Palliative Care and End-of-Life Issues in Patients with Brain Cancer Admitted to ICU

: Palliative care is an interdisciplinary medical specialty focused on improving the quality of life of critically ill patients, including those with frailty, during their illness. : We conducted an extensive literature review on Pubmed focusing on palliative care in neuro-oncology patients admitted...

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Published in:Medicina (Kaunas, Lithuania) Lithuania), 2023-02, Vol.59 (2), p.288
Main Authors: Frisella, Sara, Bonosi, Lapo, Ippolito, Mariachiara, Giammalva, Giuseppe Roberto, Ferini, Gianluca, Viola, Anna, Marchese, Valentina Anna, Umana, Giuseppe Emmanuele, Iacopino, Domenico Gerardo, Giarratano, Antonino, Cortegiani, Andrea, Maugeri, Rosario
Format: Article
Language:English
Subjects:
Brain cancer
Brain Neoplasms
Brain tumors
Cancer therapies
Care and treatment
Caregivers
Chemotherapy
Cognitive ability
Critically ill
Data collection
Death
end-of-life therapies
Ethical aspects
Health aspects
Hospitals
Humans
Intensive care
Intensive Care Units
Medical prognosis
neuro intensive care unit
neuro-ICU
Oncology
Palliative Care
Palliative treatment
Patients
Quality of Life
Review
Social aspects
supportive care
Terminal care
Tumors
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Summary:: Palliative care is an interdisciplinary medical specialty focused on improving the quality of life of critically ill patients, including those with frailty, during their illness. : We conducted an extensive literature review on Pubmed focusing on palliative care in neuro-oncology patients admitted to intensive care units (ICUs). : We identified 967 articles and, after excluding 952 articles in accordance with the PRISMA flow chart, we included a total of 15 articles in the final selection. The potential role of palliative care in neuro-oncology appears necessary to ensure comprehensive end-of-life patient care. However, this seems underestimated and poorly applied, especially in the context of intensive care units. Medical personnel also face ethical dilemmas, considering not only the pathology but also the socio-spiritual context of the patient. In addition, caregivers' understanding of prognosis and realistic goals is critical for optimal end-of-life management. : The provision of palliative care to neuro-oncological patients admitted to ICU is a complex challenge supported by fragmented evidence. Additional research on palliative care and communication about end-of-life care in the neuro-oncology and neuro-ICU setting is needed.
ISSN:1648-9144
1010-660X
1648-9144
DOI:10.3390/medicina59020288