Course Title: Deliver care services using a palliative approach

Part B: Course Detail

Teaching Period: Term2 2017

Course Code: NURS5368C

Course Title: Deliver care services using a palliative approach

School: 365T Global, Urban and Social Studies

Campus: City Campus

Program: C3319 - Certificate III in Individual Support

Course Contact: Renee Costa

Course Contact Phone: 9925 0886

Course Contact Email: renee.costa@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

Nominal Hours: 60

Regardless of the mode of delivery, represent a guide to the relative teaching time and student effort required to successfully achieve a particular competency/module. This may include not only scheduled classes or workplace visits but also the amount of effort required to undertake, evaluate and complete all assessment requirements, including any non-classroom activities.

Pre-requisites and Co-requisites

None

Course Description

In this unit you will acquire the skills and knowledge neccesart to care for people with life-threatening or life-limiting illness and/or normal ageing process within a palliative approach

This unit will apply to workers in a residential or community context. Work performed requires some discretion and judgement and is carried out under regular direct or indirect supervision


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

CHCPAL001 Deliver care services using a palliative approach

Element:

1 Apply principals and aims of a palliative approach when supporting individuals

Performance Criteria:

1.1 Recognise the holistic needs of the person extending over time, not just end-of-life

1.2 Support the person, carers and family to express needs and preferences and report information to supervisor

1.3 Communicate with the person, carers and family in relation to the person’s quality of life, pain and comfort and report information to supervisor

1.4 Respect the family and carers as an integral part of the care team and ensure that they have the information and support needed

Element:

2. Respect the person’s preferences for quality of life choices 

Performance Criteria:

2.1 Create a supportive environment that encourages the person, carers, family members and/or significant others to share information regarding changing needs and preferences

2.2 Use a non-judgemental approach to ensure the person’s lifestyle, social, spiritual and cultural choices and needs are supported and documented in care plan

2.3 Encourage the person, carer, family and /or significant others to freely discuss spiritual and cultural issues in an open and safe environment within scope of role

2.4 Identify needs and issues outside the scope of your role and refer to supervising colleague

2.5 Communicate with individuals, families, carers and /or significant others in a manner that shows empathy and provides emotional support

Element:

3. Follow the person’s advancecare directives in the care plan

 

Performance Criteria:

3.1 Interpret and follow advance care directives in the care plan in line with own work role and organisation, legal and ethical requirements

3.2 Comply with end-of-life decisions as documented in the care plan and in keeping with legal requirements

3.3 Report the person’s changing needs and issues, in relation to end-of-life, to the appropriate team member for documentation in the care plan

3.4 Monitor the impact of the person’s end-of-life needs, issues and decisions on families, carers and /or significant others and refer to appropriate member of the care team in line with organisation protocols to ensure they are supported

3.5 Deliver services in a manner that supports the right of individuals to choose the location of their end of life care

Element:

4. Respond to signs of pain and other symptoms

 

Performance Criteria:

4.1 Observe and document the person’s pain and other symptoms in line with care plan directives and promptly report to appropriate member of the care team

4.2 Implement strategies to manage pain and promote comfort in line with care plan and role

4.3 Regularly evaluate and document effectiveness of implemented strategies

4.4 Refer to appropriate member of staff any misconceptions in the workplace surrounding the use of pain relieving medication

Element:

5. Follow end-of-life care strategies

 

Performance Criteria:


5.1 Regularly check for any changes on care plan that indicate decisions made by the person have been reviewed

5.2 Provide a supportive environment to the individual, families, carers and /or significant others involved in their care at end-of-life

5.3 Respect and support the person’s preferences and culture when providing end-of-life care according to care plan and role

5.4 Maintain dignity of the person when providing planned end-of-life care and care immediately following death

5.5 Recognise any signs of the person’s imminent death or deterioration and report to appropriate member of care team in line with organisation requirements

5.6 Provide emotional support to other individuals, carers, families and /or significant others when a death has occurred in line with role

Element:

6. Manage own emotional responses and ethical issues

 

Performance Criteria:

6.1 Follow organisation policies and procedures in relation to managing own emotional responses and ethical issues

6.2 Identify and reflect upon own emotional responses to death and dying and raise and discuss any issues or reactions with supervisor or other appropriate person

6.3 Raise any ethical issues or concerns with supervisor or other appropriate person

6.4 Identify and action self care strategies to address the potential impact of personal responses on self

6.5 Access bereavement care and support of other team members as needed


Learning Outcomes


On successful completion of this course you will have developed and applied the skills and knowledge required to demonstrate competency in the above elements.


Details of Learning Activities

This unit of competency is delivered and assessed with the unit of competency Provide support to people living with dementia (CHCAGE005)

Some of the examples of learning activities are:

·         class exercises and discussions

·         practical demonstrations in a simulated environmen

·         peer learning

·         guest speakers

·         group discussions

·         independent assessment tasks which require research

·         practical placement

·      group activities and group discussions


Teaching Schedule

This unit of competency is delivered and assessed with the unit of competency Provide support to people living with dementia (CHCAGE005)

Session 1
• Principles and Aims of a Palliative Approach when supporting individuals
• Recognise the holistic needs of the person extending over time, not just the end of life
• Holistic care• What is the difference between dementia and Alzheimer’s Disease
• Signs and Symptoms of Dementia
• Apply person-centered care approaches to all interactions with the person living with dementia

Session 2
• Respecting the persons for quality of life choices
• Communicate with individuals, family and carer’s in a manner that show empathy and provides emotional support
• Demonstrate respect for the relationship between the client and carer • Abuse
• Use verbal and Non-verbal communication strategies to maximize engagement of the person with Dementia
• Use a range of validation strategies to relieve distress and agitation in the person

 

Session 3
• Interpret and follow Advance Care Directives in the care plan in line with own work role and organisation, legal and ethical requirements and comply with end-of-life decisions as documented in the care plan and keeping with legal requirements
• Codes of ethics
• • Activities for maintenance of dignity, skills and health
• Intimacy and sexual issues
• Providing support and guidance to family and carers and or significant others where appropriate Legislations

 

Session 4
• Observe and document persons pain and other symptoms in line with care plan directives and promptly report to appropriate member of the care team
• Implement strategies to manage pain and promote comfort in line with care plan and your own role
• Refer to appropriate member of staff any misconceptions in the workplace surrounding the use of pain relieving medication

  • Identify behaviours of concern and potential triggers
    • Contribute to team discussions on support planning and review and take action to minimize the likelihood of and reduce the impact of behaviours on the person and others
  • • Safety inside and outside the home

Session 5
• Follow End-of-life Care strategies
• Monitor and evaluation
• Provide emotional support to other individuals, carers and families when a death has occurred in line with your role

  • Comply with organisation’s reporting requirements including reporting observations to the supervisor
    • Complete and maintain and store documentation according to organisation’s policy and procedures


Session 6 & 7
• Manage own emotional responses and ethical issues
• Bereavement support for the care team
• Raise any ethical issues or concerns with supervisor or other appropriate person and follow organisation policy and procedures in relation to managing own emotional • Monitor own stress levels in relation to working with people with Dementia
• Use appropriate self-care strategies and seek support if required
 responses and ethical issues

 


Learning Resources

Prescribed Texts


References


Other Resources

RMIT will provide you with resources and tools for learning in this course through our online systems and access to specialised facilities and relevant software. You will also have access to the library resources. Students will need to purchase an RMIT polo top as uniform for placement


Overview of Assessment

    

This unit of competency is delivered and assessed with the unit of competency Provide support to people living with dementia (CHCAGE005)

There will be three forms of assessment and they will include a research task, questions and answers in relation to the unit of competency and practical assessment either in a simulated or workplace environment.

The assessment tasks are as follows:

Task 1: Questions and answers

Task 2: Research task

Task 3: Observation in a simulated and workplace environment 

If you have a long term medical condition and/or disability it may be possible to negotiate to vary aspects of the learning or assessment methods. You can contact the program coordinator or the Disability Liaison Unit if you would like to find out more.

A student charter http://www.rmit.edu.au/about/studentcharter summarises your responsibilities as an RMIT student as well as those of your teachers.

Your course assessment conforms to RMIT assessment principles, regulations, policies, procedures and instructions which are available for review online: http://www1.rmit.edu.au/browse;ID=c15i3ciaq8ca


Assessment Tasks

This unit of competency is delivered and assessed with the unit of competency Provide support to people living with dementia (CHCAGE005)

There will be three forms of assessment and they will include a research task, questions and answers in relation to the unit of competency and practical assessment either in a simulated or workplace environment.

Task 1: Questions and answers - You are required to answer 29 questions for this task and they will be in relation to the delivery of palliative care and working with clients/residents that are affected by dementia. You are required to answer these questions in your own words.

Task 2: Research task- For this task you are required to research and briefly answer questions about palliative and dementia care in the sector. Some of the areas you will research are about

• Alzheimer’s disease
• Vascular dementia or multi-infarct dementia
• Lewy bodies
• Excessive alcohol intake or Korsakov Syndrome
• Fronto temporal lobar degeneration (FLTD) including Pick’s disease
• Huntington’s disease
• Parkinson’s disease
• Younger onset dementia

Task 3: Observation in a simulated and workplace environment - For this part of the assessment you will be observed either in a simulated environment (in class) or whilst on your practical placement by the RMIT facilitator/assessor. You will be observed demonstrating the following points:

• relevant policies, protocols and practices of the organisation in relation to the provision of both a palliative approach and palliative care
• scenarios and simulations in provision of care using a palliative approach in a range of contexts
• palliative care plans and equipment and/or resources outlined in plan
• use of suitable facilities, equipment and resources, including individualised plans and any relevant equipment outlined in the plan
• modelling of industry operating conditions, including scenarios that reflect a range of dementia support services involving a range of dementia symptoms and behaviours of concern


Assessment Matrix

Students will be given an assessment marking guide for reference at the time that the assessment tasks are distributed.

Other Information

Work Integrated Learning

This is a Work Integrated Learning course in which you will complete a 240 hour placement in an organisation, undertaking the kinds of professional tasks you could expect in your work after graduation.

Police Check

You must obtain evidence of a satisfactory National Police Records Check before undertaking work placements and will need to pay the associated costs.

or

You may be required to obtain a satisfactory National Police Records Check at the request of their placement agency.

Working with Children

You must provide evidence of a satisfactory Working with Children check before undertaking work placements and will need to pay the associated costs.

or

You may be required to obtain a satisfactory Working with Children Check at the request of their placement agency.

Immunisation

You may be required to provide evidence of immunisation for certain diseases before undertaking work placement. You will need to discuss the specific requirements of your placement with the course coordinator and/or WIL practitioner and will need to pay the associated costs for immunisation.

Please refer to the RMIT student page for extensive information about study support, assessment, extensions, appeals and a range of other matters: rmit.edu.au/students

Cover Sheet for Submissions 

You must complete a submission cover sheet for every piece of work submitted in hardcopy. For every piece of work submitted online you will complete an e-Declaration. The signed cover sheet or e-Declaration acknowledges that you are aware of the plagiarism implications.

Attendance

It is strongly advised that you attend all sessions in order to engage in the required learning activities, ensuring the maximum opportunity to gain the competency.

Applying for Special Consideration

If you are seeking an extension of more than seven calendar days (from the original due date) you must lodge an Application for Special Consideration form, preferably prior to, but no later than two working days after the official due date. Late applications will only be accepted in exceptional circumstances. For information about Special Consideration and how to apply, see: http://www1.rmit.edu.au/students/specialconsideration

Assessment Appeals

If you believe your assessment result or final result is wrong please contact the course coordinator and provide the reason why you think your result is incorrect. Valid reasons for seeking a review of results include:

  1. a) You believe an error has occurred in the calculation of the grade; or,
  2. b) You believe the assessment did not comply with criteria published in the Course Guide; or,
  3. c) You believe the assessment did not comply with University Policies on Assessment (i.e. an error in process has occurred).

Full details of the procedure (including appeals procedure) can be located at this RMIT site: http://www1.rmit.edu.au/policies/academic#assessment

Academic Integrity

Academic integrity means honesty and responsibility in scholarship through respecting the work of others whilst having the freedom to build new insights, new knowledge and ideas. RMIT University upholds the values of academic integrity as fundamental to the scholarship undertaken by all members of its community. Whenever you refer to another person’s research or ideas (either by directly quoting or paraphrasing them) you must acknowledge your source.

If you are even in doubt about how to properly cite a reference, consult your lecturer or the academic integrity website: http://www.rmit.edu.au/academicintegrity

The RMIT library provides tools to assist with your referencing http://www1.rmit.edu.au/library/referencing

Plagiarism and Collusion

Plagiarism and collusion constitute extremely serious academic misconduct, and are forms of cheating. You are reminded that cheating, whether by fabrication, falsification of data, or plagiarism, is an offence subject to University disciplinary procedures. Plagiarism is the presentation of the work, idea or creation of another person as though it is your own. It is a form of cheating and is a very serious academic offence that may lead to expulsion from the University. Plagiarised material can be drawn from, and presented in, written, graphic and visual form, including electronic data, and oral presentations. Plagiarism occurs when the origin of the material used is not appropriately cited. Plagiarism is not acceptable.

Examples of plagiarism include:

  • Copying sentences or paragraphs word-for-word from one or more sources, whether published or unpublished, which could include but is not limited to books, journals, reports, theses, websites, conference papers, course notes, etc. without proper citation;
  • Closely paraphrasing sentences, paragraphs, ideas or themes without proper citation;
  • Piecing together text from one or more sources and adding only linking sentences;
  • Copying or submitting whole or parts of computer files without acknowledging their source;
  • Copying designs or works of art and submitting them as your original work;
  • Copying a whole or any part of another student's work; and
  • Submitting work as your own that someone else has done for you.
  • Enabling Plagiarism: the act of assisting or allowing another person to plagiarise or to copy your own work is also an offence.

For further information, please see the RMIT Plagiarism Policy –  http://www.rmit.edu.au/browse;ID=sg4yfqzod48g1 (unresolved) – and the RMIT Student Conduct Regulations http://www1.rmit.edu.au/browse;ID=r7a7an6qug93

Plagiarism Software

The originality verification software Turnitin may be used in this course. For details, see: http://www.turnitin.com

Complaints Procedure:

RMIT University is committed to providing a harmonious study and work environment for all students and staff. The University recognises your right to raise concerns about academic, administrative or support services without recrimination and has policies and procedures to assist in the resolution of complaints.

Most issues are resolved at the local level and you are encouraged to take steps to resolve your issue locally. The student complaint procedure details steps to take if your problem is not resolved or you believe the response you received is unreasonable.

Student Complaints Policy: http://www1.rmit.edu.au/policies/studentcomplaintspolicy

Student complaints Procedure: http://www1.rmit.edu.au/browse;ID=i1lexipvjt22

Student Complaints Form: http://mams.rmit.edu.au/v4ujvmyojugxz.pdf

Course Overview: Access Course Overview