Literature Review

End-of-life palliative care: Role of the family physician American Family Physician (AFP); by Tamara L. McGregor, MD, MA, Jared Morphew, MD, and Heather Ann Dalton, MD; 11/25 issue To care for patients at the end of life, family physicians should be able to evaluate the causes of symptoms, differentiate between distressing symptoms and common end-of-life changes, and balance treatment effectiveness with potential adverse effects, while ensuring alignment with the patient's values and wishes. Editor's Note: What networking, relationship-building, and education do you nurture with family physicians in your service areas?

Trends of palliative care utilization for nontraumatic intracerebral hemorrhage: Analysis of the national inpatient sampleJournal of Clinical Neuroscience; by Andrea Loggini, Victor J Del Brutto, Faddi G Saleh Velez, Jonatan Hornik, Denise Battaglini, Shawn S Wallery, Amber Schwertman, Alejandro Hornik, Christos Lazaridis, Adnan I Qureshi; 10/25We investigated the trends and hospital outcome measures associated with the utilization of consultative palliative care (PC) services among patients with nontraumatic intracerebral hemorrhage (ICH). Of 452,250 ICH cases during the study period, 69,360 (15.3 %) received PC. ... ICH patients receiving PC were older, ...more frequently women, ... White, ... and more likely to be in the highest income quartile ... Conclusions: The use of PC in ICH patients has increased over the past two decades. PC is associated with more efficient healthcare resource utilization and higher odds of discharge to hospice/in-hospital mortality. Disparities in PC utilization persist among underprivileged groups and racial minorities.

Achieving goal-concordant care with goals of care consultations in the Emergency Department American Journal of Hospice and Palliative Medicine; by Stacy Nilsen, PhD, RN, Diane Wintz, MD, Kelly Wright, MSN, MBA, RN, Debra Poeltler, PhD, MPH, RN, Sharp Mary Birch Hospital for Women and Newborns, San Diego, CA; 10/24/25 Introduction: Time constraints may be prohibitive to adequate goals of care (GOC) discussions and could delay critical decision making in urgent or emergent situations. ... Method: A retrospective record review was conducted for patients 65 and older at a single community hospital between January and December 2023. Included patients had at least one GOC documented discussion with a nursing team called Advanced Illness Management (AIM) and were admitted or placed in observation. ... 3377 patients met the inclusion criteria. ... Conclusions: There were positive findings in LOS, ICU, and cost with AIM consultation within 24 hours of presenting to the ED, when compared to waiting for a later consultation, supporting consideration of forward-placement of GOC discussion.

State-level variability in location of death of patients with end-stage liver diseaseDigestive Diseases & Sciences; by Julia Meguro, Michael Huber, David Goldberg; 10/25 Although deaths from end-stage liver disease (ESLD) and hepatocellular carcinoma (HCC) in the United States increasingly occur at home or in hospice, inpatient medical facility deaths remain high. Despite the decrease in in-hospital deaths for all causes, non-White decedents are more likely than White decedents to die in a hospital setting. This study aimed to determine state-level variability in the location of death among patients with ESLD and HCC and to assess racial/ethnic differences in these patterns, focusing on Black, White, and Hispanic/Latino patients. Findings from this study identify states where policies and programs that reduce inpatient deaths for ESLD patients may be most needed. Targeted interventions to improve access to high-quality EOL care for all patients address the national variability of hospice use, especially for those who are Black or African American and in states with high numbers of inpatient deaths and low rates of hospice use, should also be identified and implemented.

Improving access to inpatient hospice: Implementation and impact of a dedicated comfort care service in a tertiary care hospitalJournal of Palliative Medicine; by Neha Kayastha, Eric Pollak, Yvonne Acker, David Fisher, Noppon Setji, David Casarett; 10/25Many hospitalized patients on comfort care (CC) have a high symptom burden and qualify for General Inpatient Hospice (GIP) care. At our institution, many hospitalized patients who qualified for GIP were unable to discharge to stand-alone hospice facilities due to clinical instability or lack of beds. In July 2022, we created the General Medicine 24 (GM24) Comfort Care and Hospice Team to improve access to high-quality hospice services for hospitalized CC patients. In the three years since the creation of GM24, GIP admissions have increased annually, now 107% higher compared to the year before GM24 was created. Discharges to stand-alone inpatient hospice facilities have increased by 65% in the three years since GM24 was created compared to the year before GM24 was created.

Lehigh Valley Health Network to drop UnitedHealthcare over reimbursement Becker's Payer Issues; by Andrew Cass; 10/29/25 Allentown, Pa.-based Lehigh Valley Health Network said it is planning to terminate its contract with UnitedHealthcare unless the payer works with the health system to remedy reimbursement issues. Without a resolution, LVHN will go out of network with UnitedHealthcare’s Medicare Advantage plans on Jan. 25, 2026 and commercial plans on April 25, 2026, according to an Oct. 27 news release from the health system. 

9 hospital, health system CEO exits in 7 days Becker's Hospital Review; by Kristin Kuchno; 10/30/25 Becker’s has reported on nine hospital and health system CEO exits, from retirements to resignations, since Oct. 23. Three leaders announced retirement plans, while three others are moving organizations. 

Four nurses in two weeks assaulted at Essentia Hospitals: Nurses say violence is a consequence of unsafe staffing and inaction Minnesota Nurses Association, Brainer, MN; Press Release; 10/28/25Nurses with the Minnesota Nurses Association (MNA) are once again outraged and deeply concerned after two more violent assaults on nurses at Essentia Health. A nurse at Essentia Health St. Joseph’s Medical Center in Brainerd was attacked by a patient last Thursday, followed by another assault at the same facility over the weekend. The latest incidents come less than two weeks after two nurses were injured at Essentia Health St. Mary’s Medical Center in Duluth. Four nurses assaulted in under two weeks reflects a dangerous pattern in Essentia facilities—one that nurses have been warning about for years.Editor's Note: Continue reading for preventable actions and red flags, "True safety comes from care-based prevention." These were hospital settings; the home care settings your staff and volunteers enter provide much higher risks with less control. Ask your direct care staff for examples of professional situations that were unsafe. Office-based leaders, you might be surprised. Examine your workplace violence policies, procedures, trainings, incident reporting, and follow-up.

Here is what no one tells you about watching your wonderful dad slowly slipping away in front of you HuffPost Personal; by Jill Bodach; 10/25/25 ... When I get the call at 2:30 a.m. from my dad’s nursing home, dread slaps me awake, and I answer in an almost whisper. They say, “Your father is having trouble breathing. We’ve sent him to Bridgeport Hospital.” ... In the emergency department, I am led into a waiting room. ... He is transferred to the ICU, and again I am told to wait. ... When I am finally allowed to see him, family members in other rooms look up when I walk by. Some smile and nod. A knowing. I smile back. We’re all in this together in some weird way the universe has planned. ...

HCA rebrands 35-plus sites in South Carolina Becker's Health IT; by Giles Bruce; 10/16/25 Over 35 sites of care in South Carolina have rebranded under the HCA Healthcare name. The Nashville, Tenn.-based health system said the new names will make it easier for patients to understand that the facilities, which have been part of HCA for decades, are connected. “By consolidating under the HCA Healthcare name, we’re reinforcing our collective commitment to the communities we serve,” said Hugh Tappan, president of HCA Healthcare’s Charleston, S.C.-based South Atlantic Division, in an Oct. 14 news release. ... The new hospital names include: ...

10 health systems most cited by AIBecker's Health IT; by Giles Bruce; 10/9/25 AI chatbots are increasingly citing health system websites in their answers to healthcare-related questions. But which organizations show up the most in these AI-generated responses? Marketing agency Outcomes Rocket analyzed 5,472 unique citations in August generated by ChatGPT, Google Gemini, Claude and Perplexity. Here is where U.S. health systems ranked among the most popular sources, according to the September report and data shared with Becker’s:

Palliative care at the cutting edge: Recent updates in surgical palliative careJournal of Pain and Symptom Management; by Antoinette R Esce, T J Douglas, Elizabeth Gorman, Sophia Tam, Christopher D Woodrell, Ana Berlin; 9/25Surgical patients with serious illness often experience unique clinical trajectories, systems of care, and relationships with providers. In order to meet the needs of this patient population and their care teams, hospice and palliative medicine professionals should be familiar with evolving best practices in surgical palliative care. We present the case of a geriatric trauma patient with a new diagnosis of advanced cancer cared for in a surgical intensive care unit. This example highlights important new developments in defining and supporting the geriatric trauma population, improving and expanding surgical palliative care education, and identifying which seriously ill surgical patients benefit most from palliative care interventions.

The pitfalls that derail home health providers’ new palliative care efforts Home Health Care News; by Joyce Famakinwa; 10/14/25 ... Though home health-operated palliative care is a rarity, companies like Visiting Nurse Health System, Contessa Health and Compassus have managed to successfully incorporate these services into their broader care delivery model. When structuring an effective palliative care services program, there are some common pitfalls home health providers should avoid. “One of the biggest ones is positioning palliative care as early hospice,” Nikki Davis, senior vice president of palliative care programs at Contessa, said at Home Health Care News’ FUTURE conference. “And just make sure that there’s also clear eligibility and referral pathways, so that when you’re partnering with your home health and hospice teams, you have those processes in place, so that it’s very clear who’s eligible for palliative care.”