Analiza i Egzystencja

ISSN: 1734-9923     eISSN: 2300-7621    OAI    DOI: 10.18276/aie.2017.37-02

Lista wydań / 37 (2017)
Terminalna sedacja - między opieką paliatywną a eutanazją

Autorzy: Bogna Wach ORCID
Akademia im. Jakuba z Paradyża w Gorzowie Wielkopolskim
Słowa kluczowe: terminal sedation palliative care end of life end of suffering medical assisted death euthanasia
Rok wydania:2017
Liczba stron:17 (25-41)
Cited-by (Crossref) ?:


The aim of this article is a presentation of the problem of terminal sedation as a special medical procedure, an alternative to euthanasia and physician assisted death. Terminal sedation is consist in narcotizing the patient in the last stage of terminal disease, sometimes with discontinued nutrition and hydration until death. The goal of this procedure is to eliminate pain and suffering without causing death of the patient. The opponents of this method claim that terminal sedation is a form of euthanasia. The supporters see the difference because the intention of physician must relieve unbearable suffering when the other procedures are useless. The terminal sedation has to be last resort in palliative care and the decision making process must be very careful. In case of applying this radical method the basis should be always the informed consent of the patient and the respect for the dying person.
Pobierz plik

Plik artykułu


1.Aszyk, P. (2006). Granice leczenia. Kraków: Rethos.
2.Battin, M.P. (2008). Terminal Sedation Pulling the Sheet over our Eyes. Hastings
3.Center Report, 38 (5), 27–30.
4.Baumann, A., Claudot, F. Audibert, G., Mertes, P.-M, Puybasset, L. (2011). The Ethical
5.and Legal Aspects in Grevely Brain – Injuried Patient: A French Perspective.
6.Philosophy, Ethics and Humanities in Medicine, 6 (4), 1–6. Pobrano z:
7. (30.11.2016).
8.Brock, D.W. (2004). Terminal Sedation from Moral Right’s Perspective. W: T. Tännsjö
9.(red.), Terminal Sedation: Euthanasia in Disguise? (s. 71–79). Dordrecht:
10.Kluwer Academic Publishers.
11.Callahan, D. (2004). Terminal Sedation and the Artefactual Fallacy. W: T. Tännsjö
12.(red.), Terminal Sedation: Euthanasia in Disguise? (s. 93–102). Dordrecht:
13.Carr, M.F.G., Mohr, J. (2008). Palliative Sedation as Part Continuum of Palliative
14.Sedation. Journal of Palliative Medicine, 11 (1), 76–80.
15.Cellarius, V. (2011). Early Terminal Sedation. Bioethics, 25 (1), 46–54.
16.Cherny, N., Radbruch, L. (2009). European Association for Palliative Care (EAPC)
17.Recommended Framework for the Case of Sedation in Palliative Care. Palliative
18.Medicine, 23 (7), 581–593.
19.Gevers, S. (2003). Terminal Sedation: A Legal Approach. European Journal of Health
20.Law, 10, 359–367.
21.Gromally, L. (2004). Terminal Sedation and the Doctrine of the Sanctity of Life.
22.W: T. Tännsjö (red.), Terminal Sedation: Euthanasia in Disguise? (s. 81–91).
23.Dordrecht: Kluwer Academic Publishers.
24.Hauser, K., Walsh, D. (2009). Palliative Sedation: Welcome Guidance Issue. Palliative
25.Medicine, 27, 577–579.
26.Jansen, L.A. (2010). Disambiguating Clinical Intentions: The Ethics of Palliative
27.Sedation. Journal of Medicine and Philosophy, 35, 19–31.
28.Kuhse, H. (2004). Why Terminal Sedation Is No Solution to the Voluntary Euthanasia.
29.W: T. Tännsjö (red.), Terminal Sedation: Euthanasia in Disguise? (s. 57–70).
30.Łuczak, J. (2009). Komentarz do artykułu N. Syksa „Zagadnienia związane ze
31.schyłkowym okresem życia”. Medycyna Praktyczna. Onkologia, 3, 52–54.
32.Materstvedt L.J., Bosshard G. (2009). Deep and Continuous Palliative Sedation
33.(Terminal Sedation): Clinical-ethical and Philosophical Aspects. Lancet
34.Oncology, 10, 622–627.
35.McStay, R. (2003). Terminal Sedation: Palliative Care for Intractable Pain, Post
36.Glucksberg and Quill. American Journal of Law and Medicine, 29, 45–76.
37.Orentlicher, D. (2009). Sąd Najwyższy i terminalna sedacja. Możliwość etycznie
38.gorsza od lekarskiej pomocy w samobójstwie. Tłum. J. Malczewski. W: J. Galewicz,
39.(red.), Wokół śmierci i umierania (s. 211–224). Kraków: Universitas.
40.Orentlicher, D. (1997). The Supreme Court and Physician-Assisted Suicide – Rejecting
41.Assisted Suicide but Embracing Euthanasia. New England Journal
42.of Medicine, 337 (7), 1236–1239.
43.Peppin, J.F. (2003). Intractable Symptoms and Palliative Sedation at the End of Life.
44.Christian Bioethics, 9 (2–3), 343–355.
45.Quill T.E., Lo, B., Brock, D.W. (1997). Palliative Option of Last Resort. A Comparison
46.of Voluntarily Stop Eating and Drinking. Terminal Sedation, Physician
47.Assisted Suicide. JAMA, 278 (23), 2099–2104.
48.Quill, T.E., Lo, B., Brock, D.W., Meisel, A. (2009). Last-Resort Option for Palliative
49.sedation. Annals of Internal Medicine, 151 (5), 421 –424.
50.Raus, K.S., Sterckx, S., Mortimer, F. (2012). Continuous Deep Sedation at the End
51.of Life the “Natural Death” Hypothesis. Bioethics, 26 (6), 45–52.
52.Sykes, N. (2009). Zagadnienia związane ze schyłkowym okresem życia. Medycyna
53.Praktyczna. Onkologia, 3, 46–52.
54.Szewczyk, K. (2009). Bioetyka. Medycyna na granicach życia. T. 1. Warszawa:
55.Wydawnictwo Naukowe PWN.
56.Tännsjö, T. (2004). Terminal Sedation: A Substitute for Euthanasia? W: T. Tännsjö
57.(red.), Terminal Sedation: Euthanasia in Disguise? (s. 15–30). Dordrecht:
58.Van Delden, J.M. (2007). Terminal Sedation: Source of Restless Ethical Debate,
59.Journal of Medical Ethics, 33, 187–188.
60.Warnock, M., Macdonald, E. (2008). Easeful Death. Is There a Case for Assisted
61.Dying? Oxford: Oxford University Press.
62.Williams, G. (2001). The Principle of Double Effect and Terminal Sedation. Medical
63.Law Review, 9, 41–53.