NHS临床指南 Caring for people who are dying Reflections on the Liverpool Care Pathway (LCP) A doctor’s perspectivePPT.pptVIP

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2018-02-04 发布于江苏
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NHS临床指南 Caring for people who are dying Reflections on the Liverpool Care Pathway (LCP) A doctor’s perspectivePPT.ppt

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NHS临床指南 Caring for people who are dying Reflections on the Liverpool Care Pathway (LCP) A doctor’s perspectivePPT

Caring for people who are dyingReflections on the Liverpool Care Pathway (LCP)A doctor’s perspective Dr Rosalie Dunn Macmillan Palliative Care GP Facilitator NHS Lanarkshire Background to LCP Keri Thomas Macmillan Facilitator Gold Standards Framework: Communication Coordination, Continuity of care, Control of symptoms, Care for the Carers, Continuing education John Ellershaw Professor of Palliative Medicine Marie Curie Institute Liverpool Care of the Dying Liverpool Care Pathwayfor the Dying Patient A framework to provide the best possible care in the last few days of life Sensitive communication with family/carer is essential Decision by senior doctor and care team Not always an easy decision especially in non cancer patients To bring hospice standard of care to all Only for people whose condition is not reversible, all reversible causes having been excluded (CELT Forth Valley) Patients should be involved in decisions, if possible Newspaper headlines Sentenced to death on the NHS Care? No, this is a pathway to killing people that doctors deem worthless End of life row ‘causes public fear’ Hospitals treating the Liverpool Care Pathway as just another ‘thing to do’ How I saved my father from the Liverpool Care Pathway two years after mother endured ‘agonising’ death on the system Newspaper headlines Police probe the death of mother on ‘Care Pathway’: son claims ‘cruel’ withdrawal of fluids and food was ‘attempted murder’ District Nurse put 90 year old father on the Liverpool Care Pathway in his own HOME without consulting his family Moments after coming off the Care Pathway, my mother was enjoying a G+T and scrambled eggs - and lived for another seven precious weeks Where we use the LCP Community Care Homes Hospitals Criteria for use of the LCP The multiprofessional team has agreed that the patient is dying and two of the following must apply The patient is bed bound Only able to take sips of fluid Semi-comatose No longer able to take tablets Al