Palliative sedation in dying patients: "we turn to it when everything else hasn't worked"

Title

Palliative sedation in dying patients: "we turn to it when everything else hasn't worked"

Creator

Lo B; Rubenfeld G

Publisher

Jama

Date

2005

Subject

Family; U.S. Gov't; PedPal Lit; Conscious Sedation Euthanasia; Active Humans Hypnotics and Sedatives/administration & dosage Myoclonus/therapy Pain; and emotional issues they raise.; and health care workers can all benefit from talking about the complex medical; as well as to the medical and nursing staff; clinicians must understand and document which actions are consistent with an intention to relieve symptoms rather than to hasten death. The patient or family should agree with plans for palliative sedation. The attending physician needs to explain to them; developed myoclonus. After other approaches proved ineffective; ethical; Extramural Research Support; Intractable/therapyPalliative Care Physician-Patient Relations Research Support; N.I.H.; Non-U.S. Gov't Research Support; P.H.S.Terminal Care Unconsciousness%X Despite skilled palliative care; palliative sedation was an option of last resort. The doctrine of double effect; permits physicians to provide high doses of opioids and sedatives to relieve suffering; provided that the intention is not to cause the patient's death and that certain other conditions are met. Such high doses are permissible even if the risk of hastening death is foreseen. Because intention plays a key role in this doctrine; receiving high doses of opioids administered to relieve pain; some dying patients experience distressing symptoms that cannot be adequately relieved. A patient with metastatic breast cancer; the details of care and the justification for palliative sedation. Because cases involving palliative sedation are emotionally stressful; the patient; the traditional justification for palliative sedation

Description

2005

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

1810-6

Issue

14

Volume

294

Tags

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Citation

Lo B; Rubenfeld G, “Palliative sedation in dying patients: "we turn to it when everything else hasn't worked",” Pediatric Palliative Care Library, accessed January 19, 2022, https://pedpalascnetlibrary.omeka.net/items/show/13815.

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