Academic literature on the topic 'Palliative sedation'

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Journal articles on the topic "Palliative sedation"

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Murillo-Zamora, Efrén, Nallely A. García-López, Ana de Santiago-Ruiz, Alcira Emperatriz Chávez-Lira, Oliver Mendoza-Cano, and José Guzmán-Esquivel. "Characterisation of palliative sedation use in inpatients at a medium-stay palliative care unit." International Journal of Palliative Nursing 26, no. 7 (2020): 341–45. http://dx.doi.org/10.12968/ijpn.2020.26.7.341.

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Background Palliative sedation has been used to refer to the practice of providing symptom control through the administration of sedative drugs. The objective of this article was to characterise palliative sedation use in inpatients at a medium-stay palliative care unit. Material and methods A cross-sectional study was conducted on 125 randomly selected patients (aged 15 or older) who had died in 2014. The Palliative Performance Scale was used to evaluate the functional status. Results Palliative sedation was documented in 34.4% of the patients and midazolam was the most commonly used sedative
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Twycross, Robert. "Reflections on palliative sedation." Palliative Care: Research and Treatment 12 (January 2019): 117822421882351. http://dx.doi.org/10.1177/1178224218823511.

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‘Palliation sedation’ is a widely used term to describe the intentional administration of sedatives to reduce a dying person’s consciousness to relieve intolerable suffering from refractory symptoms. Research studies generally focus on either ‘continuous sedation until death’ or ‘continuous deep sedation’. It is not always clear whether instances of secondary sedation (i.e. caused by specific symptom management) have been excluded. Continuous deep sedation is controversial because it ends a person’s ‘biographical life’ (the ability to interact meaningfully with other people) and shortens ‘biol
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Lynch, Maureen. "Palliative Sedation." Clinical Journal of Oncology Nursing 7, no. 6 (2003): 653–57. http://dx.doi.org/10.1188/03.cjon.653-657.

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Lawson, Mary. "Palliative Sedation." Clinical Journal of Oncology Nursing 15, no. 6 (2011): 589–90. http://dx.doi.org/10.1188/11.cjon.589-590.

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Vayne-Bossert, Petra, and Gilbert B. Zulian. "Palliative Sedation." American Journal of Hospice and Palliative Medicine® 30, no. 8 (2013): 786–90. http://dx.doi.org/10.1177/1049909112472930.

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Gurschick, Lauren, Deborah K. Mayer, and Laura C. Hanson. "Palliative Sedation." American Journal of Hospice and Palliative Medicine® 32, no. 6 (2014): 660–71. http://dx.doi.org/10.1177/1049909114533002.

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Eisenchlas, Jorge H. "Palliative sedation." Current Opinion in Supportive and Palliative Care 1, no. 3 (2007): 207–12. http://dx.doi.org/10.1097/spc.0b013e3282f19f87.

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Manzini, Jorge L. "Palliative sedation." Current Opinion in Supportive and Palliative Care 5, no. 3 (2011): 279–84. http://dx.doi.org/10.1097/spc.0b013e3283492acd.

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Gallagher, R., and C. Baldwin. "Palliative sedation." Canadian Medical Association Journal 186, no. 3 (2014): 212. http://dx.doi.org/10.1503/cmaj.114-0010.

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Cargill, D. "Palliative sedation." Canadian Medical Association Journal 186, no. 3 (2014): 212. http://dx.doi.org/10.1503/cmaj.114-0011.

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Dissertations / Theses on the topic "Palliative sedation"

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Frew, Katherine Elizabeth. "Routine sedation : towards a normative understanding of sedation in palliative care." Thesis, University of Newcastle upon Tyne, 2013. http://hdl.handle.net/10443/2158.

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This thesis explores the practice of sedation in hospice palliative care. Internationally this has been a controversial subject for over 20 years, with the use of sedation considered to be on a spectrum between euthanasia and symptom control at the end of life. This is a complex area of study, incorporating not only technical details regarding drugs and doses, but also relating to underlying values regarding end of life care. In the UK end of life care has developed from the ‘hospice movement’ of the 1960s, into the broad and far reaching approach of palliative care. Alongside this development
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Åström, Tove. "Arguments for and against palliative sedation : - an ethical reflection." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-73274.

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Introduction: Palliative sedation is the use of sedatives to lower the alertness for symptomcontrol, when suffering is otherwise uncontrollable. Its role in palliative care is frequentlyargued, with both proponents and opponents. End-of-life decisions raise many concerns,including ethical ones, regarding which ethical principle should be valued the most. Someopponents argue that palliative sedation is ethically similar to euthanasia, but there alsoappears to be some confusion concerning concepts and definitions. Aim: To discuss ethical arguments for and against palliative sedation, and relevan
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Cameron, David. "Palliative sedation : the development of a policy and guidelines for the use of Palliative sedation for refractory symptoms in dying patients at Sungardens Hospice, Pretoria." Master's thesis, University of Cape Town, 2002. http://hdl.handle.net/11427/10225.

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Includes bibliographical references.<br>Sedation in the context of terminal care has been a hotly debated topic for many years. There are two main reasons for this. Firstly, the wide variation in its reported use leads to doubts about the appropriateness of the care available in areas with a high percentage of sedation, and secondly, there is the suspicion that terminal sedation is actually a euphemism for euthanasia. Ventafridda's report in 1990 that 52% of moribund patients required sleep-inducing sedation to control physical suffering, stimulated a lot of discussion in palliative care circl
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Murphy, Kevin. "Sedation practices, tragic dying and palliative care: An ethical inquiry." Thesis, University of Ottawa (Canada), 2002. http://hdl.handle.net/10393/6089.

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With the increased ability of medical technology to manipulate or prolong the end of a patient's life, and with the increased dependency of patients on technology for survival and comfort, health care professionals who manipulate these "end of life" technologies seem to more directly manipulate the life and death of the patient. The end of life is the focus of the health care discipline of palliative care. It has been promoted as a holistic approach addressing the needs of dying patients which, if not addressed, give rise to requests for physician assisted suicide. Yet, concerns regarding the
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Lamberg, Skog Hanna-Karolina. "Sjuksköterskors erfarenheter av palliativ sedering : En litteraturstudie." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-20986.

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Abstract Background: Patients in the terminal phase in the end-of-life often suffer of infractable symtoms such as pain, delirium and dyspnéa. In cases where no other symtomatic revelaing therapy is aduqate for revealing the suffering of the patient palliative sedation can be administrated. Palliative sedation means is to relieve unbearable symptoms by lowering the patient's level of consciousness by adminstration of sedatives. Objective: The aim of the study was to describe nurses experiences of paliative sedation and review the selected articles data collection method. Method: The Descriptiv
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Schweidenbach, Malin. "Närståendes erfarenheter av palliativ sedering inom palliativ vård." Thesis, Sophiahemmet Högskola, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-2425.

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Palliativ vård syftar till att främja livskvalitet för personer med livshotande sjukdom och deras närstående. Patientens fysiska, psykosociala och andliga problem ska lindras. Dessutom ska närstående stöttas genom sjukdomstiden och det sorgearbete som följer. Den palliativa vården vilar på de fyra hörnstenarna symtomlindring, kommunikation, teamarbete och närstående. Närstående har en naturlig roll inom den palliativa vården och deras behov ska uppmärksammas. EAPC’s definition av palliativ sedering beskriver en kontrollerad sänkning av medvetandet för att lindra svårbehandlade symtom. Sjuksköt
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Shapiro, Beth. "Physicians' views and practices regarding palliative sedation for existential suffering in terminally ill patients." Thesis, Saybrook Graduate School and Research Center, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3566412.

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<p> This study examined hospice physicians' understanding of and attitudes toward existential suffering and palliative sedation, including their understanding of existential suffering, their responses to existential suffering, their use of palliative sedation as a treatment for existential suffering, and the influences on physicians' attitudes and behaviors about palliative sedation. Data were collected through a semi-structured, one-on-one, in-person interview conducted with five physicians employed at one hospice. Each interview was audio-recorded and lasted approximately 60 minutes. The dat
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Pond, Ellen, and Emma Grönberg. "Att vara närstående till någon som får palliativ sedering : en litteraturstudie." Thesis, Karlstads universitet, Institutionen för hälsovetenskaper (from 2013), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-83760.

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Introduktion/Bakgrund: Patienter i livets slutskede som upplever outhärdliga symtom kan få palliativ sedering. Sjuksköterskor har en viktig roll när palliativ sedering tillämpas. De har ansvar för att stötta och företräda både patient och närstående. Det finns en brist på forskning om närståendes upplevelser av palliativ sedering. Syfte: Syftet med litteraturstudien var att belysa hur det upplevs att vara närstående till en patient som får palliativ sedering. Metod: Litteraturstudien genomfördes enligt Polit och Becks (2016) nio steg. Databassökningen gjordes i tre databaser; PubMed, Cinahl sa
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Cornett, Janet Alexandra. "Identifying Communication Precursors to Medical Error in an In-patient Clinical Environment: A Palliative Sedation Therapy Case Study." Thèse, Université d'Ottawa / University of Ottawa, 2013. http://hdl.handle.net/10393/23693.

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Objectives: The objective of this thesis is to identify and understand communication and information exchange events and their influencing factors that are precursors to medical errors. Methods: Palliative Sedation Therapy is used as a case study to understand how communication and information sharing occur on an in-patient palliative care unit. Data sources were non-participant observation and interviews. Directed content analysis was used to analyze the data, with previously published conceptual models of communication acting as the guides for this analysis. Results/Discussion: Results iden
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Blomgren, Sara, and Jeannette Joelsson. ""Att välja mellan två onda ting" : sjuksköterskans reflektioner och resonemang kring palliativ sedering." Thesis, Sophiahemmet Högskola, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3422.

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Den palliativa vårdens ambition är att lindra symtom vid obotlig sjukdom och att främja livskvalitet för patienter och deras närstående vid fysiska, psykologiska, sociala eller existentiella behov. Inom den specialiserade palliativa vården finns patienter med komplexa symtombilder som i livets slutskede inte kan symtomlindras annat än med hjälp av palliativ sedering som behandlingsform. Genom att kontrollerat sänka patientens medvetande minskar lidandet och ger patienten möjlighet till en fridfull och värdig död. Sjuksköterskan ansvarar för det praktiska utförandet av sederingen och omvårdnade
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Books on the topic "Palliative sedation"

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Nelson, Peg. Palliative Sedation. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190204709.003.0013.

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This chapter examines palliative sedation and the advanced practice registered nurse’s (APRN) roles and responsibilities when caring for patients with intractable suffering at the end of life. Palliative sedation is an important therapy of last resort to relieve suffering in patients who have intractable pain and/or other symptoms. It requires knowledge of appropriate medications and an interdisciplinary approach. The chapter discusses definitions of palliative sedation and situations where it is appropriate. Key aspects of safe implementation and appropriate medications for palliative sedatio
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Macauley, Robert C. Palliative Sedation (DRAFT). Edited by Robert C. Macauley. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199313945.003.0009.

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Palliative sedation refers to lowering a patient’s level of consciousness so that she no longer suffers from intolerable and refractory symptoms. Some forms of palliative sedation are ethically uncontroversial, such as emergency or respite sedation. Continuous sedation to unconsciousness (CSU) is controversial in that a patient in such a state is unable to eat or drink and may not be able to protect her airway. Ethically relevant considerations include the inability to participate in subsequent decision-making, the uncertain quality of an unconscious life, and the impact on life expectancy (wh
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Arthur, Joseph. Palliative Sedation Therapy and Survival (DRAFT). Edited by Nathan A. Gray and Thomas W. LeBlanc. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190658618.003.0045.

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Patients with advanced illness sometimes experience severe and debilitating physical and psychological symptoms at the end of life that may be refractory to all kinds of conventional treatments available for symptom relief. In such situations, palliative sedation therapy (PST) may be indicated. However, its utilization has been subject to debate. One viewpoint is that PST may hasten death. However, some studies have indicated otherwise. This chapter discusses a multicenter, prospective, observational, nonrandomized population-based study that compared the overall survival of a cohort of termin
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Krakauer, Eric L. Sedation at the end of life. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656097.003.0182.

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Palliative sedation is a well-accepted therapy that should be considered in the rare situations when a terminally ill patient whose overriding goal is comfort experiences severe suffering that is refractory to all available standard palliative interventions. Typically, such suffering is caused by physical or neuropsychiatric symptoms such as pain, dyspnoea, vomiting, seizures, agitated delirium, anxiety, or depression. The level of sedation should be proportional to an individual patient’s suffering and should be just deep enough to provide the desired relief. In some cases, sedation to uncons
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Macauley, Robert C. Ethics in Palliative Care. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199313945.001.0001.

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No specialty faces more diverse and challenging ethical dilemmas than palliative medicine. What is the best way to plan ahead for the end of life? How should physicians respond when patients refuse treatments likely to be beneficial or demand treatments not likely to be? Who makes medical decisions for patients who are too ill to decide for themselves? Do patients have the “right to die” (and, if so, what exactly does that mean)? Other ethics texts have explored these issues but often from an academic perspective that overlooks the practical realities of clinical medicine. Conversely, medical
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Chan, Kin-Sang, Doris M. W. Tse, and Michael M. K. Sham. Dyspnoea and other respiratory symptoms in palliative care. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656097.003.0082.

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Dyspnoea is prevalent among palliative care patients with increased severity over time. There are two patterns of dyspnoea-breakthrough dyspnoea and constant dyspnoea-and three separate qualities of dyspnoea-air hunger, work or effort, and tightness. The measurement of dyspnoea includes three domains: sensory-perceptual experience, affective distress, and symptom impact. The management of dyspnoea includes specific disease management, non-pharmacological intervention, pharmacological treatment, and palliative non-invasive ventilation. Cough is prevalent and disturbing in patients with cancer a
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Mori, Masanori. Clinical Signs of Impending Death in Cancer Patients (DRAFT). Edited by Nathan A. Gray and Thomas W. LeBlanc. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190658618.003.0039.

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In this prospective, longitudinal, cohort study, the authors systematically characterized the frequency, onset, and diagnostic performance of 62 clinical signs for impending death in 357 advanced cancer patients admitted to two acute palliative care units. “Early signs” (e.g., Palliative Performance Scale &lt;20%, Richmond Agitation Sedation Scale ≤–2) had a high frequency over the last 3 days but low positive predictive ratios (LRs) for impending death within 3 days. In contract, “late signs” (e.g., death rattle, respiration with mandibular movement, peripheral cyanosis) had a low frequency b
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Macauley, Robert C. The “Right to Die” (DRAFT). Edited by Robert C. Macauley. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199313945.003.0005.

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Formerly referred to as “passive euthanasia,” forgoing life-sustaining medical treatment came to be accepted in the 1970s based on a patient’s right to privacy. In order to achieve this societal shift, the practice was clearly distinguished from active euthanasia, which was universally rejected. Over the ensuing decades, other permutations of “the right to die”—including receiving intensive pain medication at the end of life and palliative sedation—were considered and accepted to varying degrees. Modern advocates of euthanasia now argue that it is not, in fact, so different from forgoing life-
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Youngner, Stuart J., and Robert M. Arnold. Introduction. Edited by Stuart J. Youngner and Robert M. Arnold. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780199974412.013.30.

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This volume explores the topic of death and dying from the late twentieth to the early twenty-first centuries, with particular emphasis on the United States. The book comprises six sections. Section I examines how the law has helped shape clinical practice, emphasizing the roles of rights and patient autonomy. Section II focuses on specific clinical issues, including death and dying in children, continuous sedation as a way to relieve suffering at the end of life, and the problem of prognostication in patients who are thought to be dying. Section III considers psychosocial and cultural issues,
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Naast de stervende patiënt: Beslissen over palliatieve sedatie, euthanasie en morfine. Bohn Stafleu van Loghum, 2006.

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Book chapters on the topic "Palliative sedation"

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Janssens, Rien M. J. P. A. "Palliative Sedation." In Encyclopedia of Global Bioethics. Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-09483-0_324.

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Janssens, Rien M. J. P. A. "Palliative Sedation." In Encyclopedia of Global Bioethics. Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-05544-2_324-1.

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Rhee, Eileen, Efrat Lelkes, and Wynne Morrison. "Palliative Sedation." In Sedation and Analgesia for the Pediatric Intensivist. Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-52555-2_22.

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Cherny, Nathan I. "Palliative Sedation." In Textbook of Palliative Medicine and Supportive Care, 3rd ed. CRC Press, 2021. http://dx.doi.org/10.1201/9780429275524-75.

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ten Have, Henk, and Maria do Céu Patrão Neves. "Palliative Sedation (See Palliative Care)." In Dictionary of Global Bioethics. Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-54161-3_394.

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ten Have, Henk, and Maria do Céu Patrão Neves. "Palliative Care (See Hospice; Palliative Sedation)." In Dictionary of Global Bioethics. Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-54161-3_393.

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Casalone, Carlo. "Pain, Suffering, and Palliative Sedation." In Finding Dignity at the End of Life. Routledge, 2020. http://dx.doi.org/10.4324/9780429280252-10.

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Quill, Timothy E., Bernard Lo, and Dan W. Brock. "Palliative Options of Last Resort." In Terminal Sedation: Euthanasia in Disguise? Springer Netherlands, 2004. http://dx.doi.org/10.1007/978-1-4020-2124-4_1.

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Hasselaar, Jeroen. "Palliative Sedation: A Medical-Ethical Exploration." In Textbook of Palliative Care. Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-77740-5_92.

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Hasselaar, Jeroen. "Palliative Sedation: A Medical-Ethical Exploration." In Textbook of Palliative Care. Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-31738-0_92-1.

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Conference papers on the topic "Palliative sedation"

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Mermekli, A., R. Fairhead, N. Hare, et al. "Conscious Sedation during Percutaneous Image-guided Palliative Radiofrequency Ablation of Painful Bone Metastases: A Case Series." In 28th Annual Scientific Meeting of the European Society of Musculoskeletal Radiology (ESSR), Virtual Edition, June 2021. Thieme Medical Publishers, Inc., 2021. http://dx.doi.org/10.1055/s-0041-1731569.

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Garcia-Palop B, B., A. Morgenstern Isaak, C. Cuso Cuquerella, et al. "NP-012 Standardisation of analgesia and sedation infusion solutions in paediatric palliative patients receiving end-of-life care at home." In 24th EAHP Congress, 27th–29th March 2019, Barcelona, Spain. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/ejhpharm-2019-eahpconf.637.

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