User:Mau.Shin1/sandbox

Chosen articles to edit for Foundations II:

Indications for Sedation
 * Name of article: Palliative sedation
 * More statistics for US in the opening section
 * Types of patients eligible for palliative care (such as disease states)

There are several states that a patient may be in that can make palliative sedation the preferred treatment, including but no limited to physical pain, psychological or emotional distress, existential distress, or in need of spiritual support. Through the interdisciplinary health care team is there to help the patient make the most sound medical decision, the patient's judgement is considered to be the most accurate in deciding whether or not their suffering in manageable. (http://www.cmq.org/publications-pdf/p-1-2016-08-29-en-sedation-palliative-fin-de-vie.pdf

According to a systematic review encompassing over thirty peer-reviewed research studies, 68% of the studies used stated physical symptoms as the primary reason for palliative sedation/ The patients involved in the included studies were terminally ill or suffering from refractory and intolerable symptoms. Medical conditions that had the most compelling reasons for palliative sedation were not only limited to intolerable pain, but include psychological symptoms such as delirium. Trouble breathing (dyspnea) were also considered a more urgent reason for pursuing palliative sedation. Other symptoms such as fatigue, nausea, and vomiting were also reasons.

Once palliative sedation has been decided for the patient, a written consent for administration to proceed must be given by the patient. The consent must state their agreement for sedation and lowering their consciousness, regardless of the patient's stage in illness or the treatment period of palliative sedation. In order to make a decision, the patient must be sufficiently informed of their disease state, the specificities and implications of treatment, and potential risks they may face during the treatment. At the time of consent, the patient should fully be aware of and understand all necessary legal and medical consequences of palliative sedation.The only exception where patient consent is not obtained would be in emergency medical situations where the patient is incapable of making a decision, in which the patient's family or caregiver must give the consent after adequate education, as the patient would have been given. (http://www.cmq.org/publications-pdf/p-1-2016-08-29-en-sedation-palliative-fin-de-vie.pdf


 * Alternative care methods used prior to palliative sedation
 * Find citations for sections on : "General practice", "Drugs used", "Sedation vs. euthanasia"
 * Find alternative guidelines for statistics on palliative sedation outside of the UK
 * Add more information to the "Policies" section (look up US guidelines)
 * Add more information on the "hospice care movement" and expand on history of the movement, as well as the history of how palliative sedation came to be
 * Organize into first line and second line drugs used and more details on the "Drugs Used" section
 * Esophageal Atresia
 * Pregnancy test
 * Add steps on how to proceed after Results
 * Pregnancy test
 * Add steps on how to proceed after Results
 * Add steps on how to proceed after Results