Ethical principles in end of life care - The liverpool care pathway Essay

Ethical principles in end of life care - The liverpool care highroad - Essay ExampleOn the contrary, other sources including that of the wellness Minister Jeremy Hunt who describes it as a antic step forward (Donnelly, 2013) still maintain their favour believing that the piece of ground is playing its intended constituent of ensuring that people are treated in dignity, compassion and comfort during their last days of life preferably of enduring invasive and life prolonging intercessions (Rand any and Downie, 2010, p.91). As a result of these controversies, the government ordered an independent polish in 2012 chaired by Baroness Neuberger. The review finding recommends the Liverpool Care Pathway to be phased out and be replaced by a personalised end of life care plan that takes cracking care of the life of a patient who is facing imminent death (Department of Health, 2013). The LCP has clearly set the stage for ethical and legal controversies somewhat patients, family rights and the role of the medical professions (Glare and Christakis 2008, p. 429). Replacing the LCP to a personalised end of life care plan whitethorn not resolve the controversies if the same transgressions persist. In that context, this paper aims to objectively review the literature and explore the challenges that contributed to its blow in order to accurately consider the future development of the recently recommended personalised End of carriage Care Plan. Overview The Liverpool Care Pathway for the dying patient was developed as an integrated care pathway by the specialist palliative care team at the Royal Liverpool and Broadgreen University Hospitals NHS Trust and the Marie Curie palliative care institute Liverpool in 1997 (Ellershaw and Wilkinson, 2003, p. 11). The LCP is a structured clinical record developed to transfer the hospice mould of care into other care settings (Jack, Gamble, Murphy, and Ellershaw 2003, p. 371). It aims to support clinical judgements and assist mult idisciplinary team in providing optimal treatment and care for patients who are dying(Boyd and Murry 2012), as well as improve the experience of the relatives or carers during this period and into disaster (Gambles, Roberts and Anita 2011). It focuses in providing evidence-based framework on different aspects of care required including comfort measures, discontinuation of inappropriate interpolation among others (Ellershaw and Murphy 2011, p. 11). The Liverpool Care Pathway was advocated by the Department of Health (2012) as a model of good practice in End of Life care and prime(prenominal) makers and measures for promoting high quality care for all adults in the end of life (MCPCIL). Additionally, the General Medical Council (General Medical Council, 2010) supported it, over 20 organisations and charities as demonstrated in the consensus report for its support published by the NHS in 2012 and the National Institute for Health Care Excellence (NICE) Quality Standard for End of Li fe care for adults. Regardless of its high approvals and recommendations, the LCP has been infernal for delivering poor quality care to patient in their final days (Payne, Seymour, Ingleton 2008, p.392). The independent review findings set a number of important issues that affected the ability to implement the LCP effectively in the provision of quality healthcare to persons who are almost dying or facing imminent death. Amongst which were lack of knowledge and