Withholding food and drink from terminally ill patients has 'transformed' end of life care
Your support helps us to tell the story
From reproductive rights to climate change to Big Tech, The Independent is on the ground when the story is developing. Whether it's investigating the financials of Elon Musk's pro-Trump PAC or producing our latest documentary, 'The A Word', which shines a light on the American women fighting for reproductive rights, we know how important it is to parse out the facts from the messaging.
At such a critical moment in US history, we need reporters on the ground. Your donation allows us to keep sending journalists to speak to both sides of the story.
The Independent is trusted by Americans across the entire political spectrum. And unlike many other quality news outlets, we choose not to lock Americans out of our reporting and analysis with paywalls. We believe quality journalism should be available to everyone, paid for by those who can afford it.
Your support makes all the difference.The controversial method of withholding food and drink from terminally ill patients so they die quicker has “transformed” end of life care, according to an article in a leading medical journal.
The Liverpool care pathway, which recommends that in some circumstances doctors withdraw treatment, food and water from sedated patients in their final days, means that they can have a "peaceful, pain-free, dignified death" at home, said Glasgow-based general practitioner Dr Des Spence.
The method has come under close scrutiny recently. Reports suggest that doctors are establishing "death lists" of patients to put on the pathway.
Articles also claim that hospitals may be employing the method to cut costs and save on bed spaces.
But Dr Spence said the pathway can offer a "good death" when used properly.
He states that 25 years ago doctors received no training in end of life care, adding: "In hospitals far from their loved ones, patients were left screaming in pain in the dark, and behind unmarked curtains were undignified and peace-less deaths."
Writing in the British Medical Journal (BMJ), Dr Spence continued: "But in recent years care has improved.
"The Liverpool care pathway and committed district nursing teams are transforming care. We talk about death in an open way and decide where patients die.
"Used properly with senior supervision, the pathway offers structure to a peaceful, pain-free, dignified death at home - a good death.
"The 'death lists' exist to tackle a taboo: they facilitate discussion about death with patients and families.
"But the newspapers are right: this pathway must be used with full explanation and the consent of all involved. If it has not been used in this way, then a review is welcome if only to reassure the public.
"Lastly, the media should reflect on this: there were no good old days in end of life care, and so we need the Liverpool care pathway."
PA
Join our commenting forum
Join thought-provoking conversations, follow other Independent readers and see their replies
Comments