Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Two studies reported in the Journal of Medical Ethics add to the growing body of qualitative evidence relating to the use of sedatives at the end of life.1 ,2 Respondents in the two studies affirm a number of important concerns, most of which have been elaborated in the philosophy and palliative care literature, relating to the use of sedation. There seems little doubt that the common moral thread to most of these concerns is the possibility that end-of-life sedation can resemble assisted death.
Most of the Dutch respondents in the paper by Reitjens et al1 were reported to believe that sedation does not hasten death. That is an oversimplification. Were it not for the potential to hasten death, I doubt we would be discussing the use of sedatives so frequently in ethics journals. It is true that there is little evidence that sedation significantly hastens death when doses are carefully titrated against symptoms—giving only that amount of a drug necessary to make the patient feel less distressed, and preserving consciousness as far as possible.3 Probably most sedative …
Provenance and peer review Commissioned; externally peer reviewed.
Read the full text or download the PDF:
Other content recommended for you
- Euthanasia and palliative sedation in Belgium
- Approaches to suffering at the end of life: the use of sedation in the USA and Netherlands
- Continuous deep sedation for patients nearing death in the Netherlands: descriptive study
- A response to critics: weakening the ethical distinction between euthanasia, palliative opioid use and palliative sedation
- To die, to sleep, perchance to dream? A response to DeMichelis, Shaul and Rapoport
- Internists’ attitudes towards terminal sedation in end of life care
- Ethics of crisis sedation: questions of performance and consent
- Palliative sedation: not just normal medical practice. Ethical reflections on the Royal Dutch Medical Association's guideline on palliative sedation
- Terminal sedation and the “imminence condition”
- Euthanasia and other end of life decisions and care provided in final three months of life: nationwide retrospective study in Belgium