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Neurocritical careReview

undefined Dec 2024

Culturally Centered Palliative Care: A Framework for Equitable Neurocritical Care.

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.

COI Statement

Conflicts of interest: Dr. Magee has no Conflicts of Interests disclosures. Dr. October is a government employee at the National Institutes of Health. Ethical Approval/Informed Consent: Ethical guidelines have been reviewed and Institutional Review Board approval was not required because this was not a research article.

References:

  • Robbins NM, Charleston L 4th, Saadi A, Thayer Z, Codrington WU 3rd, Landry A, et al. Black patients matter in neurology: race, racism, and race-based neurodisparities. Neurology. 2022;99(3):106–14.
  • Rosa W, Gray T, Chambers B, et al. Palliative care in the face of racism: a call to transform clinical practice, research, policy, and leadership. Health Aff Forefr. 2022. 10.1377/forefront.20220207.574426.
  • Akande M, Paquette ET, Magee P, Perry-Eaddy MA, Fink EL, Slain KN. Screening for social determinants of health in the pediatric intensive care unit: recommendations for clinicians. Crit Care Clin. 2023;39(2):341–55.
  • U.S. Department of Health and Human Services. Social Determinants of Health. Healthy People 2030. 2020. https://health.gov/healthypeople/priority-areas/social-determinants-health.
  • Magnan S. Social determinants of health 101 for health care: five plus five. NAM Perspect. 2017. 10.31478/201710c.

Article info

Journal issue:

  • Volume: 41
  • Issue: 3

Doi:

10.1007/s12028-024-02041-y

More resources:

MedlinePlus Health Information

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PubMed Central

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