Dismayed about the critism to the liverpool care of the dying pathwy

Ive been reading online the press and blogs surrounding the letter of thiose 6 doctors who feel that the lcp is not always used as it should. i have felt people are jumping on the bandwagon to critise it and perhpahs they don't know The aim of the pathway is to guide the MDT to care for the dying perosn and their familly, to say that death is part of life and to let people have time to make their peace. I never really saw what hopistals did beofe they adopted the lcp but reading account they dying and thier relative care depended on the staff with no cohesion and often medical staff persuring a lost cause to treat/giving false hope.
The pathway sllows nurisng staff to care for the pt/familly without any non comfort care this mean blood.vital sign etc, we still postion for comfort provide hygeine espically mouth care will feed and give drink if patient is alert enough, try to provide a private room and encoruge the familly to be with the patient. liase with chaplincy etc.
If paitent are commenced on the pathway without any reverasl cause being investigated and treated then shame on the clinicans being so callous with a human life.
If however a patient as i do often have seen has been dying slowy over a period of time with systems gradually failing heart failure reanl failure that we can't correct them it is apprioate.

I have seen fluid going in to pt at the end of life iv site tissueing and sub cit not being absorbed and people swollen with oedma to arms legs and adobmen is this fluid making a differnce?
We do not treat every patient with a sedaitves running in high doses via pump. We do hav e comfort drugs prescribed. these include morphine/midizalom, cyclizine and glyopruvate using the s/c route either prn or syringe driver and notr all these drugs will be given to every person. also doctors tend to presribe the miniun amounts
and if prn nurses adminster the minun amounts.
There are lots of articles on the drawing up of the lcp and are worth reading.