Decision-making on mechanical ventilation in palliative care: perceptions and challenges

Abstract

Decision-making in palliative care is complex, particularly when choosing invasive measures over
comfort-focused approaches. This study conducted an integrative review using the Scopus and Web
of Science databases with the keywords: “decision making” and “physician or doctor or medical”
and “palliative care.” Quantitative and qualitative studies from the last five years addressing invasive
procedures in palliative patients were included. Of the 19 articles identified, five were analyzed.
Decision-making often reflects a technical perspective focused on preserving life. However, experience
and training in palliative care foster decisions centered on patients’ and families’ values, ensuring
respect for their wishes, promoting comfort, and reducing suffering. The limited literature on this topic
highlights the need for further discussion and encourage patient-centered approaches.