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Sedation at the End-of-life: An Interdisciplinary Approach

Part of the Philosophy and Medicine Book Series (volume 116)

Editors: Taboada, Paulina

DOI: 10.1007/978-94-017-9106-9

ISBN: 978-94-017-9105-2

Publisher: Springer Netherlands - Springer Journals

Jul 17, 2014

1 - 10 of 10 Chapters

Available

Sedation at the End of Life. Clinical Realities, Trends and Current Debate

Taboada, Paulina

Pages: 1 –14

[The use of sedation is not new in medicine. In fact, sedation is widely used to alleviate pain and discomfort associated with both invasive procedures such as surgery, as well as severe burns (Claessens et al. 2008; Cherny and Radbruch 2009). Similarly, in Psychiatry it is used in extremely...
Available

Palliative Sedation and the Goals of Care at the End of Life

Sullivan, William F.

Pages: 15 –26

[The term palliative sedation covers a range of current practices. Some have argued that the ethical boundary distinguishing palliative sedation from euthanasia is becoming blurred in a number of these practices (Ten Have and Welie 2014; Hauser and Walsh 2009). Recent policy frameworks and...
Available

Clinical Aspects of Palliative Sedation for Refractory Symptoms

Walker, Paul W.

Pages: 27 –40

[[The patient stated], ‘Let me up, get out of my way, I’m leaving. Get your hands off of me.’ Delirium had settled in with a vengeance now, and I wondered if it was the underlying disease, an infection, or an assemblage of causes that tangled his synapses and made us the enemy.]
Available

The Use of Palliative Sedation to Treat Existential Suffering: A Reconsideration

Portnoy, Aron; Rana, Punam; Zimmermann, Camilla; Rodin, Gary

Pages: 41 –54

[Palliative sedation refers to the monitored use of medications intended to induce a state of decreased awareness or unconsciousness in order to relieve otherwise intractable suffering in a manner that is ethically acceptable to the patient, family and health-care providers (Cherny et al. 2009)....
Available

The Relevance of Double Effect to Decisions About Sedation at the End of Life

Boyle, Joseph

Pages: 55 –71

[Let me begin with (a) some clarifications about how I will understand and use the key terms in clinical and moral discussions of sedation at the end of life, and (b) a brief account of what the ethical doctrine of the double effect is.]
Available

The Field of Application of the Principle of the Double Effect and the Problem of Palliative Sedation

Miranda, Alejandro

Pages: 73 –90

[A question arises in relation to the problem of palliative sedation as to whether the administration of drugs that have the effect of deprivation of consciousness in the patient, is or is not an action that could (or should) be justified by the application of the so called “principle of the...
Available

‘Palliative Sedation’, Ethics and the Law: An Overview of the ‘Sanctity of Life’, ‘Best Interests’ and ‘Autonomy’

Keown, John

Pages: 91 –109

[‘Palliative sedation’ raises several profound ethical and legal questions. Is it compatible with the ‘sanctity of life’? When is it in a patient’s ‘best interests’? To what extent should a patient’s autonomous wishes determine when it is or is not carried out? This chapter does not attempt to...
Available

Palliative Sedation: Some Legal Precautions in the Case of Chile

Vivanco, Angela

Pages: 111 –120

[Sedation, understood from the medical perspective as: the administration of drugs to lessen the patient’s level of consciousness, with the objective of controlling some of the symptoms or to prepare the patient for a diagnostic or therapeutic intervention that could be stressful or painful...
Available

Clinical Guidelines for the Use of Palliative Sedation: Moving from Contention to Consensus

Henry, Blair

Pages: 121 –141

[At its core, medicine strives for a compassionate and skilled response to all patients experiencing pain and suffering. Through the concurrent growth of palliative care as a medical specialty and an enhanced pharmaceutical armamentarium available to clinicians working with patients at the end of...
Available

The Case Against Clinical Guidelines for Palliative Sedation

Scott, John F.

Pages: 143 –159

[This chapter will examine the arguments against the introduction of Clinical Practice Guidelines (CPG) for Palliative Sedation. The first argument will be an historical one. The pioneers of palliative care had solid reasons for avoiding the terminology of sedation and we are foolish not to heed...

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