![]() The specific outcome of palliative sedation is to intentionally sedate the patient to a point where the patient is unaware of the problematic symptom that was causing the intractable suffering. The intent of Palliative Sedation is the relief of intractable suffering caused by refractory symptom(s) and not to deliberately end the life of the terminally ill patient. The American Academy of Hospice and Palliative Medicine forgoes a formal definition but suggests the use of sedating medications is intended to decrease a patient’s level of consciousness to mitigate the experience of suffering, but not to hasten the end of life. The Hospice and Palliative Nurses Association(.) defines palliative sedation as the monitored use of medications intended to induce varying degrees of unconsciousness, but not death, for relief of refractory and unendurable symptoms in imminently dying patients. ![]() ![]() Palliative sedation is the intentional administration of sedative drugs in dosages and combinations required to reduce the consciousness of a terminal patient as much as necessary to adequately relieve one or more refractory symptoms. Other common definitions of palliative sedation: Definition 1 The patient is experiencing unendurable suffering that is not amenable to any standard palliative treatment measures.The patient is dying (as documented in the medical records by the attending physician based on supportive documentation).Be aware that palliative sedation can be considered if and ONLY if :.The intent is NOT to deliberately hasten the dying process.The primary intent is to sedate the dying patient so that s/he may not experience and suffer due to specific refractory and intractable symptoms.Palliative sedation may be more clearly defined and clinically characterized as the primary intention of deliberately inducing a temporary or permanent light-to-deep sleep, but not deliberately causing death, in patients with terminal illness and specific refractory symptoms. Working definition of palliative sedation: Many clinicians argue that palliative sedation does not necessarily mandate sedation to total unconsciousness and, instead, suggest there are variable degrees of sedation as well as duration of sedation. Palliative sedation has not been universally and definitively defined ( Beel 2002, Cowan 2002), making interpretation, comparison, and extrapolation of many studies and case analyses problematic. and a paucity of well-controlled research.confusion regarding sedative medications,.lack of a consistent and universal definition,.Palliative sedation remains somewhat contentious, due to:
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