Need they Sleep before they Die?

Framework for Continuous Palliative Sedation Therapy in Canada

“…It is toward these concerns that the development of a consensus-based framework is directed. Traditionally, the ethical authority for the use of CPST came from the moral imperative of medicine: to relieve human suffering 19,48 . However, given that the "means and ends" of relieving human suffering remain contentious, and to sufficiently address this complex topic a more nuanced understanding of the ethical issues is required.…”

Palliative Sedation Therapy in the Last Weeks of Life: A Literature Review and Recommendations for Standards

“…In these circumstances, no effort should be spared to relieve unbearable suffering that may invade and dominate consciousness and leave no space for other things. 1 As a treatment of last resort, sedation of the patient may then be considered. 2 The available literature suggests that there are large differences between centers and countries with regard to the reported frequency of and indications for sedation.…”

?Terminale Sedierung?

“…Die Bereitschaft, eine Sedierung am Ende des Lebens in emotionalen und psychosozialen Stresssituationen in Erwägung zu ziehen, wird stark von strukturellen Voraussetzungen bzw. institutionellen und kulturellen Einstellungen im Umgang mit der letzten Lebensphase bestimmt [7,11,31,40,47]. In verschiedenen retrospektiven und prospektiven Untersuchungen wurde die Häufigkeit einer Sedierung in der Terminalphase bei Patienten mit unheilbaren Erkrankungen zwischen 8% und 57% der verstorbenen Patienten angegeben [34,40].…”