Palliative sedation: the hot topics

Main Article Content

Luisa Sangalli, Dra.
Adriana Turriziani, Dra.

Abstract




Palliative Sedation (SP), for the control of symptoms refractory to standard therapy in end of life patients, is a practice inherent pa- lliative care, but many aspects of its application remain the sub- ject of debate and discussion. It's inevitable and proper that the decision to reduce or remove the consciousness of a patient, though very ill and close to death, arouse emotions, clinical and ethical dilemmas. In this paper we have examined and reflected on the main aspects related to the SP and controversial emerging from the literature, a work that formed the basis for outlining a de- cision-making process and internal procedural guidelines to our hospice. Many aspects, from the definition, the indication, the pro- cedures for the SP still have no standard internationally defined and accepted, but there are guidelines and recommendations which, a1though low level of evidence, are indispensable tools that express the reflection and the experience of palliative care physicians trained and experienced. Precisely because of the subtle clinical and ethical boundaries that separate the SP to practice euthanasia, our reflection leads to reiterate the need for the practice of SP should be conducted with rigor, care and skill and to grow more and more trained staff and dedicated who knows the stages of the procedure of SP, in their form and in their content. In ethical terms requires a serious assessment of the re- lationship between the purpose for which it acts and the action taken, so the way in which the aim is reveals the real intentions behind the action. Even in the case of SP to follow a precise and shared mode of procedure is fundamental act that reveals, in cli- nical practice, right intention. It follows that all the reflections in pursuit of a good clinical practice in the SP are essential to ensure hea1thy ethics. With this in mind, the possibility of SP may be «a continuum of good clinical practice» based on a careful and sym- pathetic consideration of the patient and his family whose well-be- ing, from birth to death, is priority and purpose of each medical procedure, particularly in the palliative treatment of end of life.




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How to Cite
Sangalli, L., & Turriziani, A. (2021). Palliative sedation: the hot topics. Medicina Y Ética, 25(1), 61–104. Retrieved from https://publicaciones.anahuac.mx/index.php/bioetica/article/view/700
Section
Articles
Author Biographies

Luisa Sangalli, Dra., Primary Hospital "Villa Speranza" of the Universidad Católica del Sacro Cuore

Doctor

Adriana Turriziani, Dra., Primary Hospital "Villa Speranza" of the Universidad Católica del Sacro Cuore

Associate Professor of Radiotherapy Oncology

References

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