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Title Continuous sedation at the end of life : ethical, clinical and legal perspectives / edited by Sigrid Sterckx, Kasper Raus and Freddy Mortier
Published Cambridge, United Kingdom : Cambridge University Press, 2013

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Description 1 online resource (xviii, 285 pages) : illustrations
Series Cambridge bioethics and law
Cambridge bioethics and law.
Contents Machine generated contents note: 1. Introduction / Freddy Mortier -- 2. Continuous sedation until death: state of the art / 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 P. Sykes -- 6. Understanding the role of nurses in the management of symptoms and distress in the last days of life / 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 / Ruth Horn -- 11. Can the doctrine of double effect justify continuous deep sedation at the end of life? / Freddy Mortier -- 12. Palliative sedation, consciousness and personhood / Timothy E. Quill -- 13. The ethical evaluation of continuous sedation at the end of life / Johannes J.M. 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 P. Battin
Summary 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
Bibliography Includes bibliographical references (pages 250-277) and index
Notes Print version record
Subject Terminal sedation.
Terminal care -- Law and legislation.
Terminally ill -- Psychology
Hospice care.
Terminal care.
Terminal Care
Terminal Care -- ethics
Terminal Care -- legislation & jurisprudence
Deep Sedation -- ethics
Deep Sedation -- legislation & jurisprudence
Hospice Care
HEALTH & FITNESS -- Diseases -- General.
MEDICAL -- Clinical Medicine.
MEDICAL -- Diseases.
MEDICAL -- Evidence-Based Medicine.
MEDICAL -- Internal Medicine.
Terminal care
Hospice care
Terminal care -- Law and legislation
Terminal sedation
Terminally ill -- Psychology
Form Electronic book
Author Sterckx, Sigrid, editor
Raus, Kasper, editor
Mortier, Freddy, editor
ISBN 9781107417151
1107417155
1299842208
9781299842205
9781139856652
1139856650
9781107420908
1107420903