Table 2 The adaptation of the care goals of the UK LCP version 12 to the older hospital population

1

Communication

1.1

▪ Reworded questioning under this care goal:

‘Does the patient have an expressed wish for organ/tissue’ replaced by ‘Does the patient have an expressed wish to donate his/her body to medical science’

Spirituality

3.1 and 3.2

▪ Changes related to these care goals:

‘Spirituality’ replaced by ‘Religious, spiritual, and cultural needs’

More space for the nurse to report on these needs

Anointing of the sick is added

Medication

4.1

▪ Added care goal:

‘Current medications are assessed and non-essential medications are discontinued’

4.2

▪ Addition to care goal:

The anticipatory prescribing of medication for the symptom ‘anxiety’ is added

4.3

▪ Reworded care goal:

‘Equipment is available for the patient to support a continuous subcutaneous infusion (CSCI) of medication where required’ replaced by ‘If no intravenous or subcutaneous infusion already in place, the need for a subcutaneous infusion is reviewed’

Explanation of the plan of care

9.5

▪ Added care goal:

‘The patient’s care providers involved in the hospital and in home care are notified that the patient is dying’

2

c

▪ Reworded care goal:

‘The patient does not have respiratory tract secretions’ replaced by ‘The patient does not experience discomfort of the respiratory tract secretions’

k

▪ Reworded care goal:

‘The patient receives fluids to support their individual needs’ replaced by ‘The need for hydration is reviewed by the multidisciplinary team’

p

▪ Care goals p and q from the UK are combined:

‘The psychological well-being of the family carer and the patient are maintained’

q

▪ Added care goal:

‘Care givers are able to provide the necessary care’

r

▪ Added care goal:

‘The patient/family carer is informed about the patient’s condition’

s

▪ Added care goal:

‘The patient/family carer in informed about any change in the plan of care’