Exploration of concerns of relatives during continuous palliative sedation
of their family members with cancer.
for intolerable suffering: Curr Opin Oncol.
Differences in physician-reported practice in palliative sedation
Other end-of-life choices dying patients may make which alter time of death include: refusing or directing the withdrawal of life prolonging treatment, refusing food and fluid while receiving supportive palliative care, and aggressive pain and symptom management, including palliative sedation
Some people oppose palliative sedation
because it can interfere with the opportunity for a person to communicate with family members and friends or to finish psychological or spiritual work as his or her life ends.
In keeping with this principle, our working group proposes the creation of a guideline that considers palliative sedation
therapy as a proportionate response to the clinical symptoms being managed.
The practice of sedating patients with intractable pain into unconsciousness and withholding food and water until death inevitably ensues is known as terminal or palliative sedation
and was endorsed as an acceptable option, indeed one seen as negating the need for assisted suicide, by the AMA and other amici in the Quill and Glucksberg cases.
Physician reviewers find that palliative sedation
has an important place on the continuum of appropriate palliative care.
Another term that appeared was terminal palliative sedation
(a slower form of euthanasia than lethal injection).
The CMA definition for Palliative Sedation
In palliative sedation
the intention is to relieve severely distressing and refractory symptoms, 'the procedure is to use a sedating drug for symptom control and the successful outcome is the alleviation of distress.
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.