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01 NOVEMBER 2012

What is the Liverpool Care Pathway?

"The Liverpool Care Pathway (LCP) is a scheme that is intended to improve the quality of care in the final hours or days of a patient's life, and to ensure a peaceful and comfortable death. It aims to guide doctors, nurses and other health workers looking after someone who is dying on issues such as the appropriate time to remove tubes providing food and fluid, or when to stop medication.

However, its use for some has become controversial, with relatives reportedly claiming it has been used without consent, and some saying it is used inappropriately.

This criticism and the media emphasis on the supposed controversy is puzzling, as the LCP has been standard practice in most hospitals for a number of years. The LCP has also received recognition on both a national and international level as an example of good practice.

As a GP put it in the British Medical Journal, the LCP 'has transformed end of life care from an undignified, painful experience into a peaceful, dignified death at home'"

(NHS Choices, UK)

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TAGS

1990s • advanced illness • British Medical Journal • care • comfortable death • consent • controversydeath • death pathway • diedignitydyingemotional needsend of life • end of life care • end-of-life careeuthanasiagood practiceGPguide • health workers • healthcare • hospice • hospital • LCP (acronym) • life • Liverpool Care Pathway • Marie Curie Palliative Care Institute • media criticism • medication • multidisciplinary approach • National Health Service • NHS • palliative care • patientpatient care • peaceful • physical needs • plan of care • prolonging life • public health • quality of care • relieve suffering • Royal Liverpool University Hospital • social needs • spiritual needs • suffering • terminally ill • UK • undignified

CONTRIBUTOR

Simon Perkins
20 MARCH 2011

General Practice Notebook: an online medical encyclopaedia

"GPnotebook is a concise synopsis of the entire field of clinical medicine focussed on the needs of the General Practitioner.

The database is continually being updated by a team of authors. We take a pragmatic approach to authoring: we look out for topical issues, keep track of the journals and update material in response to user feedback.

We use a range of knowledge sources, including clinical experience, knowledge taken from literature reviews, original research articles and guidelines published by national and international bodies. In many cases references are made to sources of information; we are committed to making GPnotebook fully referenced in the near future. As a team we review each other's work but we also rely in the feedback from experts in primary care and the various clinical specialities to keep us on the right track.

Our editorial decisions are based on merit and are not influenced by any funding bodies.

We make every effort to ensure that the contents of the site are correct however we cannot be held responsible for any errors or ommissions."

(Oxbridge Solutions Ltd., UK)

TAGS

body • clinical • clinical medicinedatabasediagnosisdiseasedoctorencyclopaediaexpert knowledge • general practitioner • GP • GP Notebook • guidelineshealthhuman patientsillnessinformationinjuryknowledge baseknowledge repositorymedicalmedical practice • medical reference • medical researchnotebook • online encyclopaedia • operationpainpractitioner • prevention • primary care • prognosis • public healthreferencerepositoryresearch findingssearchsearch enginesexual healthsufferingtherapytreatmentUK

CONTRIBUTOR

Simon Perkins
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