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Title: Intentional sedation as a means to ease suffering : a systematically constructed terminology for sedation in palliative care
Author(s): Kremling, Alexander
Bausewein, Claudia
Klein, Carsten
Schildmann, Eva
Ostgathe, Christoph
Ziegler, Kerstin
Schildmann, Jan
Issue Date: 2022
Type: Article
Language: English
Abstract: Background: Terminology concerning sedation in palliative care is heterogeneous, vague, and difficult to apply with negative impact on the reliability of quantitative data, practice, and ethical discourse. Design: To clarify the concept, we systematically developed definitions of core terms in an interdisciplinary research group comprising palliative care, ethics, law, and philosophy, integrating feedback from external experts. Results: We define terms stepwise, separating matters of terminology (What is the practice?) from matters of good practice (How to use it?). We start with an operational definition of “reduced level of consciousness” (score < 0 on the Richmond Agitation-Sedation Scale modified for palliative care inpatients (RASS-PAL), followed by defining “sedating,” “sedation,” and “intentional sedation” as the result or process of sedating a patient as a means of achieving a previously defined treatment goal and the terms “light,” “deep,” “temporary,” and “sedation until death.” Conclusion: The terminology facilitates the precise phrasing of aims, indications, and rules for good practice. Empirical research on acceptance and feasibility is needed.
Open Access: Open access publication
License: (CC BY 4.0) Creative Commons Attribution 4.0(CC BY 4.0) Creative Commons Attribution 4.0
Sponsor/Funder: Publikationsfonds MLU
Journal Title: Journal of palliative medicine
Publisher: Liebert
Publisher Place: Larchmont, NY
Volume: 25
Issue: 5
Original Publication: 10.1089/jpm.2021.0428
Page Start: 793
Page End: 796
Appears in Collections:Open Access Publikationen der MLU

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