Sedation, alimentation, hydration, and equivocation

Careful conversation about care at the end of life

Lynn Jansen, Daniel P. Sulmasy

Research output: Contribution to journalArticle

99 Citations (Scopus)

Abstract

In the recent medical ethics literature, several authors have recommended terminal sedation and refusal of hydration and nutrition as important, morally acceptable, and relatively uncontroversial treatment options for end-of-life suffering. However, not all authors use these terms to refer to the same practices. This paper examines the various ways that the terms terminal sedation and refusal of hydration and nutrition have been used in the medical literature. Although some of these practices are ethically appropriate responses to end-of-life suffering, others (at least as they are currently described in the medical ethics literature) are not. This paper identifies and discusses the principles that morally distinguish these practices from one another and specifically describes different features of medical practices and moral principles that affect the moral acceptability of various medical treatments. These distinctions reveal the complexity of the issues surrounding terminal sedation and refusal of hydration and nutrition, a complexity that has not been adequately addressed in recent discussions.

Original languageEnglish (US)
Pages (from-to)845-849
Number of pages5
JournalAnnals of Internal Medicine
Volume136
Issue number11
StatePublished - Jun 4 2002
Externally publishedYes

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Medical Ethics
Terminal Care
Psychological Stress
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Sedation, alimentation, hydration, and equivocation : Careful conversation about care at the end of life. / Jansen, Lynn; Sulmasy, Daniel P.

In: Annals of Internal Medicine, Vol. 136, No. 11, 04.06.2002, p. 845-849.

Research output: Contribution to journalArticle

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