La sédation palliative pour soulager la souffrance existentielle en fin de vie : regard sur une pratique controversée

Kim Sadler

Abstract


Des soins palliatifs accordant autant d’importance à toutes les facettes de la souffrance devraient être accessibles à tous ceux qui sont en phase terminale. Malheureusement, malgré les efforts déployés, certains resteront avec des souffrances qualifiées de réfractaires. Il semble que la sédation palliative devienne alors une option. Il existe beaucoup de controverses autour de cette pratique, tout particulièrement lorsqu’employée afin de soulager une souffrance de nature plus existentielle. Les objectifs de cet article sont d’abord de définir la pratique de la sédation palliative, ensuite d’examiner le concept de souffrance existentielle en soins palliatifs et enfin, d’aborder les implications pour la pratique infirmière.


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