End-of-life Care
Conditions
Keywords
palliative care, nursing homes, Liverpool care pathway
Brief summary
Liverpool Care Pathway for the dying patient (LCP) was developed to transfer the care practice from the hospice setting to the hospital setting in UK. LCP is a pathway with standardized registration method to monitor the care and its results. The primary aim is to study the effects of LCP on dying patients symptom burden and communication with close relatives and health care professionals.
Detailed description
All residential care homes in Skellefteå municipality are included in the study and randomized either to control or intervention group. During the baseline period the care is provided as usual. During the intervention period the LCP is used for patients for whom the dying phase is diagnosed in the intervention group. Usual care is performed for the control group. After death of a patient a close relative fill in a questionnaire.
Interventions
OTHERLiverpool care pathway
Liverpool care pathway is started tha last day in life for elderly at nursing homes
Sponsors
Umeå University
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* nursing homes in Skellefteå municipality, Sweden
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| quality of care | one month to six months after the relatives death | changes between the groups about values of symptom scores on the Edmonton assessment scale (ESAS) and the views of informal carers-evaluation of services (VOICES)assessed by close relative |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| place of death | the time of death | changes between the groups |
| drug consumption | the last three days before death | — |
Countries
Sweden
Outcome results
None listed