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From sedation to continuous deep sedation until death: how has the conceptual base of the practice changed over time?

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From sedation to continuous deep sedation until death : how has the conceptual base of the practice changed over time? / Papavasiliou, Evie; Brearley, Sarah; Seymour , Jane ; Brown , Jayne ; Payne, Sheila.

In: Journal of Pain and Symptom Management, Vol. 46, No. 5, 2, 11.2013, p. 691-706.

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Papavasiliou, Evie ; Brearley, Sarah ; Seymour , Jane ; Brown , Jayne ; Payne, Sheila. / From sedation to continuous deep sedation until death : how has the conceptual base of the practice changed over time?. In: Journal of Pain and Symptom Management. 2013 ; Vol. 46, No. 5. pp. 691-706.

Bibtex

@article{95f5335acaec44f8929f79d7586a00ac,
title = "From sedation to continuous deep sedation until death: how has the conceptual base of the practice changed over time?",
abstract = "ContextNumerous attempts have been made to describe and define sedation in end-of-life care over time. However, confusion and inconsistency in the use of terms and definitions persevere in the literature, making interpretation, comparison, and extrapolation of many studies and case analyses problematic.ObjectivesThis evidence review aims to address and account for the conceptual debate over the terminology and definitions ascribed to sedation at the end of life over time.MethodsSix electronic databases (MEDLINE, PubMed, Embase, AMED, CINAHL, and PsycINFO) and two high-impact journals (New England Journal of Medicine and the British Medical Journal) were searched for indexed materials published between 1945 and 2011. This search resulted in bibliographic data of 328 published outputs. Terms and definitions were manually scanned, coded, and linguistically analyzed by means of term description criteria and discourse analysis.ResultsThe review shows that terminology has evolved from simple to complex terms with definitions varying in length, comprising different aspects of sedation such as indications for use, pharmacology, patient symptomatology, target population, time of initiation, and ethical considerations, in combinations of a minimum of two or more of these aspects.ConclusionThere is a pressing need to resolve the conceptual confusion that currently exists in the literature to bring clarity to the dialogue and build a base of commonality on which to design research and enhance the practice of sedation in end-of-life care.",
keywords = "Sedation , end of life , terminology , definitions , conceptual debate , palliative care , evidence review",
author = "Evie Papavasiliou and Sarah Brearley and Jane Seymour and Jayne Brown and Sheila Payne",
year = "2013",
month = "11",
doi = "10.1016/j.jpainsymman.2012.11.008",
language = "English",
volume = "46",
pages = "691--706",
journal = "Journal of Pain and Symptom Management",
issn = "0885-3924",
publisher = "Elsevier Inc.",
number = "5",

}

RIS

TY - JOUR

T1 - From sedation to continuous deep sedation until death

T2 - how has the conceptual base of the practice changed over time?

AU - Papavasiliou, Evie

AU - Brearley, Sarah

AU - Seymour , Jane

AU - Brown , Jayne

AU - Payne, Sheila

PY - 2013/11

Y1 - 2013/11

N2 - ContextNumerous attempts have been made to describe and define sedation in end-of-life care over time. However, confusion and inconsistency in the use of terms and definitions persevere in the literature, making interpretation, comparison, and extrapolation of many studies and case analyses problematic.ObjectivesThis evidence review aims to address and account for the conceptual debate over the terminology and definitions ascribed to sedation at the end of life over time.MethodsSix electronic databases (MEDLINE, PubMed, Embase, AMED, CINAHL, and PsycINFO) and two high-impact journals (New England Journal of Medicine and the British Medical Journal) were searched for indexed materials published between 1945 and 2011. This search resulted in bibliographic data of 328 published outputs. Terms and definitions were manually scanned, coded, and linguistically analyzed by means of term description criteria and discourse analysis.ResultsThe review shows that terminology has evolved from simple to complex terms with definitions varying in length, comprising different aspects of sedation such as indications for use, pharmacology, patient symptomatology, target population, time of initiation, and ethical considerations, in combinations of a minimum of two or more of these aspects.ConclusionThere is a pressing need to resolve the conceptual confusion that currently exists in the literature to bring clarity to the dialogue and build a base of commonality on which to design research and enhance the practice of sedation in end-of-life care.

AB - ContextNumerous attempts have been made to describe and define sedation in end-of-life care over time. However, confusion and inconsistency in the use of terms and definitions persevere in the literature, making interpretation, comparison, and extrapolation of many studies and case analyses problematic.ObjectivesThis evidence review aims to address and account for the conceptual debate over the terminology and definitions ascribed to sedation at the end of life over time.MethodsSix electronic databases (MEDLINE, PubMed, Embase, AMED, CINAHL, and PsycINFO) and two high-impact journals (New England Journal of Medicine and the British Medical Journal) were searched for indexed materials published between 1945 and 2011. This search resulted in bibliographic data of 328 published outputs. Terms and definitions were manually scanned, coded, and linguistically analyzed by means of term description criteria and discourse analysis.ResultsThe review shows that terminology has evolved from simple to complex terms with definitions varying in length, comprising different aspects of sedation such as indications for use, pharmacology, patient symptomatology, target population, time of initiation, and ethical considerations, in combinations of a minimum of two or more of these aspects.ConclusionThere is a pressing need to resolve the conceptual confusion that currently exists in the literature to bring clarity to the dialogue and build a base of commonality on which to design research and enhance the practice of sedation in end-of-life care.

KW - Sedation

KW - end of life

KW - terminology

KW - definitions

KW - conceptual debate

KW - palliative care

KW - evidence review

U2 - 10.1016/j.jpainsymman.2012.11.008

DO - 10.1016/j.jpainsymman.2012.11.008

M3 - Journal article

VL - 46

SP - 691

EP - 706

JO - Journal of Pain and Symptom Management

JF - Journal of Pain and Symptom Management

SN - 0885-3924

IS - 5

M1 - 2

ER -