Use of Liverpool care pathway at the end of life

Liverpool Care Pathway (LCP) has been promoted as a holistic approach for the care of dying patients and their families at the end of life. We conducted this rapid review to evaluate the effectiveness of LCP on the quality of palliative care. We included two recently published controlled studies tha...

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Main Authors: Meneses-Echávez, J. F., Flodgren, Gerd M. (Author), Berg, Rigmor C. (Author)
Corporate Author: Folkehelseinstituttet (Norway)
Other Authors: Meneses-Echávez, J. F. (Jose F.)
Format: eBook
Language:English
Published: Oslo Norwegian Institute of Public Health 2016, 2016
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Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
Summary:Liverpool Care Pathway (LCP) has been promoted as a holistic approach for the care of dying patients and their families at the end of life. We conducted this rapid review to evaluate the effectiveness of LCP on the quality of palliative care. We included two recently published controlled studies that compared the effectiveness of LCP with standard palliative care. The results show that: 1. LCP may lead to little or no difference in overall quality of care provided to dying patients and their families. 2. LCP may give better symptom control in dying patients with regard to breathlessness. 3. LCP may lead to a desired change in use of medications: 1.1. higher use of one out of six possibly appropriate medications (pulmonary secretions).1.2. lower use of one out of ten possibly inappropriate medications (vasodilator drugs).1.3. increase in subcutaneous delivery of medications. 4. It is uncertain if there is a difference between LCP and standard palliative care with regard to the dying patient's physical symptoms and symptom burden at the end of life. Available evidence regarding the effectiveness of LCP is of low to very low quality. There is a lack of high quality evidence that provides clinical documentation in favor of LCP.
Item Description:English summary excerpted from full report in Norwegian: Bruk av Liverpool Care Pathway ved livets slutt. - Excerpt from report no. 2016-22
Physical Description:1 PDF file (pages 8-11)
ISBN:9788280827135