@article{ref1,
title="Wish to die and sedation at the end of life, empirical data and guidelines",
journal="Chirurgische Praxis",
year="2021",
author="Weixler, D. and Marosi, C. and Koisser, K. and Masel, E.K.",
volume="88",
number="3",
pages="532-541",
abstract="In people with advanced life-limiting illnesses, a wish to die (WTD) often occurs and is only partially communicated openly. If a WTD is expressed, people in the close social environment are primarily addressed. For healthcare professionals, it is important to know that there are various reasons and intentions behind a WTD. Its expression is neither synonymous with suicidality nor necessarily associated with the desire for assisted suicide. Healthcare professionals and caregivers should be aware that a WTD is an appropriate and not a pathological phenomenon. Before possible solutions are considered, details and background of a WTD must be explored within a holistic approach, as a WTD is often ambivalent, dynamic, inconsistent or even contradictory. The feeling of being a burden to others deserves special attention. In this context, palliative sedation (PS) should be viewed critically. Most international guidelines do not consider&quot;existential suffering&quot; in the absence of physical symptoms as an indication for PS. So far, no consensus based on empirical data has been reached among experts. Also, the criteria for when a WTD is to be categorized as&quot;constant&quot;, remains controversial. In the presence of depression, the potential therapeutic effect of medication and psychotherapies should be awaited. The aspects mentioned are particularly important concerning normative and legislative issues. © 2021 Mediengruppe Oberfranken - Fachverlage GmbH & Co. KG. All rights reserved.<p /><p>Language: de</p>",
language="de",
issn="0009-4846",
doi="",
url="http://dx.doi.org/"
}