A Scoping Review of End-of-Life Discussions and Palliative Care: Implications for Neurological Intensive Care in Latin America and the Caribbean

Background: Palliative care (PC) is essential to improve quality of life for individuals with life-limiting acute neurological conditions, particularly in resource-limited settings. In Latin America and the Caribbean (LAC), there is limited health care professional training and education on PC. Obje...

Descripción completa

Guardado en:
Autores principales: Monica M. Diaz, Lesley A. Guareña, Bettsie Garcia, Christoper A. Alarcón-Ruiz, Stella Seal, Clio Rubiños, Dulce M. Cruz‐Oliver, J. Ricardo Carhuapoma
Formato: Otro
Lenguaje:inglés
Publicado: 2024
Materias:
Palliative care
Latin Americans
Medicine
End-of-life care
Nursing
Gerontology
Family medicine
Political science
Law
Adult
Aged
Aged, 80 and over
Critical Care
Female
Humans
Latin America
Male
Middle Aged
Nervous System Diseases therapy
Palliative Care
Terminal Care
Caribbean Region
Health Sciences Medicine Public Health, Environmental and Occupational Health Palliative Care and End-of-Life Issues
Social Sciences Psychology Clinical Psychology Healthcare Decision-Making and Restraints
Health Sciences Health Professions Radiological and Ultrasound Technology Family and Patient Care in Intensive Care Units
Acceso en línea:Ver en el sistema de origen
Enlace permanente (DOI o Handle)
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
Sumario:Background: Palliative care (PC) is essential to improve quality of life for individuals with life-limiting acute neurological conditions, particularly in resource-limited settings. In Latin America and the Caribbean (LAC), there is limited health care professional training and education on PC. Objective: We reviewed the peer-reviewed literature discussing end-of-life care, withdrawal of life-sustaining treatments (WOLST), and PC in the acute inpatient setting. Methods: We searched 10 databases, including peer-reviewed published conference abstracts and articles published until May 22, 2024, and included literature describing goals-of-care discussions or availability of PC services in an inpatient setting in LAC countries. Results: We identified 34 articles that highlighted end-of-life discussions, WOLST, and PC utilization in inpatient settings in LAC. We identified several themes across literature as follows: limitations to PC referrals, hospice/end-of-life care, and the role of advanced directives in LAC. Our review found that several articles highlight the limitations of PC usage in LAC and inadequate access to treatments, including gastrostomy and tracheostomy tube placement. Conclusions: Our review demonstrates a need to improve PC knowledge and access to end-of-life care resources. Regional educational efforts are needed to improve PC knowledge among health care providers who care for patients with acute neurological conditions in LAC.

Ejemplares similares