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ERIC Number: EJ1132136
Record Type: Journal
Publication Date: 2015-Aug
Pages: 19
Abstractor: As Provided
ISSN: ISSN-1744-2648
Into the Wild Country: Epistemic Issues in Professional Guidelines for Palliative Sedation in End-of-Life Care
Wackers, Ger
Evidence & Policy: A Journal of Research, Debate and Practice, v11 n3 p331-349 Aug 2015
End-of-life care is an important object of governance. Using the linguistic notions of polysemy, metaphorical blending and counterfactual reasoning, this paper critically examines epistemic issues in professional guidelines for palliative sedation of the dying. As a last resort option, palliative sedation is described as the intentional, pharmacological reduction of the patient's consciousness with the aim to reduce intolerable suffering from intractable physical symptoms that cannot be managed otherwise. Like a wilderness trail that simultaneously facilitates and constrains, the guidelines provide a set of "due care requirements" that allows for the provision of end-of-life care in controversial territory.
Policy Press. University of Bristol, 1-9 Old Park Hill, Bristol BS2 8BB, UK. Tel: +44-117-954-5940; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A