This article outlines a stepwise approach to developing best practice recommendations for the use of sedative drugs in specialist palliative care. It focuses on relieving intolerable suffering in patients, covering ethical, clinical, and legal challenges. The recommendations were developed through a Delphi study and a consensus conference, ensuring high expert approval. They cover various themes, including indications for sedation, decision-making, medication, monitoring, and support for patients and their families.
Learning Outcomesย
Upon completion of this activity, you should have an understanding of:
Ethical and Clinical Considerations in Sedation: Learners will understand the ethical and clinical principles involved in administering sedation, including the importance of patient autonomy and dignity.
Decision-Making Process in Sedation: Learners will grasp the stepwise approach to deciding when sedation is appropriate, from assessing refractory symptoms to obtaining informed consent and involving families.
Best Practices for Administering and Monitoring Sedation: Learners will explore the best practice recommendations for administering sedative drugs, ensuring ongoing monitoring, and collaborating with a multidisciplinary team to support both the patient and their family.
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