This review looked at how palliative care is used for critically ill patients in Intensive Care Units (ICU). The review analyzed 36 different articles to understand how symptom management, communication, and ethical frameworks help patients who are very seriously ill.
Researchers found that structured communication and individualized plans for managing symptoms are very important. These methods help reduce the stress felt by medical staff when making difficult decisions. The review also highlighted the importance of spiritual and existential care for patients in these high-pressure environments.
In the specific setting of Brazil, the study noted that some challenges exist, such as a lack of training and legal uncertainty. To address these, the review suggests using interdisciplinary protocols and goals-of-care conferences. These steps aim to improve the quality of care and ensure patients receive appropriate support. Because this was a narrative review of existing literature rather than a new clinical trial, these findings represent a summary of current knowledge rather than a new treatment.
