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Published on: February 16, 2011
Culturally Centered Palliative Care: A Framework for Equitable Neurocritical Care
Paula M Magee1, Tessie W October2
1Division of Pediatric Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, 9 Main Suite 9NW45, Philadelphia, PA, 19104, USA. mageep@chop.edu.
Abstract:
Health disparities continue to plague racial and ethnic underserved patients in the United States. Disparities extend to the most critically ill patients, including those experiencing neurologic injury and patients at the end of life. Achieving health equity in palliative care in the neurointensive care unit requires clinicians to acknowledge and address structural racism and the social determinants of health. This article highlights racial and ethnic disparities in neurocritical care and palliative care and offers recommendations for an anti-racist approach to palliative care in the neurointensive care unit for clinicians.
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