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European Association of Palliative Care (EAPC) 10 item framework for guidelines in palliative sedation

European Association of Palliative Care (EAPC) 10 item framework for guidelines in palliative sedation
1. Recommend preemptive discussion of potential role of sedation in end-of-life care and contingency planning.
2. Describe the indications in which sedation may or should be considered.
3. Describe the necessary evaluation and consultation procedures.
4. Specify consent requirements.
5. Indicate the need to discuss the decision-making process with the patient's family.
6. Present direction for selection of the sedation method.
7. Present direction for dose titration, patient monitoring, and care.
8. Guidance for decisions regarding hydration and nutrition and concomitant medications.
9. The care and informational needs of the patient's family.
10. Care for the medical professionals.
Source: Cherny NI, Radbruch L. European Association for Palliative Care (EAPC) recommended framework for the use of sedation in palliative care. Palliat Med 2009; 23:581.
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