| Sedation, alimentation, hydration, and equivocation: careful conversation about care at the end of life. | |
| | |
MedLine Citation:
|
PMID: 12044133 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
In the recent medical ethics literature, several authors have recommended terminal sedation and refusal of hydration and nutrition as important, morally acceptable, and relatively uncontroversial treatment options for end-of-life suffering. However, not all authors use these terms to refer to the same practices. This paper examines the various ways that the terms terminal sedation and refusal of hydration and nutrition have been used in the medical literature. Although some of these practices are ethically appropriate responses to end-of-life suffering, others (at least as they are currently described in the medical ethics literature) are not. This paper identifies and discusses the principles that morally distinguish these practices from one another and specifically describes different features of medical practices and moral principles that affect the moral acceptability of various medical treatments. These distinctions reveal the complexity of the issues surrounding terminal sedation and refusal of hydration and nutrition, a complexity that has not been adequately addressed in recent discussions. |
| | |
Authors:
|
Lynn A Jansen; Daniel P Sulmasy |
Related Documents
:
|
7571593 - Medical futility and care of dying patients. 3537533 - Baron dominique jean larrey (1766-1842). father of modern military surgery, innovater, ... 22555943 - Initial strategy of revascularization versus optimal medical therapy for improving outc... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Annals of internal medicine Volume: 136 ISSN: 1539-3704 ISO Abbreviation: Ann. Intern. Med. Publication Date: 2002 Jun |
Date Detail:
|
Created Date: 2002-06-04 Completed Date: 2002-06-19 Revised Date: 2008-11-21 |
Medline Journal Info:
|
Nlm Unique ID: 0372351 Medline TA: Ann Intern Med Country: United States |
Other Details:
|
Languages: eng Pagination: 845-9 Citation Subset: AIM; E; IM |
Affiliation:
|
The John J. Conley Department of Ethics, Saint Vincent's Hospital and Medical Center, 153 West 11th Street (NR 815), New York, NY 10011, USA. ljansen@saintvincentsnyc.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Double Effect Principle* Female Fluid Therapy* Humans Hypnotics and Sedatives / administration & dosage* Male Middle Aged Physician's Role Physician-Patient Relations Terminal Care* / psychology Terminology as Topic* Treatment Refusal |
| Chemical | |
Reg. No./Substance:
|
0/Hypnotics and Sedatives |
| Comments/Corrections | |
Comment In:
|
Ann Intern Med. 2002 Dec 17;137(12):1008-10; author reply 1008-10
[PMID:
12484724
]
Ann Intern Med. 2002 Dec 17;137(12):1010-1; reply 1010-1 [PMID: 12484730 ] Ann Intern Med. 2002 Dec 17;137(12):W2; author reply W2 [PMID: 12484745 ] Ann Intern Med. 2002 Dec 17;137(12):1008-10; author reply 1008-10 [PMID: 12484728 ] Ann Intern Med. 2002 Dec 17;137(12):1008-10; author reply 1008-10 [PMID: 12484729 ] Ann Intern Med. 2002 Dec 17;137(12):W1; author reply W1 [PMID: 12484744 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The commonality of risk factors for nosocomial colonization and infection with antimicrobial-resista...
Next Document: Vibration spectroscopy reveals light-induced chromophore and protein structural changes in the LOV2 ...