SUPPORTIVE PALLIATIVE CARE FOR PATIENTS WITH ADVANCING HEART FAILURE

SHE Level 5
SCQF Credit Points 15.00
ECTS Credit Points 7.50
Module Code MMB722017
Module Leader Yvonne Millerick
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)
  • B (January start)

Summary of Content

This module enables participants to blend key heart failure and palliative care concepts through analysis, synthesis and critical appraisal. It considers the wider organisational drivers as well as the challenges presented to professionals working with diversity.

Syllabus

Heart failure: When a healthy heart becomes a failing heart. Optimal evidence based heart failure treatment. Prognostic Indicators. Impeccable Assessment. Principles of a palliative care approach. Anticipatory Care Planning Strategies. Skilled Communication: Facilitating difficult discussions Approaches to end of life care in the community. Ethical decision making. Assessment Tools: Physical, Emotional, Psychological, Carer, Quality of life etc. Symptom management. Optimising the Psychological and Mental Wellbeing. Devices: Discussion and timely Deactivation Carer's perspective. Multidisciplinary roles. Documentation of assessment and discussion outcomes.

Learning Outcomes

By the end of this module the learner should be able to:1. Apply the knowledge of disordered physiology, prognostication and impeccable assessment to support the formation of appropriate anticipatory care planning strategies that reflect patient and caregiver preferences/priorities.2. Critically evaluate the holistic impact of advancing heart failure disease on patients, caregivers, multidisciplinary professionals and the wider health care systems.3. Appraise the essential contribution that different professionals provide in the formation and delivery of integrated care proposals.4. Apply the principles of good communication to increase professional confidence with facilitating regular and complex discussions with patients, caregivers and wider professional groups. 5. Appraise communication methods amongst the wider professional groups to ensure that discussion and assessment outcomes lead to the provision of person centred care.6. Synthesis the implementation of national and local quality improvement frameworks for both heart failure and palliative care across different care settings.

Teaching / Learning Strategy

The teaching and learning strategy within this module will actively guide students to appraise theoretical content and apply this to their professional and personal experiences. This will be achieved by engaging in academic debate, discussion, case analysis and simulation to ensure that shared interprofessional experiences may be fully utilised in the learning process. This approach will encourage the development of critical thinking and evaluation to enable the student to self reflect, recognise and acknowledge the wider impact of advancing illness within any professional context. Face to face delivery Face to face delivery will encompass a range of teaching and learning strategies including lectures and seminars and group work to promote creative, interprofessional self-directed learning. All students All students will be required to submit a formative assignment in preparation for their summative submission.

Indicative Reading

Addington-Hall, J., Higginson, I (2001) Palliative care for non-cancer patients. Oxford University Press. Beattie, J., Goodlin, S (2008) Supportive palliative care for heart failure. Oxford University Press. Cooper, J (2000) Stepping into palliative care: a handbook for community professionals. Radcliffe Medical Press. Campling, F., Sharpe, M (2006) Living with long term illness: the facts. Oxford University Press. Department of Health (2004) Coronary Heart Disease Collaborative: Supportive and palliative care for advanced heart failure. NHS Modernisation Agency. Ellershaw J and Wilkinson S (2003) Care of the dying A Pathway to Excellence Oxford University Press. Johnson M, Hogg K, Beattie J (2012) Heart Failure from Advanced Disease to Bereavement. Oxford Specialist Handbooks in End of Life Care. Lloyd Williams, M (2003) Psychosocial issues in palliative care. Oxford University Press. McDonagh, T., Gardner, RS., Clark, AL., Dargie, H (2011) Oxford Textbook of Heart Failure. Oxford University Press. Randall, F., Downie, R (2006) The philosophy of palliative care. Oxford University Press. Sawkins N (2009) Valuing nurses and the work they do: The Gold Standards Framework. End of Life Vol 3, No 2 pp68-69. Speck, P (2006) Teamwork in palliative care: fulfilling or frustrating? Oxford University Press. Webb P (2005) Ethical Issues in Palliative Care 2 nd Edition Oxford Radcliffe Medical Press. URLs: NHS Heart Improvement Programme: <http://www.heart.nhs.uk/endoflifecare/> Patient UK: <http://www.patient.co.uk/doctor/Palliative-Care-of-Heart-Failure.htm> NHS Modernisation Agency: http://learningzone.mariecurie.org.uk/NR/rdonlyres/F890D757-EAC9-4BA4- 907B-0DF707488A0F/0/PalliativeCareFramework.pdf <http://learningzone.mariecurie.org.uk/NR/rdonlyres/F890D757-EAC9-4BA4-%20907B-0DF707488A0F/0/PalliativeCareFramework.pdf> National Council for Palliative Care: <http://www.ncpc.org.uk/policy/notablepractice.html> British Heart Foundation: www.bhf.org.uk <http://www.bhf.org.uk> Dept of Health: <http://www.dh.gov.uk/en/index.htm> National Institute for Health & Clinical Excellence: www.nice.org.uk/ <http://www.nice.org.uk/> Scottish Intercollegiate Guidelines Network: www.sign.sc.uk <http://www.sign.sc.uk> Scotland's Health on the Web: <http://www.show.scot.nhs.uk/> British Cardiovascular Society: www.bcs.com/pages/default.asp <http://www.bcs.com/pages/default.asp> Scottish Government / Health: www.scotland.gov.uk/Topics/Health <http://www.scotland.gov.uk/Topics/Health> Glasgow Caledonian University: www.gcu.ac.uk <http://www.gcu.ac.uk>

Transferrable Skills

Participation in this module will enable the student to develop the following transferable skills associated with Master's level study including: -360b7 work in a self-directed manner, taking responsibility for own learning and personal development and where appropriate practice competence; b7 developing study and IT skills to underpin effective learning; b7 developing knowledge and understanding in the context of a subject, which can be transferred within different contexts; b7 demonstrating critical thinking and problem solving skills in a range of situations; b7 developing communication skills, written, oral, listening, and presentational; demonstrating the ability to work as an effective member of a team; b7 developing self-marketing/presentation skills and, underpinning professional practice through the integration of theory with practice.

Module Structure

Activity Total Hours
Assessment (PT) 20.00
Lectures (PT) 10.00
Tutorials (PT) 10.00
Seminars (PT) 20.00
Independent Learning (PT) 90.00

Assessment Methods

Component Duration Weighting Threshold Description
Course Work 02 n/a 50.00 45% 3000 word reflective case study
Course Work 01 n/a 50.00 45% 2000 word Clinical Scenario Critique