Rethinking guidelines for the use of palliative sedation.
نویسنده
چکیده
Current guidelines treat palliative sedation to unconsciousness as an effective medical treatment for terminally ill patients who need relief from severe symptoms, yet also restrict its use in ways that are extraordinary for medical treatments. A closer look at the kinds of cases in which palliative sedation is used suggests a way of adjusting the guidelines to resolve this seeming contradiction.
منابع مشابه
International variations in clinical practice guidelines for palliative sedation: a systematic review.
OBJECTIVES Palliative sedation is a highly debated medical practice, particularly regarding its proper use in end-of-life care. Worldwide, guidelines are used to standardise care and regulate this practice. In this review, we identify and compare national/regional clinical practice guidelines on palliative sedation against the European Association for Palliative Care (EAPC) palliative sedation ...
متن کاملPalliative Sedation: Assessment, Management, and Ethics
and palliative medicine for the management of refractory symptoms; however, common misconceptions persist in the medical community and general public regarding its use. Palliative sedation can be an effective tool for controlling symptoms unresponsive to multiple forms of aggressive palliative interventions. Yet, without clear guidelines and proper informed consent, palliative sedation may cros...
متن کاملThe use of observational scales to monitor symptom control and depth of sedation in patients requiring palliative sedation: a systematic review.
BACKGROUND Palliative sedation is the intentional lowering of consciousness of a patient in the last phase of life to relieve suffering from refractory symptoms such as pain, delirium and dyspnoea. AIM In this systematic review, we evaluated the use of monitoring scales to assess the degree of control of refractory symptoms and/or the depth of the sedation. DESIGN A database search of PubMe...
متن کاملPalliative Sedation in Patients With Cancer.
BACKGROUND Palliative sedation involves the use of sedative medication to relieve refractory symptoms in patients by reducing their level of consciousness. Although it is considered an acceptable clinical practice from most ethical points of view, palliative sedation is still a widely debated procedure and merits better understanding. METHODS The relevant medical literature pertaining to pall...
متن کاملEuropean Association for Palliative Care (EAPC) recommended framework for the use of sedation in palliative care.
The European Association for Palliative Care (EAPC) considers sedation to be an important and necessary therapy in the care of selected palliative care patients with otherwise refractory distress. Prudent application of this approach requires due caution and good clinical practice. Inattention to potential risks and problematic practices can lead to harmful and unethical practice which may unde...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Hastings Center report
دوره 40 3 شماره
صفحات -
تاریخ انتشار 2010