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- W2913006127 abstract "When and how to provide a palliative sedation in terminally ill patients? With the introduction in the French law of sedatives practices, the professionals in palliative care are obliged to define the concepts, to name the difference kinds of sedations, to elaborate guidelines for good practice. French society of palliative care has worked to clarify the vocabulary, and to differentiate palliative sedations to their duration, their depth and the patient's consent (typology SEDAPALL). Its guidelines of 2010 have been updated in the form of three reference sheets in conjunction with a continuous deep sedation until death: how to estimate that the vital prognosis is short term? How to evaluate the refractory suffering? What are the guidelines for the pharmacological administration? The French National Authority for Health has produced a guide titled How to realise a continuous deep sedation until death? The present paper highlights some fundamental points of necessary steps: listening, understanding and analysing the suffering; the collegiate procedure - multi professional deliberative process, the pharmacological administration.Quand et comment mettre en place une sédation à visée palliative en fin de vie ? L’introduction dans la loi des pratiques sédatives a obligé les professionnels de soins palliatifs à définir les concepts, nommer les différentes formes de sédations, élaborer des guides de bonne pratique. La Société française d’accompagnement et de soins palliatifs s’est efforcée de clarifier le vocabulaire et de différencier les pratiques sédatives à visée palliative selon leur durée, leur profondeur et le consentement du patient (typologie SEDAPALL). Elle a actualisé ses recommandations de 2010 sous forme de trois fiches repères en lien avec une sédation profonde et continue maintenue jusqu’au décès : Comment apprécier qu’un pronostic vital est engagé à court terme ? Comment évaluer le caractère réfractaire d’une souffrance ? Quels repères pour une mise en oeuvre médicamenteuse ? La Haute Autorité de santé élabore un guide intitulé Comment mettre en oeuvre une sédation profonde et continue jusqu’au décès ? Le présent article reprend quelques points fondamentaux des étapes incontournables : l’écoute, la compréhension et l’analyse de la souffrance, la procédure collégiale – processus délibératif pluriprofessionnel, la mise en oeuvre pharmacologique." @default.
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- W2913006127 date "2017-12-01" @default.
- W2913006127 modified "2023-09-23" @default.
- W2913006127 title "When and how to provide a palliative sedation in terminally ill patients?" @default.
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