UK Issues Draft Guidance for Care of the Dying
In June last year a set of guiding principles for the care of dying people, called the Priorities for Care, was published to replace the axed care pathway.
When asked how the NICE guidance would fit in with the priorities framework, a spokeswoman for the institute said: “The framework sets out the main priorities for care and our guideline will set out best practice to support staff to achieve these.”
The new NICE guidance, which is out for consultation, includes a series of recommendations covering key areas such as the prescribing of medicines, care plans and communication, as well as hydration. For example, the guideline says end-of-life patients should be encouraged to drink “if they wish to and are able to” and, if considered beneficial, these patients should receive assisted hydration.
The document also lists signs and symptoms that may indicate death is imminent in an effort to ensure people do not miss out on treatment and care that could make their final days more comfortable.
Moreover, the new guidance stresses the need for nurses and doctors to communicate clearly with the dying person and their family and ensure they are fully involved in decisions about treatment.
Some families who contributed to the review of the Liverpool Care Pathway said their elderly relatives had been placed on the pathway without their knowledge or consent.
Multi-professional teams should create an “individualised plan of care”, which includes the dying person’s wishes, such as where they would prefer to die and how they would like symptoms to be managed.
The consultation on the draft guidance is open until 9 September, with the final document due out in December.
Medical director Professor Bill Noble welcomed the NICE guidance but said it was vital the recommendations were backed up by training for nurses, as well as other health and social care professionals. “Without this kind of training to embed the NICE guidelines, failings in care identified in the recent Health Service Ombudsman report will continue and may worsen,” the professor added.
Source: National Institute for Health and Care Excellence
Image credit: NHS, UK
Published on : Tue, 4 Aug 2015
Print as PDF
The technical and clinical reference standard for all B·R·A·H·M·S PCT assays. All clinical cut-offs and algorithms were developed based on B·R·A·H·M·S PCT sensitive KRYPTOR. Homogeneous immunoassay for the quantitative d
The fully featured ICU ventilator, HAMILTON-MR1, guarantees uncompromised continuous ventilation care from the ICU to the MRI scanner and back. Its reliability and high performance, with advanced lung-protective strategies and patient-adaptive modes,...
NovaPort cannulas are designed specially to meet the needs of extracorporeal lung and heart support circuits and perioperative perfusion in minimally invasive heart surgery.All blood-contact surfaces of the NovaPort cannulas are coated with the bio- and...
The HAMILTON-C6 represents a new Generation of high-end ventilators. The combination of modularity, ease of use, mobility, and advanced features allows you to individualize your patient's ventilation therapy: - State-of-the-art ventilation modes for adult,...
17 critical parameters from a blood sample as small as 45 µL Not available in the US When the sample is small but your diagnostic needs are big, the ABL90 FLEX PLUS blood gas analyzer provides critical insights with a turnaround time of less than...