END OF LIFE CARE: THE PRINCIPLES

SHE Level 3
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M3B723143
Module Leader Jacquie Lindsay
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)
  • B (January start)
  • C (May start)

Pre-Requisite Knowledge

Student of an undergraduate / post graduate professional or health related degree programme that has attained academic credits at a minimum of Level 9; Registered Nurse or AHPs, an individual who works in a health and social care area in a clinical or non clinical role

Summary of Content

The aim of this module is to present an overview of national and international vision, policy and priority specific to the provision and delivery of end of life care. Key issues underpinning death and dying will be appraised within both a clinical and societal context. Discussion and debate will centre on the application of principles specific to end of life care as identified in strategic directives and initiatives contained with government policy and action plans. Key concepts such as holistic assessment, prognostic indication, recognising dying and the challenges surrounding professional and societal openness to death, dying and bereavement will be interwoven throughout the module programme. This module will contextualise the correlation between the quality of end of life care delivery and the bereavement outcome of carers and families, whilst being cognisant of the emotional cost of 'professional' caring from a compassionate, resilience perspective. The module incorporates both theoretical principles and a period of one-week supervised practice which will consolidate the five day face to face learning programme. Practice placement will be facilitated within a Specialist Palliative Care/Hospice Setting.

Syllabus

-360b7 The historical context of palliative care and hospice care -360b7 Competence frameworks underpinning palliative and end of life care -360b7 National and international vision, policy and priorities for end of life care provision -360b7 Holistic Assessment and person-centred care planning b7 Family and carer support frameworks -360b7 Prognostic Indication Tools -360b7 Anticipatory Care Planning (ACP) -360b7 Anticipatory Prescribing - 'Just in Case' b7 Communication scenarios underpinning end of life care b7 Ethical tensions and end of life decision making b7 Nearing death awareness b7 Loss, grief and bereavement theory and the identification of risk b7 Care of self and the development of emotional resilience b7 Compassion and compassion fatigue b7 Clinical effectiveness - auditing end of life care Patient & Carer Involvement - service evaluation and patient/carer stories

Learning Outcomes

On successful completion of this module the student should be able to:1. Analyse legislation and policy directives underpinning end of life care provision and delivery.2. Explore and discuss the signs and symptoms of 'dying' based on the analysis of previous experience, reflective discussion, evidence base and current literature. 3. Explore a person centred approach to end of life care planning inclusive of Anticipatory Care Planning, patient wishes and preferences and current health and social care resource.4. Explain professionalism and professional attributes when delivering end of life care5. Evidence clinical learning using a learning log.

Teaching / Learning Strategy

This module offers only a blended delivery. A combination of lectures, seminars, tutorials, interactive discussions, workshops, directed and self-directed study will be utilised. The student will always obtain the equivalent of 36 hours of contact time with the module team, excluding individual academic support. The fundamental aim of the teaching and learning strategies, irrespective of delivery mode is to support the development of autonomous, independent problem solving and decision making within the parameters of their profession competence, role and employers agreed vicarious liability (or equivalent).

Indicative Reading

-360b7 Clark D (2002) Cicely Saunders - Founder of the Hospice Movement, Selected Letters 1959 - 1999. Oxford University Press -360b7 De Henzel M (1997) Intimate Death, How the dying teach us to live. Random House, New York b7 Ferrel B, Coyle N (2010) Oxford Textbook of Palliative Nursing. Oxford University Press b7 Hayes A, Hendry C, Holloway M, Lindsey K, Sherwin E, Smith T (2014) Pathways through Caring at the End of Life. Jessica Kingsley, London b7 Johns C (2009) Becoming a Reflective Practitioner, 3 rd edition. Wiley-Blackwell, West Sussex b7 Kubler Ross E (1969 - Introduction by Allan Kellehear, (2009) On Death and Dying, What the dying have to teach Doctors, Nurses, Clergy and their own families. Taylor & Francis, Oxon b7 Stroebe MS, Stroebe W, Hansson RO, Schut H (2001 & 2013) Handbook of Bereavement Research, Consequences, Coping and Care. American Psychological Association, Washington b7 Stroebe MS, Stroebe W, Hansson RO, Schut H (2013) Handbook of Bereavement Research and Practice. American Psychological Association, Washington b7 Worthington R (2005) Ethics and Palliative Care a case based manual, Radcliffe Publishing Ltd, Oxon URL's -360b7 <http://www.scotland.gov.uk/Publications/Recent> b7 <http://palliativecarescotland.org.uk> b7 <http://www.goodlifedeathgrief.org.uk> b7 <http://www.endoflifecare-intelligence.org.uk> b7<http://www.scottishpatientsafetyprogramme.scot.nhs.uk/programme> b7 <http://www.stchristophers.org.uk/health-professionals/end-of-life-journal>

Transferrable Skills

Develop independent learning by working in a self-directed manner Develop study and IT skills to underpin effective learning Develop critical thinking, decision making and communication skills Work effectively with others Underpin professional practice through reflection and the integration of theory and practice Appreciate the need for a high level of ethical and professional conduct

Module Structure

Activity Total Hours
Assessment (PT) 20.00
Independent Learning (PT) 144.00
Lectures (PT) 14.00
Tutorials (PT) 22.00

Assessment Methods

Component Duration Weighting Threshold Description
Coursework 1 n/a 100.00 40% 3000 word essay