By Jacob Aagard
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Marie Curie Centre Liverpool, united kingdom. textual content offers guidance for the care of the loss of life according to the Liverpool built-in Care Pathway for the demise sufferer (LCP). contains evidence-based practices and describes the method of care and results. Discusses bedside documentation structures, rules and systems, criteria of perform, and caliber development courses.
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The following pages show the LCP on the right-hand side of the page and explanatory notes on the left-hand side, together with cross-references where appropriate to the supporting chapters in the book. This is followed by an example of a completed version of the LCP. The LCP used in this section is the hospital version. e. hospital, hospice, community, and nursing home can be found in Appendix 1–4. 15 16 HOW TO USE LCP FOR THE DYING PATIENT? Instructions for use: 1. A method for identifying which patients have been placed on the LCP in your health care setting should be established.
If the patients condition improves the LCP can be discontinued it is not a ‘one way’ pathway. B. The criteria are related to patients with a cancer diagnosis and may need modification for use in non-cancer populations. NAME: …………………………………………………………….. UNIT NO: ………………………………… The Royal Liverpool University Hospitals – Broadgreen and Liverpool NHS Trust THE LIVERPOOL INTEGRATED CARE PATHWAY FOR THE TERMINAL /DYING PHASE A Care Pathway is intended as a guide to treatment and an aid to documenting patient progress.
Variance Analysis sheet: This is always attached to the back of the LCP. When a variance occurs on the pathway: 1. date of variance is recorded by the nurse/doctor. 2. what variance occurred, such as pain or facilities leaflet not given. 3. why the variance occurred. This can usually fall into two types of variance: (a) Unavoidable variance, such as pain. This type of variance is unavoidable if the patient is on the correct dose of analgesia and this is being delivered effectively. (b) Avoidable variance such as facilities leaflet not given because there was not any available or pain due to analgesics not prescribed.