{"id":"https://openalex.org/W2604124745","doi":null,"title":"Ethical Considerations for Sedation of Terminal Wean Patients","display_name":"Ethical Considerations for Sedation of Terminal Wean Patients","publication_year":2017,"publication_date":"2017-02-07","ids":{"openalex":"https://openalex.org/W2604124745","mag":"2604124745"},"language":"en","primary_location":{"id":"pmh:oai:scholars.indstate.edu:10484/12184","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10484/12184","pdf_url":null,"source":{"id":"https://openalex.org/S4306400829","display_name":"Sycamore Scholars (Indiana State University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I86420138","host_organization_name":"Indiana State University","host_organization_lineage":["https://openalex.org/I86420138"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5107877075","display_name":"Laura Livingston","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Laura Livingston","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5107877075"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.03989953,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9419000148773193,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9419000148773193,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.03840000182390213,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13147","display_name":"Ethics and bioethics in healthcare","score":0.012500000186264515,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/palliative-sedation","display_name":"palliative sedation","score":0.9950000047683716},{"id":"https://openalex.org/keywords/weaning-from-mechanical-ventilation","display_name":"weaning from mechanical ventilation","score":0.7490000128746033},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.9190000295639038},{"id":"https://openalex.org/keywords/medical-ethics","display_name":"medical ethics","score":0.6290000081062317},{"id":"https://openalex.org/keywords/physician-assisted-suicide","display_name":"physician-assisted suicide","score":0.781000018119812},{"id":"https://openalex.org/keywords/euthanasia","display_name":"euthanasia","score":0.9480000138282776},{"id":"https://openalex.org/keywords/patient-suffering","display_name":"patient suffering","score":0.5329999923706055},{"id":"https://openalex.org/keywords/comfort-care","display_name":"comfort care","score":0.5090000033378601},{"id":"https://openalex.org/keywords/surrogate-decision-making","display_name":"surrogate decision-making","score":0.5239999890327454}],"concepts":[{"id":"https://openalex.org/C2776814716","wikidata":"https://www.wikidata.org/wiki/Q574801","display_name":"Sedation","level":2,"score":0.6875359416007996},{"id":"https://openalex.org/C2779664074","wikidata":"https://www.wikidata.org/wiki/Q3518405","display_name":"Terminal (telecommunication)","level":2,"score":0.5827273726463318},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4471761882305145},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.4157376289367676},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3333275318145752},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.2375836968421936},{"id":"https://openalex.org/C76155785","wikidata":"https://www.wikidata.org/wiki/Q418","display_name":"Telecommunications","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:scholars.indstate.edu:10484/12184","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10484/12184","pdf_url":null,"source":{"id":"https://openalex.org/S4306400829","display_name":"Sycamore Scholars (Indiana State University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I86420138","host_organization_name":"Indiana State University","host_organization_lineage":["https://openalex.org/I86420138"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null},{"id":"mag:2604124745","doi":null,"is_oa":false,"landing_page_url":"https://scholars.indstate.edu/handle/10484/12184","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.8560000061988831,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3142812663","https://openalex.org/W3198642496","https://openalex.org/W2463497412","https://openalex.org/W2025542683","https://openalex.org/W89453444","https://openalex.org/W2174468938","https://openalex.org/W2155610074","https://openalex.org/W3024129556","https://openalex.org/W2320316738","https://openalex.org/W2083586519"],"abstract_inverted_index":{"The":[0,80],"purpose":[1],"of":[2,15,25,34,113,121,135,149,190,210],"this":[3,44],"paper":[4],"is":[5,22,89,184,247,252],"to":[6,43,66,71,82,115,164,180,186,196,207,233],"examine":[7],"the":[8,13,23,39,46,52,87,94,104,111,119,150,166,176,188,208,211,248],"ethical":[9,241],"concerns":[10],"involved":[11],"with":[12,168],"sedation":[14,183,246],"a":[16,27,30,56,84,131,152,215,219],"terminal":[17,57,216],"wean":[18],"patient.":[19,132],"Terminal":[20],"weaning":[21,217],"process":[24],"removing":[26,38],"patient":[28,53,85,105,154,167,177,220],"from":[29,86,110,254],"ventilator":[31,88,226],"(a":[32],"form":[33],"life":[35,69,73],"support)":[36],"by":[37],"endotracheal":[40,212],"tube.":[41],"Prior":[42,206],"procedure,":[45],"determination":[47,81,249],"has":[48,54,222],"been":[49,223],"made":[50,92],"that":[51,250],"either":[55],"illness":[58],"and":[59,102,128,145,195,201],"will":[60,64],"not":[61],"recover":[62],"or":[63,100,173,236,257],"have":[65],"remain":[67],"on":[68,225],"support":[70,172,227],"sustain":[72],"(Keene,":[74],"Samples,":[75],"Masini,":[76],"&":[77,158,260],"Byington,":[78],"2006).":[79],"remove":[83],"usually":[90],"one":[91],"between":[93],"health":[95],"care":[96,117],"team,":[97],"family":[98,171],"member":[99],"surrogate,":[101],"ideally":[103],"themselves.":[106],"Treatment":[107],"focus":[108],"switches":[109],"cure":[112],"disease":[114],"comfort":[116,165],"at":[118],"end":[120],"life.":[122],"Death":[123],"can":[124],"cause":[125],"unbearable":[126],"distress":[127,200],"suffering":[129,202],"for":[130,214],"Dyspnea,":[133],"feelings":[134],"suffocation,":[136],"severe":[137],"fatigue,":[138],"nausea,":[139],"vomiting,":[140],"anxiety,":[141],"delirium,":[142],"intractable":[143],"pain,":[144],"incontinence":[146],"are":[147],"several":[148],"issues":[151],"dying":[153],"may":[155,178,228],"experience":[156],"(Tomko":[157],"Maxwell,":[159],"1999).":[160],"Despite":[161],"all":[162],"efforts":[163],"analgesics,":[169],"anxiolytics,":[170],"spiritual":[174],"services,":[175],"continue":[179],"suffer.":[181],"Palliative":[182],"used":[185],"decrease":[187],"level":[189],"consciousness":[191],"in":[192,243],"these":[193],"patients":[194],"help":[197],"relieve":[198],"their":[199],"(Van":[203],"Wijlick,":[204],"2011).":[205],"removal":[209],"tube":[213],"process,":[218],"who":[221],"living":[224],"already":[229],"be":[230],"receiving":[231],"sedatives":[232],"keep":[234],"him":[235],"her":[237],"comfortable.":[238],"A":[239],"major":[240],"consideration":[242],"using":[244],"palliative":[245],"it":[251],"different":[253],"physician-assisted":[255],"suicide":[256],"euthanasia":[258],"(Belgrave":[259],"Requena,":[261],"2012).":[262]},"counts_by_year":[],"updated_date":"2026-08-21T09:56:20.448147","created_date":"2017-04-14T00:00:00"}
