Saturday 18 April 2015

4:08PM BST 03 Sep 2009

CommentSIR The Patients Association has done well to expose the poortreatment of elderly patients in some parts of the NHS (report, August27). We would like to draw attention to the new gold standardtreatment of those categorised as dying. Forecasting death is aninexact science.Just as, in the financial world, so-called algorithmic banking has causedproblems by blindly following a computer model, so a similar tick-boxapproach to the management of death is causing a national crisis incare.The Government is rolling out a new treatment pattern of palliative careinto hospitals, nursing and residential homes. It is based on experiencein a Liverpool hospice. If you tick all the right boxes in the Liverpool Care

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Dying patientsA group of experts who care for the terminally ill claim that some patients are beingwrongly judged as close to death.

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Pathway, the inevitable outcome of the consequent treatment is death.As a result, a nationwide wave of discontent is building up, as family andfriends witness the denial of fluids and food to patients. Syringe driversare being used to give continuous terminal sedation, without regard tothe fact that the diagnosis could be wrong.It is disturbing that in the year 2007-2008, 16.5 per cent of deaths cameabout after terminal sedation. Experienced doctors know thatsometimes, when all but essential drugs are stopped, dying patientsget better.Related Articles

Patients 'sentenced to death' on the NHS 02 Sep 2009Number of NHS patients given wrong medicine doubles 03 Sep 2009

P. H. MillardEmeritus Professor of Geriatrics University of LondonDr Anthony ColeChairman, Medical Ethics AllianceDr Peter HargreavesConsultant in Palliative MedicineDr David HillFellow of the Faculty of Anaesthetists of the Royal College of SurgeonsDr Elizabeth NegusLecturer, Barking UniversityDowager Lady SalisburyChairman, Choose Life

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