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espanolResumen: Objetivo: Abordar los sintomas neurologicos desde la perspectiva de los cuidados paliativos a traves de la revision de literatura cientifica disponible teniendo en cuenta los componentes teoricos del Modelo Revisado del Manejo de Sintomas de Marylin J. Dodd. Metodologia: Siguiendo los pasos propuestos por la declaracion Prisma, se realizo revision sistematica de las publicaciones realizadas entre el ano 2002 y 2017 de articulos relacionados que abordaban los sintomas neurologicos desde la perspectiva del cuidado paliativo aplicando los componentes del Modelo Revisado del Manejo de Sintomas de Marylin J. Dodd, los cuales incluyen la experiencia del sintoma, los componentes de las estrategias para el manejo de sintomas y el resultado en terminos del estado y el impacto del sintoma. Resultados: De los 60 articulos identificados inicalmente, 50 cumplieron con los criterios de seleccion y se clasificaron segun las categorias de la Teoria Manejo de sintomas. Conclusiones: El aporte multidisciplinario optimiza el control de sintomas y la calidad de vida, pero son las enfermeras las responsables de detectar las respuestas humanas y distinguir entre el dolor y la agitacion, equilibrar los riesgos de sub y sobremedicacion y la posibilidad de acelerar la muerte. Se necesitan enfoques innovadores para alinear los comportamientos profesionales de la salud con el mejor cuidado donde se incluya una atencion integral que mejore significativamente la atencion al paciente. EnglishObjective: To address neurological symptoms from the perspective of palliative care through the review of available scientific literature taking into account the theoretical components of the Revised Symptom Management Model of Marylin J. Dodd. Methodology: Following the steps proposed by the PRISMA statement, a systematic review was made of the publications made between 2002 and 2017, of related articles that addressed neurological symptoms from the perspective of palliative care applying any of the components of the Revised Symptom Management Model of Marylin J. Dodd, which include the experience of the symptom, the components of symptoms management strategies and the result in terms of the state and impact of the symptom. Results: according to the search limits defined within the inclusion criteria, 51 articles were selected to be analyzed from the perspective of palliative care applying the components of the Revised Symptom Management Model. It is evident that there is a significant amount of research that addresses delirium as a neurological symptom. Discussion: The multidisciplinary contribution often optimizes the control of neurological symptoms and the quality of life of patients and their families. In the same way, it is important to learn the use of scales and the early recognition of the impact of the symptom on the patient and his family to significantly improve the adaptation process. Conclusions: Although there are not sufficient innovative approaches to improve the management of symptoms as a whole and not as individual manifestations, education and training in the use of non-pharmacological interventions help to provide quality palliative care that complements to the traditional managements.

Abordaje de los sintomas neurológicosdesde la perspectiva de los cuidados paliativos