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Humanidades Médicas
versión On-line ISSN 1727-8120
Resumen
CACERES LAVERNIA, Haslen Hassiul y MORALES MORGADO, Dunia. Ethical reflections about palliative sedation in the terminally ill patients. Rev Hum Med [online]. 2016, vol.16, n.1, pp. 175-192. ISSN 1727-8120.
Palliative care to the different problems encountered by patients and their families at the end of life. Sedation is a therapeutic manoeuvre frequently used in palliative medicine, that could eventually infringe some ethical principles. From our standpoint, beneficence and autonomy are probably the most affected principles when sedation is considered. The following conditions are required in order for it to be applied: refractory symptom, terminal illness and consent, and as long as possible, the decision must be supported by a second medical opinion Palliative sedation is different from euthanasia, and the differences lie in the objective, the pro- cess and the result. Some measures to prevent such violations to occur are discussed, and suggestions intended to guide in decision making are proposed.
Palabras clave : sedation; palliative care; bioethics.