Journal ArticleDOI
The Supreme Court Speaks — Not Assisted Suicide but a Constitutional Right to Palliative Care
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The Supreme Court has unanimously ruled that there is no constitutional right to physician-assisted suicide, and did much more than simply uphold the New York and Washington cases.Abstract:
The Supreme Court has unanimously ruled that there is no constitutional right to physician-assisted suicide.1,2 Unexpectedly, however, the Court did much more than simply uphold the New York and Wa...read more
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Journal ArticleDOI
Pain management : A fundamental human right
TL;DR: It is concluded that pain management is at an “inflection point” in which unreasonable failure to treat pain is viewed worldwide as poor medicine, unethical practice, and an abrogation of a fundamental human right.
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Rethinking the role of tube feeding in patients with advanced dementia.
TL;DR: A byproduct of the aging of the population has been a dramatic rise in the rate of Alzheimer's disease and other types of dementia, and family members or other surrogate decision makers must make difficult and often painful decisions about limiting care.
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Palliative sedation therapy in the last weeks of life: a literature review and recommendations for standards.
Alexander de Graeff,Mervyn Dean +1 more
TL;DR: When other treatments fail to relieve suffering in the imminently dying patient, PST is a valid palliative care option.
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Responding to Intractable Terminal Suffering: The Role of Terminal Sedation and Voluntary Refusal of Food and Fluids
Timothy E. Quill,Ira Byock +1 more
TL;DR: Terminal sedation and voluntary refusal of hydration and nutrition as potential last-resort responses to severe, unrelievable end-of-life suffering are discussed.
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The rule of double effect: Clearing up the double talk
TL;DR: This article presents a systematic rejoinder to what it takes to be serious misunderstandings of the nature and use of the rule of double effect.
References
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Sedation in the management of refractory symptoms: guidelines for evaluation and treatment.
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Opioid Therapy for Chronic Nonmalignant Pain: Clinicians’Perspective
TL;DR: Observations from experience gained during the management of cancer pain have demonstrated the potential for highly favorable outcomes from long-term opioid therapy, which justifies the need to examine conventional thinking about the role of these drugs overall, including their potential utility in chronic nonmalignant pain.
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Disciplinary actions and pain relief: analysis of the Pain Relief Act.
TL;DR: The article addresses the Pain Relief Act, designed to work in conjunction with state statutory frameworks to protect providers who are in substantial compliance with accepted practice guidelines, and compares areas in which the Act is broader or narrower than current statutes.
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Controlled substances and pain management: regulatory oversight, formularies, and cost decisions.
TL;DR: The objective is to raise awareness of issues as they relate to the prescription of pain medication and to pain management generally.