A scoping review of end-of-life discussions and palliative care: implications for neurological intensive care among Latinos in the U.S.
Goals of care (Goals-of-care) discussions and palliative care (PC) are crucial to providing comprehensive healthcare, particularly for acute neurological conditions requiring admission to a neurological intensive care unit. We identified gaps in the literature and describe insight for future researc...
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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 | Goals of care (Goals-of-care) discussions and palliative care (PC) are crucial to providing comprehensive healthcare, particularly for acute neurological conditions requiring admission to a neurological intensive care unit. We identified gaps in the literature and describe insight for future research on end-of-life discussions and PC for U.S. Latinos with acute neurological conditions. We searched 10 databases including peer-reviewed abstracts and manuscripts of hospitalized U.S. Latinos with acute neurological and non-neurological conditions. We included 44 of 3231 publications and identified various themes: PC utilization, pre-established advanced directives in Goals-of-care discussions, Goals-of-care discussion outcomes, tracheostomy or percutaneous gastrostomy tube placement rates among hospitalized Latinos. Our review highlights that Latinos appear to have lower palliative care utilization compared with non-Latino Whites and may be less likely to have pre-established advanced directives, more likely to have gastrostomy or tracheostomy placement and less likely to have do-not-resuscitate status. |
| format | Other |
| id | oai:cris.upeu.edu.pe:20.500.15037/1178 |
| institution | UPeU |
| language | English |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/11782026-10-30T16:15:19ZA scoping review of end-of-life discussions and palliative care: implications for neurological intensive care among Latinos in the U.S.Monica M. DiazLesley A. GuareñaBettsie GarciaChristoper A. Alarcón-RuizStella SealClio RubiñosDulce M. Cruz‐OliverJ. Ricardo CarhuapomaPalliative careMedicineGastrostomy tubeIntensive care unitPercutaneous endoscopic gastrostomyGastrostomyAcute careDo not resuscitateEnd-of-life careNursingMEDLINEIntensive careIntensive care medicineHealth careFinanceEconomicsPEG ratioPolitical scienceLawSurgeryEconomic growthPalliative careMedicineGastrostomy tubeIntensive care unitPercutaneous endoscopic gastrostomyGastrostomyAcute careDo not resuscitateEnd-of-life careNursingMEDLINEIntensive careIntensive care medicineHealth careHealth 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 UnitsGoals of care (Goals-of-care) discussions and palliative care (PC) are crucial to providing comprehensive healthcare, particularly for acute neurological conditions requiring admission to a neurological intensive care unit. We identified gaps in the literature and describe insight for future research on end-of-life discussions and PC for U.S. Latinos with acute neurological conditions. We searched 10 databases including peer-reviewed abstracts and manuscripts of hospitalized U.S. Latinos with acute neurological and non-neurological conditions. We included 44 of 3231 publications and identified various themes: PC utilization, pre-established advanced directives in Goals-of-care discussions, Goals-of-care discussion outcomes, tracheostomy or percutaneous gastrostomy tube placement rates among hospitalized Latinos. Our review highlights that Latinos appear to have lower palliative care utilization compared with non-Latino Whites and may be less likely to have pre-established advanced directives, more likely to have gastrostomy or tracheostomy placement and less likely to have do-not-resuscitate status.Otherhttps://pubmed.ncbi.nlm.nih.gov/39262429https://doi.org/10.1016/j.lana.2024.10087310.1016/j.lana.2024.100873https://hdl.handle.net/20.500.15037/1178W4401844790enThe Lancet Regional Health - Americas2667-193X2024-08-242026-06-13T09:49:03Z2026-06-13T09:49:03Z |
| spellingShingle | Palliative care Medicine Gastrostomy tube Intensive care unit Percutaneous endoscopic gastrostomy Gastrostomy Acute care Do not resuscitate End-of-life care Nursing MEDLINE Intensive care Intensive care medicine Health care Finance Economics PEG ratio Political science Law Surgery Economic growth Palliative care Medicine Gastrostomy tube Intensive care unit Percutaneous endoscopic gastrostomy Gastrostomy Acute care Do not resuscitate End-of-life care Nursing MEDLINE Intensive care Intensive care medicine Health care 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 among Latinos in the U.S. |
| title | A scoping review of end-of-life discussions and palliative care: implications for neurological intensive care among Latinos in the U.S. |
| title_full | A scoping review of end-of-life discussions and palliative care: implications for neurological intensive care among Latinos in the U.S. |
| title_fullStr | A scoping review of end-of-life discussions and palliative care: implications for neurological intensive care among Latinos in the U.S. |
| title_full_unstemmed | A scoping review of end-of-life discussions and palliative care: implications for neurological intensive care among Latinos in the U.S. |
| title_short | A scoping review of end-of-life discussions and palliative care: implications for neurological intensive care among Latinos in the U.S. |
| title_sort | scoping review of end of life discussions and palliative care implications for neurological intensive care among latinos in the u s |
| topic | Palliative care Medicine Gastrostomy tube Intensive care unit Percutaneous endoscopic gastrostomy Gastrostomy Acute care Do not resuscitate End-of-life care Nursing MEDLINE Intensive care Intensive care medicine Health care Finance Economics PEG ratio Political science Law Surgery Economic growth Palliative care Medicine Gastrostomy tube Intensive care unit Percutaneous endoscopic gastrostomy Gastrostomy Acute care Do not resuscitate End-of-life care Nursing MEDLINE Intensive care Intensive care medicine Health care 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 Medicine Gastrostomy tube Intensive care unit Percutaneous endoscopic gastrostomy Gastrostomy Acute care Do not resuscitate End-of-life care Nursing MEDLINE Intensive care Intensive care medicine Health care Finance Economics PEG ratio Political science Law Surgery Economic growth Palliative care Medicine Gastrostomy tube Intensive care unit Percutaneous endoscopic gastrostomy Gastrostomy Acute care Do not resuscitate End-of-life care Nursing MEDLINE Intensive care Intensive care medicine Health care 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/39262429 https://doi.org/10.1016/j.lana.2024.100873 https://hdl.handle.net/20.500.15037/1178 |
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