Preface 1. Broadening The Boundaries of Palliative Medicine 2. Total Pain Management and Adjusted Care: An Evolving Ideal 3. Medical Futility: The Template for Decision-making 4. Reconstructing The Principle of Double Effect 5. Physician Assistance at Death or Euthanasia? 6. Shaping a Compassionate Response to End-Stage Illness 7. Toward a Good Death: A Socio-Legal, Ethical, and Medical Challenge

Total pain management mandates that an ethic of adjusted care be implemented at the end-stage of life which acknowledges ethically, legally, and clinically the use of terminal sedation as efficacious treatment.