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Reckoning with the last enemy.

Douglas Farrow1

  • 1McGill University, Montreal, Canada. douglas.farrow@mcgill.ca.

Theoretical Medicine and Bioethics
|August 12, 2018
PubMed
Summary

This study explores the ethics of palliative sedation, contrasting it with terminal sedation. It argues that palliative sedation is ethically appropriate only when it aligns bodily care with spiritual well-being, drawing on Christian anthropology.

Keywords:
AnselmAssisted suicideAugustineConscience rightsContinuous deep sedation (CDS)EuthanasiaIrenaeusMedical aid in dying (MAID)Palliative carePatient autonomy

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Area of Science:

  • Medical Ethics
  • Theology
  • Philosophy of Medicine

Background:

  • Palliative sedation ethics requires understanding the body-soul relationship and the nature of death.
  • Christian perspectives necessitate considering human immortality and the interplay of medicine and spiritual discipline.

Purpose of the Study:

  • To develop an ethical framework for palliative sedation.
  • To differentiate palliative sedation from terminal sedation.
  • To provide an anthropological and soteriological basis for palliative sedation ethics.

Main Methods:

  • Analysis of the relationship between body and soul in the context of dying.
  • Application of Augustinian philosophy to medical ethics.
  • Development of nine theses on palliative sedation ethics.

Main Results:

  • Palliative sedation ethics is rooted in the integration of bodily and spiritual care.
  • Ethical palliative sedation properly orders care for the body to the needs of the soul.

Conclusions:

  • Palliative sedation, viewed through a Christian anthropological lens, is ethically justified when it subserves spiritual care.
  • The ethical use of palliative sedation requires a holistic approach to patient care, encompassing both physical and spiritual dimensions.