents recently completed the Chief Residents Leadership Development Workshop. The program, presented by the UAB Medicine Leadership Development Office, was held on May 9, 2025. The Chief Residents Leadership Development Workshop is focused on helping chief residents from core residency programs build their leadership competencies. The sessions include small-group breakout sessions that provide chief residents with the tools, skills, and learning opportunities to enhance their understanding of interpersonal communication and group dynamics, which are critical to success and satisfaction as clinical leaders.