What Is Palliative Sedation Therapy?

What does Terminal sedation mean?

Terminal sedation was defined as the administration of drugs to keep the patient in deep sedation or coma until death, without giving artificial nutrition or hydration..

Can dying person hear you?

Remember: hearing is thought to be the last sense to go in the dying process, so never assume the person is unable to hear you.

Can you still feel pain when sedated?

Once the IV is inserted and the sedative drugs are delivered, you will not remember anything and you will not feel any pain. Though IV sedative dental drugs are delivered, it is still necessary to use local anesthesia.

What drugs are used for palliative sedation?

The medications used for palliative sedation vary, but benzodiazepines and barbiturates are favored agents. Other medications used include the phenothiazine chlorpromazine, the butyrophenonehaloperidol, and the anesthetic agent propofol.

What is the purpose of palliative sedation?

Under palliative sedation, a doctor gives a terminally ill patient enough sedatives to induce unconsciousness. The goal is to reduce or eliminate suffering, but in many cases the patient dies without regaining consciousness.

What is the difference between palliative sedation and euthanasia?

But rather than expanding the definition of palliative sedation to include practices that are intended to bring about the patients’ death, it would make more logical sense to reserve the label “palliative sedation” for those sedative practices that are aimed only at symptom relief and apply the label “euthanasia” to …

What is the injection given at end of life?

Many people worry about the use of morphine in palliative care . Morphine and other medications in the morphine family, such as hydromorphone, codeine and fentanyl, are called opioids. These medications may be used to control pain or shortness of breath throughout an illness or at the end of life.

Is terminal sedation a form of euthanasia?

As far as terminal sedation is causally contributory to the patient’s death as a side effect, the case is one of indirect euthanasia. As far as the termination of treatment is causally contributory to the patient’s death intended as a means, the case is one of passive euthanasia.

What is palliative care sedation?

Continuous palliative sedation therapy is the use of ongoing sedation for symptom management, considered during the end of life when a patient is close to death (ie, within hours or days3 or up to the last 2 weeks of life1) and continued until the patient’s death.

What do dying patients want?

So what do dying people want? In short: truth, touch and time. They want others — family, friends and physicians — to be truthful with them in all respects, whether discussing the disease process, treatment options or personal relationships. They want truth but not at the expense of reassurance and hope.

Is palliative sedation ethical?

Palliative sedation is ethically defensible when used 1) after careful interdisciplinary evaluation and treatment of the patient, and 2) when palliative treatments that are not intended to affect consciousness have failed or, in the judgment of the clinician, are very likely to fail, 3) where its use is not expected to …

Can patients hear when sedated?

Nursing and other medical staff usually talk to sedated people and tell them what is happening as they may be able to hear even if they can’t respond. Some people had only vague memories whilst under sedation. They’d heard voices but couldn’t remember the conversations or the people involved.