SUPPORTIVE CARE AT END OF LIFE

SHE Level 4
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code MHB726225
Module Leader Claire McGuinness
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)
  • B (January start)

Summary of Content

The aim of this module is to present an overview of the clinical and philosophical principles surrounding death and dying. The factors surrounding the identification of irreversible deterioration and supportive care at end of life for the person, family and professionals will be appraised. Discussion and debate will centre on the application of these principles to both sudden and expected deaths. Key concepts such as the identification and management of irreversible deterioration, prognostic indication, the integration of anticipatory care planning and end of life decision making will be analysed. Support for patients, families and carers will also be explored to enable students to develop emotional resilience and to recognise the challenges surrounding professional and societal openness to death, dying and bereavement. This module will also contextualise the correlation between the quality of care and support delivered at end of life and the bereavement outcome for both families and professionals.

Syllabus

-360b7 Competence Frameworks underpinning the delivery of end of life care b7 National and international vision, policy and priorities for supportive care at end of life Holistic Assessment and the integration of Anticipatory Care Planning, decision making and prescribing b7 Prognostic Indication Tools b7 Family and carer support frameworks b7 Principles and models of communication b7 Ethical tensions prevalent to recognising dying and end of life decision making b7 Theories and models of loss, grief and bereavement risk assessment b7 Compassionate response and compassion fatigue b7 Models of reflection b7 Care of self and the development of emotional resilience b7 Principles of 'shared governance' and Quality Improvement

Learning Outcomes

On successful completion of the module the student should be able to:1. Critically reflect on previous end of life situations to identify factors influencing outcome, including recognition of the signs and symptoms of dying. 2. Critically evaluate the principles underpinning the identification and management of irreversible deterioration.3. Critically discuss the factors which influence the integration of an Anticipatory Care Plan with patient's wishes and preferences when supporting end of life decision making and planning.4. Critically analyse the principles and models of communication which may be applied when exploring patient and family expectations and levels of awareness as part of information sharing. 5. Critically explore the impact of death, dying and bereavement on societal and professional communities in relation to bereavement risk and the development of a resilient approach. 6. Critically evaluate the relationship between professionalism and professional attitudes as part of delivering supportive care at end of life.

Teaching / Learning Strategy

The teaching and learning strategy will offer a blended approach to learning which will include a combination of lectures, seminars, tutorials, interactive discussion and debate, workshops and directed and self-directed study opportunities. The fundamental aim is to promote and foster compassionate learning, enabling students to synthesise and apply knowledge gained from study of the topics and concepts within the module, irrespective of delivery mode. The anticipated consequence is that the teaching and learning strategy will support the development of autonomous, independent problem solving and decision making within the parameters of professional competence, role and employers agreed vicarious liability (or equivalent). Each session will provide opportunities to consider and explore actual and potential evaluation strategies relevant to the provision and delivery of supportive care at end of life.

Indicative Reading

-360b7 Black S (2018) All That Remains: A Life in Death. Doubleday -360b7 Brown M (2015) Palliative Care in Nursing and Healthcare. SAGE Publications Ltd, London -360b7 Dahlin C, Coyne P, Ferrell B (2017) Clinical Pocket Guide to Advanced Practice Palliative Nursing (Clinical Pocket Guides). Oxford University Press -360b7 Ferrel B R, Paice J A (2019) Oxford Textbook of Palliative Nursing, 5 th edition. Oxford University Press -360b7 Gawande A (2015) Being Mortal - Illness, Medicine and What Matters in the End (Wellcome Collection). London -360b7 Ingleton C, Larkin P J (2016) Palliative Care Nursing at a Glance (At a Glance (Nursing and Healthcare). Wiley-Blackwell -360b7 Kellehear A (2014) The Inner Life of the Dying Person (End of Life Care: A Series). Columbia University Press, West Sussex -360b7 Mannix K (2017) With the End in Mind: Dying, Death and Wisdom in an Age of Denial. William Collins, London -360b7 Stevens E, Jackson S, Milligan S (2009) Palliative Nursing: Across the Spectrum of Care. Wiley-Blackwell -360b7 Walshe C, Preston N, Nancy J (2018) Palliative Care Nursing: Principles and Evidence for Practice. McGraw-Hill, Open University Press -360b7 Watson M, Ward S, Vallath N, Wells J, Campbell R (2019) Oxford Handbook of Palliative Care, 3 rd edition. OUP Oxford -360b7 Wegleitner K, Heimerl K, Kellehear A (2016) Compassionate Communities: Case Studies from Britain and Europe. Routlede, Oxon URL's -360 https://learn.nes.nhs.scot/2452/palliative-and-end-of-life-care-enriching-and-improving-experience/palliative-and-end-of-life-care-enriching-and-improving-experience http://palliativecarescotland.org.uk http://www.goodlifedeathgrief.org.uk https://www.palliativecareguidelines.scot.nhs.uk/guidelines/symptom-control.aspx https://www.gov.scot/publications/strategic-framework-action-palliative-end-life-care -360 -360

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 Reflection

Module Structure

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

Assessment Methods

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