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End of life
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Ethics and end of life care: the Liverpool Care Pathway and the Neuberger Review
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  • Published on: 18 May 2017
    Re:' Good Death'?

    Every person's death will be unique and their response to treatment not altogether predictable. The recent degrading way a man on 'death row' in USA was put to death, using drugs which prolonged his dying by around two hours was obviously grotesque . Doctors gave the injections. The limits of responsibility by prescribing doctors in UK if assisted dying becomes law, must be made clear to both persons receiving 'help'...

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    Conflict of Interest:
    None declared.
  • Published on: 18 May 2017
    Neuberger review evidence

    You seem to have based your article on the evidence contained in the Neuberger Review [NR]. I note myself with some dismay that the actual evidence submitted to it was never published in full (names redacted of course), so we'll never know what complaints were actually received or considered by this panel. John Ellershaw (who wrote the LCP) was permitted to use his complaints databases in Liverpool as examples, accord...

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    Conflict of Interest:
    None declared.
  • Published on: 18 May 2017
    ' Good Death'?

    Since the first version was published in 2003, up until the LCP renal prescribing guidelines were issued in 2008, versions of the Liverpool Care Pathway issued to staff in Acute Hospitals mandated the use of Diamorphine for relief of both 'pain' and 'breathlessness'.

    Administering these drugs to anyone in renal compromise must have led to thousands of appalling and undiginified bad deaths - delirium and hallucinati...

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    Conflict of Interest:
    None declared.
  • Published on: 18 May 2017
    Which version of Liverpool Care Pathway are you referring to?

    Seems odd that you gloss over the fact that there were two versions of this copyright-owned 'care' pathway, and that you only cite 'evidence' from a review that examined only one of them, whilst neatly skirting around the other.

    Version 11 had no consent process attached. Version 11 did not even inquire whether the patient and their family could speak English until after a decision to put them on the pathway had...

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    Conflict of Interest:
    None declared.

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