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Was ist das Problematische an der Palliativen Sedierung? – eine Übersicht

What is problematic with palliative sedation?: a review

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Zusammenfassung

Die Palliative Sedierung als therapeutische Handlungsoption in anderweitig refraktären Behandlungssituationen wird in der Öffentlichkeit und in Fachkreisen in ihrer klinischen Wertigkeit grundsätzlich akzeptiert und weitgehend positiv konnotiert. Im Widerspruch dazu fallen sowohl die Quantität der empirischen Forschung als auch die Intensität der ethischen und klinischen Diskussion ins Auge, mit der konzeptuelle als auch durchführungsbezogene Aspekte der Palliativen Sedierung beschrieben und kontrovers erörtert werden. Anstatt eines distinkten Behandlungskonzeptes stellt sich hier eher ein komplexes Spektrum verschiedener (und ggf. ethisch verschieden zu bewertender) Vorgehensweisen dar. Die folgende Übersichtsarbeit fasst anhand der aktuellen Literatur zusammen, welche Aspekte im Kontext der Palliativen Sedierung als problematisch bewertet werden.

Abstract

Definition of the problem Palliative sedation as a therapeutic option in otherwise refractory clinical situations has been broadly accepted and appreciated by general society and by health care professionals. Arguments However, intense empirical research activities have been undertaken and there is an ongoing controversial ethical and clinical debate on conceptual and procedural aspects of palliative sedation. Conclusion This review discusses the current literature and the aspects on palliative sedation that are considered problematic, and finds a complex spectrum of different modes of conduct (subject to moral reasoning and different moral judgments), rather than a distinct conceptual entity.

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Abb. 1

Notes

  1. Bundesgerichtshof (BGH) AZ XII ZB 2/03, N Jurist Wochenschr 56:1588–1594

  2. http://www.eapc-2013.org/Final_Program.html, zugegriffen: 15. Dez. 2013

  3. BGH AZ XII ZB 2/03, N Jurist Wochenschr 56:1588–1594

  4. www.who.org; zugegriffen: 15. Feb. 2013

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Interessenkonflikt

B. Alt-Epping, F. Nauck und B. Jaspers geben an, dass kein Interessenkonflikt besteht.

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  1. Klinik für Palliativmedizin, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland

    Bernd Alt-Epping,  Friedemann Nauck &  Birgit Jaspers

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  1. Bernd Alt-Epping
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Alt-Epping, B., Nauck, F. & Jaspers, B. Was ist das Problematische an der Palliativen Sedierung? – eine Übersicht. Ethik Med 27, 219–231 (2015). https://doi.org/10.1007/s00481-014-0316-6

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