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From anxiolysis to deep continuous sedation – Development of recommendations for sedation in specialist palliative care

Conditions
Z51.5
Palliative care
Registration Number
DRKS00015047
Lead Sponsor
niversitätsklinikum Erlangen, Abteilung für Palliativmedizin, Friedrich-Alexander-Universität Erlangen-Nürnberg
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
1132
Inclusion Criteria

SP1:
• Patients who are treated in inpatient and outpatient specialized palliative care, who receive drugs that are potentially suitable for deep continuous sedation and who are at least 18 years old.

SP2:
• Specialized palliative care (SPC) physicians, nurses and other professionals (from psychology, spiritual care, social work). SPC patients = 18 years and carers with capacity to give informed consent and ability to report on own experiences with sedation (e.g. intermittent sedation) or hypothetical clinical scenarios.

Exclusion Criteria

SP1:
• Patients who are not treated in inpatient or outpatient specialized palliative care, patients who do not receive drugs that are potentially suitable for deep continuous sedation, patients under the age of 18.

SP2:
• unable to speak sufficient German, too unwell or too distressed as judged by the clinical team.

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
SP1:<br>• Description of clinical practice regarding to different types of sedation in specialized palliative care in Germany.<br><br>SP2:<br>• As this is a qualitative study, there are no endpoints.<br><br>Aim: To explore healthcare professionals', patients' and carers' experiences and views regarding different types of sedation in SPC and associated challenges.<br>
Secondary Outcome Measures
NameTimeMethod
SP1:<br>Objectives:<br>•Description of the treatment practice of palliative sedation in specialized palliative care in Germany in various treatment settings (outpatient/inpatient).<br><br>SP2:<br>Objectives:<br>• To explore professionals´, patients´ and carers´ experiences and views regarding 1) the understanding of and indications for sedation in SPC; 2) the process of decision making and consent 3) clinical challenges of sedation in SPC (e.g. monitoring, outcomes, i.v. hydration); 4. To contribute to the development of recommendations on good clinical practice of sedation in SPC based on the findings.
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