Course Title: Provide nursing care for clients requiring palliative care

Part B: Course Detail

Teaching Period: Term1 2016

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: leeanne.mond@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

Erica O’Donoghue

Email:  Erica.O’Donoghue@rmit.edu.au

Ph:  +61 03 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

NIL PRE 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

Element:

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 teacher delivery

Group work

Self directed learning

Research

Laboratory work

Completion of workbooks

Assignments

Clinical Placement (100% compulsory Attendance)


Teaching Schedule

Lesson 1 Effective Communication

Lesson 2 Roles of Healthcare

Lesson 3 Conflict resolution

Lesson 4 Open Disclosure

Lesson 5 Formation of Assessment Questionnaire

Lesson 6 Theory of Ageing

Lesson 7 Disease Process

Lesson 8 Activities of Daily Living

Lesson 9 Older Client

Lesson 10 Class Care Planning

Lesson 11 ACFI

Lesson 12 Complex

Lesson 13 Class discussion Care plan

Lesson 14 Dementia

Lesson 15 Recognise the needs of Palliative client

Lesson 16 Symptoms of palliative care

Lesson 17 Loss and grief

Lesson 18 Last Rites

Lesson 18A Pain and end of life

Lab 1: Computer Lab (Correct nursing uniforms must be worn in all Clinical labs)

Lab 2 : Part A. ADL’s Part 2. Nutrition

Lab 3: Massage

Lab 4: Handover

Lab 5: Pain and Last rite


Learning Resources

Prescribed Texts

Kozier and Erb's, Fundamentals of Nursing,(2014) 3rd Ed. Pearson:Australia (3 book set)
 


References


Other Resources

Library

Professional Journals

WWW.pallcarevic.asn.au

www.dementiacentre.com.au

www.humanservices.gov.au/customer


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

Assessment in this course include HLTEN502B and HLTEN515B and includes:

Assessment 1: Interview a Resident during Clinical Placement - Written Reflection

Assessment 2: Group work - Video Presentation of Palliative topic

Assessment 3: This course is also assessed through clinical Practice

Each assessment will be deemed Satisfactory or Not Satisfactory

In order to be assessed as Competent in the cluster, you must be assessed as Satisfactory in ALL assessments

You are expected to attend all classes, Compulsory Labs and Compulsory Clinical Placement


Assessment Matrix

See assessment matrix on Blackboard

Other Information

Recognition of prior learning (RPL) is available for this course. Refer: http://www1.rmit.edu.au/students/enrolment/credit?ga=1.178075110.253031288.1420502972

Re submission of Assessment

Re submission of written work for students who have attempted to undertake assessment and attended all lab session may be given a further opportunity to demonstrate competency.

Re submission may be granted on the recommendation of the teacher to the program coordinator.

Practical assessment may have a second attempt only.

Please refer to the RMIT assessment policies for special consideration, extensions of time, equitable assessment arrangements and future assessment adjustments: www.rmit.edu.au/browse:ID=ad)oagg9uc111

Plagiarism

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.

Turnitin

Turnitin is an online service, into which teachers and students submit student assignments into a large database. The text of a student assignment, or whatever else has been uploaded, is retained in the database.

Refer RMIT policy http://rmit.edu.au/students/academic-integrity

Course Overview: Access Course Overview