SYMPTOM ASSESSMENT AND MANAGEMENT IN PALLIATIVE CARE

SHE Level 3
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M3B726226
Module Leader Christina McColl
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)
  • C (May start)

Summary of Content

This theory based module aims to support the healthcare professional to improve clinical practice by building upon holistic assessment skills, knowledge of symptom management and care planning. These skills are essential within the caring role and delivery of person centred care to those living and dying with life limiting conditions and their families. This module celebrates working in partnership with people to deliver care effectively. The need for sensitive and timely communication will be explored, empowering the student to engage with people in a way that respects their wishes, confidentiality, choices, unique strengths and abilities. This module adopts a proactive approach in supporting the practitioner by exploring goal setting in relation to others and to self. This approach permits the student to start with the end in sight in terms of measuring success and sanctions the student to be creative, reflective and confident in their own abilities.

Syllabus

-360b7 Palliative Care in Context b7 Local and national palliative care resources b7 Promotion of holistic assessment and care planning b7 Symptom burden and distress b7 Recognition and management of common symptoms b7 Advances in symptom management b7 Physiology related to symptoms b7 Communication skills and responding to distress b7 Ethical perspectives and decision making in Palliative Care b7 Theory into Practice through action planning b7 Caring for ourselves within caring for others

Learning Outcomes

On successful completion of the module the student should be able to:1. Develop an understanding of contemporary palliative and end of life care practice 2. Examine the physiological causes of common symptoms in advanced life limiting disease and discuss the impact of these on quality of life3. Evaluate the relationship between structured assessment strategies, symptom management strategies and the holistic management of symptoms4. Develop effective person-centred communications skills when listening and responding to distress5. Examine the principles behind decision making in palliative and end of life care including ethical considerations. 6. Explore the importance of self-care when caring for patients and families with palliative and end of life care needs

Teaching / Learning Strategy

Lecturers, service partners, users, carers and students will contribute to the authenticity of the teaching and learning experience using case-based scenarios. The care of a selection of patients will be explored in relation to underpinning pharmacology and pathophysiology. Learning and teaching strategies will enhance student engagement, accessibility, flexibility and personalisation of the curriculum through the use of technology/digital learning where appropriate. A series of core lectures will be supported with facilitator and student-led tutorials and directed learning utilising facilitator and student-led activities. Teaching approaches will include a variety of methods which may include seminars, tutorials, group work, workshops, role play, reflective exercises, guided reading and online learning, simulation and other practical activities. Students will be encouraged to value their present knowledge and utilise a variety of student centred learning strategies such as consultation with experts and/or colleagues, to meet their learning outcomes. Guided and self-directed study, including interactive resources supported by a virtual learning environment, will be used to prepare students for each week's activities and assist in consolidation of their learning.

Indicative Reading

Aapro, M., Jordan, K., Feyer,P. (2013)Prevention of Nausea and Vomiting in Cancer Patients Springer Healthcare Aranda, S.,O'Connor, M. (2003). Palliative Care Nursing. 2nd edt. Oxford Audit Scotland (2008) A Review of Palliative Care Services In Scotland Barnard, D, et al, (2000) Crossing Over: Narratives of Palliative Care Oxford: Oxford University Press. Bosanquet. M., Salisbury, C.(1999) Providing a Palliative Care Service Oxford:Breast Cancer Nursing Care and Management Brooker, D., Lillyman,S.(2013)Dementia Care UK:Routledge Burge, S., Wallis, D.(2010)Oxford Handbook of Medical Dermatology Oxford: Oxford University Press Campbell, H.(2012) Palliative Care. Taylor & Francis Ltd Pearson Education Limited Campling, F., Sharpe, M. (2006) Living with a long term illness: The Facts Oxford:Oxford University Press Campbell, M.L.(2012) Case Studies in Palliative and End-of-Life Care John Wiley and Sons Ltd Wiley-Blackwell Clark, D. (2018) Cisely Saunders: A Life and Legacy Oxford:Oxford University Press Clark, D etal.,(2014) Immenece of death among hospital patients :Prevalent Cohort Study. Palliative Medicine Vol:28(6), pp474-479 Clayton, J.M. et al (2007) Clinical practice guidelines for communicating prognosis and end-of-life issues with adults in the advanced stages of a life-limiting illness, and their caregivers. The Medical Journal of Australia. Vol.186 (12), pp576 -5108 Corner,J.,Bailey. C. (eds). (2001) Cancer Nursing: Care in Context London:Blackwell Science Davy.J.,Ellis, S.(2000) Counsellng skills in Palliative Care. Buckingham: Open University press Doyle, D.., Hanks, W., & MacDonald, N. (2005) Oxford Textbook of Palliative Medicine Oxford: Oxford Medical Publications. Dyson, J., Cobb, M., and Forman, D.(1997) The meaning of spirituality: a literature review Journal of Advanced Nursing Vol:126, pp1183-1188. Emanuel, L., L, Librach, S., L. (2011) Palliative Care 2nd edt. Elsevier - Health Sciences Division Saunders Edition Goldstein,N., E., Morrison, R., S.(2013) Evidence-Based Practice of Palliative Medicine Higginsson, I. (1997) Palliative and Terminal Care: Health Care Needs Assessment Oxford: Radcliffe Medical Press Lawton, J. (2000) The Dying Process: Patient's Experiences of Palliative Care London:Routledge Lloyd-Williams, M (2003) Psychosocial issues in palliative care Oxford: Oxford University Press Lugton, J., McIntyre, R. eds (2006) Palliative Care: The Nursing Role 2nd edt Edinburgh: Churchill Livingstone MacDonald, N., Oneschuk, D., Hagen, N.(2012) Palliative Medicine 3rd edt. Oxford: Oxford University Press Priest, H et al.,(2006) Understanding the research process in nursing. Nursing Standard. Vol. 21(1), pp39-42 Radcliffe Medical Press Randall, F., Downie ,R. (2006) The Philosophy of Palliative Care Oxford: Oxford University Press Rankin, J., et al., (eds) (2008) Rehabilitation in Cancer Care 2ndedt. John Wiley and Sons Ltd Wiley-Blackwell Paperback Publication Regnard, C., Mervyn, D.(2010) A Guide to Symptom Relief in Palliative Care 6th edt. Radcliffe Publishing Ltd Roper, N., Logan, W., and Tierney, A., J.(2000) The Roper, Logan and Tierney Model of Nursing. Edinburgh: Churchill Livingstone Speck, P. (2006) Teamwork in Palliative Care Oxford, Oxford University Press The Scottish Government (2017)Nursing 2030 Vision: Promoting confident competent, and collaborative nursing for Scotland's future. The Scottish Government. NHS Education for Scotland (2017) Palliative and End of Life Care: Enriching and improving experience NHS Education for Scotland AAPRO, M., JORDAN, K., FEYER,P. (2013) Prevention of Nausea and Vomiting in Cancer Patients Springer Healthcare AUDIT SCOTLAND (2008) A Review of Palliative Care Services In Scotland BARNARD, D, et al, (2000) Crossing Over: Narratives of Palliative Care Oxford: Oxford University Press. CAMPBELL, H. (2012) Palliative Care. Taylor & Francis Ltd Pearson Education Limited CAMPLING, F., SHARPE M. (2006) Living with a long term illness: The Facts Oxford:Oxford University Press CAMPBELL, M.L. (2012) Case Studies in Palliative and End-of-Life Care, John Wiley and Sons Ltd Wiley-Blackwell CLARK, D. (2018) Cisely Saunders: A Life and Legacy Oxford:Oxford University Press CORNER,J.,BAILEY. C. (eds). (2001) Cancer Nursing: Care in Context London:Blackwell Science DAVY, J.,ELLIS, S.(2000) Counsellng skills in Palliative Care. Buckingham: Open University press DOYLE, D.., HANKS, W., MACDONALD, N. (2005) Oxford Textbook of Palliative Medicine Oxford: Oxford Medical Publications. DYSON, J., COBB, M., FORMAN, D.(1997) The meaning of spirituality: a literature review Journal of Advanced Nursing Vol:126, pp1183-1188. EMMANUEL, L., L, LIBRACH, S., L. (2011) Palliative Care 2nd ed. Elsevier - Health Sciences Division Saunders Edition GOLDSTEIN,N., E., MORRISON, R., S.(2013) Evidence-Based Practice of Palliative Medicine HIGGINSON, I. (1997) Palliative and Terminal Care: Health Care Needs Assessment, Oxford: Radcliffe Medical Press LAWTON, J. (2000) The Dying Process: Patient's Experiences of Palliative Care London:Routledge LLOYD-WILLIAMS, M (2003) Psychosocial issues in palliative care Oxford: Oxford University Press LUGTON, J., MCINTYRE, R. eds (2006) Palliative Care: The Nursing Role 2nd ed, Edinburgh: Churchill Livingstone NHS EDUCATION FOR SCOTLAND (2017) Palliative and End of Life Care: Enriching and improving experience NHS Education for Scotland RANDALL, F., DOWNIE ,R. (2006) The Philosophy of Palliative Care Oxford: Oxford University Press REGNARD C., MERVYN, D.(2010) A Guide to Symptom Relief in Palliative Care 6th ed, Radcliffe Publishing Ltd SPECK, P. (2006) Teamwork in Palliative Care Oxford, Oxford University Press THE SCOTTISH GOVERNMENT (2015) Strategic Framework for Action on Palliative and End of Life Care 2016-2021 The Scottish Government TWYCROSS, R., WILCOCK, A., STARK TOLLER, C. (2009) Symptom Management in Advanced Cancer. 4th ed, Oxford:Radcliffe Medical Press. WOODS M., E. (2007) Lymphoedema Care. John Wiley and Sons Ltd Wiley-Blackwell URLs Bereavement Care, Scottish Government - www.gov.scot/topics/health/support-social-care/Bereavement-care <http://www.gov.scot/topics/health/support-social-care/Bereavement-care> Dying Matters www.dyingmatters.org/ <http://www.dyingmatters.org/> Good life, good death, good grief www.goodlifedeathgrief.org.uk/ <http://www.goodlifedeathgrief.org.uk/> Health Care Improvement Scotland (HIS) www.healthcareimprovementscotland.org <http://www.healthcareimprovementscotland.org/> International Association for Hospice & Palliative Care www.hospicecare.com/ <http://www.hospicecare.com/> National Council for Palliative Care www.ncpc.org.uk/ <http://www.ncpc.org.uk/> National Institute for Health and Care Excellence: (NICE ) www.nice.org.uk <http://www.nice.org.uk/> Macmillan Cancer Support www.macmillan.org.uk <http://www.macmillan.org.uk/> NHS Education for Scotland (NES) www.nes.scot.nhs.uk <http://www.nes.scot.nhs.uk/> Palliative Care Matters www.pallcare.info/ <http://www.pal

Transferrable Skills

Development, or enhancement, of -360b7 Independent learning skills b7 Critical thinking and decision making skills b7 Study, IT and time management skills b7 Professional and ethical values aligned with professional practice b7 Communication and team working b7 Theory and practice integration and problem solving b7 Digital and health literacy skills b7 Assertiveness, confidence b7 Citizenship

Module Structure

Activity Total Hours
Independent Learning (FT) 135.00
Lectures (FT) 25.00
Seminars (FT) 20.00
Assessment (FT) 20.00

Assessment Methods

Component Duration Weighting Threshold Description
Essay n/a 100.00 40% Essay (3000 words)