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

by Iacopino, Domenico Gerardo , Giammalva, Giuseppe Roberto , Ferini, Gianluca , Marchese, Valentina Anna , Viola, Anna , Umana, Giuseppe Emmanuele , Cortegiani, Andrea , Frisella, Sara , Maugeri, Rosario , Giarratano, Antonino , Bonosi, Lapo , Ippolito, Mariachiara

in 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

2023

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

2023

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

2023

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Journal Article

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

Iacopino, Domenico Gerardo,

Giammalva, Giuseppe Roberto,

Ferini, Gianluca,

Marchese, Valentina Anna,

Viola, Anna,

Umana, Giuseppe Emmanuele,

Cortegiani, Andrea,

Frisella, Sara,

Maugeri, Rosario,

Giarratano, Antonino,

Bonosi, Lapo,

Ippolito, Mariachiara

2023

Overview

Background and Objectives: 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. Materials and Methods: We conducted an extensive literature review on Pubmed focusing on palliative care in neuro-oncology patients admitted to intensive care units (ICUs). Results: 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. Conclusions: 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.

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MDPI AG,MDPI

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