Continuous Deep Sedation Until Death in Belgium: A Survey Among Nurses
Continuous deep sedation (CDS) is a subject of important debate, but until now nurses have rarely been questioned about their involvement and perceptions. To study the communication process between nurses and patients, relatives, or physicians before starting CDS, and how nurses perceive this end-of...
Saved in:
| Published in | Journal of pain and symptom management Vol. 41; no. 5; pp. 870 - 879 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York, NY
Elsevier Inc
01.05.2011
Elsevier |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0885-3924 1873-6513 1873-6513 |
| DOI | 10.1016/j.jpainsymman.2010.07.022 |
Cover
| Abstract | Continuous deep sedation (CDS) is a subject of important debate, but until now nurses have rarely been questioned about their involvement and perceptions.
To study the communication process between nurses and patients, relatives, or physicians before starting CDS, and how nurses perceive this end-of-life practice.
In 2007, we surveyed 1678 nurses in Flanders, Belgium, who, in an earlier survey, had reported caring for one or more patients who received an end-of-life decision within the previous year. Nurses were surveyed about their most recent case.
The response rate was 75.8%: 250 nurses reported a case of CDS (64.4% hospital, 18.4% home, and 17.2% nursing home). In, respectively, 25.8% and 75.4%, the patient and relatives had communicated with the nurse about the CDS. In 17.6%, there was no communication between the nurse and the physician about the CDS; in 29.1%, the physician and nurse only exchanged information; and in 23.4%, they made the decision jointly. Making the decision jointly was associated with a more positive evaluation of the cooperation with the physician (adjusted odds ratio 10.9 and 95% confidence interval 3.0, 39.2). Nurses perceived CDS as partly intended to hasten death partially in 48.4% and explicitly in 28.4% of cases, estimating possible or certain life shortening in 95.6%.
Nurses in different health care settings are often involved in communication about CDS. They see it mainly as a practice intended to hasten death, with a life-shortening effect; guidelines should recommend clear discussions between caregivers in which the physician states the purpose and estimated effect of the decision. |
|---|---|
| AbstractList | Continuous deep sedation (CDS) is a subject of important debate, but until now nurses have rarely been questioned about their involvement and perceptions.
To study the communication process between nurses and patients, relatives, or physicians before starting CDS, and how nurses perceive this end-of-life practice.
In 2007, we surveyed 1678 nurses in Flanders, Belgium, who, in an earlier survey, had reported caring for one or more patients who received an end-of-life decision within the previous year. Nurses were surveyed about their most recent case.
The response rate was 75.8%: 250 nurses reported a case of CDS (64.4% hospital, 18.4% home, and 17.2% nursing home). In, respectively, 25.8% and 75.4%, the patient and relatives had communicated with the nurse about the CDS. In 17.6%, there was no communication between the nurse and the physician about the CDS; in 29.1%, the physician and nurse only exchanged information; and in 23.4%, they made the decision jointly. Making the decision jointly was associated with a more positive evaluation of the cooperation with the physician (adjusted odds ratio 10.9 and 95% confidence interval 3.0, 39.2). Nurses perceived CDS as partly intended to hasten death partially in 48.4% and explicitly in 28.4% of cases, estimating possible or certain life shortening in 95.6%.
Nurses in different health care settings are often involved in communication about CDS. They see it mainly as a practice intended to hasten death, with a life-shortening effect; guidelines should recommend clear discussions between caregivers in which the physician states the purpose and estimated effect of the decision. Continuous deep sedation (CDS) is a subject of important debate, but until now nurses have rarely been questioned about their involvement and perceptions.CONTEXTContinuous deep sedation (CDS) is a subject of important debate, but until now nurses have rarely been questioned about their involvement and perceptions.To study the communication process between nurses and patients, relatives, or physicians before starting CDS, and how nurses perceive this end-of-life practice.OBJECTIVESTo study the communication process between nurses and patients, relatives, or physicians before starting CDS, and how nurses perceive this end-of-life practice.In 2007, we surveyed 1678 nurses in Flanders, Belgium, who, in an earlier survey, had reported caring for one or more patients who received an end-of-life decision within the previous year. Nurses were surveyed about their most recent case.METHODSIn 2007, we surveyed 1678 nurses in Flanders, Belgium, who, in an earlier survey, had reported caring for one or more patients who received an end-of-life decision within the previous year. Nurses were surveyed about their most recent case.The response rate was 75.8%: 250 nurses reported a case of CDS (64.4% hospital, 18.4% home, and 17.2% nursing home). In, respectively, 25.8% and 75.4%, the patient and relatives had communicated with the nurse about the CDS. In 17.6%, there was no communication between the nurse and the physician about the CDS; in 29.1%, the physician and nurse only exchanged information; and in 23.4%, they made the decision jointly. Making the decision jointly was associated with a more positive evaluation of the cooperation with the physician (adjusted odds ratio 10.9 and 95% confidence interval 3.0, 39.2). Nurses perceived CDS as partly intended to hasten death partially in 48.4% and explicitly in 28.4% of cases, estimating possible or certain life shortening in 95.6%.RESULTSThe response rate was 75.8%: 250 nurses reported a case of CDS (64.4% hospital, 18.4% home, and 17.2% nursing home). In, respectively, 25.8% and 75.4%, the patient and relatives had communicated with the nurse about the CDS. In 17.6%, there was no communication between the nurse and the physician about the CDS; in 29.1%, the physician and nurse only exchanged information; and in 23.4%, they made the decision jointly. Making the decision jointly was associated with a more positive evaluation of the cooperation with the physician (adjusted odds ratio 10.9 and 95% confidence interval 3.0, 39.2). Nurses perceived CDS as partly intended to hasten death partially in 48.4% and explicitly in 28.4% of cases, estimating possible or certain life shortening in 95.6%.Nurses in different health care settings are often involved in communication about CDS. They see it mainly as a practice intended to hasten death, with a life-shortening effect; guidelines should recommend clear discussions between caregivers in which the physician states the purpose and estimated effect of the decision.CONCLUSIONNurses in different health care settings are often involved in communication about CDS. They see it mainly as a practice intended to hasten death, with a life-shortening effect; guidelines should recommend clear discussions between caregivers in which the physician states the purpose and estimated effect of the decision. Quantitative research in Belgium examining the communication process between palliative care nurses and patients, their families and doctors before commencing continuous deep sedation (CDS) and nurses' perceptions of the practice. Cases of CDS in hospital, home and nursing homes are reported and recommendations are made for guidelines on stating the intended purpose of CDS decisions. [(BNI unique abstract)] 38 references Abstract Context Continuous deep sedation (CDS) is a subject of important debate, but until now nurses have rarely been questioned about their involvement and perceptions. Objectives To study the communication process between nurses and patients, relatives, or physicians before starting CDS, and how nurses perceive this end-of-life practice. Methods In 2007, we surveyed 1678 nurses in Flanders, Belgium, who, in an earlier survey, had reported caring for one or more patients who received an end-of-life decision within the previous year. Nurses were surveyed about their most recent case. Results The response rate was 75.8%: 250 nurses reported a case of CDS (64.4% hospital, 18.4% home, and 17.2% nursing home). In, respectively, 25.8% and 75.4%, the patient and relatives had communicated with the nurse about the CDS. In 17.6%, there was no communication between the nurse and the physician about the CDS; in 29.1%, the physician and nurse only exchanged information; and in 23.4%, they made the decision jointly. Making the decision jointly was associated with a more positive evaluation of the cooperation with the physician (adjusted odds ratio 10.9 and 95% confidence interval 3.0, 39.2). Nurses perceived CDS as partly intended to hasten death partially in 48.4% and explicitly in 28.4% of cases, estimating possible or certain life shortening in 95.6%. Conclusion Nurses in different health care settings are often involved in communication about CDS. They see it mainly as a practice intended to hasten death, with a life-shortening effect; guidelines should recommend clear discussions between caregivers in which the physician states the purpose and estimated effect of the decision. Context: Continuous deep sedation (CDS) is a subject of important debate, but until now nurses have rarely been questioned about their involvement and perceptions. Objectives: To study the communication process between nurses and patients, relatives, or physicians before starting CDS, and how nurses perceive this end-of-life practice. Methods: In 2007, we surveyed 1678 nurses in Flanders, Belgium, who, in an earlier survey, had reported caring for one or more patients who received an end-of-life decision within the previous year. Nurses were surveyed about their most recent case. Results: The response rate was 75.8%: 250 nurses reported a case of CDS (64.4% hospital, 18.4% home, and 17.2% nursing home). In, respectively, 25.8% and 75.4%, the patient and relatives had communicated with the nurse about the CDS. In 17.6%, there was no communication between the nurse and the physician about the CDS; in 29.1%, the physician and nurse only exchanged information; and in 23.4%, they made the decision jointly. Making the decision jointly was associated with a more positive evaluation of the cooperation with the physician (adjusted odds ratio 10.9 and 95% confidence interval 3.0, 39.2). Nurses perceived CDS as partly intended to hasten death partially in 48.4% and explicitly in 28.4% of cases, estimating possible or certain life shortening in 95.6%. Conclusions: Nurses in different health care settings are often involved in communication about CDS. They see it mainly as a practice intended to hasten death, with a life-shortening effect; guidelines should recommend clear discussions between caregivers in which the physician states the purpose and estimated effect of the decision. [Copyright U.S. Cancer Pain Relief Committee. Published by Elsevier Inc.] |
| Author | Mortier, Freddy Inghelbrecht, Els Deliens, Luc Bilsen, Johan |
| Author_xml | – sequence: 1 givenname: Els surname: Inghelbrecht fullname: Inghelbrecht, Els email: Els.Inghelbrecht@vub.ac.be organization: End-of-Life Care Research Group, Vrije Universiteit Brussel, Brussels, Belgium – sequence: 2 givenname: Johan surname: Bilsen fullname: Bilsen, Johan organization: End-of-Life Care Research Group, Vrije Universiteit Brussel, Brussels, Belgium – sequence: 3 givenname: Freddy surname: Mortier fullname: Mortier, Freddy organization: Bioethics Institute Ghent, Ghent University, Ghent, Belgium – sequence: 4 givenname: Luc surname: Deliens fullname: Deliens, Luc organization: End-of-Life Care Research Group, Vrije Universiteit Brussel, Brussels, Belgium |
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24182492$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/21545951$$D View this record in MEDLINE/PubMed |
| BookMark | eNqNks9u1DAQxi1URLeFV0DhgOgli__Esc2haFmgIFVwWHq2vM6kOCTOYieV9m36LDwZDrsVqBKwJ0uffvONZ745QUe-94DQM4LnBJPyZTNvNsb5uO064-cUJx2LOab0AZoRKVhecsKO0AxLyXOmaHGMTmJsMMaclewROqaEF1xxMkMXy94Pzo_9GLO3AJtsBZUZXO-zq6S3STPD18z5H7dvoL12Y_cqW2SrMdzANlt0vb_OPo0hQnyMHtamjfBk_56iq_fvviw_5JefLz4uF5e5LRkfcgGmZOu6tBwEKFMqglXBRcHlWtGypgLXFV-XmBEmiORVzYykxNja4KRJwk7Ri53vJvTfR4iD7ly00LbGQ5pBS8GFKIhi_yfTkhSmnCfy7J9k-gsrFC7F1P7pHh3XHVR6E1xnwlbfLTQBz_eAida0dTDeuvibK4ikhaKJe73jbOhjDFBr64Zfix-Cca0mWE9R60b_EbWeotZY6BR1clD3HO6aHFK73NVCiurGQdDROvAWKhfADrrq3UEu5_dcbOu8S2N_gy3Eph-DT7egiY5UY72aznG6RkLSJWIhk8Hi7wYHfuInRnH0DA |
| CODEN | JSPME2 |
| CitedBy_id | crossref_primary_10_1136_medethics_2013_101459 crossref_primary_10_1016_j_jpainsymman_2013_06_011 crossref_primary_10_1177_0269216318815799 crossref_primary_10_1016_j_apjon_2025_100675 crossref_primary_10_1136_spcare_2023_004261 crossref_primary_10_1186_s12904_015_0002_6 crossref_primary_10_1016_j_jpainsymman_2025_02_004 crossref_primary_10_1016_j_jpainsymman_2013_03_008 crossref_primary_10_1111_jan_15350 crossref_primary_10_1177_0269216312462272 crossref_primary_10_1016_j_jpainsymman_2012_05_012 crossref_primary_10_1089_jpm_2024_0003 crossref_primary_10_1016_j_jpainsymman_2014_05_012 crossref_primary_10_5294_pebi_2017_21_2_2 crossref_primary_10_1097_NJH_0b013e3182516484 crossref_primary_10_1016_j_revinf_2023_02_014 crossref_primary_10_1186_s12904_017_0205_0 crossref_primary_10_1017_S1478951516000419 crossref_primary_10_1016_j_ijnurstu_2020_103859 crossref_primary_10_1016_j_ijnurstu_2012_10_004 crossref_primary_10_1016_j_medpal_2015_06_004 |
| Cites_doi | 10.1016/j.ijnurstu.2009.02.009 10.1177/0269216309106810 10.1023/A:1023254226592 10.1503/cmaj.091881 10.1016/j.jpainsymman.2010.01.009 10.5055/jom.2007.0035 10.1001/archinternmed.2007.130 10.1186/1472-684X-2-2 10.7326/0003-4819-132-6-200003210-00011 10.1177/082585979601200404 10.1001/archinte.163.3.341 10.1001/archinternmed.2009.542 10.1016/j.jpainsymman.2008.04.020 10.1016/j.jpainsymman.2007.10.014 10.1056/NEJMsa071143 10.1001/archinte.166.7.749 10.1177/0269216308102042 10.1016/j.socscimed.2005.03.024 10.1136/bmj.39504.531505.25 10.1089/jpm.2006.0139 10.1001/jama.1997.03550230075041 10.1200/JCO.20.3.758 10.1016/j.jpainsymman.2004.02.017 10.1056/NEJMc0904292 10.1016/j.jpainsymman.2005.03.016 10.1016/j.jpainsymman.2004.03.004 10.1001/jama.294.14.1810 10.1016/j.socscimed.2004.08.037 10.1097/01.NJH.0000263527.14800.2b 10.1016/S0885-3924(01)00258-5 10.1016/j.jpainsymman.2005.07.004 10.1177/0269216307081186 10.1016/j.jpainsymman.2007.01.005 10.7326/0003-4819-141-3-200408030-00006 10.1191/0269216304pm911oa 10.1016/j.ejon.2006.02.007 10.1136/bmj.b2772 10.1016/S0885-3924(01)00286-X |
| ContentType | Journal Article |
| Copyright | 2011 U.S. Cancer Pain Relief Committee U.S. Cancer Pain Relief Committee 2015 INIST-CNRS Copyright © 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved. |
| Copyright_xml | – notice: 2011 U.S. Cancer Pain Relief Committee – notice: U.S. Cancer Pain Relief Committee – notice: 2015 INIST-CNRS – notice: Copyright © 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved. |
| DBID | AAYXX CITATION IQODW CGR CUY CVF ECM EIF NPM 7QJ 7X8 ASE FPQ K6X |
| DOI | 10.1016/j.jpainsymman.2010.07.022 |
| DatabaseName | CrossRef Pascal-Francis Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed Applied Social Sciences Index & Abstracts (ASSIA) MEDLINE - Academic British Nursing Index British Nursing Index (BNI) (1985 to Present) British Nursing Index |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Applied Social Sciences Index and Abstracts (ASSIA) MEDLINE - Academic British Nursing Index |
| DatabaseTitleList | MEDLINE MEDLINE - Academic British Nursing Index Applied Social Sciences Index and Abstracts (ASSIA) |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1873-6513 |
| EndPage | 879 |
| ExternalDocumentID | 21545951 24182492 10_1016_j_jpainsymman_2010_07_022 S0885392411000078 1_s2_0_S0885392411000078 |
| Genre | Research Support, Non-U.S. Gov't Journal Article |
| GeographicLocations | Belgium Europe |
| GeographicLocations_xml | – name: Belgium |
| GroupedDBID | --- --K --M ..I .1- .FO .GJ .~1 0R~ 1B1 1P~ 1RT 1~. 1~5 29L 4.4 457 4G. 53G 5GY 5RE 5VS 7-5 71M 8P~ 9JM AABNK AAEDT AAEDW AAFWJ AAIKJ AAKOC AALRI AAOAW AAQFI AAQQT AAQXK AATTM AAWTL AAXKI AAXLA AAXUO AAYWO ABBQC ABCQJ ABFNM ABFRF ABIVO ABJNI ABMAC ABMZM ABWVN ABXDB ACDAQ ACGFO ACGFS ACIEU ACIUM ACJTP ACRLP ACRPL ACVFH ADBBV ADCNI ADEZE ADMUD ADNMO ADVLN AEBSH AEFWE AEIPS AEKER AENEX AEUPX AEVXI AFJKZ AFPUW AFRHN AFTJW AFXBA AFXIZ AGCQF AGHFR AGQPQ AGUBO AGWIK AGYEJ AHHHB AIEXJ AIGII AIIUN AIKHN AITUG AJRQY AJUYK AKBMS AKRWK AKYEP ALMA_UNASSIGNED_HOLDINGS AMRAJ ANKPU ANZVX APXCP ASPBG AVWKF AXJTR AZFZN BKOJK BLXMC BNPGV BR6 CS3 DU5 EBS EFJIC EFKBS EJD EO8 EO9 EP2 EP3 EX3 F5P FDB FEDTE FGOYB FIRID FNPLU FRJ FYGXN G-2 G-Q GBLVA HDV HMK HMO HVGLF HZ~ IHE J1W J5H KOM LX1 M29 M2W M41 MO0 MOBAO N9A O-L O9- OAUVE OG. OK1 OS- OZT P-8 P-9 P2P PC. Q38 QTD R2- ROL RPZ SAE SCC SDF SDG SDP SEL SES SEW SNG SNH SPCBC SSH SSN SSZ T5K TR2 UV1 WOW WUQ YYQ Z5R ZGI ZXP ~G- AACTN AFCTW AFKWA AJOXV AMFUW NCXOZ RIG AADPK AAIAV ABLVK ABVKL ABYKQ AISVY AJBFU EFLBG LCYCR NAHTW AAYXX AGRNS CITATION IQODW CGR CUY CVF ECM EIF NPM 7QJ 7X8 ASE FPQ K6X |
| ID | FETCH-LOGICAL-c635t-7ea63bf6c5e7e9a69109457458b926f270fd5b603137185df3a821acfa0031813 |
| IEDL.DBID | AIKHN |
| ISSN | 0885-3924 1873-6513 |
| IngestDate | Fri Sep 05 05:54:16 EDT 2025 Fri Sep 05 06:09:58 EDT 2025 Fri Sep 05 10:43:53 EDT 2025 Mon Jul 21 05:47:22 EDT 2025 Mon Jul 21 09:16:25 EDT 2025 Tue Jul 01 03:10:45 EDT 2025 Thu Apr 24 22:54:44 EDT 2025 Fri Feb 23 02:35:21 EST 2024 Sun Feb 23 10:19:45 EST 2025 Tue Aug 26 17:11:57 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 5 |
| Keywords | Sedation end-of-life decisions palliative care nurses nurses’ role nurses' role Survey Continuous Health staff Mortality End of life decision Palliative care Death Nurse |
| Language | English |
| License | http://www.elsevier.com/open-access/userlicense/1.0 https://www.elsevier.com/tdm/userlicense/1.0 CC BY 4.0 Copyright © 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c635t-7ea63bf6c5e7e9a69109457458b926f270fd5b603137185df3a821acfa0031813 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-1 |
| OpenAccessLink | https://www.clinicalkey.com/#!/content/1-s2.0-S0885392411000078 |
| PMID | 21545951 |
| PQID | 1373490671 |
| PQPubID | 24071 |
| PageCount | 10 |
| ParticipantIDs | proquest_miscellaneous_875774193 proquest_miscellaneous_865190255 proquest_miscellaneous_1373490671 pubmed_primary_21545951 pascalfrancis_primary_24182492 crossref_citationtrail_10_1016_j_jpainsymman_2010_07_022 crossref_primary_10_1016_j_jpainsymman_2010_07_022 elsevier_sciencedirect_doi_10_1016_j_jpainsymman_2010_07_022 elsevier_clinicalkeyesjournals_1_s2_0_S0885392411000078 elsevier_clinicalkey_doi_10_1016_j_jpainsymman_2010_07_022 |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 2000 |
| PublicationDate | 2011-05-01 |
| PublicationDateYYYYMMDD | 2011-05-01 |
| PublicationDate_xml | – month: 05 year: 2011 text: 2011-05-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | New York, NY |
| PublicationPlace_xml | – name: New York, NY – name: United States |
| PublicationTitle | Journal of pain and symptom management |
| PublicationTitleAlternate | J Pain Symptom Manage |
| PublicationYear | 2011 |
| Publisher | Elsevier Inc Elsevier |
| Publisher_xml | – name: Elsevier Inc – name: Elsevier |
| References | Quill, Lee, Nunn (bib2) 2000; 132 Morita, Miyashita, Kimura, Adachi, Shima (bib18) 2004; 18 Rietjens, Hauser, van der Heide, Emanuel (bib19) 2007; 21 Inghelbrecht, Bilsen, Mortier, Deliens (bib20) 2009; 46 Muller-Busch, Andres, Jehser (bib25) 2003; 2 Collins (bib22) 2003; 12 Morita, Chinone, Ikenaga (bib23) 2005; 30 Verkerk, van Wijlick, Legemaate, de Graeff (bib37) 2007; 34 Lo, Rubenfeld (bib1) 2005; 294 Sykes, Thorns (bib26) 2003; 163 Engstrom, Bruno, Holm, Hellzen (bib15) 2007; 11 Quill, Lo, Brock (bib3) 1997; 278 Van den Block, Deschepper, Bilsen (bib27) 2009; 339 Morita, Tsunoda, Inoue, Chihara (bib34) 2001; 21 Miccinesi, Rietjens, Deliens (bib4) 2006; 31 Peretti-Watel, Bendiane, Moatti (bib36) 2005; 60 Morita, Akechi, Sugawara, Chihara, Uchitomi (bib11) 2002; 20 Inghelbrecht, Bilsen, Mortier, Deliens (bib31) 2010; 182 Morita, Ikenaga, Adachi (bib28) 2004; 28 Chambaere, Bilsen, Cohen (bib9) 2010; 170 Bilsen, Cohen, Chambaere (bib8) 2009; 361 Rietjens, van der Heide, Onwuteaka-Philipsen, van der Maas, van der Wal (bib12) 2005; 61 Bendiane, Bouhnik, Favre (bib35) 2007; 3 van der Heide, Onwuteaka-Philipsen, Rurup (bib5) 2007; 356 Rietjens, van Delden, Onwuteaka-Philipsen (bib10) 2008; 336 Hasselaar, Reuzel, van den Muijsenbergh (bib13) 2008; 168 Rietjens, van der Heide, Vrakking (bib7) 2004; 141 Chiu, Hu, Lue, Cheng, Chen (bib24) 2001; 21 Mercadante, Intravaia, Villari (bib29) 2009; 37 Kirk, Mahon (bib17) 2010; 39 de Graeff, Dean (bib38) 2007; 10 Rietjens, van Delden, van der Heide (bib30) 2006; 166 Rietjens, van Zuylen, van Veluw (bib33) 2008; 36 Seale (bib6) 2009; 23 Billings, Block (bib14) 1996; 12 Inghelbrecht, Bilsen, Mortier, Deliens (bib21) 2009; 23 Morita (bib32) 2004; 28 Claessens, Genbregge, Vannuffelen (bib16) 2007; 9 Seale (10.1016/j.jpainsymman.2010.07.022_bib6) 2009; 23 Verkerk (10.1016/j.jpainsymman.2010.07.022_bib37) 2007; 34 Rietjens (10.1016/j.jpainsymman.2010.07.022_bib19) 2007; 21 Rietjens (10.1016/j.jpainsymman.2010.07.022_bib10) 2008; 336 Mercadante (10.1016/j.jpainsymman.2010.07.022_bib29) 2009; 37 Rietjens (10.1016/j.jpainsymman.2010.07.022_bib30) 2006; 166 Bendiane (10.1016/j.jpainsymman.2010.07.022_bib35) 2007; 3 Lo (10.1016/j.jpainsymman.2010.07.022_bib1) 2005; 294 Inghelbrecht (10.1016/j.jpainsymman.2010.07.022_bib31) 2010; 182 Morita (10.1016/j.jpainsymman.2010.07.022_bib11) 2002; 20 Morita (10.1016/j.jpainsymman.2010.07.022_bib18) 2004; 18 Morita (10.1016/j.jpainsymman.2010.07.022_bib28) 2004; 28 de Graeff (10.1016/j.jpainsymman.2010.07.022_bib38) 2007; 10 Miccinesi (10.1016/j.jpainsymman.2010.07.022_bib4) 2006; 31 Rietjens (10.1016/j.jpainsymman.2010.07.022_bib33) 2008; 36 Inghelbrecht (10.1016/j.jpainsymman.2010.07.022_bib21) 2009; 23 Morita (10.1016/j.jpainsymman.2010.07.022_bib34) 2001; 21 Van den Block (10.1016/j.jpainsymman.2010.07.022_bib27) 2009; 339 Inghelbrecht (10.1016/j.jpainsymman.2010.07.022_bib20) 2009; 46 Chiu (10.1016/j.jpainsymman.2010.07.022_bib24) 2001; 21 Collins (10.1016/j.jpainsymman.2010.07.022_bib22) 2003; 12 Billings (10.1016/j.jpainsymman.2010.07.022_bib14) 1996; 12 Peretti-Watel (10.1016/j.jpainsymman.2010.07.022_bib36) 2005; 60 Morita (10.1016/j.jpainsymman.2010.07.022_bib32) 2004; 28 Quill (10.1016/j.jpainsymman.2010.07.022_bib2) 2000; 132 Claessens (10.1016/j.jpainsymman.2010.07.022_bib16) 2007; 9 Muller-Busch (10.1016/j.jpainsymman.2010.07.022_bib25) 2003; 2 Rietjens (10.1016/j.jpainsymman.2010.07.022_bib7) 2004; 141 van der Heide (10.1016/j.jpainsymman.2010.07.022_bib5) 2007; 356 Quill (10.1016/j.jpainsymman.2010.07.022_bib3) 1997; 278 Morita (10.1016/j.jpainsymman.2010.07.022_bib23) 2005; 30 Sykes (10.1016/j.jpainsymman.2010.07.022_bib26) 2003; 163 Engstrom (10.1016/j.jpainsymman.2010.07.022_bib15) 2007; 11 Bilsen (10.1016/j.jpainsymman.2010.07.022_bib8) 2009; 361 Kirk (10.1016/j.jpainsymman.2010.07.022_bib17) 2010; 39 Chambaere (10.1016/j.jpainsymman.2010.07.022_bib9) 2010; 170 Hasselaar (10.1016/j.jpainsymman.2010.07.022_bib13) 2008; 168 Rietjens (10.1016/j.jpainsymman.2010.07.022_bib12) 2005; 61 |
| References_xml | – volume: 10 start-page: 67 year: 2007 end-page: 85 ident: bib38 article-title: Palliative sedation therapy in the last weeks of life: a literature review and recommendations for standards publication-title: J Palliat Med – volume: 31 start-page: 122 year: 2006 end-page: 129 ident: bib4 article-title: Continuous deep sedation: physicians’ experiences in six European countries publication-title: J Pain Symptom Manage – volume: 28 start-page: 557 year: 2004 end-page: 565 ident: bib28 article-title: Family experience with palliative sedation therapy for terminally ill cancer patients publication-title: J Pain Symptom Manage – volume: 37 start-page: 771 year: 2009 end-page: 779 ident: bib29 article-title: Controlled sedation for refractory symptoms in dying patients publication-title: J Pain Symptom Manage – volume: 168 start-page: 537 year: 2008 end-page: 543 ident: bib13 article-title: Dealing with delicate issues in continuous deep sedation. Varying practices among Dutch medical specialists, general practitioners, and nursing home physicians publication-title: Arch Intern Med – volume: 170 start-page: 490 year: 2010 end-page: 493 ident: bib9 article-title: Continuous deep sedation until death in Belgium: a nationwide survey publication-title: Arch Intern Med – volume: 21 start-page: 643 year: 2007 end-page: 649 ident: bib19 article-title: Having a difficult time leaving: experiences and attitudes of nurses with palliative sedation publication-title: Palliat Med – volume: 36 start-page: 228 year: 2008 end-page: 234 ident: bib33 article-title: Palliative sedation in a specialized unit for acute palliative care in a cancer hospital: comparing patients dying with and without palliative sedation publication-title: J Pain Symptom Manage – volume: 361 start-page: 1119 year: 2009 end-page: 1121 ident: bib8 article-title: Medical end-of-life practices under the euthanasia law in Belgium. A nationwide post-mortem survey publication-title: N Engl J Med – volume: 12 start-page: 21 year: 1996 end-page: 30 ident: bib14 article-title: Slow euthanasia publication-title: J Palliat Care – volume: 60 start-page: 1781 year: 2005 end-page: 1793 ident: bib36 article-title: Attitudes toward palliative care, conceptions of euthanasia and opinions about its legalization among French physicians publication-title: Soc Sci Med – volume: 20 start-page: 758 year: 2002 end-page: 764 ident: bib11 article-title: Practices and attitudes of Japanese oncologists and palliative care physicians concerning terminal sedation: a nationwide survey publication-title: J Clin Oncol – volume: 294 start-page: 1810 year: 2005 end-page: 1816 ident: bib1 article-title: Palliative sedation in dying patients: “we turn to it when everything else hasn’t worked” publication-title: JAMA – volume: 2 start-page: 2 year: 2003 ident: bib25 article-title: Sedation in palliative care—a critical analysis of 7 years experience publication-title: BMC Palliat Care – volume: 18 start-page: 550 year: 2004 end-page: 557 ident: bib18 article-title: Emotional burden of nurses in palliative sedation therapy publication-title: Palliat Med – volume: 34 start-page: 666 year: 2007 end-page: 670 ident: bib37 article-title: A national guideline for palliative sedation in the Netherlands publication-title: J Pain Symptom Manage – volume: 141 start-page: 178 year: 2004 end-page: 185 ident: bib7 article-title: Physician reports of terminal sedation without hydration or nutrition for patients nearing death in the Netherlands publication-title: Ann Intern Med – volume: 39 start-page: 914 year: 2010 end-page: 923 ident: bib17 article-title: National hospice and palliative care organization (NHPCO) position statement and commentary on the use of palliative sedation in imminently dying terminally ill patients publication-title: J Pain Symptom Manage – volume: 21 start-page: 282 year: 2001 end-page: 289 ident: bib34 article-title: Effects of high dose opioids and sedatives on survival in terminally ill cancer patients publication-title: J Pain Symptom Manage – volume: 132 start-page: 488 year: 2000 end-page: 493 ident: bib2 article-title: Palliative treatments of last resort: choosing the least harmful alternative. University of Pennsylvania Center for Bioethics Assisted Suicide Consensus Panel publication-title: Ann Intern Med – volume: 46 start-page: 1209 year: 2009 end-page: 1218 ident: bib20 article-title: Attitudes of nurses towards euthanasia and towards their role in euthanasia: a nationwide study in Flanders, Belgium publication-title: Int J Nurs Stud – volume: 166 start-page: 749 year: 2006 end-page: 753 ident: bib30 article-title: Terminal sedation and euthanasia: a comparison of clinical practices publication-title: Arch Intern Med – volume: 61 start-page: 1723 year: 2005 end-page: 1732 ident: bib12 article-title: A comparison of attitudes towards end-of-life decisions: survey among the Dutch general public and physicians publication-title: Soc Sci Med – volume: 356 start-page: 1957 year: 2007 end-page: 1965 ident: bib5 article-title: End-of-life practices in the Netherlands under the Euthanasia Act publication-title: N Engl J Med – volume: 23 start-page: 649 year: 2009 end-page: 658 ident: bib21 article-title: Nurses’ attitudes towards end-of-life decisions in medical practice: a nationwide study in Flanders, Belgium publication-title: Palliat Med – volume: 339 start-page: b2772 year: 2009 ident: bib27 article-title: Euthanasia and other end of life decisions and care provided in final three months of life: nationwide retrospective study in Belgium publication-title: BMJ – volume: 278 start-page: 2099 year: 1997 end-page: 2104 ident: bib3 article-title: Palliative options of last resort: a comparison of voluntarily stopping eating and drinking, terminal sedation, physician-assisted suicide, and voluntary active euthanasia publication-title: JAMA – volume: 3 start-page: 21 year: 2007 end-page: 26 ident: bib35 article-title: Morphine prescription in end-of-life care and euthanasia: French home nurses’ opinions publication-title: J Opioid Manag – volume: 9 start-page: 100 year: 2007 end-page: 106 ident: bib16 article-title: Palliative sedation and nursing—the place of palliative sedation with palliative nursing care publication-title: J Hosp Palliat Nurs – volume: 163 start-page: 341 year: 2003 end-page: 344 ident: bib26 article-title: Sedative use in the last week of life and the implications for end-of-life decision making publication-title: Arch Intern Med – volume: 336 start-page: 810 year: 2008 end-page: 813 ident: bib10 article-title: Continuous deep sedation for patients nearing death in the Netherlands: descriptive study publication-title: BMJ – volume: 21 start-page: 467 year: 2001 end-page: 472 ident: bib24 article-title: Sedation for refractory symptoms of terminal cancer patients in Taiwan publication-title: J Pain Symptom Manage – volume: 28 start-page: 445 year: 2004 end-page: 450 ident: bib32 article-title: Palliative sedation to relieve psycho-existential suffering of terminally ill cancer patients publication-title: J Pain Symptom Manage – volume: 11 start-page: 26 year: 2007 end-page: 35 ident: bib15 article-title: Palliative sedation at end of life—a systematic literature review publication-title: Eur J Oncol Nurs – volume: 23 start-page: 198 year: 2009 end-page: 204 ident: bib6 article-title: End-of-life decisions in the UK involving medical practitioners publication-title: Palliat Med – volume: 12 start-page: 229 year: 2003 end-page: 238 ident: bib22 article-title: Pretesting survey instruments: an overview of cognitive methods publication-title: Qual Life Res – volume: 30 start-page: 308 year: 2005 end-page: 319 ident: bib23 article-title: Ethical validity of palliative sedation therapy: a multicenter, prospective, observational study conducted on specialized palliative care units in Japan publication-title: J Pain Symptom Manage – volume: 182 start-page: 905 year: 2010 end-page: 910 ident: bib31 article-title: The role of nurses in physician-assisted dying: nationwide retrospective study in Belgium publication-title: CMAJ – volume: 46 start-page: 1209 year: 2009 ident: 10.1016/j.jpainsymman.2010.07.022_bib20 article-title: Attitudes of nurses towards euthanasia and towards their role in euthanasia: a nationwide study in Flanders, Belgium publication-title: Int J Nurs Stud doi: 10.1016/j.ijnurstu.2009.02.009 – volume: 23 start-page: 649 year: 2009 ident: 10.1016/j.jpainsymman.2010.07.022_bib21 article-title: Nurses’ attitudes towards end-of-life decisions in medical practice: a nationwide study in Flanders, Belgium publication-title: Palliat Med doi: 10.1177/0269216309106810 – volume: 12 start-page: 229 year: 2003 ident: 10.1016/j.jpainsymman.2010.07.022_bib22 article-title: Pretesting survey instruments: an overview of cognitive methods publication-title: Qual Life Res doi: 10.1023/A:1023254226592 – volume: 182 start-page: 905 year: 2010 ident: 10.1016/j.jpainsymman.2010.07.022_bib31 article-title: The role of nurses in physician-assisted dying: nationwide retrospective study in Belgium publication-title: CMAJ doi: 10.1503/cmaj.091881 – volume: 39 start-page: 914 year: 2010 ident: 10.1016/j.jpainsymman.2010.07.022_bib17 article-title: National hospice and palliative care organization (NHPCO) position statement and commentary on the use of palliative sedation in imminently dying terminally ill patients publication-title: J Pain Symptom Manage doi: 10.1016/j.jpainsymman.2010.01.009 – volume: 3 start-page: 21 year: 2007 ident: 10.1016/j.jpainsymman.2010.07.022_bib35 article-title: Morphine prescription in end-of-life care and euthanasia: French home nurses’ opinions publication-title: J Opioid Manag doi: 10.5055/jom.2007.0035 – volume: 168 start-page: 537 year: 2008 ident: 10.1016/j.jpainsymman.2010.07.022_bib13 article-title: Dealing with delicate issues in continuous deep sedation. Varying practices among Dutch medical specialists, general practitioners, and nursing home physicians publication-title: Arch Intern Med doi: 10.1001/archinternmed.2007.130 – volume: 2 start-page: 2 year: 2003 ident: 10.1016/j.jpainsymman.2010.07.022_bib25 article-title: Sedation in palliative care—a critical analysis of 7 years experience publication-title: BMC Palliat Care doi: 10.1186/1472-684X-2-2 – volume: 132 start-page: 488 year: 2000 ident: 10.1016/j.jpainsymman.2010.07.022_bib2 article-title: Palliative treatments of last resort: choosing the least harmful alternative. University of Pennsylvania Center for Bioethics Assisted Suicide Consensus Panel publication-title: Ann Intern Med doi: 10.7326/0003-4819-132-6-200003210-00011 – volume: 12 start-page: 21 year: 1996 ident: 10.1016/j.jpainsymman.2010.07.022_bib14 article-title: Slow euthanasia publication-title: J Palliat Care doi: 10.1177/082585979601200404 – volume: 163 start-page: 341 year: 2003 ident: 10.1016/j.jpainsymman.2010.07.022_bib26 article-title: Sedative use in the last week of life and the implications for end-of-life decision making publication-title: Arch Intern Med doi: 10.1001/archinte.163.3.341 – volume: 170 start-page: 490 year: 2010 ident: 10.1016/j.jpainsymman.2010.07.022_bib9 article-title: Continuous deep sedation until death in Belgium: a nationwide survey publication-title: Arch Intern Med doi: 10.1001/archinternmed.2009.542 – volume: 37 start-page: 771 year: 2009 ident: 10.1016/j.jpainsymman.2010.07.022_bib29 article-title: Controlled sedation for refractory symptoms in dying patients publication-title: J Pain Symptom Manage doi: 10.1016/j.jpainsymman.2008.04.020 – volume: 36 start-page: 228 year: 2008 ident: 10.1016/j.jpainsymman.2010.07.022_bib33 article-title: Palliative sedation in a specialized unit for acute palliative care in a cancer hospital: comparing patients dying with and without palliative sedation publication-title: J Pain Symptom Manage doi: 10.1016/j.jpainsymman.2007.10.014 – volume: 356 start-page: 1957 year: 2007 ident: 10.1016/j.jpainsymman.2010.07.022_bib5 article-title: End-of-life practices in the Netherlands under the Euthanasia Act publication-title: N Engl J Med doi: 10.1056/NEJMsa071143 – volume: 166 start-page: 749 year: 2006 ident: 10.1016/j.jpainsymman.2010.07.022_bib30 article-title: Terminal sedation and euthanasia: a comparison of clinical practices publication-title: Arch Intern Med doi: 10.1001/archinte.166.7.749 – volume: 23 start-page: 198 year: 2009 ident: 10.1016/j.jpainsymman.2010.07.022_bib6 article-title: End-of-life decisions in the UK involving medical practitioners publication-title: Palliat Med doi: 10.1177/0269216308102042 – volume: 61 start-page: 1723 year: 2005 ident: 10.1016/j.jpainsymman.2010.07.022_bib12 article-title: A comparison of attitudes towards end-of-life decisions: survey among the Dutch general public and physicians publication-title: Soc Sci Med doi: 10.1016/j.socscimed.2005.03.024 – volume: 336 start-page: 810 year: 2008 ident: 10.1016/j.jpainsymman.2010.07.022_bib10 article-title: Continuous deep sedation for patients nearing death in the Netherlands: descriptive study publication-title: BMJ doi: 10.1136/bmj.39504.531505.25 – volume: 10 start-page: 67 year: 2007 ident: 10.1016/j.jpainsymman.2010.07.022_bib38 article-title: Palliative sedation therapy in the last weeks of life: a literature review and recommendations for standards publication-title: J Palliat Med doi: 10.1089/jpm.2006.0139 – volume: 278 start-page: 2099 year: 1997 ident: 10.1016/j.jpainsymman.2010.07.022_bib3 article-title: Palliative options of last resort: a comparison of voluntarily stopping eating and drinking, terminal sedation, physician-assisted suicide, and voluntary active euthanasia publication-title: JAMA doi: 10.1001/jama.1997.03550230075041 – volume: 20 start-page: 758 year: 2002 ident: 10.1016/j.jpainsymman.2010.07.022_bib11 article-title: Practices and attitudes of Japanese oncologists and palliative care physicians concerning terminal sedation: a nationwide survey publication-title: J Clin Oncol doi: 10.1200/JCO.20.3.758 – volume: 28 start-page: 445 year: 2004 ident: 10.1016/j.jpainsymman.2010.07.022_bib32 article-title: Palliative sedation to relieve psycho-existential suffering of terminally ill cancer patients publication-title: J Pain Symptom Manage doi: 10.1016/j.jpainsymman.2004.02.017 – volume: 361 start-page: 1119 year: 2009 ident: 10.1016/j.jpainsymman.2010.07.022_bib8 article-title: Medical end-of-life practices under the euthanasia law in Belgium. A nationwide post-mortem survey publication-title: N Engl J Med doi: 10.1056/NEJMc0904292 – volume: 30 start-page: 308 year: 2005 ident: 10.1016/j.jpainsymman.2010.07.022_bib23 article-title: Ethical validity of palliative sedation therapy: a multicenter, prospective, observational study conducted on specialized palliative care units in Japan publication-title: J Pain Symptom Manage doi: 10.1016/j.jpainsymman.2005.03.016 – volume: 28 start-page: 557 year: 2004 ident: 10.1016/j.jpainsymman.2010.07.022_bib28 article-title: Family experience with palliative sedation therapy for terminally ill cancer patients publication-title: J Pain Symptom Manage doi: 10.1016/j.jpainsymman.2004.03.004 – volume: 294 start-page: 1810 year: 2005 ident: 10.1016/j.jpainsymman.2010.07.022_bib1 article-title: Palliative sedation in dying patients: “we turn to it when everything else hasn’t worked” publication-title: JAMA doi: 10.1001/jama.294.14.1810 – volume: 60 start-page: 1781 year: 2005 ident: 10.1016/j.jpainsymman.2010.07.022_bib36 article-title: Attitudes toward palliative care, conceptions of euthanasia and opinions about its legalization among French physicians publication-title: Soc Sci Med doi: 10.1016/j.socscimed.2004.08.037 – volume: 9 start-page: 100 year: 2007 ident: 10.1016/j.jpainsymman.2010.07.022_bib16 article-title: Palliative sedation and nursing—the place of palliative sedation with palliative nursing care publication-title: J Hosp Palliat Nurs doi: 10.1097/01.NJH.0000263527.14800.2b – volume: 21 start-page: 282 year: 2001 ident: 10.1016/j.jpainsymman.2010.07.022_bib34 article-title: Effects of high dose opioids and sedatives on survival in terminally ill cancer patients publication-title: J Pain Symptom Manage doi: 10.1016/S0885-3924(01)00258-5 – volume: 31 start-page: 122 year: 2006 ident: 10.1016/j.jpainsymman.2010.07.022_bib4 article-title: Continuous deep sedation: physicians’ experiences in six European countries publication-title: J Pain Symptom Manage doi: 10.1016/j.jpainsymman.2005.07.004 – volume: 21 start-page: 643 year: 2007 ident: 10.1016/j.jpainsymman.2010.07.022_bib19 article-title: Having a difficult time leaving: experiences and attitudes of nurses with palliative sedation publication-title: Palliat Med doi: 10.1177/0269216307081186 – volume: 34 start-page: 666 year: 2007 ident: 10.1016/j.jpainsymman.2010.07.022_bib37 article-title: A national guideline for palliative sedation in the Netherlands publication-title: J Pain Symptom Manage doi: 10.1016/j.jpainsymman.2007.01.005 – volume: 141 start-page: 178 year: 2004 ident: 10.1016/j.jpainsymman.2010.07.022_bib7 article-title: Physician reports of terminal sedation without hydration or nutrition for patients nearing death in the Netherlands publication-title: Ann Intern Med doi: 10.7326/0003-4819-141-3-200408030-00006 – volume: 18 start-page: 550 year: 2004 ident: 10.1016/j.jpainsymman.2010.07.022_bib18 article-title: Emotional burden of nurses in palliative sedation therapy publication-title: Palliat Med doi: 10.1191/0269216304pm911oa – volume: 11 start-page: 26 year: 2007 ident: 10.1016/j.jpainsymman.2010.07.022_bib15 article-title: Palliative sedation at end of life—a systematic literature review publication-title: Eur J Oncol Nurs doi: 10.1016/j.ejon.2006.02.007 – volume: 339 start-page: b2772 year: 2009 ident: 10.1016/j.jpainsymman.2010.07.022_bib27 article-title: Euthanasia and other end of life decisions and care provided in final three months of life: nationwide retrospective study in Belgium publication-title: BMJ doi: 10.1136/bmj.b2772 – volume: 21 start-page: 467 year: 2001 ident: 10.1016/j.jpainsymman.2010.07.022_bib24 article-title: Sedation for refractory symptoms of terminal cancer patients in Taiwan publication-title: J Pain Symptom Manage doi: 10.1016/S0885-3924(01)00286-X |
| SSID | ssj0005363 |
| Score | 2.103996 |
| Snippet | Continuous deep sedation (CDS) is a subject of important debate, but until now nurses have rarely been questioned about their involvement and perceptions.
To... Abstract Context Continuous deep sedation (CDS) is a subject of important debate, but until now nurses have rarely been questioned about their involvement and... Context: Continuous deep sedation (CDS) is a subject of important debate, but until now nurses have rarely been questioned about their involvement and... Continuous deep sedation (CDS) is a subject of important debate, but until now nurses have rarely been questioned about their involvement and... Quantitative research in Belgium examining the communication process between palliative care nurses and patients, their families and doctors before commencing... |
| SourceID | proquest pubmed pascalfrancis crossref elsevier |
| SourceType | Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 870 |
| SubjectTerms | Adult Anesthesia & Perioperative Care Attitude of Health Personnel Attitude to Death Belgium - epidemiology Biological and medical sciences Death Deep Sedation - statistics & numerical data Doctors End of life decisions Female Health Care Surveys Humans Male Medical sciences Nurse-Patient communication Nurse-Patient Relations Nurses Nurses - statistics & numerical data nurses’ role Pain Medicine Palliative Care Pharmacology. Drug treatments Practice Patterns, Nurses' - statistics & numerical data Sedation Terminal Care - statistics & numerical data Terminally Ill - statistics & numerical data |
| Title | Continuous Deep Sedation Until Death in Belgium: A Survey Among Nurses |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S0885392411000078 https://www.clinicalkey.es/playcontent/1-s2.0-S0885392411000078 https://dx.doi.org/10.1016/j.jpainsymman.2010.07.022 https://www.ncbi.nlm.nih.gov/pubmed/21545951 https://www.proquest.com/docview/1373490671 https://www.proquest.com/docview/865190255 https://www.proquest.com/docview/875774193 |
| Volume | 41 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3da9swED_aFMpglH3P6xZU2Ksbf0myyl7Sbl220bxkgb4J2ZaLS-KZOhn0pX_L_pb9ZTvZcrKyZQT2KnRIOt3HT9LpDuAtz9DtM01dqhh1oygSrgqYcGmScO1lYe41eQsuxmw0jT5f0ssdOOv-wpiwSmv7W5veWGvbMrDcHFRFMZigflD07pHfXFHzeBf2glAw2oO94acvo_E60iNsC6phf9cQ7MPROszrusITeH07n6vSBnrxYy8INrmph5WqkXl5W_ViMyxt3NP5IziwuJIM26k_hh1dPoH9C_ty_hQ-mjRURbnEgz55r3VFJrqtpkSm2D7DNoSCpCh__jjVs6tiOT8hQzJZ3nzXt2RoChKRcRPu8Qym5x--no1cW0TBTRFLLFyuFQuTnKVUcy0UQ3ggIsojGiciYHnAvTyjiak1HaKbolkeqjjwVZqrRt_98Dn0ym-lfglE5CLN_DTLM_TpKkaTTZlKEOEIYdKMcQfijmcytRnGTaGLmexCya7lb-yWht3S4xLZ7UCwIq3aNBvbEJ10GyO7f6Ro-SQ6g22I-d-IdW11uJa-rAPpyT_kzIF3K8p7orrtwP17MrRaL44Qm_yNDhx1QiVR180Djio1iofELQojgfjCd4Bs6BMzxOTmoPiPLpwi6Efk7sCLVmbXczCIGkH3q_9b4yE8aO_eTWDoa-gtbpb6DYK3RdKH3eM7v29V9Bfz8UQQ |
| linkProvider | Elsevier |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1bb9MwFD4anTSQEOI2CJfhSbyG5mY7nngpg9GxtS9dpb1ZTuKgTG2IlhZp_4bfwi_jOHFaJiiqxKvlI9vH5_LZPj4H4C3P0O0zTV2qGHWjKBKuCphwaZJw7WVh7jV5C0ZjNpxGXy7p5Q4cd39hTFiltf2tTW-stW3pW272q6LoT1A_KHr3yG-uqHl8B3Yjiqe9HuwOTs-G43WkR9gWVMP-riHYg8N1mNdVhSfw-mY-V6UN9OLvvCDY5KbuV6pG5uVt1YvNsLRxTycP4YHFlWTQTv0R7OjyMeyN7Mv5E_hs0lAV5RIP-uSj1hWZ6LaaEpli-wzbEAqSovz544OefS2W8yMyIJPl9Xd9QwamIBEZN-EeT2F68unieOjaIgpuilhi4XKtWJjkLKWaa6EYwgMRUR7ROBEBywPu5RlNTK3pEN0UzfJQxYGv0lw1-u6H-9Arv5X6ORCRizTz0yzP0KerGE02ZSpBhCOESTPGHYg7nsnUZhg3hS5msgslu5K_sVsadkuPS2S3A8GKtGrTbGxDdNRtjOz-kaLlk-gMtiHmfyPWtdXhWvqyDqQn_5AzB96vKG-J6rYDH9ySodV6cYTY5G904LATKom6bh5wVKlRPCRuURgJxBe-A2RDn5ghJjcHxX904RRBPyJ3B561Mrueg0HUCLpf_N8a38Dd4cXoXJ6fjs9ewr32Ht4Eib6C3uJ6qV8jkFskB1ZRfwGwpEX_ |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Continuous+Deep+Sedation+Until+Death+in+Belgium%3A+A+Survey+Among+Nurses&rft.jtitle=Journal+of+pain+and+symptom+management&rft.au=Inghelbrecht%2C+Els&rft.au=Bilsen%2C+Johan&rft.au=Mortier%2C+Freddy&rft.au=Deliens%2C+Luc&rft.date=2011-05-01&rft.issn=0885-3924&rft.volume=41&rft.issue=5&rft.spage=870&rft.epage=879&rft_id=info:doi/10.1016%2Fj.jpainsymman.2010.07.022&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_m | http://utb.summon.serialssolutions.com/2.0.0/image/custom?url=https%3A%2F%2Fcdn.clinicalkey.com%2Fck-thumbnails%2F08853924%2FS0885392411X00052%2Fcov150h.gif |