A retrospective study between use and not－use of the Japanese version of the Liverpool Care Pathway
10.2512/jspm.9.301
- VernacularTitle:緩和ケア病棟におけるLiverpool Care Pathway日本語版の使用と非使用に関する後ろ向き検討
- Author:
Maki Murakami
;
Naoki Yamamoto
;
Yutaka Takeuchi
;
Tomomi Kobayashi
;
Hironobu Sato
- Publication Type:Journal Article
- Keywords:
Liverpool Care Pathway;
palliative care unit;
care of dying
- From:Palliative Care Research
2014;9(4):301-305
- CountryJapan
- Language:Japanese
-
Abstract:
Purpose: To investigate the indications for use of the Japanese version of the Liverpool Care Pathway (LCP), we evaluated the conditions of patients using and those not using the LCP. Methods: We retrospectively investigated the medical records of 71 LCP patients and 60 non－LCP patients who died in our palliative care unit between March and December 2013. Results: There was no significant difference in patients’ background between the LCP and non－LCP groups. For patients in the non－LCP group, sudden changes in condition were significantly more frequent and deep continuous sedation was used significantly less than in the LCP group. In the LCP group, the average duration on the LCP was 4.0 days, and the beginning criterion was met by three－point or more of all the patients. The initial assessment was achieved except for one case. In the non－LCP group, reasons for not using the LCP were a sudden change in condition (35 patients), a rapid change in medical condition (14), and a risk of falling (4). Conclusions: The LCP met the beginning criterion and was started at suitable time in the LCP group. The LCP is not useful for all patients; it cannot be used for a patient with sudden or rapid changes in condition, or at a risk of falling.
