Continuous sedation until death: moral justifications of physicians and nurses─a content analysis of opinion pieces

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Publication Type pre-print
School or College College of Humanities
Department Philosophy
Creator Battin, Margaret P.
Other Author Rys, Sam; Mortier, Freddy; Deliens, Luc; Deschepper, Reginald; Bilsen, Johan
Title Continuous sedation until death: moral justifications of physicians and nurses─a content analysis of opinion pieces
Date 2012-01-01
Description Continuous Sedation until Death (CSD), the act of reducing or removing the consciousness of an incurably ill patient until death, often provokes medical-ethical discussions in the opinion sections of medical and nursing journals. A content analysis of opinion pieces in medical and nursing literature was conducted to examine how clinicians define and describe CSD, and how they justify this practice morally. Most publications were written by physicians and published in palliative or general medicine journals. Terminal Sedation and Palliative Sedation are the most frequently used terms to describe CSD. Seventeen definitions with varying content were identified. Continuous Sedation until Death was found to be morally justified in 73% of the publications using justifications such as Last Resort, Doctrine of Double Effect, Sanctity of Life, Autonomy, and Proportionality. The debate over CSD in the opinion sections of medical and nursing journals lacks uniform terms and definitions, and is profoundly marked by ‘charged language', aiming at realizing agreement in attitude towards CSD. Not all of the moral justifications found are equally straightforward. To enable a more effective debate, the terms, definitions and justifications for CSD need to be further clarified.
Type Text
Publisher Springer
Dissertation Institution University of Utah
Language eng
Bibliographic Citation Rys, S., Mortier, F., Deliens, L., Deschepper, R., Battin, M. P., & Bilsen, J. (2012). Continuous sedation until death: moral justifications of physicians and nurses─a content analysis of opinion pieces. Medicine, Health Care and Philosophy.
Rights Management (c) Springer (The original publication is available at www.springerlink.com) http://dx.doi.org/10.1007/s11019-012-9444-2
Format Medium application/pdf
Format Extent 817,411 bytes
Identifier uspace,17936
ARK ark:/87278/s68d0f1z
Setname ir_uspace
Date Created 2012-10-22
Date Modified 2021-05-06
ID 708180
Reference URL https://collections.lib.utah.edu/ark:/87278/s68d0f1z