By John Ellershaw, Susie Wilkinson
Marie Curie Centre Liverpool, united kingdom. textual content offers instructions for the care of the death in response to the Liverpool built-in Care Pathway for the death sufferer (LCP). accommodates evidence-based practices and describes the method of care and results. Discusses bedside documentation platforms, rules and strategies, criteria of perform, and caliber development courses. Softcover.
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Additional resources for Care for the Dying: A Pathway to Excellence
This prompt is placed at the end of this section merely as a reminder to nurses to return to the Ongoing Assessment section and ensure they have recorded the patient’s final observation. Initial analysis of the LCP found that nearly one third of final observations were missing, however, since adding this prompt to the pathway consecutive yearly data has reduced the missing data around the final observation to approximately 10%. For example, if the patient died at 2000 hours the nurse caring for the patient will usually be too busy to record the four and twelve hourly observations.
Fatigue ● Psychological symptoms such as anxiety/depression ● Social issues such as financial implications RELIGIOUS/SPIRITUAL SUPPORT Goal: Appropriate religious/spiritual support has been given CARE OF THE FAMILY/OTHERS Goal: The needs of those attending the patient are accommodated IF YOU HAVE CHARTERED ‘V’ AGAINST ANY GOAL SO FAR, PLEASE COMPLETE VARIANCE SHEET AT THE BACK OF THE PATHWAY BEFORE SIGNING BELOW Repeat this page each 24 hours. Spare sheets on Ward Nurse Signature Early ……………………….
1). Fortunately, these symptoms only need a handful of medications to be controlled, all of which can be given subcutaneously. How do you manage pain in the dying patient? Pain control is achievable in the vast majority of patients in the last few days of life using existing methods. Even in the dying phase, it is important that the four basic principles of pain (and other symptom) control are kept in mind (8): ◆ Identify and reverse (if possible) the noxious stimulus. ◆ Identify and reverse (if possible) any ‘pain threshold’ issues.