Care for the Dying: A Pathway to Excellence by John Ellershaw, Susie Wilkinson

By John Ellershaw, Susie Wilkinson

Marie Curie Centre Liverpool, united kingdom. textual content offers instructions for the care of the death in keeping with the Liverpool built-in Care Pathway for the loss of life sufferer (LCP). contains evidence-based practices and describes the method of care and results. Discusses bedside documentation platforms, rules and methods, criteria of perform, and caliber development courses. Softcover.

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Additional resources for Care for the Dying: A Pathway to Excellence

Example text

Patients approaching the terminal stages of life are often unable to clear upper respiratory tract secretions, which lead to the condition known as the ‘death rattle’. In clinical practice, this is a common symptom, occurring in up to 92% of dying patients (17). Clinical experience would suggest that most patients are unconscious when terminal secretions are present and it is therefore not possible to evaluate the benefit to the patient of alleviation of the symptom of respiratory tract secretions.

C) The doctor was asked to prescribe a higher dose of analgesic. 5. nurse/doctor records initials and title This process is completed for every recorded variance within the LCP. These variances are then analysed and results offer an insight into outcomes of care around dying patients within the health care setting. Furthermore, analysis of goals with frequent variance recordings can identify education and training needs, and resource issues. INTEGRATED CARE PATHWAY FOR THE TERMINAL/DYING PHASE NAME: …………………………………….

The first step is to try to take a history and do a focused physical examination with the aim of trying to identify the noxious stimulus that is causing the pain. Investigations such as X-rays or neuroimaging that are commonly ordered to confirm the clinical diagnosis of the pain mechanism would not be appropriate in the dying phase, and would constitute a variance if performed. It is important to remember that pain in patients with cancer can be due to the disease, a side-effect of its treatment, debility, or unrelated causes.

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