A major problem with the LCP is the recommendation of
pre-emptive prescribing in anticipation of symptoms presenting. The possibility of
errors in diagnosis are compounded.
Symptoms that may or may not present are a
signal that the diagnosis is following the correct route map and is on course!
The 'art' of medicine is to listen to what the body is telling you. The 'art'
of the practitioner is to hear and to understand. That is true humility.
Dutch research reflects problems with the Liverpool care pathway
A prediction of death is a diagnosis of 'dying'.
LCP apologists laud the fallacy of their protocol and shout that the Pathway is a reversible Pathway; should
the 'LCP-ed' patient present appropriately evidence of improvement, then
they are removed from the protocol, they say. It is not a final destination. And yet, therein, is admittance and acceptance of misdiagnosis.
Evidence of misdiagnosis is not something to be proud of; it is
a humbling lesson to be learned that nothing is certain, even certainty. Error is a hard taskmaster but these are lessons to be learned and to be learned they must be if they are not to be repeated.
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