Course Title: Provide nursing care for clients requiring palliative care

Part B: Course Detail

Teaching Period: Term1 2015

Course Code: NURS5293C

Course Title: Provide nursing care for clients requiring palliative care

School: 155T Vocational Health and Sciences

Campus: Bundoora Campus

Program: C5313 - Diploma of Nursing (Enrolled-Division 2 Nursing)

Course Contact: Leeanne Mond

Course Contact Phone: +61 3 9925 4837

Course Contact Email:

Name and Contact Details of All Other Relevant Staff

Erica O’Donoghue
Phone: +61 3 9925 7573

Nominal Hours: 50

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


This unit is delivered with HLTEN515B AND HLTEN502B

Course Description

This unit of competency describes the skills and knowledge required in providing palliative care to clients with life-limiting illness and their family

The knowledge and skills described in this competency unit are to be applied within jurisdictional nursing and midwifery regulatory authority legislative requirements. Enrolled/Division 2 nursing work is to be carried out in consultation/collaboration with registered nurses
and under direct or indirect supervisory arrangements in line with jurisdictional regulatory requirements

National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTEN511B Provide nursing care for clients requiring palliative care


1. Recognise the special needs of clients requiring a palliative approach to care
2. Contribute to the care plan for the client at end-of-life
3. Implement nursing interventions for clients with life-limiting illness
4. Assist in evaluating the effectiveness of planned interventions
5. Provide support and services to client and family at end-of-life and after death

Performance Criteria:

1.1 Undertake a holistic assessment of the client in consultation/collaboration with a registered nurse
1.2 Apply the principles of palliative care and the palliative approach
1.3 Work with knowledge of pathophysiological changes associated with a life-limiting illness and an understanding of the needs of clients with such an illness
1.4 Discuss with the client/family/carer the impact of life-limiting illness on their activities of daily living
1.5 Use an understanding of the physiology of dying to support clients and family as they experience the dying process
1.6 Ascertain and respect client needs in relation to lifestyle, social context, emotional and spiritual choices and document these in line with care plan
1.7 Support the client, carer, his/her family and/or significant other to ensure their freedom to discuss spiritual and cultural issues in an open and non-judgmental way within scope of own practice and responsibilities
1.8 Work with an awareness of psychosocial impact of palliative care on a client's family and significant others
2.1 Develop an individualised care plan in consultation/collaboration with a registered nurse
2.2 Work in consultation/collaboration with other members of the health care team in providing care
2.3 Provide emotional support to client and family through effective communication
2.4 Address the legal and ethical implications of implementing advanced care directives
2.5 Monitor changes to advanced care directives as they are reviewed regularly by appropriate staff member and support implementation of these changes
3.1 Provide care according to the developed care plan, documenting and reporting any changes
3.2 Perform nursing interventions to manage activities of daily living or complications of life-limiting illness in consultation/collaboration with a registered nurse
3.3 Provide a supportive environment to the client, family, carer and those involved in end-of-life care
3.4 Ensure that information provided to client, family and/or carer is accurate, timely and respects the wishes of client and/or family
3.5 Document and promptly report observations of pain and other discomforts to appropriate member of staff
3.6 Support the dignity of the client in undertaking all activities at end-of-life as well as after death
3.7 Identify and report to appropriate member of staff any signs of deterioration or imminent death in line with health care guidelines
4.1 Modify nursing interventions to suit client responses in consultation/collaboration with registered nurse
4.2 Monitor and document client responses to nursing interventions
4.3 Evaluate, document and report effectiveness of implemented strategies that address client needs
4.4 Reflect on any ethical issues or concerns and discuss with appropriate person if necessary
5.1 Identify, access and/or discuss resources available for self, client, family requiring bereavement care 5.2 Refer grieving family to appropriate counselling resources as required
5.3 Undertake care of the body with dignity and respect taking into account the individual customs, culture, religion, spiritual practices and choices of clients

Learning Outcomes

At the end of this unit students should be able to:

• Describe the skills and knowledge required in providing palliative care to clients with life-limiting illness and their family
• Contribute to care planning and implement interventions for those with life limiting illness

Details of Learning Activities

• Classroom Delivery
• Self Directed Learning
• Laboratories
• Clinical Placement Hours

Teaching Schedule

Lesson 1: Effective Communication
Lesson 2: Roles of Healthcare
Lesson 3: Conflict resolution
Lesson 4: Open Disclosure
Lesson 5: Assessment 1 Questionnaire
Lesson 6: Theory of Ageing
Lesson 7: Disease Process:
Lesson 8: Activities of Daily Living
Lesson 9: ACAS/ACAT
Lesson 10: Care Planning
Lesson 11: Aged Care Funding Instrument
Lesson 12: Complex Issues
Lesson 13: Massage in Palliative Care
Lesson 14: Dementia
Lesson 15: Needs Recognition
Lesson 16: Symptoms of Dying
Lesson 17: Loss & Grief
Lesson 18: Last Rites

Computer Lab 1. Computer IT Lab
Nursing Lab 2. Activities of Daily Living - Part 1 & 2
Nursing Lab 3. Remedial Massage in Palliative care - Part 1 & 2
Nursing Lab 4. Documentation
Nursing Lab 5. Pain Part 1, Last Rites Part 2

Learning Resources

Prescribed Texts

Kozier and Erb’s (2014) 3rd ed.,Vols 1,2,3.Fundamentals of nursing. Pearson. Australia


Listed within PowerPoint slides and Blackboard

Other Resources

Other Textbooks

  • Accessible as eBooks via the RMIT Library (also able for download or purchase)
  • Brown, D., Edwards, H. (eds) 2014, 4th ed., Lewis’s medical surgical nursing: assessment and management of clinical problems, Marrickville, NSW, Elsevier Australia
  • Tollefson, J., (2014) Clinical Psychomotor skills: assessment tools for nursing students. 5th ed.,South Melbourne. Centgage Learning

Additional resources:

  • Online via RMIT Blackboard (students require frequent access to computers, internet and printing facilities)

Overview of Assessment

Underpinning knowledge for this unit of competency will be assessed via the following methods:


  • Class group presentation / Debate
  • Written Assessment
  • Clinical Placement

Assessment Tasks

• Lab computer hurdle
• Classroom presentation
• Group work – Care Plan
• MP4 video assessment


Assessment tasks will be assessed in conjunction with HLTEN515B and HLTEN511B.

Assessment Matrix

See matrix via Blackboard

Other Information

Assessment Information

Please refer to the RMIT assessment policies for, special consideration, extensions of time, equitable assessment arrangements and future assessment adjustments.


Re-submission of assessment

One further opportunity to demonstrate Clinical Lab competence, will be provided to students if not deemed Satisfactory at the time of clinical assessment.

Re-submission of Written work, or other assessments , (once only. Excluding Exams) can be granted on recommendation from the teacher and approval by Program Coordinator.


Plagiarism is a form of cheating in assessment and may occur in oral, written or visual presentations. It is the presentation of the work, idea or creation of another person, without appropriate referencing, as though it is your own:


Is an online service, in to which teachers and students submit student assignments into a large database, via Blackboard, refer Turnitin website

Course Overview: Access Course Overview