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Dissertations / Theses on the topic 'Palliative sedation'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

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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2

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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3

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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4

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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5

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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6

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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7

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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8

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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9

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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10

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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11

Müller, Therése, and Seger Angelica Lorvi. "Sjuksköterskors upplevelse av palliativ sedering : En litteraturövesikt." Thesis, Högskolan i Jönköping, Hälsohögskolan, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-42609.

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Bakgrund: Palliativ vård handlar om lindrande vård, när sjukdomen eller tillståndet inte längre går att bota. Palliativ sedering är ett begrepp som används inom palliativ vård, och innebär att patientens medvetande sänks i livets slutskede, för att lindra outhärdliga symtom, och där målet är att patienten ska få en fridfull död. Sjuksköterskor har en viktig roll i teamarbetet kring palliativa patienter. Syfte: Att beskriva sjuksköterskors upplevelser vid palliativ sedering. Metod: En litteraturöversikt med kvalitativ metod är genomförd. En induktiv ansats där tio artiklar granskades med hjälp

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12

Carlsson, Anna, and Ellen Christensen. "Sjuksköterskors erfarenheter av palliativ sedering : En litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-6034.

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Bakgrund: Palliativ sedering avser en avsiktlig sänkning av medvetandegraden hos en patient som befinner sig i livets slutskede och har outhärdliga symtom. Behandlingen ges av ett multiprofessionellt team där sjuksköterskornas uppgift är att iordningställa och administrera ordinerade läkemedel samt utvärdera effekt och upplevelse av behandlingen. Förutom de praktiska kraven som ställs på sjuksköterskorna medför palliativ sedering även krav på förmåga till reflektion och kritiskt såväl som etiskt tänkande. Syfte: Syftet med denna litteraturöversikt var att undersöka sjuksköterskors erfarenheter

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13

Nilsson, Sofie. "Sjuksköterskors och närståendes upplevelser av palliativ sedering i livets slutskede." Thesis, Sophiahemmet Högskola, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1386.

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14

Berg, Alexandra, and Natalie Karlsson. "Dödshjälp eller livshjälp? : Sjuksköterskors upplevelser av palliativ sedering." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-38625.

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Sjuksköterskans roll i den palliativa vården är att främja autonomi, livskvalité och lindra lidande. Palliativ sedering är en behandlingsmetod som syftar till att minska outhärdligt lidande, men som leder till en reducerad medvetandenivå och inskränkning av personlig frihet där sjuksköterskan är högst involverad. Litteraturstudiens syfte var att undersöka sjuksköterskors upplevelser av palliativ sedering. Studien genomfördes som en allmän litteraturstudie med stöd av innehållsanalys utifrån en induktiv ansats. I litteraturstudiens resultat framkommer det att sjuksköterskor upplever en ambivale

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15

Tomczyk, Martyna. "Sédation continue, maintenue jusqu'au décès : quelle communication dans les unités de soins palliatifs en France et en Pologne ? Pour une éthique de la présence à l'autre." Thesis, Sorbonne Paris Cité, 2016. http://www.theses.fr/2016USPCB214/document.

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Cette thèse d’éthique médicale, située dans une approche interdisciplinaire et tentant de s’affranchir de tout préjugé personnel de la part de l’auteur, tend à apporter un éclairage, aussi objectif que possible, sur une question, jusqu’à présent, inexplorée : la communication sur la sédation continue, maintenue jusqu’au décès, dans les unités de soins palliatifs, en France et en Pologne. En premier lieu, une recherche bibliographique a été réalisée et les principales failles des publications existantes ont été mises en exergue dont deux en particulier : le flou terminologique et conceptuel aut

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16

Martinsson, Anette, and Fredrika Nordin. "Sjuksköterskors inställning till eutanasi och bidragande faktorer till dessa inställningar : En deskriptiv litteraturstudie." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-22966.

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Bakgrund: Eutanasi är ett ämne som är väl omdebatterat i världen och betyder egentligen hjälp till en smärtfri död, men används idag som synonym till dödshjälp. Aktiv dödshjälp innebär att läkaren förskriver ett läkemedel med syfte att avsluta en patients liv. Läkarassisterat självmord innebär att patienten själv tar läkemedlet medan aktiv dödshjälp innebär att sjukvården hjälper till att avsluta patientens liv. Syfte: Syftet var att beskriva sjuksköterskors inställning till eutanasi och de faktorer som beskrivs ligga bakom dessa inställningar, samt att beskriva undersökningsgrupperna i de val

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17

Gertsson, Anette. "ETT ROFYLLT SLUT : Sjuksköterskors upplevelser kring palliativ sedering hos patienter med lungcancer." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-28566.

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Bakgrund: När patienter med lungcancer befinner sig i den sena fasen med palliativ vård i livets slutskede är det inte ovanligt att de på grund av outhärdlig smärta och/eller ångest och oro har ett behov av att få sedering som behandlingsform. Det kan dock finnas en risk att patienterna inte alltid får tillräcklig lindring i samband med detta lidande. För att lindra lidandet hos dessa patienter är det viktigt att sjuksköterskan är väl förtrogen med denna behandlingsform. Därtill krävs en uppmärksamhet gällande patientens behov av behandlingsformen. Syfte: Syftet var att beskriva sjuksköterskor

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18

Bando, Catherine. "Assisted Death: Historical, Moral and Theological Perspectives of End of Life Options." Digital Commons at Loyola Marymount University and Loyola Law School, 2018. https://digitalcommons.lmu.edu/etd/513.

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The paper explores historical positions on suicide and philosophical, theological, and moral positions on physician-assisted suicide and euthanasia. In 1900, most people died from infectious diseases, which have relatively short periods of morbid decline. With advances in the biomedical sciences, people are living longer, and most people die from chronic diseases, which are usually accompanied by prolonged periods of morbid decline. In addition to living longer, people today are generally more individualist and seek methods to control many aspects of life. While assisted death is rarely used,

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19

Blondet, Vanessa. "Les pratiques sédatives en unités de soins palliatifs, entre travail du care et négociation." Thesis, Strasbourg, 2019. https://publication-theses.unistra.fr/restreint/theses_doctorat/2019/Blondet_Vanessa_2019_ED519.pdf.

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Quels sont les différentes formes de la sédation en unité de soins palliatifs ? Comment les sédations sont-elles négociées entre les soignants, le patient et ses proches ? Qu’est-ce que l’usage du Midazolam et sa négociation nous dit du travail en unité de soins palliatifs en France ? Cette thèse repose sur une enquête qualitative menée auprès de quatre structures de soins palliatifs différentes. Le travail s’appuie sur des observations directes et indirectes au sein des structures, le suivi des évolutions dans les doses de Midazolam pour 42 patients, ainsi que soixante entretiens semi-directi

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20

Wildfeuer, Svenja [Verfasser], and Claudia [Akademischer Betreuer] Bausewein. "Beurteilung von Schmerzen und Sedierungstiefe bei palliativ sedierten Patienten : Validierung des Critical Care Pain Observation Tool (CPOT) und der Richmond Agitation Sedation Scale (RASS) bei Patienten unter palliativer Sedierung im Rahmen einer prospektiven, offenen Multicenterstudie / Svenja Wildfeuer ; Betreuer: Claudia Bausewein." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2018. http://d-nb.info/1163948772/34.

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21

Mazoyer, Julie. "Sédation temporaire, sédation terminale et usage des opiacés : problèmes éthiques associés au traitement de la douleur en soins palliatifs." Thesis, Toulouse 2, 2016. http://www.theses.fr/2016TOU20116/document.

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Notre recherche concerne les conditions d'acceptabilité de différents moyens de traiter la douleur dans les soins palliatifs, par les professionnels de santé et le grand public. Deux moyens sont étudiés : l’utilisation d’antalgiques, notamment de palier III ; la mise en œuvre d’une sédation. Notre recherche est basée sur la Théorie Fonctionnelle de la cognition de Norman Anderson (1981). Concernant l'étude portant sur l’utilisation des antalgiques : 192 participants ont jugé du degré d'acceptabilité de chacun des 56 scénarios proposés, résultant de la combinaison de quatre facteurs : « concert

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22

Beel, Alexandra Claudia. "Palliative sedation : nurses' perceptions." 2004. http://hdl.handle.net/1993/29124.

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23

Smith, Karen L. "Terminal Sedation." 2011. http://trace.tennessee.edu/utk_graddiss/1127.

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This dissertation will support full ethical endorsement of terminal sedation for those most urgently in crisis and need of beneficence, those who are dying and in the final hours or days and suffering. To clarify the practice I first detail ethical differences between euthanasia, physician assisted suicide and terminal sedation. Moreover, I identify new areas where harms and benefits need to be evaluated as affecting not only patients, but also families and caregivers. I evaluate the current practice to allow the development of ethical guidelines and greater consensus on deciding the hard case

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24

Yin, Chen Szu, and 陳思穎. "Palliative Sedation for Terminal Critically ill Patients : Family Concerns and Levels of Grief." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/12644039410030439297.

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Shan, Shen Hui, and 沈惠珊. "Palliative Sedation for Terminally Ill Patients With Cancer: Family Concerns and Levels of Grief." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/56404151604452882406.

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碩士<br>臺北醫學大學<br>護理學研究所<br>98<br>It is more popular to using the palliative sedation therapy to control intractable and refractory symptoms in terminally cancer ill patients. But it may cause profound family distress, even effect their grief. The purpose of this study is to determine the family concerns and levels of grief in palliative sedation. The survey of the families of cancer patients who received palliative sedation at palliative care unit in one of the medical center in Taipei. The questionnaire survey assessed 81 bereaved families, 41 families that the patients were received the palli

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26

Chen, Yu-Hsuan, and 陳莠諠. "A population based study of palliative sedation for hospice patients with terminal illness in Taiwan." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/93949202190780925035.

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碩士<br>嘉南藥理科技大學<br>醫療資訊管理研究所<br>99<br>Objective: To describe the utilization of palliative sedation therapy (PST) among hospice patients with terminal illness and examine the effect of on survival in terminally ill patients. Methods: The study conducted a descriptive retrospective study based on the Taiwan Longitudinal Health Insurance Database (LHID) from 2005 to 2009 of a systematic sample of hospice patients. Comparative survival analysis was performed using the Kaplan-Meier method with log-rank tests. Results: During the study period, 275 hospice patients with terminal illness were recorded

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27

McBurney, Catherine. "The one & the many : reconciling "universals" & "particulars" and the case of "terminal sedation"." Thèse, 2005. http://hdl.handle.net/1866/17217.

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28

Matos, Ana Leonor Vasconcelos Vilar Cadete de. "Internship in palliative care : in the palliative care, pain therapy and rehabilitaion unit : Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy : final report." Master's thesis, 2019. http://hdl.handle.net/10400.14/28759.

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The possibility to work for three months in Istituto Nazionale dei Tumori in Milan gave me the opportunity to develop practical skills in Palliative Care, which I felt I lacked. It also provided me the chance to work in a renowned institution, side by side with specialists with a vast experience in providing advanced holistic care to cancer patients. The opportunity was both appealing and challenging. My main goals were: to develop skills in the comprehensive assessment of pain and other symptoms from cancer and its treatment; to monitor patients for adequacy of symptom relief; to improv

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Vráblová, Barbora. "Občanskoprávní aspekty poskytování paliativní péče." Doctoral thesis, 2020. http://www.nusl.cz/ntk/nusl-436307.

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Civil law aspects of the provision of palliative care Abstract This dissertation focuses on topics related to the area of intensive medicine and palliative care. In particular, the clinical environment where legal controversies related to the confrontation of two different approaches, curative and palliative, are discussed. The dissertation follows the structure of the medical law area in common law often called "Law at the end of life". The first part of the dissertation is dedicated to an analysis of relevant concepts in a more general fashion. This includes the concept of medical futility,

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30

Tsao, Tsung-Ding, and 曹宗鼎. "The Ethical and Legal Analysis of Palliative Sedative Therapy." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/80578389923839227820.

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碩士<br>國立中興大學<br>科技法律研究所<br>97<br>This thesis chiefly discusses ethical and legal issues connected with a lawful, ethical medical measure under the Statute for Palliative Care and the current legal system – "terminal palliative sedation," and analyzes ethical and legal questions associated with medical decisions concerning the final stage of life and terminal palliative sedation. The chief focus of the paper is on the "rule of double effect." The thesis begins with a longitudinal historical discussion of the development of end-of-life medicine and issues causing dispute. The next section contai

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Sadler, Kim. "Étude exploratoire du recours à des interventions médicales de type "lourd' pour soulager la souffrance existentielle en fin de vie." Thèse, 2015. http://hdl.handle.net/1866/16054.

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Au cours du siècle dernier, des améliorations au niveau des conditions de vie ainsi que des avancées importantes dans les sciences biomédicales ont permis de repousser les frontières de la vie. Jusqu’au début du XXe Siècle, la mort était un processus relativement bref, survenant à la suite de maladies infectieuses et avait lieu à la maison. À présent, elle survient plutôt après une longue bataille contre des maladies incurables et des afflictions diverses liées à la vieillesse et a le plus souvent lieu à l’hôpital. Pour comprendre la souffrance du malade d’aujourd’hui et l’aborder, il faut com

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