Public Health

Sedation at the end-of-life : an interdisciplinary approach by Paulina Taboada

By Paulina Taboada

The book’s major contribution is its interdisciplinary method of the problem of sedation on the end-of-life. since it happens on the finish of existence, palliative sedation increases a few very important moral and felony questions, together with if it is a covert kind of euthanasia and for what reasons it will possibly legally be used. a few of the booklet chapters tackle the 1st query and just about all care for a particular kind of the second one: no matter if palliative sedation may be used for these experiencing “existential suffering”? This increases the query of what existential pain is, an issue that also is mentioned within the publication. the various chapters deal with those matters from the views of the suitable disciplines: Palliative drugs, Bioethics, legislations and Theology. therefore, valuable bills of the scientific and old historical past for this factor are supplied and the significance of drawing actual moral and criminal differences is under pressure through the complete ebook. So the amount represents a useful contribution to the rising literature in this subject and will be important throughout a large spectrum of readers: philosophers, theologians and physicians.

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They hesitated, as they understood that inducing a state of unconsciousness would prevent them from the possibility to communicate with her during her last days of life. But after witnessing her increasing respiratory distress, they ended up accepting the treatment. Before starting sedation, they requested a priest to come and give her Holy Communion and the Blessing of the Sick, as they were all practicing Catholics. v. and the moderately sedated patient did not look distressed anymore. She died peaceful 4 days later, in the company of her parents and fiancé.

2008; Cherny and Radbruch 2009; Cherny 2006; Krakauer 2009; Royal Dutch Medical Association Committee on National Guideline for Palliative Sedation 2009; Verkerk et al. 2007; Braun et al. 2003; Morita et al. 2005). Among the potential risks of sedation are paradoxical agitation and the eventual hasting of death (Cherny and Radbruch 2009; Cherny 2006; Krakauer 2009). Nonetheless, available data suggest that palliative sedation does not accelerate death in terminal patients, if one considers the overall numbers (Claessens et al.

Under this perspective, the dying process is understood to pose special ethical challenges to medical professionals as well as to society as such. The experience with palliative care patients shows that each patient is unique and cannot be replaced. In spite of the similarities of clinical conditions, each individual has a specific constellation of symptoms, which in turn present themselves with different degrees of intensity in each case. Moreover, the personal experience with the disease, with the medical profession, with the family, with the friends and with society differs as well, generating dissimilar psychological reactions among terminally ill patients.

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