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.

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

George P. Smith, II has been a scholar, teacher, and international lecturer in the fields of Bioethics and Health Law for over forty years, and has held research affiliations at nearly one hundred institutions, including The Hoover Institution at Stanford University and the Max Planck Institute, Heidelberg, Germany. His bibliography is comprised of nearly two hundred entries with fifteen previous books, amongst them Law and Bioethics: Intersections Along the Mortal Coil (2012) and The Christian Religion and Biotechnology: A Search for Principled Decision-making (2005). US Judge Richard A. Posner has acknowledged Prof. Smith as 'one of the world's leading experts on the legal and ethical issues raised by modern medicine.'