Terminal Pallative 
Sedation
Terminal and palliative sedation are being used nationwide in hospice settings without clear and concise distinctions between a terminal patient needing palliative care and a dying patient that is in their final stages of life.  Medicine defines the practice as a deep sedation used in end of life care, and it is used specifically for intractable distress in the dying patient; thereby defined as a common palliative practice used in in a dying patient.  Common drugs used to treat pain, delirium and agitation in the dying include strong narcotic pain medications like morphine and narcotic sedatives such as Ativan, midazolam and phenobarbital and are being given off-label and without patient choice as a justified forced sedation.  Terminal sedation has been used in medicine for more than twenty years and has become a customary dying practice commonly used in the dying field; used without clear guidelines to differentiate between two states of life, terminal and dying.  Too many harsh narcotics are used to usher in death for a terminal patient at even the first stages the disease and without patient choice.  The medically futile become the dying victim under this induced sedation practice under right to die practices used in the dying field without any accountability regarding stage of illness.