New draft guidelines have been published today by NICE following the abolition of the controversial Liverpool care pathway.
For those who are not aware of what this was, it was a regime that recommended the withdrawal of treatment, food and water from some sedated patients in their final days or hours. It was phased out due to there being reported, serious failings.
The new guidelines aim to help doctors and nurses identify when a person is entering their final days and puts them at the heart of any decisions.
My personal view is end of life care is very unique to the patient and the family. Any decisions need to be person-centred. My only concerns would be if a person has no next of kin, are there enough advocates ‘to go round’?
For some families making decisions of this nature may be very difficult. Medical staff will have to consider the family’s religious and cultural views and also manage their unrealistic expectations of their loved one’s condition.
Have a read and please feel free to comment.
On a lighter note peg feed training is available on the 7th and 14th August, from 10.00 to 12.30pm. Please let me know if you wish to attend.
I have also arranged some wound care training, further syringe driver training and training to be delivered by the RCN on documentation and delegation. Watch out for dates!