Neuropalliative Care in Severe Acute Brain Injury and Stroke

Severe acute brain injury accounts for millions of deaths and disabilities annually. Severe acute brain injury presents significant challenges in the hyperacute period and should also be viewed as a lifelong condition requiring continuous support across the range of goals of care, from curative and restorative to palliative and end-of-life care. Addressing total pain involves managing physical symptoms and providing emotional, social, and spiritual support to enhance quality of life for patients and their families. Accurate diagnosis and informed treatment decisions are crucial, involving a multidisciplinary team and comprehensive care plans. Effective communication of prognosis and goals-of-care conversations are essential for preparing patients and families for the future. Compassionate care focusing on comfort and quality of life in the final stages is critical, with clear communication about end-of-life preferences.