What issues lead to the replacement of the Liverpool Care Pathway for end of life care?

Get Started. It's Free
or sign up with your email address
What issues lead to the replacement of the Liverpool Care Pathway for end of life care? by Mind Map: What issues lead to the replacement of the Liverpool Care Pathway for end of life care?

1. Actions taken due to the failure

1.1. Suggested replacements

1.1.1. LADCP - Leadership Alliance for the Care of Dying People

1.1.1.1. Charities and Organisations were invited to created the new plan.

1.1.1.2. Developed the 'Priorities of Care' which are the main set priorities for anyone in their last days / hours.

1.1.1.2.1. The priorities are supported by the duties and responsibilities of the health care staff.

1.1.2. End of life care plan

1.1.2.1. A pathway with death as an end point - the key issue is that having death as a definite end point was one of the main criticisms of the LCP.

1.1.2.2. Main aim - To replace the confusing title 'Liverpool Care Pathway'

1.2. Other changes

1.2.1. Immediate removal of the LCP

2. Ideal End Of Life Care

2.1. Personalised care

2.1.1. End of Life Care should be specific to each patient , not a general step by step plan. It should cater to each patient's individual needs.

2.1.2. All needs and wishes of the patient must be recorded appropriately, otherwise their needs may not be taken into consideration by other health care staff, this is because they are not seen as part of the service.

2.1.3. Take all their needs into consideration, not just focusing on their illness. e.g (physical, spiritual, physiological and social needs.)

2.1.4. Value the patient as a person. Value their emotions and feelings beyond their illness.

3. Why people believe the pathway failed

3.1. Actual pathway care

3.1.1. A large lack of communication between all links. Did staff understand the pathway? Were families informed about the pathway's aims?

3.1.1.1. 'Liverpool Care Pathway' is confusing, how can relatives / family members to understand what the term means.

3.1.1.2. There was often little or no communication between nurses and the families. This caused confusion.

3.1.1.3. Nurses / Doctors also did not fully understand the pathway, they were left demanding instructions that were unclear.

3.1.2. The lack of research / guidelines around end of life care.

3.1.3. Poor decision making

3.1.4. Lack of training

3.2. Poor use of the pathway

3.2.1. Medical staff would 'give up' once the patient was placed onto the pathway. Possibly chances of recovery weren't always taken.

3.2.2. Refusal of basic needs due to not understanding the circumstances.

3.2.3. In a review of the LCP, it was found that when implemented correctly, the pathway was successful and gave dying patients a dignified death.

3.3. Emotional consequences of death

3.4. Speculation

3.4.1. Professor says doctors use 'death pathway' to euthenasia of the elderly Treatment on average brings a patient to death in 33 hours Around 29 per cent of patients that die in hospital are on controversial 'care pathway' Pensioner

3.4.2. People began to believe that the pathway was to hasten death.

3.4.3. People were suspicious of a pathway to death. A pathway to recovery seems more acceptable.

3.4.4. "The Independent reports that the Department of Health says that it doesn’t provide direct financial incentives for trusts to use the LCP. However, local areas may choose to have these in place."

3.4.5. Some relatives have claimed that their loved ones were put on the pathway without their consent and some have said it has hastened death in relatives who were not dying imminently. Critics say that it is impossible for doctors to predict when death is imminent, so the decision to put a patient on the pathway is at worst self-fulfilling.

4. 2003 (Introduced by the End Of Life Strategy from the Department of Health) to 2014

5. Professor Patrick Pullicino

5.1. http://www.seniorsatrisk.org/wp-content/uploads/2012/06/2012-06-19-Top-doctors-chilling-claim_-The-NHS-kills-off-130000-elderly-patients-every-year-Mail-Online.pdf

5.2. http://ap8309.wix.com/dadd