Download Care for the Dying: A Pathway to Excellence by John Ellershaw, Susie Wilkinson PDF

By John Ellershaw, Susie Wilkinson

Marie Curie Centre Liverpool, united kingdom. textual content offers instructions for the care of the demise in accordance with the Liverpool built-in Care Pathway for the death sufferer (LCP). accommodates evidence-based practices and describes the method of care and results. Discusses bedside documentation platforms, regulations and techniques, criteria of perform, and caliber development courses. Softcover.

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Extra info for Care for the Dying: A Pathway to Excellence

Example text

However, glycopyrronium is almost one-and-a-half times as potent as hyoscine hydrobromide in preventing salivary secretions, a component of terminal secretions (20). Glycopyrronium is less expensive than hyoscine hydrobromide and has become the drug of choice in many centres. Hyoscine butylbromide is the least expensive of the three, but its use in the treatment of terminal secretions is not widespread. Both glycopyrronium and hyoscine butylbromide are quaternary ammonium compounds. This means that neither penetrates the blood brain barrier easily due to the bulky size.

DATE: …………………….. ……... …………………. Tel no: ………………… Secondary contact …………………………………………………………… Tel no: …………………………… Goal 8: Family/other given hospital information on:Yes ❑ No ❑ Concession car parking; Hillsborough accommodation; Dining Room facilities; Payphones; Washrooms & toilet facilities on the ward. P. P. Practice to be contacted if unaware patient is dying SUMMARY Goal 10: Plan of care explained & discussed with:a) Patient ❑ b) Family ❑ c) Other ❑ d) No ❑ Yes ❑ No ❑ Goal 11: Family/other express understanding of plan care Yes ❑ No ❑ N/A ❑ If you have charted “No” against any goal so far, please complete variance sheet on the back page before signing below Signature Health Care Professional Title Date 22 HOW TO USE LCP FOR THE DYING PATIENT?

It is not necessary to duplicate information already recorded on the LCP. However significant conversations or specific interventions should be recorded in this section. When the LCP is initiated health care professionals tend to write in great detail in this section. This tends to reduce when people are familiar with the document. INTEGRATED CARE PATHWAY FOR THE TERMINAL/DYING PHASE NAME: ……………………………………. ……….. DATE: …………………….. g. g. fatigue ● Psychological symptoms such as anxiety/depression ● Social issues such as financial implications RELIGIOUS/SPIRITUAL SUPPORT Goal: Appropriate religious/spiritual support has been given CARE OF THE FAMILY/OTHERS Goal: The needs of those attending the patient are accommodated IF YOU HAVE CHARTERED ‘V’ AGAINST ANY GOAL SO FAR, PLEASE COMPLETE VARIANCE SHEET AT THE BACK OF THE PATHWAY BEFORE SIGNING BELOW Repeat this page each 24 hours.

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