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Liverpool care pathway

(535 Posts)
stella1w Thu 31-Jan-13 19:05:59

Posting here for traffic, not debate,
distraught friend just told her mum, demented, at home with 24 hour care has been put on liverpool care pathway. She spoke to the gp about palliative care thinking it would mean a nursing home and was not consulted about lcp. Gp is refused to let her mum have sedatives or water and my friend is v v v upset and feels this is like euthanasia. She doesn,t seem to know what to do or if she has any rights to stop it. It could take four weeks.
I said if she had doubts she should ask for lcp to be postponed until the children had been consulted and undertood and consented.
What can she do?

CherylAmber Thu 31-Jan-13 21:00:04

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XBenedict Thu 31-Jan-13 21:01:04

hmm

Sirzy Thu 31-Jan-13 21:02:18

Cheryl, if you want to argue against something then you could at least attempt to provide some sort of coherent argument against it, preferably one backed up with a slight hint of understanding of the topic.

CherylAmber Thu 31-Jan-13 21:02:44

If your giving excess fluid your not doing your job properly four hour checks ain't it supposed to be, you ought to know what your doing so too much fluid isnt given :/

CherylAmber Thu 31-Jan-13 21:04:04

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As a nurse in a dementia unit, we have a few residents who are not for resus and on "comfort care plans" (basically the same as lcp). None if us here can really comment as we don't know the ins and outs of this person's medical condition.
I would rather that if it came to it I was on a lcp or comfort care plan rather than aspirating on fluids in an already painful situation

Sirzy Thu 31-Jan-13 21:07:50

Pardon Cheryl?

what does this symbol :/ mean, please?

thank you

CherylAmber Thu 31-Jan-13 21:09:56

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Sirzy Thu 31-Jan-13 21:11:16

The liverpool care pathway DOES NOT deny people water. If water is being denied that is wrong but that is not the liverpool care pathway.

CherylAmber Thu 31-Jan-13 21:11:38

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CherylAmber Thu 31-Jan-13 21:13:29

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Sirzy Thu 31-Jan-13 21:14:34

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CherylAmber Thu 31-Jan-13 21:15:37

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hellhasnofurylikeahungrywoman Thu 31-Jan-13 21:17:12

That does not sound like Liverpool Care pathway to me. At all.

CherylAmber Thu 31-Jan-13 21:18:06

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isthisacrazyidea Thu 31-Jan-13 21:18:26

Cheryl have you any idea at all about the danger of someone drinking fluids when their swallow is no longer strong enough? Basically you drown.

bluegnuboo Thu 31-Jan-13 21:21:57

If a patient is unable to swallow safely it's usual to give mouth care via a sponge or toothbrush for comfort.

I/v or s/c fluids are not appropriate at the end of life because of the risks of causing discomfort or worsening heart function.

CherylAmber Thu 31-Jan-13 21:24:35

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CherylAmber Thu 31-Jan-13 21:26:00

bluegnuboo yup and or drops through a pippette or very small teaspoon :/

Piecesofmyheart Thu 31-Jan-13 21:26:54

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Sirzy Thu 31-Jan-13 21:29:34

Cheryl, out in interest have you ever had to witness a loved one dying a long painful death? If you had I am sure you would be able to appreciate why they key things are keeping them comfy and ensuring it is as dignified as possible. Forcing fluids and treatments on them which won't help them or they don't want doesn't do that.

CherylAmber Thu 31-Jan-13 21:30:42

May as well give up, these ppl have no humanity in them, they're all following some master plan. Nowt of thinking nor compassion amongst them, they try to get ppl to believe they care care but they really don't. They just ooze out what they know as if it is the be all and end all and then suppose everyone else should just jump into line and do as they say sad

Lifeisontheup Thu 31-Jan-13 21:33:07

Is anyone else struggling to translate what CherylAmber is trying to say or is it just me?

HobKnob Thu 31-Jan-13 21:33:56

Cheryl I have reported you.

This is a thread about a sensitive subject and the OP is quite likely feeling very vulnerable. Your vitriolic and incoherent babblings are at best out of place and at worst hurtful and damaging.

OP, I would speak to your mum's GP and find out exactly what's going on. As others have said, the LCP should make your mother's last days easier, not worse.

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