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By Paulina Taboada
The book’s major contribution is its interdisciplinary method of the problem of sedation on the end-of-life. since it happens on the finish of existence, palliative sedation increases a few vital moral and criminal questions, together with if it is a covert kind of euthanasia and for what reasons it could possibly legally be used. a number of the e-book chapters handle the 1st query and just about all care for a selected kind of the second one: no matter if palliative sedation may be used for these experiencing “existential suffering”? This increases the query of what existential ache is, a subject that also is mentioned within the booklet. different chapters deal with those matters from the views of the correct disciplines: Palliative medication, Bioethics, legislation and Theology. for this reason, invaluable money owed of the scientific and historic heritage for this factor are supplied and the significance of drawing actual moral and criminal differences is under pressure during the complete ebook. So the amount represents a useful contribution to the rising literature in this subject and will be invaluable throughout a extensive spectrum of readers: philosophers, theologians and physicians.
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Extra info for Sedation at the end-of-life : an interdisciplinary approach
Sample text
In doing so, the author stresses the importance of both the distinction between intended and foreseen effects and the idea that this principle presupposes the existence of intrinsically bad actions, which would be always morally wrong to pursue. Miranda reviews the interpretation of the principle offered by contemporary authors within the Natural Law tradition (such as Grisez, Finnis and Boyle) and takes into account two different types of criticisms that have been made to their position: Aulisio’s criticism, stating that double effect can be also applied outside an ‘absolutist’ tradition, and Anderson’s objection, suggesting that even within an ‘absolutist’ context, double effect does also apply to the sort of harms that it would be lawful to directly intend.
Deep); (3) the clinical indications (physical symptoms vs. existential suffering); (4) the concomitant administration vs. withdrawal of medically assisted nutrition and hydration; and (5) the ethical foundations of its clinical applications and its difference with euthanasia and physician-assisted suicide. Referring to the framework provided by the European Association for Palliative Care (EAPC), Taboada alerts the reader about the existence of inadequate uses, substandard applications and abuses of ‘palliative sedation’ in terminally-ill patients.
G. ‘existential suffering’). Moreover, the use of sedatives is associated with some adverse side-effects and/or risks, such as respiratory depression and low blood pressure. Although the literature shows that these risks and adverse effects do not occur when sedatives are used by professionals in an appropriate way, they may indeed occur when using sedatives in inappropriately high doses and/or when the dose is increased too rapidly. In this context, some authors have expressed their concerns about the occurrence of imprudent uses, sub-standard applications and actual abuses of sedation at the end-of-life, which may represent a form of ‘slow euthanasia’ or ‘euthanasia in disguise’.