Incorporate palliative care ethics into research, education, practice, and systems design to reduce moral distress.

The European Dementia Village is a pioneering health care site, and a US-based model is the Dementia Friendly City Center, which integrates service delivery into adaptive reuse and urban revitalization.

A 3-step analgesic ladder was introduced in 1986 and needs change. Surgical interventions could reduce opioid use and motivate expansion of current pain management approaches.