In terminally ill cancer patients, the use of palliative sedation therapy does not shorten life when used to relieve refractory symptoms, a new study shows. National hospice & palliative care organization (nhpco) position statement and commentary on the use of palliative sedation in immediately dying terminally ill patients journal of pain & symptom management , 39, 914 – 923. 1 framework for continuous palliative sedation therapy in canada dean mm1, cellarius v2, henry b3, oneschuk d4, and librach l5 preamble sedation is a commonly used procedure in many medical disciplines including palliative.
The ethics of palliative sedation as a therapy of last resort rosen e total sedation in hospice and palliative care unpublished discussion paper prepared for the ethics committee of the national hospice association, november 23, 1999 the ethics of palliative sedation as a therapy of last resort. This sample palliative sedation research paper is published for educational and informational purposes only free research papers are not written by our writers, they are contributed by users, so we are not responsible for the content of this free sample paperif you want to buy a high quality paper on argumentative research paper topics at affordable price please use custom research paper. Abstract background: palliative sedation therapy (pst) is increasingly used in end-of-life care however, consensus about definitions, indications, and treatment decision making is lacking.
Palliative sedation or palliative sedation therapy (pst) is the use of sedative medications to relieve intolerable suffering from refractory symptoms by a reduction in patient consciousness (maltoni et al, 2009. Palliative sedation therapy paper in saint louis, george warren brown school palliative sedation therapy introduction palliative care endeavors to relieve pain and offer comfort for people in the final stage of their life in the final days, some patients may suffer from refractory symptoms. Purpose: palliative sedation therapy (pst) is a controversial issue there is a need for inter- there is a need for inter- nationally accepted definitions and standards. In medicine, specifically in end-of-life care, palliative sedation (also known as terminal sedation, american college of physicians position paper terminal sedation, the world federation of right to die societies discussion forum, european association for palliative care.
Paper is a summary of the individual papers, written after two meetings and extensive e-mail discussions palliative sedation therapy in the last weeks of life 69 table 1 classification of the level of evidence and grading of the strength of the recommendationsa levels of evidence. Palliative sedation (ps) is the use of medications to induce decreased or absent awareness in order to relieve otherwise intractable suffering at the end of life although uncommon, some patients undergoing aggressive symptom control measures still have severe suffering from underlying disease or.
Many patients nearing the end of life reach a point at which the goals of care change from an emphasis on prolonging life and optimizing function to maximizing the quality of remaining life, and palliative care becomes a priority for some patients, however, even high-quality aggressive palliative care fails to provide relief for patients suffering from severe pain, dyspnea, vomiting, or. Continuous palliative sedation therapy is the use of ongoing sedation for symptom management, considered during the end of life when a patient is close to death (ie, within hours or days 3 or up to the last 2 weeks of life 1) and continued until the patient’s death. Continuous sedation1 palliative sedation therapy was ﬁrst described in the early 1990s as an existing practice but little is known about its development 2,3 many deﬁnitions have been.
Palliative sedation is an option of last resort for patients whose symptoms cannot be controlled by any other means it is not a form of euthanasia , as the goal of palliative sedation is to control symptoms, rather than to shorten the patient's life. Palliative sedation therapy paper erica lottes professor mary pat henehan, mph, ma, dmin, rn, lmft washington university in saint louis, george warren brown school palliative sedation therapy introduction palliative care endeavors to relieve pain and offer comfort for people in the final stage of their life.
Download citation on researchgate | palliative sedation therapy: a systematic literature review and critical appraisal of available guidance on indication and decision making | abstract background. Palliative sedation (ps) is the use of medications to induce decreased or absent awareness in order to relieve otherwise intractable suffering at the end of life. Framework for continuous palliative sedation therapy (cpst) in canada canadian society of palliative care physicians from the papers retrieved the framework for continuous palliative sedation therapy (cpst) in canada.