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The LCP ICU – Implementation across the Critical Care Network. Dr Laura Chapman Consultant in Palliative Medicine Royal Liverpool and Broadgreen University Hospitals. The NHS Northwest End of Life Care Model UK. 1. 2. 3. 4. 5. Increasing Decline. Last Days of Life.
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The LCP ICU – Implementation across the Critical Care Network Dr Laura Chapman Consultant in Palliative Medicine Royal Liverpool and Broadgreen University Hospitals
The NHS Northwest End of Life Care Model UK 1 2 3 4 5 Increasing Decline Last Days of Life First Days after Death Advancing disease Bereavement 6 months Death 1 year 1 year
ICU mortality ICNARC 2006-07 • 65,788 admissions to 152 units Unit mortality: All admissions 18.6% Non-surgical 25.8% Ultimate hospital mortality: All admissions 28% Non-surgical 37.3%
Protocols for End of Life Care in the ICU • Do you provide ‘comfort care’ whilst withdrawing treatment, or do you provide holistic End of Life Care?
CMCCN LCP ICU Project • CCN project manager • Full time LCP ICU facilitator • CCN engagement with version 12 LCP ICU • Assess educational needs • Roll out of version 12 with evaluation • YOU!