Rousseau P
VA Medical Center, Phoenix, Ariz. 85310, USA.
Mayo Clin Proc. 2000 Oct;75(10):1064-9. doi: 10.4065/75.10.1064.
The physician's main goal in caring for a dying person is to reduce suffering, including pain, physical symptoms, and emotional, psychosocial, and spiritual distress. In refractory and intractable cases, palliative sedation offers a compassionate and humane alternative to conscious and continual suffering, both for the patient and the patient's family. Without a doubt, further studies are necessary, particularly in cases of cognitive impairment, but palliative sedation offers a valuable and efficacious intervention for interminable suffering at the end of life.
医生照料临终患者的主要目标是减轻痛苦,包括疼痛、身体症状以及情感、心理社会和精神困扰。在难治性和顽固性病例中,姑息性镇静为患者及其家人提供了一种富有同情心和人道的选择,以替代有意识的持续痛苦。毫无疑问,还需要进一步研究,尤其是在认知障碍病例中,但姑息性镇静为生命末期的无尽痛苦提供了一种有价值且有效的干预措施。