Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Garcia, ACM; Isidoro, GM; Paiva, EMDC; Silva, AE; Costa, ICP; Bornemann-Cimenti, H.
Palliative Sedation at Home: A Scoping Review.
Am J Hosp Palliat Care. 2023; 40(2):173-182
Doi: 10.1177/10499091221096412
Web of Science
PubMed
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FullText_MUG
- Co-Autor*innen der Med Uni Graz
- Bornemann-Cimenti Helmar
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- Abstract:
- Palliative Sedation (PS) is an effective measure for the relief of refractory symptoms in end-of-life patients. This intervention can be performed at home, respecting the patients' and their families' decisions. A scoping review was performed to map the available evidence in the literature on the performance of PS at home. This review included 23 studies. Most were conducted in European countries with adult cancer patients. Patients, family members and healthcare providers participated in the decision making regarding the use of PS at home. PS was used primarily to manage refractory symptoms (pain, delirium, dyspnea, and others), and in 1 of the studies PS was mentioned as a possible intervention for shortening life. The most commonly used medication was midazolam and the average duration ranged from 4 h to 7 days. There are few reports on adverse events related to PS. This intervention seems to be a feasible possibility for the management of refractory symptoms in patients at the end of life, despite the fact that it can represent specific challenges for healthcare providers, patients and families. However, the literature is limited regarding PS in children and in people with diseases other than cancer, as well as on the evaluation of possible adverse effects related to this intervention. Furthermore, it is essential to have a broad ethical, clinical and legal debate on whether to consider the use of PS for the purpose of shortening life in specific cases.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult - administration & dosage
- Child - administration & dosage
- Humans - administration & dosage
- Palliative Care - administration & dosage
- Midazolam - therapeutic use
- Pain - drug therapy
- Dyspnea - drug therapy
- Death - administration & dosage
- Neoplasms - drug therapy
- Hypnotics and Sedatives - therapeutic use
- Terminal Care - administration & dosage
- Find related publications in this database (Keywords)
- palliative sedation
- deep sedation
- home care services
- hospice care
- end-of-life
- ethics