A Favorable Course of Palliative Sedation: Searching for Indicators Using Caregivers' Perspectives. (March 2015)

• Record Type: Journal Article
• Authors: Brinkkemper, Tijn; Rietjens, Judith A. C.; Deliens, Luc; Ribbe, Miel W.; Swart, Siebe J.; Loer, Stephan A.; Zuurmond, Wouter W. A.; Perez, Roberto S. G. M.
• Is Part Of: American journal of hospice & palliative care. Volume 32:Number 2(2015)
• Page Start: 129
• Page End: 136
• Publication Date: 2015-03
• Subjects: depth of sedation -- nurses -- palliative sedation -- physicians -- questionnaire -- retrospective; Hospice care -- Periodicals; Palliative treatment -- Periodicals; 362.175
• DOI: 10.1177/1049909113512411
• Languages: English
• ISSNs: 1049-9091

Abstract

Objective: Comparing characteristics of a favorable sedation course during palliative sedation to a less favorable course based on the reports Dutch physicians and nurses. Results: Cases identified as having a favorable sedation course less often concerned a male patient ( P = .019 nurses' cases), reached the intended sedation depth significantly quicker ( P < .05 both nurses and physicians' cases), reached a deeper level of sedation ( P = .015 physicians' cases), and had a shorter total duration of sedation compared ( P < .001 physicians' cases) to patients with a less favorable sedation course. Conclusions: A favorable course during palliative sedation seems more probable when health care professionals report on a (relatively) shorter time to reach the required depth of sedation and when a deeper level of sedation can be obtained.