𝐭𝐚𝐤𝐢𝐧𝐠 𝐥𝐮𝐜 (RN)Nerdkram #Hospizarbeit heute: Ein Thema, zwei Perspektiven, die Abendlektüre ist gesichert:
Zunächst eine ethische "Stellungnahme zur Begleitsedierung bei Behandlungsverzicht mit #Sterbewunsch oder beim #Sterbefasten" in der Zeitschrift für #Ethik in der Medizin.
➡️ https://doi.org/10.1007/s00481-023-00793-3
Nahezu zeitgleich kam von der "Revised European Association for #PalliativeCare (#EAPC) recommended framework on palliative sedation: An international Delphi study [..] to provide evidence- and consensus-based guidance on palliative #sedation for healthcare professionals involved in #EndOfLifeCare, for medical associations and health policy decision-makers.
Begleitsedierung bei Behandlungsverzicht mit Sterbewunsch oder beim Sterbefasten: eine ethische Stellungnahme - Ethik in der Medizin
Background This paper addresses sedation at the end of life. The use of sedation is often seen as a last resort for patients whose death is imminent and whose symptoms cannot be treated in any other way. This paper asks how to assess constellations, where patients want to hasten their death by refusing (further) life-sustaining treatment, or by voluntarily stopping eating and drinking (VSED), and wish this to be accompanied by sedation. Argument We argue that sedation is ethically and legally permissible not only as a last resort, but in principle. Furthermore, we see a clear obligation to sedate in cases of acute suffering of any kind, while in some other constellations individual physicians’ objections to supposedly premature or unnecessary sedation must be respected. Such possible reservations should, however, be reconsidered in light of the fundamental ethical and legal right to a self-determined death. Conclusion In general, sedation practices should be less restrictive, and existing guidelines should be revised accordingly.
