Use of the welfare-based model in the application of palliative sedation
There are many terminologies referring to the use of sedation at the end of life. Some may call it palliative sedation (PS) or terminal sedation (TS). In both situations, sedatives and sometimes opioids are used to induce unconsciousness as a means of circumnavigating awareness of suffering (Krishna 2013, 2). Both PS and TS involve continuous sedation and stand apart from lighter forms of sedation where patients can communicate with caregivers or intermittent sedation (Morita et al. 2001). In an estimated 1–3% of cases locally, continuous deep palliative sedation (CDPS) is applied (Krishna 2013, 2). CDPS is defined as the proportional and monitored induction of deep continuous sedation for the amelioration of all forms of intractable physical, psychological, and existential suffering in a cancer patient with a prognosis of less than 2 weeks following a holistic multi-professional assessment of the patient’s condition to affirm that suffering is in fact intractable and the...
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