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An Update on Palliative Care in Neurocritical Care: Providing Goal‑Concordant Care in the Face of Prognostic
Kristopher A Hendershot1,2, Maya N Elias3, Breana L Taylor2
1Department of Emergency Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Purpose Of Review:
We investigate the complexities and interplay between the concepts of prognostic uncertainty and patient preferences as they relate to the delivery of goal-concordant care to patients with severe acute brain injuries (SABI) in the Neurological Intensive Care Unit (Neuro-ICU).
Recent Findings:
Patients with SABI in the Neuro-ICU have unique palliative care needs due to sudden, often unexpected changes in personhood and quality of life. A substantial amount of uncertainty is inherent and poses a challenge to both the patient's prognosis and treatment preferences. The delivery of goal-concordant care can be difficult to achieve.
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