Liverpool Care Pathway for Hospitalized Cancer Patients (DRAFT)

2018 ◽  
Author(s):  
Carlos Eduardo Paiva ◽  
André Filipe Junqueira dos Santos
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Best Practice ◽  
Care Pathway ◽  
General Medicine ◽  
Cluster Randomized Trial ◽  
Physical Structure ◽  
Care Practice ◽  
Life Care ◽  
Significant Difference

The Liverpool Care Pathway (LCP) for patients who are dying was developed in the UK with the aim of transferring the best practice of hospices to hospitals. In this chapter, an important cluster randomized trial is dissected. Sixteen Italian general medicine hospital wards were randomly assigned to implement the Italian LCP (LCP-I) program or standard health care practice. The results of this trial did not show a significant difference in the overall quality of end-of-life care between the wards in which the LCP-I program was implemented and the control wards (primary aim). Of the nine secondary outcomes investigated, only two showed significant improvements. At the end of the chapter, the authors present a real situation where one hospital CEO, after identifying end-of-life care as a weakness of his institution, evaluates the possibility to implement the LCP or to build a new physical structure dedicated to palliative care.

scholarly journals DEVELOPMENT OF AN INTEGRATED END OF LIFE CARE PATHWAY FOR PATIENTS WITH COPD

2014 ◽  
Vol 4 (Suppl 1) ◽  
pp. A93.1-A93
Author(s):  
Pauline Berry ◽  
Christopher Jackson ◽  
Tarek Saba ◽  
GIllian Au ◽  
Michelle Martin ◽  
...  
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Care Pathway ◽  
Life Care

Care professional's experiences about using Liverpool Care Pathway in end-of-life care in residential care homes

2017 ◽  
Vol 32 (1) ◽  
pp. 299-308 ◽  
Author(s):  
Sofia Andersson ◽  
Olav Lindqvist ◽  
Carl-Johan Fürst ◽  
Margareta Brännström
Keyword(s):  
End Of Life ◽  
Residential Care ◽  
End Of Life Care ◽  
Care Pathway ◽  
Care Homes ◽  
Life Care

scholarly journals The public health end-of-life care movement: history, principles, and styles of practice

2018 ◽  
Author(s):  
Aliki Karapliagou ◽  
Allan Kellehear ◽  
Klaus Wegleitner
Keyword(s):  
Public Health ◽  
Palliative Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Psychosocial Care ◽  
Care Practice ◽  
Life Care ◽  
The Public ◽  
Civic Practice ◽  
Practice Methods

This chapter briefly outlines the history, key concepts, and main practice methods from public health approaches to end-of-life care. Although linked to psychosocial care approaches, its main methods draw not from psychology or health services inspired approaches but rather from health promotion, community development, and civic engagement. Key methods covered include community volunteering, social networking, community engagement, and compassionate communities and cities. The aim of these kinds of approaches is to embed palliative care practice as a social and civic practice in all sectors of society and to ensure that palliative care as a policy is represented in all civic policies (e.g. schools, workplaces, faith groups, and cultural activities) and not solely in health care.

Place of Death of Geriatric Population in Turkey: A 7-Year Observational Study

2021 ◽  
pp. 082585972110365
Author(s):  
Serdar Ceylan ◽  
Merve Guner Oytun ◽  
Arzu Okyar Bas ◽  
Zeynep Kahyaoglu ◽  
Burcu B. Dogu ◽  
...  
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
University Hospital ◽  
Place Of Death ◽  
Public Health Issue ◽  
Hospital Death ◽  
Chronic Obstructive ◽  
Life Care ◽  
Geriatric Population ◽  
Significant Difference

Background End-of-life care has become an important public health issue in recent years. Place of death is a major component of end-of-life care. Despite attempts to improve end-of-life care, there has not been published any data about place of deaths in Turkey. Aim: This retrospective, cross-sectional study investigates the place of death and trends over the years in geriatric age groups in Turkey. Methods: Patients who were admitted to geriatric outpatient clinic of a university hospital during a 7-year period were included. Place and date of death information were received from the death notification system and recorded as hospital or out-of-hospital death. Demographic and clinical data were collected from the hospital information system. Deaths occurring after March 1, 2020 were not included to eliminate the effect of coronavirus disease-2019 pandemic. Results: A total of 4025 (20.7%) patients were determined to be dead. Approximately three-quarters of deaths (73.0%) occurred in hospital. The number of deaths reported from nursing homes was only 13 (3.0%). Patients with dementia less frequently died in hospital, however, it was not statistically significant (12.4% vs 14.7%, P = .05). The prevalence of death in hospital was significantly higher in patients with chronic renal failure (3.1% vs 1.7%, P = .02). The presence of comorbid conditions such as heart failure, cerebrovascular disease, Parkinson's disease, chronic obstructive pulmonary disease/asthma, and cancer did not affect the place of death ( P = .24, .21, .24, .51, and .18). Out-of-hospital mortality increased with advanced age ( P < .001). No significant difference was found in the place of death over the years ( P = .41). Conclusion: To the best of our knowledge, this is the first study examining the place of death in Turkey, an aging country. Our results may help to establish policies about end-of-life care in elderly people to improve quality of life by using resources effectively.

Oscillations, boundaries and ethical care: Social work practitioner-researcher experiences with qualitative end-of-life care research

2021 ◽  
pp. 147332502110451
Author(s):  
Felicity Moon ◽  
Christine Mooney ◽  
Fiona McDermott ◽  
Peter Poon ◽  
David W Kissane
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Psychosocial Care ◽  
General Medicine ◽  
Visual Methods ◽  
Life Care ◽  
Structured Interviews ◽  
Research Issues ◽  
Health Network ◽  
Human Research Ethics

Policy and research acknowledge that the quality of end-of-life care in hospitals can be poor, with families reporting significant concerns regarding physical and psychosocial care. In order to design appropriate evidenced-based care approaches, we conducted qualitative research examining the perspectives of bereaved families of patients who received end-of-life care in our health network. This paper reports on ethical dilemmas facing practitioner-researchers conducting interviews with bereaved families. We recruited 40 bereaved family members to participate in semi-structured interviews discussing the care a loved one received while a patient under the general medicine units. Bereaved participants expressed grief, humour and anger regarding their experience, and several reported perceptions of negligent and harmful care. Irrespective of the protocols in place to mitigate distress, this posed an ethical dilemma for the practitioner-researcher as a member of the health network, who needed to balance clinical and research roles when responding to distress. The practitioner-researcher’s own bias and assumptions emerged when analysing families’ distressing recollections. More broadly, the issues discussed have clinical implications for models of hospital bereavement support. Participants’ use of photos and mementos jointly served to include the presence of the deceased in the research interview, but also highlighted the potential to utilise visual methods to examine sensitive research issues. It helps every practitioner-researcher to distinguish between research-oriented goals and clinical responsibilities to care provision as they consider their human research ethics application before beginning any research.

Sexuality

2015 ◽  
pp. 410-421
Author(s):  
Marianne Matzo
Keyword(s):  
Sexual Health ◽  
End Of Life ◽  
Sexual Functioning ◽  
End Of Life Care ◽  
Life Care ◽  
Leading Role ◽  
Significant Difference ◽  
The One

Healthcare practitioners should assume a leading role in the assessment and remediation of potential or identified alterations in sexual functioning. Not all couples will be concerned about their sexual health at this point of their life together. However, people may find that being physically close to the one they love is life-affirming and comforting. Assessment of sexual health should occur for all patients to determine whether these needs and hopes include maintenance of their sexual health. The healthcare practitioner’s offer of information and support can make a significant difference in a couple’s ability to adjust to the changes in sexual health during end-of-life care.

Benefits of using the liverpool care pathway in end of life care

2012 ◽  
Vol 26 (34) ◽  
pp. 42-50 ◽  
Author(s):  
Annie Anderson ◽  
Irena Chojnacka
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Care Pathway ◽  
Life Care
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