Journal of Medical Ethics 40 (4):230-234 (2014)

Authors
Sigrid Sterckx
University of Ghent
Freddy Mortier
University of Ghent
Abstract
Continuous sedation at the end of life is the practice whereby a physician uses sedatives to reduce or take away a patient's consciousness until death. Although the incidence of CS is rising, as of yet little research has been conducted on how the administration of CS is experienced by medical practitioners. Existing research shows that many differences exist between medical practitioners regarding how and how often they perform CS. We conducted a focus group study to find out which factors may facilitate or constrain the use of continuous sedation by physicians and nurses. The participants often had clear ideas on what could affect the likelihood that sedation would be used. The physicians and nurses in the focus groups testified that the use of continuous sedation was facilitated in cases where a patient has a very limited life expectancy, suffers intensely, makes an explicit request and has family members who can cope with the stress that accompanies sedation. However, this ‘paradigm case’ was considered to occur only rarely. Furthermore, deviations from the paradigm case were said to be sometimes due to physicians initiating the discussion on CS too late or not initiating it at all for fear of inducing the patient. Deviations from the paradigm case may also occur when sedation proves to be too difficult for family members who are said to sometimes pressure the medical practitioners to increase dosages and speed up the sedation
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1136/medethics-2012-100571
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 71,489
Through your library

References found in this work BETA

Terminal Sedation: Pulling the Sheet Over Our Eyes.Margaret P. Battin - 2008 - Hastings Center Report 38 (5):pp. 27-30.

Add more references

Citations of this work BETA

Moral Concerns with Sedation at the End of Life.Charles Douglas - 2014 - Journal of Medical Ethics 40 (4):241-241.

Add more citations

Similar books and articles

Analytics

Added to PP index
2012-08-15

Total views
21 ( #537,553 of 2,520,788 )

Recent downloads (6 months)
1 ( #405,623 of 2,520,788 )

How can I increase my downloads?

Downloads

My notes