Another ethical aspect of sedation is related to the intention,
especially the intention of the physician who decides to perform
a CSD. In palliative care, a medical decision to start a sedation
is based on the double effect principle, the intention being to
relieve, while the risk of shortening life is accepted both by the
carer, the patient and the family as a possible but not intentional
consequence.While the application of this principle is frequently
uneasy in such clinical situations, it seems that CSD makes even
more difficult to distinguish between the priority objective and
the foreseeable and eventually wished consequence, resulting
in a kind of ‘co-intention
Another ethical aspect of sedation is related to the intention,especially the intention of the physician who decides to performa CSD. In palliative care, a medical decision to start a sedationis based on the double effect principle, the intention being torelieve, while the risk of shortening life is accepted both by thecarer, the patient and the family as a possible but not intentionalconsequence.While the application of this principle is frequentlyuneasy in such clinical situations, it seems that CSD makes evenmore difficult to distinguish between the priority objective andthe foreseeable and eventually wished consequence, resultingin a kind of ‘co-intention
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