Document Detail


Attitudes of Quebec doctors toward sedation at the end of life: an exploratory study.
MedLine Citation:
PMID:  19788775     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The induction of sedation at the end of life is a much debated practice and not very documented. The goal of this study was to explore the practice from both a clinical and ethical point of view.
METHODS: Data were collected through semistructured interviews with 19 Quebec physicians working in palliative care.
RESULTS: Doctors' first priority was their patients, not patients' families. Clinically, the therapeutic aim of sedation was strictly to relieve suffering on the part of the patient. Ethically, getting the patient's consent was imperative. The family's consent was only required in cases of incapacity. Generally, sedation and euthanasia were seen as two distinct practices.
SIGNIFICANCE OF THE RESEARCH: There are still very few guidelines regarding end-of-life sedation in Québec, and its normative framework is more implicit than explicit. It should be noted that most of the respondents regarded sedation and euthanasia as two distinct practices.
Authors:
Danielle Blondeau; Serge Dumont; Louis Roy; Isabelle Martineau
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Palliative & supportive care     Volume:  7     ISSN:  1478-9523     ISO Abbreviation:  Palliat Support Care     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-09-30     Completed Date:  2009-12-30     Revised Date:  2011-08-25    
Medline Journal Info:
Nlm Unique ID:  101232529     Medline TA:  Palliat Support Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  331-7     Citation Subset:  IM    
Affiliation:
Faculty of Nursing, Pavillon Ferdinand-Vandry, Université Laval, Québec, Canada. Danielle.Blondeau@fsi.ulaval.ca
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MeSH Terms
Descriptor/Qualifier:
Attitude of Health Personnel*
Awareness
Conscious Sedation / ethics,  psychology*
Cooperative Behavior
Decision Making / ethics
Ethics, Medical
Humans
Informed Consent / ethics,  psychology
Interdisciplinary Communication
Palliative Care / ethics,  psychology*
Patient Care Team / ethics
Physician-Patient Relations / ethics
Professional-Family Relations / ethics
Quebec
Terminal Care / ethics,  psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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