Best Practice for Palliative Sedation

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ACKNOWLEDGEMENT

I would like to take this chance for thanking my research facilitator, friends & family for support they provided & their belief in me as well as guidance they provided without which I would have never been able to do this research.

DECLARATION

I, (Your name), would like to declare that all contents included in this thesis/dissertation stand for my individual work without any aid, & this thesis/dissertation has not been submitted for any examination at academic as well as professional level previously. It is also representing my very own views & not essentially which are associated with university.

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ABSTRACT

This dissertation presents an argument for delivering best practice for palliative sedation. This argument is that hospitals are obligated to coordinate services with palliative care based upon the relationship between patient autonomy and the integral common good. This argument is then applied to three substantive ethical problems in palliative care's coordination of services, providing end of life interventions; addressing terminal sedation; and making decisions for long-term incompetents, or other patients with limited patient autonomy. This dissertation discusses the concept of compartmentalization and principles of pain management. The in the next section it introduce the concept of hospice and analyze the practice of hospice in various context.

Table of Contents

ACKNOWLEDGEMENTII

DECLARATIONIII

ABSTRACTIV

CHAPTER 01: INTRODUCTION1

Background of the Study1

Purpose of the Study2

Aims and Objectives3

Research Questions4

Significance of the Study4

CHAPTER 02: LITERATURE REVIEW6

Compartmentalization7

The Principles of Pain Management8

Jean Watson's Caring Theory10

The Origins of Hospice12

Modern Hospice in the United States13

The Philosophy of Hospice14

Death and the Evaluation of Life14

Psychosocial Aspects of Death15

The Practice of Hospice15

Hospice and Dying in the Modern Age16

Pain Management under Hospice17

Psychological Barriers and Hospice18

Emergence of Palliative Care18

The Philosophy of Palliative Care19

The Practice of Palliative Care Communication20

Individualized Care21

Palliative Sedation for Psychological Distress22

Ethical Complexity and in End of Life Decision Making23

CHAPTER 03: METHODOLOGY24

Search Technique25

Literature Search25

Inclusion and exclusion criteria26

Search Terms - Key Terms27

Ethical Consideration27

CHAPTER 04: DISCUSSION29

CHAPTER 05: CONCLUSION32

REFERENCE35

CHAPTER 01: INTRODUCTION

Background of the Study

With the advent of sophisticated scientific knowledge and technology, medicine is now able to provide cures and preventative measures in a previously incomparable manner. Measures have been developed, for example, that have virtually eliminated many infectious diseases, and in cases in which curative measures have not been developed, other treatments have been designed to greatly improve the quality of life and extend the life of afflicted individuals. In other cases, preventative measures are being implemented that can help individuals avoid or at least delay the onset of many medical conditions. Presumably the result in all these cases is the improvement and lengthening of life, but from another perspective, the result may also be the extension of the dying process and along with it, an extension of pain and suffering for patients and families.

In the past, death was typically, though not always, a relatively short event. Death was something that happened to someone quickly in many cases because many illnesses tended to be acute and aggressive. Now, however, modern medicine and technology has transformed many acute illnesses into long-term terminal chronic illnesses. Whereas in history one myocardial infarction may ...