A scoping review of end-of-life discussions and palliative care: implications for neurological intensive care among Latinos in the U.S.
Author(s)
Lesley A. Guareña
Bettsie Garcia
Christoper A. Alarcón-Ruiz
Stella Seal
Clio Rubiños
Dulce M. Cruz‐Oliver
J. Ricardo Carhuapoma
Date Issued
24 de agosto de 2024
Type
Other
Volume
38
Start Page
100873
End Page
100873
Abstract
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.
Subjects