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• W1982721692 abstract "Letters17 December 2002Careful Conversation about Care at the End of LifeJohn H. Kvasnicka, MDJohn H. Kvasnicka, MDSt. Joseph's Hospital; St. Paul, MN 55102Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-137-12-200212170-00027-w2 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Jansen and Sulmasy (1) present an excellent discussion of some of the ethical issues surrounding terminal sedation and refusal of nutrition and hydration. However, they consider each practice in isolation and do not discuss the ethical issues involved in combining them. The authors define terminal sedation as “sedation of the imminently dying” and note that its ethical use requires that sedation be a foreseen but unintended consequence of treatments to relieve intractable symptoms. Refusal of artificial nutrition and hydration is defined as the patient's voluntary refusal after considering the benefits and burdens of the therapy. Obviously, continued ...Reference1. Jansen LA, Sulmasy DP. Sedation, alimentation, hydration, and equivocation: careful conversation about care at the end of life. Ann Intern Med. 2002;136:845-9. [PMID: 12044133] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: St. Joseph's Hospital; St. Paul, MN 55102 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoSedation, Alimentation, Hydration, and Equivocation: Careful Conversation about Care at the End of Life Lynn A. Jansen and Daniel P. Sulmasy Careful Conversation about Care at the End of Life Charles G. Sasser Careful Conversation about Care at the End of Life Timothy E. Quill Careful Conversation about Care at the End of Life Paul Rousseau Careful Conversation about Care at the End of Life Tatsuya Morita , Satoru Tsuneto , and Yasuo Shima Careful Conversation about Care at the End of Life Lynn A. Jansen and Daniel P. Sulmasy Physician Involvement in Voluntary Stopping of Eating and Drinking Bernard Gert , James L. Bernat , and R. Peter Mogielnicki Physician Involvement in Voluntary Stopping of Eating and Drinking Lynn A. Jansen and Daniel P. Sulmasy Metrics Cited byPhysician Reports of Terminal Sedation without Hydration or Nutrition for Patients Nearing Death in the NetherlandsJudith A.C. Rietjens, MSc, Agnes van der Heide, MD, PhD, Astrid M. Vrakking, MSc, Bregje D. Onwuteaka-Philipsen, PhD, Paul J. van der Maas, MD, PhD, and Gerrit van der Wal, MD, PhD 17 December 2002Volume 137, Issue 12Page: W2KeywordsEnd of life careNutritionSedationSuicide ePublished: 17 December 2002 Issue Published: 17 December 2002 Copyright & PermissionsCopyright © 2002 by American College of Physicians. All Rights Reserved.PDF downloadLoading ..." @default.
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