Pain pp 933-936 | Cite as

Palliative Care

  • Ezekiel FinkEmail author


Palliative Care is multidisciplinary care that is focused on patients with life limiting/advanced diseases. It can be provided in a number of settings. Opioids are the mainstay of therapy. Palliative sedation is used in some cases when patients have refractory severe symptoms occurring at the end of life. It is viewed as being both legal and consistent with the ethical principle of beneficence but is only initiated after key steps are taken by a multidisciplinary team.


Palliative care Opioids Palliative sedation Palliative care Refractory symptoms Ethics Multidisciplinary team 


  1. 1.
    Ballantyne JC. The Massachusetts General Hospital handbook of pain management/Edition 3. Lippincott Williams & Wilkins, Philadelphia; 2006.Google Scholar
  2. 2.
    Cherny NI, Portenoy RK. Sedation in the management of refractory symptoms: guidelines for evaluation and treatment. J Palliat Care. 1994;10:31.CrossRefGoogle Scholar
  3. 3.
    Beller EM, van Driel ML, McGregor L, Truong S, Mitchell G. Palliative pharmacological sedation for terminally ill adults. Cochrane Database Syst Rev. 2015;1:CD010206.PubMedGoogle Scholar
  4. 4.

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Houston Methodist HospitalHoustonUSA
  2. 2.Department of NeurologyUCLA/David Geffen School of MedicineLos AngelesUSA
  3. 3.Department of NeurologyPain Management, and Brain Injury MedicineHoustonUSA

Personalised recommendations