The Ethics in the Management of Patients with Disorders of Consciousness

Demertzi, Athena

doi:10.1007/978-3-319-55964-3_13

Cited by 2 publications

(1 citation statement)

References 49 publications

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“…Generally, caregivers and relatives believe in the possibility that VS/UWS patients might feel pain, influencing end-of-life decisions. However, there is not a unanimous consensus about whether non-responsive patients might have a sufferance condition or might feel pain ( Demertzi et al, 2013 ; Demertzi, 2018 ), implying increasing ethical questions ( Riganello et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

Addressing Pain for a Proper Rehabilitation Process in Patients With Severe Disorders of Consciousness

2021

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Consciousness constitutes a fundamental prerequisite in the individual appraisal and experience of pain. In the same way, a person needs to be able to report on pain perception. Patients who suffered a severe brain injury with disorders of consciousness (DOC) represent a spectrum of pathologies affecting patients' capacity to interact with the external world. In these patients, the most relevant aspects in response to pain are physiologic and behavioral. The treatments and management of pain are challenging issues in these patients, arising serious ethical concerns and bringing emotional load among medical staff, caregivers, and relatives. In this review, we report the importance of having a correct pain management in DOC patients, to individuate the best pharmacological treatment that can make the difference in detecting a behavioral response, indicative of a change in the level of consciousness, and in planning a more effective rehabilitative approach.

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Section: Introductionmentioning

confidence: 99%