The National Institute for Health and Care Excellence (NICE) has published a new guideline on individualised end of life care, to replace the widely discredited Liverpool Care Pathway (LCP) which was phased-out in 2014. This fresh guideline advocates a personalised and patient-centred approach to end of life care, which respects the stated needs and preferences of each individual, instead of pursuing a one-size-fits-all “tick-box” approach to care. Each patient’s wishes and the patient’s condition should be reviewed and discussed daily.
Hydration need no longer be withdrawn from people in the last stages of life. This guideline also offers recommendations on symptom management for pain, breathlessness, nausea and vomiting, anxiety, delirium, agitation, and noisy respiratory secretions in adults receiving palliative care during the last 2 to 3 days of life.
Mundasad, S. (2015). NICE urges doctors to treat dying patients as individuals. London: BBC Health News, December 16th 2015.
New guidelines to improve care for people at the end of life. [Online]: National Institute for Health and Care Excellence, December 16th 2015.
This relates to:
Care of dying adults in the last days of life – guidance [NG31]. London: National Institute for Health and Care Excellence, December 16th 2015.