Palliative Sedation at Home

Overview

Journal Indian J Palliat Care

Specialty Critical Care

Date 2012 Jul 28

PMID 22837615

Authors

B Barathi

Affiliations

Soon will be listed here.

Abstract

Patients with advanced cancer often suffer from multiple intractable physical symptoms. Though majority of the symptoms can be controlled, in some of the patients these symptoms remain refractory and uncontrolled till the end. Palliative sedation (PS) is one of the ways to relieve intractable suffering of the dying cancer patients. The main concern while using PS is its life-shortening effect. This case report describes the feasibility of administering PS in Indian home settings.

References

Lo B, Rubenfeld G . Palliative sedation in dying patients: "we turn to it when everything else hasn't worked". JAMA. 2005; 294(14):1810-6. DOI: 10.1001/jama.294.14.1810. View

Maltoni M, Pittureri C, Scarpi E, Piccinini L, Martini F, Turci P . Palliative sedation therapy does not hasten death: results from a prospective multicenter study. Ann Oncol. 2009; 20(7):1163-9. DOI: 10.1093/annonc/mdp048. View

Walsh D, Donnelly S, Rybicki L . The symptoms of advanced cancer: relationship to age, gender, and performance status in 1,000 patients. Support Care Cancer. 2000; 8(3):175-9. DOI: 10.1007/s005200050281. View

Hauser K, Walsh D . Palliative sedation: welcome guidance on a controversial issue. Palliat Med. 2009; 23(7):577-9. DOI: 10.1177/0269216309107022. View

Cameron D, Bridge D, Blitz-Lindeque J . Use of sedation to relieve refractory symptoms in dying patients. S Afr Med J. 2004; 94(6):445-9. View

Cherny N, Portenoy R . Sedation in the management of refractory symptoms: guidelines for evaluation and treatment. J Palliat Care. 1994; 10(2):31-8. View

Alonso-Babarro A, Varela-Cerdeira M, Torres-Vigil I, Rodriguez-Barrientos R, Bruera E . At-home palliative sedation for end-of-life cancer patients. Palliat Med. 2010; 24(5):486-92. DOI: 10.1177/0269216309359996. View

Gielen J, Gupta H, Rajvanshi A, Bhatnagar S, Mishra S, Chaturvedi A . The Attitudes of Indian Palliative-care Nurses and Physicians to Pain Control and Palliative Sedation. Indian J Palliat Care. 2011; 17(1):33-41. PMC: 3098541. DOI: 10.4103/0973-1075.78447. View

. The ethics of palliative sedation as a therapy of last resort. Am J Hosp Palliat Care. 2007; 23(6):483-91. DOI: 10.1177/1049909106294883. View

10.

Ventafridda V, Ripamonti C, De Conno F, Tamburini M, Cassileth B . Symptom prevalence and control during cancer patients' last days of life. J Palliat Care. 1990; 6(3):7-11. View

11.

Claessens P, Menten J, Schotsmans P, Broeckaert B . Palliative sedation, not slow euthanasia: a prospective, longitudinal study of sedation in Flemish palliative care units. J Pain Symptom Manage. 2010; 41(1):14-24. DOI: 10.1016/j.jpainsymman.2010.04.019. View

12.

Mercadante S, Porzio G, Valle A, Fusco F, Aielli F, Costanzo V . Palliative sedation in patients with advanced cancer followed at home: a systematic review. J Pain Symptom Manage. 2011; 41(4):754-60. DOI: 10.1016/j.jpainsymman.2010.07.013. View

13.

Chater S, Viola R, Paterson J, JARVIS V . Sedation for intractable distress in the dying--a survey of experts. Palliat Med. 1998; 12(4):255-69. DOI: 10.1191/026921698671831786. View

14.

Cherny N, Radbruch L . European Association for Palliative Care (EAPC) recommended framework for the use of sedation in palliative care. Palliat Med. 2009; 23(7):581-93. DOI: 10.1177/0269216309107024. View

15.

Stone P, Phillips C, Spruyt O, Waight C . A comparison of the use of sedatives in a hospital support team and in a hospice. Palliat Med. 1997; 11(2):140-4. DOI: 10.1177/026921639701100208. View

16.

Porzio G, Aielli F, Verna L, Micolucci G, Aloisi P, Ficorella C . Efficacy and safety of deep, continuous palliative sedation at home: a retrospective, single-institution study. Support Care Cancer. 2009; 18(1):77-81. DOI: 10.1007/s00520-009-0632-4. View

17.

Da Costa Miranda V, De Souza Fede A, Martins F, De Magalhaes N, De Lazzari Schaffhausser H, Riechelmann R . Doctor, how long?. Eur J Cancer Care (Engl). 2010; 20(1):50-5. DOI: 10.1111/j.1365-2354.2009.01144.x. View