| Autor: |
Anquinet, Livia, Rietjens, Judith, Van den Block, Lieve, Bossuyt, Nathalie, Deliens, Luc |
| Přispěvatelé: |
Zorg rond het levenseinde, Huisartsgeneeskunde en Chronische Zorg, Medische Sociologie |
| Jazyk: |
Dutch; Flemish |
| Rok vydání: |
2011 |
| Předmět: |
|
| ISSN: |
2005-2006 |
| Popis: |
Continuous deep sedation until death is increasingly used at the end-of-life by general practitioners (GPs) and is heavily debated. In 2005-2006, Belgium, the large-scale mortality follow-back SENTI-MELC study was conducted. Of the 415 non-sudden home deaths registered by a representative surveillance network of Belgian GPs, 31 were preceded by the use of continuous deep sedation until death. Twenty eight interviews were conducted (response rate 90%). GPs were interviewed about the patients' characteristics, the decision-making process and other characteristics of this practice. Nineteen patients (68%) had cancer. Nineteen patients (68%) suffered persistently and unbearably. In 6 cases (23%), a competent patient was not involved in the decision-making. Relatives and care providers were involved in respectively 23 cases (88%) and 18 cases (69%). Benzodiazepines were used in 21 cases (75%). During sedation, 39% of the patients woke up, mostly due to insufficient effect of medication. In 13 cases (46%), the GP partly or explicitly intended to hasten the patient's death. Continuous deep sedation until death as practiced by Belgian GPs is in most cases used for unbearably suffering patients. Competent patients are not always involved in decision-making; the patient's family most of the time. Some GPs had an intention of hastening the patient's death. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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