Course Title: Provide end of life care and a palliative approach in nursing practice

Part B: Course Detail

Teaching Period: Term2 2024

Course Code: NURS5433C

Course Title: Provide end of life care and a palliative approach in nursing practice

School: 535T Social Care and Health

Campus: Bundoora Campus

Program: C5417 - Diploma of Nursing

Course Contact: Suzie Cicero

Course Contact Phone: 03 9925-1812

Course Contact Email: suzie.cicero@rmit.edu.au

Name and Contact Details of All Other Relevant Staff

Nominal Hours: 70

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

Course Description

In this course, you will gain knowledge of the performance outcomes, skills and knowledge required to provide a person-centred approach to palliative and end of life care in primary health care, hospitals, hospices, home and community care, and long-term care facilities.

National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:	HLTENN068 Provide end of life care and a palliative approach in nursing practice
Element:	1. Identify and apply palliative approach to care.
Performance Criteria:	1.1. Undertake assessments using palliative principles and approach. 1.2. Apply pathophysiological changes associated with a life-limiting illness. 1.3. Assess pain management and implement strategies to address pain. 1.4. Assess preferences for symptom management and quality of life. 1.5. Reflect on lifestyle choices to formulate and implement the plan of care. 1.6. Identify and work within roles and responsibilities of the multidisciplinary health care team when planning palliative care.
Element:	2. Support families and carers using palliative care approach.
Performance Criteria:	2.1. Identify and apply the advanced care plan and directive. 2.2. Provide the families and carers with opportunities to confirm spiritual and cultural issues. 2.3. Apply communication techniques when accessing support services. 2.4. Monitor condition and provide accurate and timely information that respects the families and carers' wishes.
Element:	3. Identify needs of a person requiring end of life care.
Performance Criteria:	3.1. Provide nursing care by applying a palliative approach and culturally sensitive end of life care. 3.2. Provide symptom management including goals of care, education, psychological and spiritual support. 3.3. Identify end of life care needs for those with cognitive decline and mental health impairment.
Element:	4. Identify and respond to signs of deterioration and the stages of dying.
Performance Criteria:	4.1. Support the person, families and carers throughout the end of life phase. 4.2. Identify physiological signs and symptoms of dying and report signs of deterioration and implement the person's wishes as per the plan of care. 4.3. Support the dignity of the person when undertaking care activities in their end of life stages. 4.4. Identify and respond to legal and ethical issues with deterioration and stages of dying.
Element:	5. Provide care after death.
Performance Criteria:	5.1. Determine extinction of life and acknowledge bereavement support. 5.2. Ensure after death care is carried out with dignity and respect, and that individual customs, culture, religion, spiritual practices and choices are taken into account. 5.3. Provide care of the body after death using standard precautions.
Element:	6. Recognise and reflect on own emotional self-care.
Performance Criteria:	6.1. Identify and reflect on own need for self-care. 6.2. Identify and implement ways to sustain own social and emotional wellbeing. 6.3. Encourage self and colleagues to access support and participate in professional debriefing.

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 is designed to be delivered in a Blended Learning mode.  Blended Learning involves learning through various modes, for example, online learning and learning in a classroom and clinical labs.

The Blended Learning approach for this unit includes:

• Online learning - provide you with formative feedback and facilitate your learning as you progress through your course
• Classroom teaching - introducing you to key concepts within the course
• Labs - provide practice and simulation
• Clinical experience - provides you with practical experience in a nursing health care environment
• Self directed learning -  such as reading to expand your knowledge and understanding of information delivered

All learning activities you will undertake within the course are designed to provide you with the practical skills, knowledge and attitudes required to perform to the standard expected in the health industry.

Teaching Schedule

 

Training Product Details
Course Code	HLT54121	Course Title	Diploma of Nursing
Unit Code	HLTENN068	Unit Title	Provide end of life care and a palliative approach in nursing practice

 

Delivery Details
Group Name	Group Title
TBC	TBC
Unit Start Date	Unit End Date
TBC	TBC
Day/s	Monday	Tuesday	Wednesday	Thursday	Friday
Start Time
Finish Time

 

Contact Details
	Name	Email
Teacher	TBC
Program Coordinator	Prem Kaur	Prem.Kaur@rmit.edu.au
Program Manager	Suzie Cicero	suzie.cicero@rmit.edu.au

 

Delivery Overview Hours
Classroom	Online	Workplace	Self-Directed Study	Other	Nominal Hours
21	0	27	13	9	70

 

Unit Details
Unit Type		Core	☐	Elective	Final Result Outcome	ü	Ungraded
Pre-Requisites	None
Description	This unit describes the performance outcomes, skills and knowledge required to implement nursing care as outlined in a person’s nursing care plan, evaluate outcomes of care provided, record and report progress, and respond to emergency situations.
Elements
1	Identify and apply palliative approach to care.
2	Support families and carers using palliative care approach.
3	Identify needs of a person requiring end of life care.
4	Identify and respond to signs of deterioration and the stages of dying.
5	Provide care after death.
6	Recognise and reflect on own emotional self-care.

 

 

 

 

Assessment Details

A range of assessment methods will be used to provide students the opportunity to demonstrate competence to achieve the unit requirements. This can range from:

• Knowledge Questioning – either written or verbal, this method is used to assess your knowledge
• Product based – can range from written reports, work samples, presentations, product displays, projects, case studies, portfolios
• Practical Observation – can be in real time in the workplace, through practical simulated off the job for example role plays

Student are required to demonstrate and achieve all aspects and requirements of the assessment task. Students will be assessed as Satisfactory (S) or Not satisfactory (NS). A student must achieve a satisfactory outcome for all assessment tasks prior to a final unit result outcome of Competency Achieved (CA) being recorded.

 

The assessment methods being used for this unit are outlined below:

 

Task	Method and Type	Ungraded	Due Date
Knowledge	Product Based	Practical
AT1 Knowledge Quiz	•			S/NYS	TBC
AT2 Case study	•			S/NYS	TBC
AT3 Practical Assessment			•	S/NYS	TBC
AT4 Clinical Placement			•	S/NYS	TBC

 

Assessment Conditions

 

1. Assessment submissions, except tests and other in-class assessments, are due before midnight of the due date and can only be submitted through Canvas.

2. All written assessments must be submitted through Canvas.

3. Students are assessed as either S (satisfactory) or NS (Not satisfactory) for each task. Each task explains how students are assessed.

4. Every task must be completed satisfactorily to be assessed as competent in the unit.

5. Submissions graded unsatisfactory must be resubmitted seven (7) days post feedback been given. IT IS THE STUDENTS RESPONSIBILITY TO CHECK CANVAS FOR ASSESSMENT RESULTS AND FEEDBACK AND RESPOND ACCORDINGLY.

6. There are two (2) attempts only for each assessment task.

 

 

Delivery Schedule
Date, Week, Session	Topic, Activity, Assessment
Week 7	Principles of palliative care
Week 9	Communicating with people with life-limiting illness
Week 10	Principles of symptom assessment and management Assessment and management of pain Optimising function in palliative care
Week 11	End-of-life care and bereavement support Lab – Care of the deceased
Week 12	Lab Assessment
Theory and Practical Classroom Requirements
On occasions timetable and assessment dates may need to change. If this occurs, you will be notified.
Please check your student emails and Canvas announcements daily.
Full laboratory uniform is required for laboratory sessions. Students not appropriately attired will be asked to leave.
100% attendance at clinical laboratory classes is mandatory

Clinical Placement

All HLT54121 Diploma of Nursing Students must attend clinical placement. This unit requires satisfactory completion of a relevant clinical placement. Clinical placements are arranged at a variety of locations across the State. Although every effort is made to allocate each student a placement close to their home this is not always possible. Students must attend the placement allocated to them. All students are provided with one (1) attempt for each clinical placement type, with additional attempts of any placement type only offered in specific situations.

 

Learning Resources

Prescribed Texts

References

Other Resources

Prescribed Textbook

Year Published: 2017 or 2020 Edition 

Title: Tabbner's nursing care : theory and practice Creator Gabrielle Koutoukidis Contributor Kate Stainton author. Jodie Hughson author. Publisher Elsevier Australia a division of Reed International Books Australia Pty Ltd

Overview of Assessment

Assessment for this course is ongoing throughout the semester. Your knowledge and understanding of course content is assessed through participation in class exercises, oral/written presentations and through the application of learned skills and insights. Full assessment briefs will be provided and can be found on CANVAS.

During the Diploma of Nursing (HLT54121), you will complete 400 hours of compulsory unpaid clinical placements, across four phases (semesters).  Aged Care 120 hours, Mental Health and Primary Health 80 hours each and Acute Care 120 hours.

You must meet all the unit/course requirements before you are eligible for clinical placement, this includes immunisations, NDIS check, Working with Childrens and Police check. If you do not meet these requirements, you may incur a penalty in the form of a fine.

Assessment Tasks

There are 4 assessment tasks in this course.

Assessment task 1 - Knowledge Quiz

Assessment task 2 - Case Study

Assessment task 3 - Practical Assessment

Assessment task 4 - Clinical placement

Assessment Matrix

Other Information

Student Attendance

All students are required to:

• Attend and participate appropriately in all activities scheduled.
• Complete pre-class preparation – e.g., recommended reading and learning activities on Canvas.
• Study all material provided to maximise chances of meeting the Unit's objectives.
• Meet the 80% attendance requirement for lectures. Evidence in the form of a medical certificate or statutory declaration must be provided if one cannot attend. It will be the student's responsibility to 'catch up'. It is the student's responsibility to seek assistance from their educator.
• All students must demonstrate 80% engagement with the learning resources provided. This includes but is not limited to the Canvas practice knowledge quizzes, which must be completed on time. Canvas analytics will be used to identify student engagement.  This can affect student progression.
• All students must meet the 100% attendance requirement for practical sessions. Evidence in the form of a medical certificate or statutory declaration must be provided if one cannot attend to qualify for a make-up session. The 'make-up' session time and date will be at the discretion of the RMIT Nursing Program Coordinator. Non-attendance to the make-up session without evidence to support the non-attendance can result in no further opportunity.
• Failure to meet the 100% practical sessions attendance requirement can result in exclusion from the clinical skills assessments, leading to a Not Yet Satisfactory result and ultimately Not Yet Competent.
• Four hundred (400) clinical placement hours must be completed by the end of the program to meet the program requirements.

Clinical Placement

Please note an opportunity to repeat clinical placement is not guaranteed and will be at the discretion of the Program Manager.  The above requirements will be considered in the decision making.

 

Course Overview: Access Course Overview