Factors associated with the decision-making process in palliative sedation therapy. The experience of an Italian hospice struggling with balancing various individual autonomies
| Autor: | Senore Carlo, Palella Mirella, Endrizzi Cristina, D’Amico Gabriella |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject Sedation palliative sedation lcsh:Medicine General Biochemistry Genetics and Molecular Biology surrogate decision 03 medical and health sciences 0302 clinical medicine Terminal Sedation medicine 030212 general & internal medicine autonomy Intensive care medicine Applied Psychology end-of-life care media_common decision-making process death awareness business.industry family coping lcsh:R Retrospective cohort study Cognition 030220 oncology & carcinogenesis Observational study medicine.symptom business Psychosocial End-of-life care Autonomy |
| Zdroj: | Cogent Medicine, Vol 4, Iss 1 (2017) |
| Popis: | In this observational and retrospective study, the authors aimed to evaluate how the practice of palliative terminal sedation therapy (PST) in a hospice setting has changed in a given period of clinical activity and which psychosocial factors have influenced it. We considered the prevalence of palliative/terminal sedation therapy (PST) and the prevalence of some factors associated with the decision-making process in PST (awareness of death, impairment of cognitive function, discussion of sedation with physicians, etc.). Despite a downward trend in patients without awareness of death, the interlocutor of the decision-making process is always the caregiver (44 vs. 28% for the patient). Furthermore, the probability that conscious sedation preceded deep sedation was significantly reduced when the principal interlocutor in the decision-making process was the caregiver. The weight of the decision-making of the patient seems to be relative to an awareness of the death process and the families’ responsibility is a relevant aspect in advanced care planning. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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