[Palliative Sedation for Psycho-existential Suffering]
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Abstract
Sedation in palliative care is generally considered as an important therapy in terminally ill patients with refractory symptoms. However the sedation of patients with intractable psycho-existential suffering is still under discussion. This paper discusses the case of a 56-year-old patient in the final phase of carcinoma of the ovaries, who required palliative sedation for refractory, mainly psycho-existential suffering. It describes the course on our ward and the difficult process of decision-making. We discuss our approach based on literature.
References
1.
Rousseau P
. Existential suffering and palliative sedation: a brief commentary with a proposal for clinical guidelines. Am J Hosp Palliat Care. 2001; 18(3):151-3.
DOI: 10.1177/104990910101800303.
View
2.
Quill T, Lo B, Brock D
. Palliative options of last resort: a comparison of voluntarily stopping eating and drinking, terminal sedation, physician-assisted suicide, and voluntary active euthanasia. JAMA. 1997; 278(23):2099-104.
DOI: 10.1001/jama.278.23.2099.
View
3.
Maltoni M, Scarpi E, Rosati M, Derni S, Fabbri L, Martini F
. Palliative sedation in end-of-life care and survival: a systematic review. J Clin Oncol. 2012; 30(12):1378-83.
DOI: 10.1200/JCO.2011.37.3795.
View
4.
Claessens P, Menten J, Schotsmans P, Broeckaert B
. Level of consciousness in dying patients. The role of palliative sedation: a longitudinal prospective study. Am J Hosp Palliat Care. 2011; 29(3):195-200.
DOI: 10.1177/1049909111413890.
View
5.
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