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Why is it that the worst criminals go out painless yet people don't have a choice to do the same themselves?
OP and I don't agree. What a shock. But this thread has been informative. In my father's last days I had to move him to the local nursing home. There simply was no other choice.
Guidance For Care For The Dying
3.1 The Review panel recognises that, in the right hands, the Liverpool Care Pathway can provide a
model of good practice for the last days or hours of life for many patients. The ambition to
transpose hospice-like standards of care into the hospital setting is admirable: before the
widespread introduction of the LCP into hospitals, the care that patients received was variable
and there were many examples of poor care. But it is clear that, in the wrong hands, the LCP
has been used as an excuse for poor quality care. The LCP’s position is a fragile one while poor
practice continues and considerable deficiencies in its use are not addressed.
3.2 Based on the evidence examined by the Review, much of which came from clinicians, the
Review panel has concluded that the LCP is not being applied properly in all cases. Generic
protocols, as the LCP has come to be seen, intended to be applicable for all patients in the last
hours or days of their lives, in any setting, are the wrong approach. The Review panel strongly
recommends the development of a series of guides and alerts that reflect the common
principles of good palliative care, linking directly to the GMC’s Guidance, and that of the NMC
when it is developed. Implementation of this should be the personal responsibility of clinicians.
The Review panel envisages that, in addition to the core driving palliative care philosophy that
will be common to all guidance, there would be elements of technical guidance specific to
certain disease groups, such as solid cancers, haematological cancers and other blood diseases,
organ failure and cardio-respiratory diseases, neurological conditions, respiratory conditions,
and for patients with dementia. An important requirement for these guidelines is that they be
designed to be readily adapted for local use to meet the needs of individuals.
3.3 The Review panel strongly recommends that use of the Liverpool Care Pathway be replaced
within the next six to 12 months by an end of life care plan for each patient, backed up by
condition-specific good practice guidance.
imho - Private and public insurance companies work in concert with the industrialized research community - enforcing cultural triage and treating many/most patients as guinea pigs. Many specialists serve as industry's frontline reps to determine the individual's "value." As most sick people are not seen to have "value," they don't get the best treatment. Rather, they're funnelled into research tracks designed to develop the best treatments for those who are deemed "worthy." It's a crap shoot and a really, really nasty business.