A systematic literature review on the ethics of palliative sedation: an update (2016).

Abstract:

PURPOSE OF REVIEW:Palliative sedation has been the subject of intensive debate since its first appearance in 1990. In a 2010 review of palliative sedation, the following areas were identified as lacking in consensus: inconsistent terminology, its use in nonphysical suffering, the ongoing experience of distress, and concern that the practice of palliative sedation may hasten death. This review looks at the literature over the past 6 years and provides an update on these outstanding concerns. RECENT FINDINGS:Good clinical guidelines and policies are still required to address issues of emotional distress and waylay concerns that palliative sedation hastens death. SUMMARY:The empirical evidence suggests some movement toward consensus on the practice of palliative sedation. However, a continued need exists for evidence-informed practice guidelines, education, and research to support the ethical practice of palliative sedation at the end of life. Until that time, clinicians are advised to adopt a framework or guideline that has been expert driven to ensure consistent and ethical use of palliative sedation at the end of life.

authors

Henry B

doi

10.1097/SPC.0000000000000224

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

201-7

issue

3

eissn

1751-4258

issn

1751-4266

journal_volume

10

pub_type

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