Palliative Care in Overdrive: Patients in Danger

  title={Palliative Care in Overdrive: Patients in Danger},
  author={Gillian Craig},
  journal={American Journal of Hospice and Palliative Medicine{\textregistered}},
  pages={155 - 160}
  • G. Craig
  • Published 15 January 2008
  • Medicine
  • American Journal of Hospice and Palliative Medicine®
by the NCPC in November 2006. It describes the Liverpool Care Pathway (LCP), a regime that is being promoted throughout the United Kingdom for the care of people dying of malignant or nonmalignant disease in hospitals, care homes for the elderly, private residences, and hospices. The aims are to improve the care of the dying in the community and reduce emergency admissions to overburdened hospitals. The LCP employs traditional palliative care regimes, advocates the use of syringe drivers and… 
The Liverpool Care Pathway for the Dying Patient: a critical analysis of its rise, demise and legacy in England.
It exposed fault lines in the NHS, provided a platform for debates about the 'evidence' required to underpin innovations in palliative care and became a conduit of discord about 'good' or 'bad' practice in care of the dying.
The Liverpool Care Pathway for the Dying Patient: a critical analysis of its rise, demise and legacy in England
An in-depth account of LCP development and implementation with explanatory theoretical perspectives calls for greater assessment of the wider risks and more careful consideration of the unintended consequences that might result from the roll out of new end-of-life interventions.
The Liverpool Care Pathway for the dying patient: Euthanasia through the back door, or the sign of poor death education?
Rather than being euthanasia through the backdoor, many of the criticisms of the LCP and its poor implementation are indicative of poor communication, limited knowledge of the dying process and a paucity of death education.
To feed or not to feed? Clinical aspects of withholding and withdrawing food and fluids at the end of life
Whether it is always beneficial for a patient to provide CANH or whether providing CANH may sometimes cause more harm than good is assessed, in a context of basic assumptions of palliative care presented in the World Health Organisation's definition of this distinctive branch of medicine.
Food or medicine: ethnic variations in perceptions of advanced cancer patients and their caregivers regarding artificial hydration during the last weeks of life
AH was perceived as food/nutrition by many cancer patients and caregivers in the study, particularly among ethnic minorities, which may lead to greater distress if fluids are discontinued or withheld.
Karmić czy nie karmić? Kliniczne aspekty niepodjęcia lub zaprzestania podawania pokarmów i płynów u kresu życia
Problem niepodejmowania lub zaprzestania klinicznie wspomaganego odzywiania i nawadniania (CANH) u pacjentow znajdujących sie w obliczu nieuchronnej śmierci jest bardzo kontrowersyjny. Klinicyści nie
Support for Hydration at End of Life
  • R. Fainsinger
  • Medicine
    Handbook of Nutrition and Diet in Palliative Care
  • 2019


Palliative sedation in dying patients: "we turn to it when everything else hasn't worked".
Clinicians must understand and document which actions are consistent with an intention to relieve symptoms rather than to hasten death, provided that the intention is not to cause the patient's death and that certain other conditions are met.
Problems in the delivery of medical care to the frail elderly in the community.
  • G. Craig
  • Medicine, Political Science
    Journal of management in medicine
  • 1995
Describes how closure of hospital long-stay wards for the frail elderly and their replacement by care in the community has led to a mismatch of skills and patients. Restrictive practices within the
On withholding nutrition and hydration in the terminally ill: has palliative medicine gone too far?
  • G. Craig
  • Medicine
    Journal of medical ethics
  • 1994
Ethical issues relating to the management of patients who are terminally ill and unable to maintain their own nutrition and hydration and the role of the family in management are explored.
The use of hypodermoclysis for rehydration in terminally ill cancer patients.
Dehydration and the dying patient.
Care of the dying patient: the last hours or days of life.
Evidence based guidelines on symptom control, psychological support, and bereavement are available to facilitate a “good death”
Artificial nutrition and hydration. Guidance in end of life care for adults. National Council for Palliative Care.
  • Accessed June
  • 2007
The debate reaches Parliament
  • Craig GM, ed. Northampton, UK: Enterprise
  • 2006
Traditional palliative carers defend their position
  • No Water – No Life : Hydration in the Dying
  • 2005