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Liverpool care pathway

534 replies

stella1w · 31/01/2013 19:05

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?

OP posts:
XBenedict · 31/01/2013 21:01
Hmm
Sirzy · 31/01/2013 21:02

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 · 31/01/2013 21:02

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 · 31/01/2013 21:04

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ThePigOfHappiness · 31/01/2013 21:05

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 · 31/01/2013 21:07

Pardon Cheryl?

BoysAreLikeDogs · 31/01/2013 21:08

what does this symbol :/ mean, please?

thank you

CherylAmber · 31/01/2013 21:09

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Sirzy · 31/01/2013 21:11

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 · 31/01/2013 21:11

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CherylAmber · 31/01/2013 21:13

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Sirzy · 31/01/2013 21:14

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CherylAmber · 31/01/2013 21:15

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hellhasnofurylikeahungrywoman · 31/01/2013 21:17

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

CherylAmber · 31/01/2013 21:18

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isthisacrazyidea · 31/01/2013 21:18

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 · 31/01/2013 21:21

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 · 31/01/2013 21:24

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CherylAmber · 31/01/2013 21:26

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

Piecesofmyheart · 31/01/2013 21:26

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Sirzy · 31/01/2013 21:29

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 · 31/01/2013 21:30

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 :(

Lifeisontheup · 31/01/2013 21:33

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

HobKnob · 31/01/2013 21:33

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.

Piecesofmyheart · 31/01/2013 21:34

I think you giving up is the very best thing to do Cheryl. I really, really do Wink

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