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Titolo:
Sedation in the imminently dying patient
Autore:
Wein, S;
Indirizzi:
Shaarei Zedek Med Ctr, Dept Oncol, Pain & Palliat Care Unit, IL-91031 Jerusalem, Israel Shaarei Zedek Med Ctr Jerusalem Israel IL-91031 -91031 Jerusalem, Israel
Titolo Testata:
ONCOLOGY-NEW YORK
fascicolo: 4, volume: 14, anno: 2000,
pagine: 585 -
SICI:
0890-9091(200004)14:4<585:SITIDP>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
VOLUNTARY ACTIVE EUTHANASIA; PHYSICIAN-ASSISTED SUICIDE; TERMINALLY ILL; SLOW EUTHANASIA; SUPREME-COURT; CANCER; SYMPTOMS; SUPPORT; DEATH; CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Wein, S Shaarei Zedek Med Ctr, Dept Oncol, Pain & Palliat Care Unit, POB 3235, IL-91031 Jerusalem, Israel Shaarei Zedek Med Ctr POB 3235 Jerusalem Israel IL-91031 , Israel
Citazione:
S. Wein, "Sedation in the imminently dying patient", ONCOLOGY-NY, 14(4), 2000, pp. 585

Abstract

Sedation is a clinically important therapeutic intervention in the imminently dying patient. As the patient with an advanced, irreversible illness nears the end of life, symptoms accumulate that are progressively more difficult to manage and that may become refractory to standard medical interventions, The most common of these intractable symptoms are pain, agitated delirium, dyspnea and existential or psychological distress. Various therapeuticoptions available for relieving these symptoms include physician-assisted suicide, euthanasia, acceptance of unrelieved suffering, and terminal sedation, Some commentators have voiced concerns that sedating the imminently dying patient inevitably hastens death, and that this practice, in fact, is asurrogate form of physician-assisted suicide or euthanasia. Ethical arguments invoked to support the use of terminal sedation include the principle of double effect, which draws a moral distinction between the intention of an act(in this case, to relieve suffering) and its foreseen but unintended consequence (premature death). This author views sedation as a necessary, although risk-laden, procedure that, if practiced by trained, dedicated clinicians, maintains the physician's twin obligations to benefit patients and to "do no harm".

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/05/20 alle ore 15:31:00