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Palliative sedation for the relief of refractory physical symptoms

机译：姑息镇静剂可缓解难治性身体症状

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摘要

At the end of life, all patients have the right to the adequate relief of physical symptoms. Consequently, there is need to ensure that appropriate infrastructural measures are addressed to enhance the likelihood that this right will be fulfilled. In order to achieve this, it is critical that symptoms at the end of life be assessed and, when relief is needed, that the adequacy of symptom relief be determined by the patient. Inadequately received symptoms in dying patients must be relieved to the patient's satisfaction and symptoms that are difficult to control must be evaluated by clinicians expert in symptom control at the end of life. When a symptom is refractory to normal palliative approaches, and only sedation can provide the needed relief, this should be available to patients with appropriate infrastructural guidelines to prevent the inappropriate application of this approach.
机译：在生命的尽头，所有患者都有权充分缓解身体症状。因此，有必要确保采取适当的基础设施措施，以增加实现这一权利的可能性。为了实现这一点，至关重要的是评估生命终结时的症状，并且在需要缓解时，由患者确定症状缓解的充分性。垂死患者中症状不足的症状必须缓解，以使患者满意，并且必须由生命周期中症状控制专家来评估难以控制的症状。如果症状对正常的姑息治疗方法无效，并且只有镇静剂可以提供所需的缓解，则应该为具有适当基础设施指南的患者提供治疗方法，以防止不适当地使用此方法。

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