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Is the Liverpool Plan just another name for euthanasia

(57 Posts)
loopylou Sat 14-Mar-15 11:15:14

It's obviously a very difficult and painful time for relatives watching someone they love, and the LCP gives the patient some control over how they want to be cared for during the last weeks or days. We all want the best for the patient but it can conflict with what relatives think should be done, whether or not that is best for the person dying.
Your DH was a very courageous man durhamjen and by making his wishes clear it hopefully ensured that you had some quality time together at a very sad time. ((Hugs)) to anyone going through such a sad time x

durhamjen Sat 14-Mar-15 10:56:34

My husband died on the Liverpool care pathway, ethel. It's not sad, it's a very brave thing to do. He did not want to be fed artificially; he had cerebellar ataxia, which is a bit like motor neurone disease.
In the end he died from brain cancer. He decided he'd had enough, and stopped eating and drinking, with two doctors deciding he would not improve and agreeing that he was capable of deciding for himself.
He had pain relief available, but was not in pain for the first time in 15 years.

I do not understand how she can be on the plan any more, or without her consent. If she is in her right mind, she has to agree to stopping eating and drinking. However, GPs are supposed to have that conversation with people who they think might die within a year. Perhaps the aunt has agreed but does not want to upset her niece?

Jane10 Sat 14-Mar-15 10:27:12

Both my mother and mother in law were put on the Liverpool Care Pathway as they were clearly reaching the end of their lives. We were consulted all the way. In both cases the Doctors and Nurses were absolutely punctilious in their adherence to the protocol. Sadly, both ladies were completely "out of it" and definitely on the way out. My MIL was basically comatose by that point. My mother unfortunately appeared to be in very great pain. She was lost to us. Kind and caring staff helped us as well as both ladies as the end drew near. I have nothing but praise for the clearly defined steps. Of course a lot depended on the staff involved. In both our cases they couldn't have been better. I wrote to the Director of Nursing at our local health board to say this at the time. The Liverpool Care pathway was getting a bashing in the media but I can only assume that it was not being explained and adhered to properly in other cases.

etheltbags1 Sat 14-Mar-15 10:05:15

I am aware that its illegal in the uk, however I wonder how many older people who have relatives to support them, might be put on this plan without their knowledge. If someone has their nourishment removed them this is starvation so to me its euthanasia by another name.

janeainsworth Sat 14-Mar-15 10:03:03

Sorry just seen that she is next of kin. In that case she should discuss her concerns with the staff, but if the lady herself is mentally competent then she is capable of consenting to treatment herself.

janeainsworth Sat 14-Mar-15 10:00:58

The LCP is not euthanasia Ethel, which is illegal in this country.
Unless your friend is the lady's next of kin, the staff will not have discussed the treatment plan with her so I think you should reserve judgement.

etheltbags1 Sat 14-Mar-15 09:26:31

My friend called the other day full of tears, her aunt aged 86 is in a care home with days to live. She has been discharged from hospital and back in her old room where she was happy and can see her old friends.
They have put her on the Liverpool plan which means they are removing her medication apart from painkillers, removing nourishment (her condition means she cant swallow solids) and are literally starving her to death albeit in a nice way. I understood that this plan was now banned and was originally for people who are beyond understanding, ie in a coma that they are not likely to recover from.
This lady is awake and chatting to my friend who is her next of kin and has not given permission for the Liverpool plan to be put in place.
It seems to me that its a form of euthanasia.
I would have thought that if the lady is dying but awake would it not be better to feed her liquids and drinks, perhaps cups of tea etc until nature takes its course. I don't have a lot of medical understanding about this but would welcome comments.