Abstract
Caring for people with cancer during the dying phase of their illness is a fundamental aspect of oncology and palliative care. This chapter examines what constitutes the best care for the person dying from cancer. At this stage of someone’s life, it is vital to ensure impeccable clinical assessment, communication, spirituality and care planning in life and death. The Liverpool Care Pathway for the Dying Patient (LCP) aims to promote the best possible care for an individual and their relatives in the last hours and days of life. A stepwise approach is used to examine the goals of the document in initial assessment, ongoing assessment and care after death. This must all take place within a structured, comprehensive approach for continuous quality improvement in care of the dying.
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References
Boyd K, Murray S (2010) Recognising and managing key transitions in end of life care. Br Med J 341:c4683
Costantini M, Lunder U (2012) OPCARE9 – a European perspective in the last days of life. Eur J Palliat Care 19(4):175–177
Costantini M, Beccaro M, Higginson IJ (2008) Cancer trajectories at the end of life: is there an effect of age and gender? BMC Cancer 8:127. doi:10.1186/1471-2407-8-127
Ellershaw J, Lakhani M (2013) Best care for the dying patient. BMJ 347:f4428 doi:10.1136/bmj.f4428
Ellershaw J, Fürst CJ, Lunder U, Boughey M, Eychmüller S, Hannam Hodgson S, Faksvåg Haugen D, Marshall B, Walker H, Wilkinson S, Voltz R, van Zuylen L (2013) Care of the dying and the LCP in England: an international perspective. Eur J Palliat Care 20(3):120–123
Eychmüller S, Domeisen Benedetti F, Latten R, Tal K, Walker J, Costantini M (2013) ‘Diagnosing dying’ in cancer patients – a systematic literature review. Eur J Palliat Care 20(6):292–296
Glare P, Christakis NA (2013) Prognosis in advanced cancer. Oxford University Press, Oxford, United Kingdom
Lau F, Cloutier-Fisher D, Kuziemsky C, Black F, Downing M, Borycki E, Ho F (2007) A systematic review of prognostic tools for estimating survival time in palliative care. J Palliat Care 23(2):93–112
Lunney JR, Lynn J, Foley DJ, Lipson S, Guralnik JM (2003) Patterns of functional decline at the end of life. JAMA 289:2387–2392
Marie Curie Palliative Care Institute Liverpool (2012) LCP – International Model Pathway. http://www.mcpcil.org.uk/media/10807/lcp%20model%20pathway.pdf. Liverpool, UK
Mason S, Dowson J, Gambles M, Ellershaw J (2012) OPCARE9—optimising research for cancer patient care in the last days of life. Eur J Palliat Care 19(1):17–19
Montgomery K (2005) How doctors think: clinical judgment and the practice of medicine. Oxford University Press, Cary
Vanhaecht K, Bollmann M, Bower K, Gallagher C, Gardini A, Guezo J, Jansen U, Massoud R, Moody K, Sermeus W, Van Zelm R, Whittle C, Yazbeck A, Zander K, Panella M (2006) Prevalence and use of clinical pathways in 23 countries – an international survey by the European Pathway Association. J Integr Pathw 10(1):28–34
Vanhaecht K, De Witte K, Sermeus W (2007) The impact of clinical pathways on the organisation of care processes. ACCO, Leuven
Further Reading
Ellershaw J, Wilkinson S (2011) Care of the dying: a pathway to excellence, 2nd rev edn. Oxford University Press, Oxford
Marie Curie Palliative Care Institute Liverpool. LCP International Programme. www.mcpcil.org.uk
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Khodabukus, A.F., Ellershaw, J.E. (2015). The Liverpool Care Pathway for the Dying Patient. In: Alt-Epping, B., Nauck, F. (eds) Palliative Care in Oncology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46202-7_8
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