Continuous Sedation at the End of Life -

Continuous Sedation at the End of Life

Ethical, Clinical and Legal Perspectives
Buch | Hardcover
305 Seiten
2013
Cambridge University Press (Verlag)
978-1-107-03921-6 (ISBN)
98,50 inkl. MwSt
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Continuous sedation is becoming increasingly common in end-of-life care. It raises many concerns, though, especially regarding reducing or removing consciousness, withholding hydration and whether it amounts to 'slow euthanasia'. In this book, ethicists, clinicians and lawyers address these concerns and discuss various justifications and guidelines for the practice.
Continuous sedation until death (sometimes referred to as terminal sedation or palliative sedation) is an increasingly common practice in end-of-life care. However, it raises numerous medical, ethical, emotional and legal concerns, such as the reducing or removing of consciousness (and thus potentially causing 'subjective death'), the withholding of artificial nutrition and hydration, the proportionality of the sedation to the symptoms, its adequacy in actually relieving symptoms rather than simply giving onlookers the impression that the patient is undergoing a painless 'natural' death, and the perception that it may be functionally equivalent to euthanasia. This book brings together contributions from clinicians, ethicists, lawyers and social scientists, and discusses guidelines as well as clinical, emotional and legal aspects of the practice. The chapters shine a critical spotlight on areas of concern and on the validity of the justifications given for the practice, including in particular the doctrine of double effect.

Sigrid Sterckx is a Professor of Ethics at Ghent University and at the Vrije Universiteit Brussel (VUB) in Belgium. Kasper Raus is a postdoctoral researcher at Ghent University, Belgium. Freddy Mortier is a Professor of Ethics at Ghent University, Belgium.

1. Introduction Sigrid Sterckx, Kasper Raus and Freddy Mortier; 2. Continuous sedation until death: state of the art Sophie Bruinsma, Judith Rietjens and Agnes van der Heide; 3. Death by equivocation: a manifold definition of terminal sedation David Albert Jones; 4. Palliative sedation: clinical, pharmacological and practical aspects Josep Porta-Sales; 5. Clinical aspects of palliative sedation Nigel Sykes; 6. Understanding the role of nurses in the management of symptoms and distress in the last days of life Eleanor Wilson and Jane Seymour; 7. Principle and practice for palliative sedation: gaps between the two David Orentlicher; 8. The legal permissibility of continuous deep sedation at the end of life: a comparison of laws and a proposal Evelien Delbeke; 9. The Dutch national guideline on palliative sedation Johan Legemaate; 10. Continuous deep sedation at the end of life: balancing benefits and harms in England, Germany and France Richard Huxtable and Ruth Horn; 11. Can the doctrine of double effect justify continuous deep sedation at the end of life? Kasper Raus, Sigrid Sterckx and Freddy Mortier; 12. Palliative sedation, consciousness and personhood Timothy Holahan, Thomas Carroll, Claudia Gonzalez and Timothy Quill; 13. The ethical evaluation of continuous sedation at the end of life Johannes van Delden; 14. Terminal sedation and euthanasia – the virtue in calling a spade what it is Søren Holm; 15. Terminal sedation: recasting a metaphor as the ars moriendi changes Margaret Battin.

Erscheint lt. Verlag 1.8.2013
Reihe/Serie Cambridge Bioethics and Law
Zusatzinfo 6 Tables, black and white; 8 Halftones, black and white; 8 Line drawings, black and white
Verlagsort Cambridge
Sprache englisch
Maße 155 x 234 mm
Gewicht 570 g
Themenwelt Geisteswissenschaften Philosophie Ethik
Medizin / Pharmazie Medizinische Fachgebiete Medizinethik
Medizin / Pharmazie Medizinische Fachgebiete Palliativmedizin
Studium Querschnittsbereiche Geschichte / Ethik der Medizin
Recht / Steuern EU / Internationales Recht
Recht / Steuern Privatrecht / Bürgerliches Recht Medizinrecht
ISBN-10 1-107-03921-5 / 1107039215
ISBN-13 978-1-107-03921-6 / 9781107039216
Zustand Neuware
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