David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medical Ethics 34 (2):69-72 (2008)
“Terminal sedation” refers to the use of sedation as palliation in dying patients with a terminal diagnosis. Although terminal sedation has received widespread legal and ethical justification, the practice remains ethically contentious, particularly as some hold that it foreseeably hastens death. It has been proposed that empirical studies show that terminal sedation does not hasten death, or that even if it may hasten death it does not do so in a foreseeable way. Nonetheless, it is clear that providing terminal sedation in combination with the withholding or withdrawing of life-prolonging treatments such as fluid and nutrition can foreseeably hasten death significantly—what is here called early terminal sedation . There are ethical justifications for the use of sedation in palliative care and thus it would seem that ETS is an ethically and legally acceptable practice. However, what emerges from the literature is the repeated assertion that terminal sedation must be restricted to use in imminently dying patients—the “imminence condition”—and that therefore ETS is unacceptable. This restriction has taken on greater significance with the trend of palliative care to include the care of patients who are not imminently dying. This paper proposes to show that although there is widespread intuitive support for the imminence condition, it does not follow from the justifications for sedation as palliation, and that explicit arguments for the imminence condition are needed
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Bernd Alt-Epping, Friedemann Nauck & Birgit Jaspers (2015). Was Ist Das Problematische an der Palliativen Sedierung? – Eine ÜbersichtWhat is Problematic with Palliative Sedation?: A Review. Ethik in der Medizin 27 (3):219-231.
J. A. Rietjens, J. R. Voorhees, A. van der Heide & M. A. Drickamer (2014). Approaches to Suffering at the End of Life: The Use of Sedation in the USA and Netherlands. Journal of Medical Ethics 40 (4):235-240.
Similar books and articles
Victor Cellarius (2011). 'Early Terminal Sedation' is a Distinct Entity. Bioethics 25 (1):46-54.
Joseph Boyle (2004). Medical Ethics and Double Effect: The Case of Terminal Sedation. Theoretical Medicine and Bioethics 25 (1):51-60.
Margaret P. Battin (2008). Terminal Sedation: Pulling the Sheet Over Our Eyes. Hastings Center Report 38 (5):pp. 27-30.
Ronald E. Cranford & Raymond Gensinger (2002). Hospital Policy on Terminal Sedation and Euthanasia. HEC Forum 14 (3):259-264.
J. J. M. van Delden (2007). Terminal Sedation: Source of a Restless Ethical Debate. Journal of Medical Ethics 33 (4):187.
L. C. Kaldjian (2004). Internists' Attitudes Towards Terminal Sedation in End of Life Care. Journal of Medical Ethics 30 (5):499.
S. N. Etkind (2012). Terminal Sedation: An Emotional Decision in End-of-Life Care. Journal of Medical Ethics 38 (8):508-509.
George P. Smith (1998). Terminal Sedation as Palliative Care: Revalidating a Right to a Good Death. Cambridge Quarterly of Healthcare Ethics 7 (4):382-387.
Ben A. Rich (2012). Terminal Suffering and the Ethics of Palliative Sedation. Cambridge Quarterly of Healthcare Ethics 21 (01):30-39.
Blair Henry, Mervyn Dean, Victor Cellarius & Larry Librach (2011). To "Sleep Until Death"Jeffrey T. Berger Replies:Rights Vs. LibertyDavid Orentlicher Replies. Hastings Center Report 41 (1).
Alison McIntyre (2004). The Double Life of Double Effect. Theoretical Medicine and Bioethics 25 (1):61-74.
Charles D. Douglas, Ian H. Kerridge & Rachel A. Ankeny (2013). Narratives of 'Terminal Sedation', and the Importance of the Intention-Foresight Distinction in Palliative Care Practice. Bioethics 27 (1):1-11.
W. S., H. A. & E. Kemmann (1998). Discussion. Studies in History and Philosophy of Science Part A 29 (4):639-652.
S. H. Lipuma (2013). Continuous Sedation Until Death as Physician-Assisted Suicide/Euthanasia: A Conceptual Analysis. Journal of Medicine and Philosophy 38 (2):190-204.
Added to index2010-08-24
Total downloads16 ( #229,082 of 1,907,896 )
Recent downloads (6 months)1 ( #462,165 of 1,907,896 )
How can I increase my downloads?