End-of-Life Care-Comprehensive Management: Clinical, Nutritional, and Psychosocial Perspectives
Abstract
Background: End-of-life care is a universal healthcare challenge, requiring clinical, cultural, and ethical considerations to ensure dignity and quality of life.
Aim: To explore comprehensive strategies for managing end-of-life care, including communication, cultural integration, symptom control, and ethical decision-making.
Methods: A narrative review of current frameworks and guidelines, including NHPCO standards, CONFHER cultural assessment model, and WHOQOL-BREF quality-of-life tool, was conducted to synthesize best practices.
Results: Effective care planning involves early communication, cultural sensitivity, multidisciplinary collaboration, and systematic symptom management. Ethical principles—autonomy, beneficence, non-maleficence, and justice—guide decisions, particularly regarding advance directives and termination of futile interventions.
Conclusion: Patient-centered, culturally informed, and ethically sound care enhances comfort and dignity during the terminal phase. Integration of multidisciplinary services and structured communication improves outcomes for patients and families.
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Copyright (c) 2025 Afaf Nasser Mohammed Hakami, Alruwaili, Amal Muhaysin B, Maram Saleh Albadi, Mohammed Hassan Khalaf Alharbi, Ahmed Mohammed Assaf Alshamrani, Hasna Ali Ahmad ALAsiri, Abdulrahman Musaed Ali Alahmari, Afaf Ibrahim Ali Showyee, Mohammed Sahan Alotaibi, Fateimah Moshabab Hadi Alwar, Mohammed Awad Baba Albanaqi, Eman Mohammed Marshud Alabs
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