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Terminal Sedation: An Acceptable Exit Strategy?

Muriel R. Gillick, MD
[+] Article, Author, and Disclosure Information

From Harvard Vanguard Medical Associates, Harvard Medical School, Boston, MA 02215.

Potential Financial Conflicts of Interest: None disclosed.

Requests for Single Reprints: Muriel R. Gillick, MD, Department of Ambulatory Care, Harvard Pilgrim/Harvard Medical School, 133 Brookline Avenue, 6th Floor, Boston, MA 02215.

Ann Intern Med. 2004;141(3):236-237. doi:10.7326/0003-4819-141-3-200408030-00018
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Dying well” (1) remains an elusive goal in America (2). Only gradually is comprehensive palliative care gaining acceptance as the standard of care for alleviating suffering and promoting patient autonomy near the end of life (3). In addition to symptom management, advance care planning, and psychosocial support, such care may encompass a variety of ethically charged practices, one of which, terminal sedation, is the subject of the report by Rietjens and colleagues in this issue (4).

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