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Fördelar och Nackdelar med Liverpool Care Pathway: En litteraturöversikt
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2016 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Abstract

Background: There is a need of good palliative care of the growing elderly population.

Liverpool Care Pathway (LCP) is a care program that was developed for palliative care in other facilities than hospice departments. There is lack of evidence on the effect of the LCP, therefore it has been phased out in many countries.

Objective: To investigate the advantages and disadvantages of Liverpool Care Pathway, factors affecting the implementation and if the LCP can be used in the care of dying elderly non-cancer patients.

Methods: A literature review containing 15 scientific original articles. Articles were searched in PubMed. All of the articles were of high or medium quality.

Results: Several studies showed that communication improved. Treatment of symptoms and pain increased in frequency. Examinations and blood sampling decreased. Psychosocial support for patient and family improved. Management of medication was safer with the LCP. Shortcomings regarding documentation were discussed. The quality of implementation had influence on how the LCP would be carried out. Factors affecting implementation was time, money, personal views, leadership and support.

Conclusion: The results of the literature review shows improvements on the communication, medication management, symptom management and psychosocial support to patients and families. The documentation process requires further improvement. For LCP to work optimally implementation it requires careful implementation with clear leadership and proper training. There are parts of the LCP that could be used in the care of dying elderly non-cancer patients, but more research is needed in this area.

Keywords:

LCP, Palliative Care, Elderly Care, Implementation,

Abstract [sv]

Sammanfattning

Bakgrund: Det finns ett behov av god palliativ vård hos den växande äldre befolkningen.

Liverpool Care Pathway (LCP) är ett vårdprogram som togs fram för palliativ vård även utanför hospiceavdelningar. Evidens saknades för effekten av LCP, därför har den fasats ut i många länder.

Syfte: Att undersöka fördelar och nackdelar med Liverpool Care Pathway, faktorer som påverkar implementeringen och om LCP kan användas vid vården av döende äldre utan cancerdiagnos.

Metod: En litteraturöversikt innehållande 15 vetenskapliga originalartiklar. Artiklarna söktes i databasen PubMed. Samtliga artiklar bedömdes vara av medel eller hög kvalitet.

Resultat: Flera studier påvisade att kommunikationen förbättrades. Symtom och smärtbehandling ökade i frekvens. Undersökningar och provtagningar minskade. Psykosocialt stöd till patienten och anhöriga förbättrades. Läkemedelshanteringen blev säkrare med LCP. Brister gällande dokumentation diskuterades. Kvaliteten på implementeringen hade stor inflytande på hur LCP skulle komma att utföras. Faktorer som påverkade implementeringen var tid, pengar, personliga åsikter, ledarskap och stöd.

Slustats: Resultatet från litteraturöversikten visar att det finns fördelar för kommunikationen, läkemedelshanteringen, symtomhanteringen och psykosocialt stöd till patienter och anhöriga. Dokumentationen behöver förbättras. För att LCP ska fungera optimalt krävs en noggrann implementering med tydligt ledarskap och ordentlig utbildning. Det finns delar i LCP som skulle kunna användas i vården av döende äldre utan cancerdiagnos men mer forskning krävs inom området.

Nyckelord: LCP, Palliativ vård, Äldreomsorg, Implementering

Place, publisher, year, edition, pages
2016. , p. 34
Keyword [sv]
LCP, Palliativ vård, Äldreomsorg, Implementering
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-311750OAI: oai:DiVA.org:uu-311750DiVA, id: diva2:1061232
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2017-01-02 Created: 2017-01-01 Last updated: 2017-01-02Bibliographically approved

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