Neuropalliative care in a tertiary-level hospital

Area of Science:

• Neurology
• Palliative Care
• Quality of Life

Background:

• Palliative care is a specialized field focused on improving the quality of life for patients with severe neurological diseases.
• Neurological conditions often lead to complex symptoms requiring specialized supportive care.

Purpose of the Study:

• To determine the frequency of neurological inpatients with indications for palliative care.
• To evaluate symptomatology, demographics, and supportive care needs in this population.
• To assess the utilization of advance directives in neurological care.

Main Methods:

• A cross-sectional analytical study was conducted in a neurological semi-intensive care unit.
• The Palliative Performance Scale identified patients with palliative care needs.
• Demographic and clinical data were analyzed using statistical tests (Χ², Kruskal-Wallis).

Main Results:

• 58% of 198 neurological inpatients had palliative care needs.
• Only 6.9% received palliative care team assessment; 9.56% had advance directives.
• Patients needing palliative care exhibited more symptoms and required greater supportive measures.

Conclusions:

• A significant gap exists between the need for palliative care in neurology and its actual provision.
• This deficit in care delivery negatively impacts patient quality of life.
• Enhanced integration and discussion of palliative care within neurology are essential.