1 / 14

Implementing the Liverpool Care Pathway in Hospital

Implementing the Liverpool Care Pathway in Hospital. Liz Price Macmillan CNS in palliative care. 2000. Steering group March – base review April – formal teaching & pilot undertaken on haematology & oncology wards Audit on first 20 patients Staff questionnaire. 2001.

kiaria
Download Presentation

Implementing the Liverpool Care Pathway in Hospital

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Implementing the Liverpool Care Pathway in Hospital Liz Price Macmillan CNS in palliative care

  2. 2000 • Steering group • March – base review • April – formal teaching & pilot undertaken on haematology & oncology wards • Audit on first 20 patients • Staff questionnaire

  3. 2001 • Teaching & implementation began on six Care of Elderly wards in BRI & SLH

  4. 2002 • Audit of 44 patients on oncology ward • Audit of Care of Elderly wards • Teaching & implementation on 3 surgical wards

  5. 2003 • Post pathway analysis undertaken on a random selection of 20 pathways across the Trust • Teaching & implementation on 2 medical wards in BRI

  6. 2004 • Teaching & implementation on 2 further medical wards at SLH • LCP implemented on a total of 15 wards

  7. 2005 • Currently implemented on 11 wards across the Trust • Feasibility pilot undertaken in partnership with hospital clinical governance department to test audit tool.

  8. Over view of audits • Base review reported poor documentation • Findings were standard across specialities • Care of Elderly highlighted the tools versatility 29/33 patients had a diagnosis of non-malignancy.

  9. Positive aspects • Palliation became focus of care • Improved communication • Spiritual & psychological needs were better met • Encouraged multi-disciplinary working • Decreased paperwork • Improved symptom control

  10. Negative aspects • Some nurses struggled to discontinue unnecessary procedures e.g. 2 hourly turns • Poor recording of care after death • Incorrect filing in notes & continuing to document in medical notes • Highlighted need for further education re: symptom control

  11. Plans for 2005 • Snap shot audit of ten patients from each ward using LCP • Continued education & implementation to other areas

  12. Practical challenges • Staff continue to have problems recognising a dying patient • Varying levels of communication skills • Staff forget to use it! • Education • High turnover of medical staff • Ward closures • Audit challenges

  13. Conclusion • Positive & enthusiastic feedback from ward staff • Realisation HPCT cannot undertake role of ongoing auditing • Some challenges can be turned into positives

  14. Practical challenges • Staff continue to have problems recognising a dying patient • Varying levels of communication skills • Staff forget to use it! • Education • High turnover of medical staff • Ward closures • Audit challenges

More Related