![does palliative sedation hasten death does palliative sedation hasten death](https://image1.slideserve.com/3141354/palliative-sedation-protocols-l.jpg)
The increasing interest in palliative sedation may reemphasize characteristics of health care that initially encouraged the emergence of palliative care in the first place: the focus on therapy rather than care, the physical dimension rather than the whole person, the individual rather than the community, and the primacy of intervention rather than receptiveness and presence.Įnd-of-life care ethics euthanasia hospice philosophy palliative care palliative sedation physician-assisted dying terminal sedation.Ĭopyright © 2014 U.S. Palliative sedation in end-of-life care and survival: a systematic review. Finally, the article raises the question as to what impact palliative sedation might have on the practice of palliative care itself. These additional parameters, although not without ethical and practical problems, together formulate a framework to ethically distinguish a more narrowly defined practice of palliative sedation from practices that are tantamount to euthanasia. The significance of intention is related to other ethical parameters to demarcate the practice of palliative sedation: terminality, refractory symptoms, proportionality, and separation from other end-of-life decisions. 407): The goal of palliative terminal sedation is to provide the dying patient relief of otherwise refractory, intolerable symptoms, and it is therefore firmly. is the intent of palliative sedation to hasten death no, it is to relieve symptomsm. In this article, it is argued that intention should be used in a restricted way. does palliative sedation occur frequently no, often occurs infrequently. This troublesome expansion is fostered by an expansive use of the concept of intention such that this decisive ethical concept is no longer restricted to signify the aim in guiding the action. When heterogeneous sedative practices are all labeled as palliative sedation, there is the risk that palliative sedation is expanded to include practices that are actually intended to bring about the patients' death. However, ambiguous moral experiences and considerable practice variation call this view into question. He emphasized, however, that in all cases the goal isn’t death but relief from suffering. For other patients who are not actively dying, it might hasten death to some extent, bringing it on in hours rather than days. While the national health coverage debate. In that circumstance, palliative sedation doesn’t accelerate death, he said. The dominant view is that euthanasia and palliative sedation are morally distinct practices. Background Palliative sedation is defined as deliberately lowering a patients consciousness, to relieve intolerable suffering from refractory symptoms at. Oltzik received what some doctors call palliative sedation and others less euphemistically call terminal sedation. Although recent guidelines articulate the differences between palliative sedation and euthanasia, the ethical controversies remain. The aim of this article was to review the ethical debate concerning palliative sedation.