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...
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2024
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| author | Monica M. Diaz Lesley A. Guareña Bettsie Garcia Christoper A. Alarcón-Ruiz Stella Seal Clio Rubiños Dulce M. Cruz‐Oliver J. Ricardo Carhuapoma |
| author_browse | Bettsie Garcia Christoper A. Alarcón-Ruiz Clio Rubiños Dulce M. Cruz‐Oliver J. Ricardo Carhuapoma Lesley A. Guareña Monica M. Diaz Stella Seal |
| author_facet | Monica M. Diaz Lesley A. Guareña Bettsie Garcia Christoper A. Alarcón-Ruiz Stella Seal Clio Rubiños Dulce M. Cruz‐Oliver J. Ricardo Carhuapoma |
| author_sort | Monica M. Diaz |
| collection | Producción científica |
| description | 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. |
| format | Other |
| id | oai:cris.upeu.edu.pe:20.500.15037/1173 |
| institution | UPeU |
| language | English |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/11732026-10-30T16:15:18ZA Scoping Review of End-of-Life Discussions and Palliative Care: Implications for Neurological Intensive Care in Latin America and the CaribbeanMonica M. DiazLesley A. GuareñaBettsie GarciaChristoper A. Alarcón-RuizStella SealClio RubiñosDulce M. Cruz‐OliverJ. Ricardo CarhuapomaPalliative careLatin AmericansMedicineEnd-of-life careNursingGerontologyFamily medicinePolitical scienceLawPalliative careLatin AmericansMedicineEnd-of-life careNursingGerontologyFamily medicinePolitical scienceAdultAdultAdultAdultAdultAdultAdultAgedAgedAgedAgedAgedAgedAgedAged, 80 and overAged, 80 and overAged, 80 and overAged, 80 and overAged, 80 and overAged, 80 and overAged, 80 and overCritical CareCritical CareCritical CareCritical CareCritical CareCritical CareCritical CareFemaleFemaleFemaleFemaleFemaleFemaleFemaleHumansHumansHumansHumansHumansHumansHumansLatin AmericaLatin AmericaLatin AmericaLatin AmericaLatin AmericaLatin AmericaLatin AmericaMaleMaleMaleMaleMaleMaleMaleMiddle AgedMiddle AgedMiddle AgedMiddle AgedMiddle AgedMiddle AgedMiddle AgedNervous System Diseases therapyNervous System Diseases therapyNervous System Diseases therapyNervous System Diseases therapyNervous System Diseases therapyNervous System Diseases therapyNervous System Diseases therapyPalliative CarePalliative CarePalliative CarePalliative CarePalliative CarePalliative CarePalliative CareTerminal CareTerminal CareTerminal CareTerminal CareTerminal CareTerminal CareTerminal CareCaribbean RegionCaribbean RegionCaribbean RegionCaribbean RegionCaribbean RegionCaribbean RegionCaribbean RegionHealth Sciences Medicine Public Health, Environmental and Occupational Health Palliative Care and End-of-Life IssuesSocial Sciences Psychology Clinical Psychology Healthcare Decision-Making and RestraintsHealth Sciences Health Professions Radiological and Ultrasound Technology Family and Patient Care in Intensive Care UnitsBackground: 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.Otherhttps://pubmed.ncbi.nlm.nih.gov/3964883710.1089/jpm.2024.0304https://hdl.handle.net/20.500.15037/1173W4405203078enJournal of Palliative Medicine1096-62181557-77402024-12-092026-06-13T09:48:41Z2026-06-13T09:48:41Z |
| spellingShingle | Palliative care Latin Americans Medicine End-of-life care Nursing Gerontology Family medicine Political science Law Palliative care Latin Americans Medicine End-of-life care Nursing Gerontology Family medicine Political science Adult Adult Adult Adult Adult Adult Adult Aged Aged Aged Aged Aged Aged Aged Aged, 80 and over Aged, 80 and over Aged, 80 and over Aged, 80 and over Aged, 80 and over Aged, 80 and over Aged, 80 and over Critical Care Critical Care Critical Care Critical Care Critical Care Critical Care Critical Care Female Female Female Female Female Female Female Humans Humans Humans Humans Humans Humans Humans Latin America Latin America Latin America Latin America Latin America Latin America Latin America Male Male Male Male Male Male Male Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Nervous System Diseases therapy Nervous System Diseases therapy Nervous System Diseases therapy Nervous System Diseases therapy Nervous System Diseases therapy Nervous System Diseases therapy Nervous System Diseases therapy Palliative Care Palliative Care Palliative Care Palliative Care Palliative Care Palliative Care Palliative Care Terminal Care Terminal Care Terminal Care Terminal Care Terminal Care Terminal Care Terminal Care Caribbean Region Caribbean Region Caribbean Region Caribbean Region Caribbean Region Caribbean Region 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 Monica M. Diaz Lesley A. Guareña Bettsie Garcia Christoper A. Alarcón-Ruiz Stella Seal Clio Rubiños Dulce M. Cruz‐Oliver J. Ricardo Carhuapoma A Scoping Review of End-of-Life Discussions and Palliative Care: Implications for Neurological Intensive Care in Latin America and the Caribbean |
| title | A Scoping Review of End-of-Life Discussions and Palliative Care: Implications for Neurological Intensive Care in Latin America and the Caribbean |
| title_full | A Scoping Review of End-of-Life Discussions and Palliative Care: Implications for Neurological Intensive Care in Latin America and the Caribbean |
| title_fullStr | A Scoping Review of End-of-Life Discussions and Palliative Care: Implications for Neurological Intensive Care in Latin America and the Caribbean |
| title_full_unstemmed | A Scoping Review of End-of-Life Discussions and Palliative Care: Implications for Neurological Intensive Care in Latin America and the Caribbean |
| title_short | A Scoping Review of End-of-Life Discussions and Palliative Care: Implications for Neurological Intensive Care in Latin America and the Caribbean |
| title_sort | scoping review of end of life discussions and palliative care implications for neurological intensive care in latin america and the caribbean |
| topic | Palliative care Latin Americans Medicine End-of-life care Nursing Gerontology Family medicine Political science Law Palliative care Latin Americans Medicine End-of-life care Nursing Gerontology Family medicine Political science Adult Adult Adult Adult Adult Adult Adult Aged Aged Aged Aged Aged Aged Aged Aged, 80 and over Aged, 80 and over Aged, 80 and over Aged, 80 and over Aged, 80 and over Aged, 80 and over Aged, 80 and over Critical Care Critical Care Critical Care Critical Care Critical Care Critical Care Critical Care Female Female Female Female Female Female Female Humans Humans Humans Humans Humans Humans Humans Latin America Latin America Latin America Latin America Latin America Latin America Latin America Male Male Male Male Male Male Male Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Nervous System Diseases therapy Nervous System Diseases therapy Nervous System Diseases therapy Nervous System Diseases therapy Nervous System Diseases therapy Nervous System Diseases therapy Nervous System Diseases therapy Palliative Care Palliative Care Palliative Care Palliative Care Palliative Care Palliative Care Palliative Care Terminal Care Terminal Care Terminal Care Terminal Care Terminal Care Terminal Care Terminal Care Caribbean Region Caribbean Region Caribbean Region Caribbean Region Caribbean Region Caribbean Region 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 |
| topic_facet | Palliative care Latin Americans Medicine End-of-life care Nursing Gerontology Family medicine Political science Law Palliative care Latin Americans Medicine End-of-life care Nursing Gerontology Family medicine Political science Adult Adult Adult Adult Adult Adult Adult Aged Aged Aged Aged Aged Aged Aged Aged, 80 and over Aged, 80 and over Aged, 80 and over Aged, 80 and over Aged, 80 and over Aged, 80 and over Aged, 80 and over Critical Care Critical Care Critical Care Critical Care Critical Care Critical Care Critical Care Female Female Female Female Female Female Female Humans Humans Humans Humans Humans Humans Humans Latin America Latin America Latin America Latin America Latin America Latin America Latin America Male Male Male Male Male Male Male Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Nervous System Diseases therapy Nervous System Diseases therapy Nervous System Diseases therapy Nervous System Diseases therapy Nervous System Diseases therapy Nervous System Diseases therapy Nervous System Diseases therapy Palliative Care Palliative Care Palliative Care Palliative Care Palliative Care Palliative Care Palliative Care Terminal Care Terminal Care Terminal Care Terminal Care Terminal Care Terminal Care Terminal Care Caribbean Region Caribbean Region Caribbean Region Caribbean Region Caribbean Region Caribbean Region 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 |
| url | https://pubmed.ncbi.nlm.nih.gov/39648837 https://hdl.handle.net/20.500.15037/1173 |
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