Liverpool Care Pathway For The Dying Patient
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Liverpool Care Pathway For The Dying Patient
The Liverpool Care Pathway for the Dying Patient (LCP) was a care pathway in the United Kingdom (excluding Wales) covering palliative care options for patients in the final days or hours of life. It was developed to help doctors and nurses provide quality end-of-life care, to transfer quality end-of-life care from the hospice to hospital setting. The LCP is no longer in routine use after public concerns regarding its nature. Alternative pathways are now in place to ensure patients are able to have dignity in their final hours of life. Hospitals were also provided cash incentives to achieve targets for the number of patients placed on the LCP. The Liverpool Care Pathway was developed by Royal Liverpool University Hospital and the Marie Curie Palliative Care Institute in the late 1990s for the care of terminally ill cancer patients. The LCP was then extended to include all patients deemed dying. Its inflexible application by nursing staff of Liverpool Community Health NHS Tru ...
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Care Pathway
A clinical pathway, also known as care pathway, integrated care pathway, critical pathway, or care map, is one of the main tools used to manage the quality in healthcare concerning the standardisation of care processes. It has been shown that their implementation reduces the variability in clinical practice and improves outcomes. Clinical pathways aim to promote organised and efficient patient care based on evidence-based medicine, and aim to optimise outcomes in settings such as acute care and home care. A single clinical pathway may refer to multiple clinical guidelines on several topics in a well specified context. Definition A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced either by hour (ED), day (acute care) or visit (homecare). Outcome ...
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Julia Neuberger
Julia Babette Sarah Neuberger, Baroness Neuberger, (née Schwab; born 27 February 1950) was the second woman to be ordained as a Rabbi in the UK, and is a British member of the House of Lords. She previously took the Liberal Democrat whip, but resigned from the party and became a crossbencher in 2011 upon becoming the full-time senior rabbi of the West London Synagogue, from which she retired in 2020. She became the chair of University College London Hospitals (UCLH) in 2019. Early life Neuberger was born Julia Babette Sarah Schwab in the Hampstead area of London on 27 February 1950, the daughter of art critic Liesel ("Alice") and civil servant Walter Schwab. Her mother was a German-Jewish refugee who had fled the Nazis, arriving in England at the age of 22 in 1937, while her father was born in England to German-Jewish immigrants who had settled there before World War I. The Schwab Trust, which supports and educates young refugees and asylum seekers, was later set up in her parent ...
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Palliative Medicine
In 2006, ''hospice and palliative medicine'' was officially recognized by the American Board of Medical Specialties, and is ''co-sponsored'' by the American Boards of * Internal Medicine * Anesthesiology * Family Medicine * Physical Medicine and Rehabilitation * Psychiatry and Neurology * Surgery * Pediatrics * Emergency Medicine * Radiology * Obstetrics and Gynecology Physicians who complete a residency in one of the ''co-sponsoring'' specialties are then eligible for further training in an ACGME-approved Hospice and Palliative Medicine fellowship program, after which they must pass the official examination to be board-certified in the subspecialty. In 2007, the American Osteopathic Association Bureau of Osteopathic Specialists approved a Certificate of Added Qualifications (CAQ) in ''hospice and palliative medicine''. By 2012 participants are the American Osteopathic Boards of * Internal Medicine * Family Medicine * Neurology and Psychiatry * Physical Medicine and Rehabi ...
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Medical Social Work
Medical social work is a sub-discipline of social work. Medical social workers typically work in a hospital, outpatient clinic, community health agency, skilled nursing facility, long-term care facility or hospice. They work with patients and their families in need of psychosocial help. Medical social workers assess the psychosocial functioning of patients and families and intervene as necessary. The role of a medical social worker is to "restore balance in an individual’s personal, family and social life, in order to help that person maintain or recover his/her health and strengthen his/her ability to adapt and reintegrate into society." Interventions may include connecting patients and families to necessary resources and support in the community such as preventive care; providing psychotherapy, supportive counseling, or grief counseling; or helping a patient to expand and strengthen their network of social supports. Professionals in this field typically work with other disciplines ...
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End-of-life Care
End-of-life care (EoLC) refers to health care provided in the time leading up to a person's death. End-of-life care can be provided in the hours, days, or months before a person dies and encompasses care and support for a person's mental and emotional needs, physical comfort, spiritual needs, and practical tasks. EoLC is most commonly provided at home, in the hospital, or in a long-term care facility with care being provided by family members, nurses, social workers, physicians, and other support staff. Facilities may also have palliative or hospice care teams that will provide end-of-life care services. Decisions about end-of-life care are often informed by medical, financial and ethical considerations. In most advanced countries, medical spending on people in the last twelve months of life makes up roughly 10% of total aggregate medical spending, while those in the last three years of life can cost up to 25%. Medical Advanced care planning Advances in medicine in the last f ...
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Freedom Of Information Act 2000
The Freedom of Information Act 2000 (c. 36) is an Act of the Parliament of the United Kingdom that creates a public "right of access" to information held by public authorities. It is the implementation of freedom of information legislation Freedom of information laws allow access by the general public to data held by national governments and, where applicable, by state and local governments. The emergence of freedom of information legislation was a response to increasing dissatisfa ... in the United Kingdom on a national level. Its application is limited in Scotland (which has its own freedom of information legislation) to UK Government offices located in Scotland. The Act implements a manifesto commitment of the Labour Party in the 1997 United Kingdom general election, 1997 general election, developed by David Clark, Baron Clark of Windermere, David Clark as a 1997 White Paper. The final version of the Act was criticised by freedom of information campaigners as a diluted f ...
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Medical Ethics Alliance
Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others. Medicine has been practiced since prehistoric times, and for most of this time it was an art (an area of skill and knowledge), frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, or an ancie ...
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