Course Title: Deliver care services using a palliative approach

Part B: Course Detail

Teaching Period: Term1 2012

Course Code: NURS5210C

Course Title: Deliver care services using a palliative approach

School: 365T Global Studies, Soc Sci & Plng

Campus: City Campus

Program: C3260 - Certificate III in Home and Community Care

Course Contact : Susan Russell

Course Contact Phone: +61 3 99254637

Course Contact Email:susan.russell@rmit.edu.au

Name and Contact Details of All Other Relevant Staff

Nominal Hours: 55

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

Not Applicable.

Course Description

This unit describes the awareness, knowledge, skills and values required of a worker in contributing to the care of clients with life-limiting illness and/or normal ageing process within a palliative approach.

National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:	CHCPA301B Deliver care services using a palliative approach
Element:	Apply a palliative approach.
Performance Criteria:	1.1 Differentiate between practices applicable in curative and palliative approaches 1.2 Apply the principles and aims of a palliative approach in caring for clients 1.3 Use an approach that reflects an understanding of the client's needs as holistic and extending over time, not just end-of-life
Element:	Follow end-of-life care strategies.
Performance Criteria:	4.1 Regularly check for any changes on care plan that indicate decisions made by client have been reviewed 4.2 Provide supportive environment to client, families, carers and those involved in their care at end-of-life 4.3 Consider client's preferences and culture when providing end-of-life care according to care plan 4.4 Maintain dignity of the client in undertaking planned end-of-life care and immediately following death 4.5 Recognise any signs of client's imminent death/ deterioration and report to appropriate member of care team in line with organisation requirements 4.6 Recognise emotional needs of other clients, carers and their families affected and provide support when a death has occurred
Element:	Follow the client's advanced care directives in the care plan.
Performance Criteria:	3.1 Work in a manner reflecting understanding and acceptance of the legal and ethical implications of the need to follow advanced care directives 3.2 Consistently follow advanced care directives in the care plan in line with own work role 3.3 Comply with end-of-life decisions as documented in the care plan and in keeping with legal requirements 3.4 Report the client's needs/issues in relation to end-of-life to the appropriate team member for documentation in the care plan 3.5 Recognise impact of client's end-of-life needs/ issues on carers and refer to appropriate member of the care team in line with organisation protocols 3.6 Deliver services in a manner that supports the right of clients to choose the location of their end of life care
Element:	Manage own emotional responses and ethical issues.
Performance Criteria:	6.1 Identify and reflect upon own emotional responses to death and dying and raise and discuss any issues with supervisor or other appropriate person 6.2 Acknowledge potential impact of personal responses on self and others and action appropriately 6.3 Accept need for bereavement care and support of other team members 6.4 Reflect upon ethical issues and discuss with appropriate person if necessary 6.5 Follow organisation policies and procedures in relation to managing emotional responses and ethical issues
Element:	Respect client preferences for quality of life choices.
Performance Criteria:	2.1 Encourage client, carers, family members and/or significant others to share information regarding changing needs and preferences through a supportive environment 2.2 Respect client's lifestyle, social context and spiritual needs and document observations in line with care plan 2.3 Respect cultural choices in line with care plan 2.4. Support the freedom of the client, carer, his/her family and /or significant others to discuss spiritual and cultural issues in an open and non-judgemental way within scope of own responsibilities and skills 2.5 Refer further needs and issues to appropriate member of the care team in line with organisation protocols 2.6 Provide emotional support using effective communication skills 2.7 Demonstrate respect for the relationship between the client and carer
Element:	Respond to signs of pain and other symptoms/ discomfort.
Performance Criteria:	5.1 Observe client closely and identify pain and other symptoms in line with care plan directives 5.2 Document observations of pain and other symptoms and promptly report to appropriate member of care team 5.3 Implement strategies to promote comfort in line with care plan 5.4 Regularly evaluate and document effectiveness of implemented strategies 5.5 Refer to appropriate member of staff any misconceptions in the workplace surrounding the use of pain relieving medication

Learning Outcomes

The learner will have acquired the essential knowledge outlined in the elements belonging to this unit, including identifying and managing the relevant policies, protocols and practises of the organisation in relation to providing a palliative approach in own work role, understanding the palliative approach to care of clients and family, understanding complexity of carers’ roles, needs and issues, awareness of hydration and nutrition requirements during a palliative approach and at end-of-life, misconceptions associated with approaches to pain relief and comfort , role and function of team members, scope of own responsibilities, impact of loss and grief on clients, carers and workers, understand advanced care directives and providing care in accordance with the care plan, understand the goals of pain relief and comfort promotion, awareness of diverse cultural aspects, identify and access relevant resources, awareness of the various signs of imminent death/deterioration, principles and philosophy of a palliative approach. In addition the learner will have effectively managed the performance criteria of this unit including the skills to manage the tasks to communicate effectively with clients, their families and other team members using effective listening, sensitive clarification and questioning, recognition of non-verbal cues, and provision of information within level of responsibility, use effective communication to ensure a palliative approach is undertaken, understand and adhere to own work role/scope and responsibilities , use observation skills re: the client’s hydration and nutrition and respond in line with care plan, identify own attitudes to a palliative approach and end-of-life care, identify own beliefs on ageing, spirituality, relationships, sexuality, culture and intimacy, identify cultural issues that may impact on a palliative approach, work effectively with other team members to achieve principles of palliative approach, follow appropriate protocols following death, follow organisation policies, protocols and procedures, liaise with and report appropriately to supervisor or other members of the team, reflect on own performance and attitudes regarding a palliative approach, develop and apply a non-judgemental approach, informally and formally debrief with other team members and supervisors as necessary, report and document observations of clients and their family using the appropriate forms, provide care that reduces client’s discomfort, contribute to a supportive environment that enables clients and their families and other staff members to provide a palliative approach to palliative care, use literacy and numeracy skills as required to fulfil work role in a safe manner and as specified by the organisation/service, seek clarification and feedback from supervisors, clients and colleagues if unsure of work role, use basic problem solving skills to resolve problems of limited difficulty within organisation protocols.

Details of Learning Activities

Learners will participate in class room discussions, problem solving within individual and team groups. They will be encouraged to express their concerns and ideas both negative and positive. They will participate in role play scenarios in a simulated environment within the frame work of expected outcomes and discuss the reality of the outcomes via their own/trainers experience with in the appropriate work environment. They will participate in questionnaires, case studies and practical placement. All within the contents of this unit.

Teaching Schedule

The teaching schedule is designed in a time table format, outlining the specific elements linked to specific units that will be taught on the said session and double up as a lesson plan. Scenarios, case studies, questionnaires, role plays, viewing DVDs and class discussions will be designed using the appropriate contents matching up with the performance criteria. As this unit is quite intense it is suggested that all learners attend each session, and is presented in a manner to cater for all individuals own learning strategy.

Learning Resources

Prescribed Texts

References

Other Resources

Learning resources are provided via booklets created to cover the essential information referring to the unit applied and are supplied to all learners attending the program. Updated handouts are also given to all students and frequent face to face discussion re dvd’s that may be viewed.

Overview of Assessment

The overview of this assessment may vary accordingly to the indivdual learner or the dynamics of the group of learners, however In cases where the learner does not have the opportunity to cover all relevant aspects in the work environment, the remainder should be assessed through realistic simulations, projects, previous relevant experience or oral/written questioning on ’What if?’ scenarios. Assessment of this unit of competence will usually include observation of processes and procedures, oral and/or written questioning on essential knowledge and skills and consideration of required attitudes. Where performance is not directly observed and/or is required to be demonstrated over a ’period of time’ and/or in a ’number of locations’, any evidence should be authenticated by colleagues, supervisors, clients or other appropriate persons.

Assessment Tasks

A leaner must be able to demonstrate an understanding of the essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit. Assessments methods have been designed to achieve the competencies of this unit in a flexible manner and over a range of assessment tasks. Learners will participate in 100 hours of practical placement to demonstrate their essential knowledge and skills to meet the competencies and expected outcomes of this unit. Students will need to complete a practical placement competency matrix, signed and witnessed by the appropriate authorities to ensure the ability to perform their expected tasks meet the criteria of competencies for this unit.

Assessment Matrix

Course Overview: Access Course Overview