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Care of the Patient Nearing the End of Life in the Neurointensive Care Unit

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Abstract

Background

Neurologically critically ill patients present with unique disease trajectories, prognostic uncertainties, and challenges to end-of-life (EOL) care. Acute brain injuries place these patients at risk for underrecognized symptoms and unmet EOL management needs, which can negatively affect their quality of care and lead to complicated grief in surviving loved ones. To care for patients nearing the EOL in the neurointensive care unit, health care clinicians must consider neuroanatomic localization, barriers to symptom assessment and management, unique aspects of the dying process, and EOL management needs.

Aim

We aim to define current best practices, barriers, and future directions for EOL care of the neurologically critically ill patient.
Title
Care of the Patient Nearing the End of Life in the Neurointensive Care Unit
Authors
Hanna Ramsburg
Abigail G. Fischer
Meredith MacKenzie Greenle
Corey R. Fehnel
Publication date
05-08-2024
Publisher
Springer US
Published in
Neurocritical Care / Issue 3/2024
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-024-02064-5
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