[Refractory sufferings at the end of life: Which

Presse Med · Apr 2011

Case Reports

[Refractory sufferings at the end of life: Which considerations, which propositions?].

Refractory suffering of terminally ill people may be physical (pain, dyspnea, vomiting...) or existential (spiritual sufferings, anxiousness...). End-of-life decisions are often around ethics. ⋯ In France, such decisions are defined by the deontology code and by the law of April 22nd, 2005 concerning the end of life and patients' rights. Recommendations from medical societies specify the means of implementation: obtaining other medical opinions, the patient's informed consent and full transparency of the decision (noted in the patient's medical chart).

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- Clémence Joly, Elisabeth Ghazi Elie, Eric Maillet, Didier Hannequin, and Elisabeth Guédon.
- CHU Charles-Nicolle, unité régionale de soins palliatifs, 76031 Rouen, France. clemence.joly@chu-rouen.fr
- Presse Med. 2011 Apr 1;40(4 Pt 1):341-8.
AbstractRefractory suffering of terminally ill people may be physical (pain, dyspnea, vomiting...) or existential (spiritual sufferings, anxiousness...). End-of-life decisions are often around ethics. Decision making near the end of life consists in witholding and withdrawing life-support treatment and prescribing both of treatments with risk of double effect and sedation for distress. In France, such decisions are defined by the deontology code and by the law of April 22nd, 2005 concerning the end of life and patients' rights. Recommendations from medical societies specify the means of implementation: obtaining other medical opinions, the patient's informed consent and full transparency of the decision (noted in the patient's medical chart).Copyright © 2010 Elsevier Masson SAS. All rights reserved.

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