Sedation in Palliative Care - Indications and Guidelines

A/Prof Jenny Philip (Centre for Palliative Care / St Vincents Hospital Melbourne, Australia) presents the indications and guidelines around sedation in palliative care, followed by a mulit-disciplinary discussion with the following panellists:

- Dr Justin Dwyer, Psychiatrist in Psychosocial Cancer Care Team, St. Vincent’s Hospital
- John Dalla, Palliative Care Nurse Coordinator at Alfred Health
- Annette Cudmore, Palliative Care Nurse Consultant at Goulburn Valley Hospice Care
Consultancy Service Inc
- Dr David Brumley, Palliative Care Physician at Barwon Health and Lecturer at Deakin University

Three cases will be discussed after the presentation which are all ficticious and based on real life patient-clinician scenarios.

Presentation Timeline
* Slide the timer bar to each section.

- Sedation in Palliative Care- Presentation: 00:25 23:35
- Case Study 1 - Joe: 27:45
- Case Study 2 - Mrs K: 40:55
- Case Study 3 - Joyce: 49:06

[mysteryandmeaning]

Notice with the man immediately they were on it with antipschotics and proper pain medication with the woman 2 of the men questioned her pain and pain levels and wanted talk more with her. The woman on panel had speak up and mention pain medicine right levels need to be addressed. 2nd woman the nurses were not wanting to increase pain medicine and the woman asked for more help.. Then one guy on panel questioned why her son had anxiety about way his mom dying. said your mom is ok..she clearly wanted needed more sedation and had asked.. Wth. The men didn't seem understanding of the pain levels in the women and questioned it. Even the other guy mentioned does she just want attention drawn to her. What? Just wow. She is dying of cancer and the pain.. This makes me angry. The man with grey hair just couldn't understand the anxiety of the Son concerned about his mother's pain. Just wow. this really eye opening.