The Liverpool Care Pathway: Modern Ways of Death

Posted: May 18, 2019 in Chat
Tags: , ,

The following blog many will find distressing. Be Warned.

The Liverpool Care Pathway was a palliative care package for the dying.
https://en.wikipedia.org/wiki/Liverpool_Care_Pathway_for_the_Dying_Patient

It could be said that each procedure has its own identifying image.
For the Liverpool Care Pathway (LCP), it would be the butterfly syringe.

The ‘body’ of the syringe is one main inlet to the patient, while each ‘wing’ has portals for other drips etc to be attached simultaneously. This allows many drugs to be administered at the same time, and continuously.

Once the butterfly syringe has been applied, however, then the person is ushered into the ‘ways of dying’. No food or water is given, a coma induced, and the patient monitored, usually visually, for signs of pain, and then the necessary drug given.
The whole aim is to create the conditions for an assisted but relatively less distressing slide into death.
Once inserted there is no going back, and no stopping: the procedure is taken through to the end, the person’s death.

The main decisions to do with the Pathway are the decisions of usually experienced nursing staff etc.
Mistakes can be, and have been, made. Where  visual assessment of someone’s condition is crucial, it is relatively open to misjudgement: how do you distinguish ‘agitation’, from ‘pain,’ or even distress? For the former the patient is merely monitored, for the latter,   measures are taken.
It has been found that in some cases that people haven continued living ten to twelve days after the pathway was initiated.
To go without food or water for this period, even though the person was comatose, would have produced agonising pains as the basic levels of the body fought.

And so the Liverpool Care Pathway was discontinued.

What has taken its place, however, is a procedure so similar it is easy to confuse the two: is it just the name has changed?

To sit with the dying under normal conditions is terrible enough (a doctor said, ‘Do not die in hospital!’ The noise and lack of privacy take away all dignity.)
But to sit with the dying, knowing that you have agreed to the intrusive procedure being administered… that is on another level.

And so we see a surge in applicants to Dignitas. Dignitas may seem a very antiseptic, clinical, mess-free alternative, but it does allow a person a measure of choice.
The heartbreak, naturally, comes with it.

Religion, it will be noticed, plays no part whatsoever in these procedures.
The Last Rites are administered, as normal, and prayers said, but afterlife considerations play no part in the decision-making.

Let’s face it, folks, our hearts are going to get broken, no matter which way is taken/chosen.

 

Oh, and never agree to have one’s loved one embalmed.

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