Continuous Sedation at the End of Life
Ethical, Clinical and Legal Perspectives
- English
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- Available on iOS & Android
Continuous Sedation at the End of Life
Ethical, Clinical and Legal Perspectives
About this book
Continuous sedation until death (sometimes referred to as terminal sedation or palliative sedation) is an increasingly common practice in end-of-life care. However, it raises numerous medical, ethical, emotional and legal concerns, such as the reducing or removing of consciousness (and thus potentially causing 'subjective death'), the withholding of artificial nutrition and hydration, the proportionality of the sedation to the symptoms, its adequacy in actually relieving symptoms rather than simply giving onlookers the impression that the patient is undergoing a painless 'natural' death, and the perception that it may be functionally equivalent to euthanasia. This book brings together contributions from clinicians, ethicists, lawyers and social scientists, and discusses guidelines as well as clinical, emotional and legal aspects of the practice. The chapters shine a critical spotlight on areas of concern and on the validity of the justifications given for the practice, including in particular the doctrine of double effect.
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Table of contents
- Cover
- Continuous Sedation at the End of Life
- Series
- Title
- Copyright
- Contents
- Figures
- Contributors
- Acknowledgements
- 1 Introduction
- 2 Continuous sedation until death: state of the art
- 3 Death by equivocation: a manifold definition of terminal sedation
- 4 Palliative sedation: clinical, pharmacological and practical aspects
- 5 Clinical aspects of palliative sedation
- 6 Understanding the role of nurses in the management of symptoms and distress in the last days of life
- 7 Principle and practice for palliative sedation: gaps between the two
- 8 The legal permissibility of continuous deep sedation at the end of life: a comparison of laws and a proposal
- 9 The Dutch national guideline on palliative sedation
- 10 Continuous deep sedation at the end of life: balancing benefits and harms in England, Germany and France
- 11 Can the doctrine of double effect justify continuous deep sedation at the end of life?
- 12 Palliative sedation, consciousness and personhood
- 13 The ethical evaluation of continuous sedation at the end of life
- 14 Terminal sedation and euthanasia: the virtue in calling a spade what it is
- 15 Terminal sedation: recasting a metaphor as the ars moriendi changes
- Laws
- Court cases
- Canada
- Europe
- Germany
- UK
- USA
- References
- Index
- Series