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

Part B: Course Detail

Teaching Period: Term2 2025

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

Bundoora Campus - Pink Garg

City campus – Prem Kaur

pink.garg@rmit.edu.au

prem.kaur@rmit.edu.au

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. This unit is delivered using flipped learning methodology.

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 Names

Group Titles

B24M, C24M

Bundoora- NURS5433C

City- NURS5432C

Unit Start Date

Unit End Date

15/08/2025

27/03/2026

Monday

Tuesday

Wednesday

Thursday

Friday

Start Time

As per Timetable

As per Timetable

Finish Time

Contact Details

Name

Email

Teacher

Bundoora campus- Nazish Bhalwany

City Campus – Jane McClure

nazish.bhalwany@rmit.edu.au
jane.mcclure@rmit.edu.au

Program Coordinator

Bundoora Campus - Pink Garg

City campus – Prem Kaur

pink.garg@rmit.edu.au

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

18

0

27

13

12

70


Unit Details

Unit Type

u

Core

Elective

Final Result Outcome

u

Ungraded

S/NYS

Pre-Requisites

None

Description

This unit describes 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.

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 or through practical simulated off the job for example role plays in labs

Student are required to demonstrate and achieve all aspects and requirements of the assessment task. Students will be assessed as Satisfactory (S) or Not Yet satisfactory (NYS). 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- Case study Assessment

Part 1-Two patients’ assessments

Part 2- 14 Short answer questions (online assignment from home)

S/NYS

Week 11, TBA

AT2- Knowledge Quiz

12 MCQs, true/false and match the columns (online, in-class assessment)

S/NYS

Week 12, TBA

AT3- Simulated Practical Assessment

Care of patient before and after death- practical task in lab

S/NYS

Week 13, TBA

AT4- Clinical Placement

Clinical Placement 3

S/NYS

TBA

Assessment Conditions

1. Refer to individual assessment task instructions for information on when and how to submit and

specific assessment conditions.

2. All written assessments must be submitted online through Canvas and/or on paper.

3. Students are assessed as either S (satisfactory) or NYS (Not yet 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. Students are permitted 2 attempts on written and practical assessments.

6. Resubmissions are not automatic and will only be approved at the discretion of the Program

Coordinator, after consultation with the teacher. Attendance and course engagement will be taken

into consideration when deciding.

7. For written assessments, if you answer less than 50% of the questions in each part during your first

attempt, you will not be granted a second attempt.

8. All resubmissions must be completed and submitted no more than 7 days after the work has been

assessed.

9. IT IS THE STUDENT’S RESPONSIBILITY TO CHECK CANVAS FOR ASSESSMENT RESULTS AND FEEDBACK

AND RESPOND ACCORDINGLY.

Delivery Schedule

Date, Week, Session

Topic, Activity, Assessment

Session 1

Session 1- Principles of palliative care

  • Core principles of a palliative approach to care
  • Person centred approach
  • Understanding of the experience preferences and care requirements
  • Life limiting illness
  • Multidisciplinary approach and EN practice within palliative care

Session 2

Session 2- Communicating with people with a life limiting illness

  • Communicating with people with life-limiting illness
  • Own values and beliefs about dying and death affect personal responses and your interactions
  • Effective communication
  • Identify sources of psychological, social, and spiritual support for people with life-limiting illness and their families

Session 3

Session 3-Principles of symptom assessment and management

  • Principles for assessing and managing symptoms associated with life-limiting illness
  • Role of multidisciplinary team

Session 4

Session 4- Assessment and management of pain

  • Holistic care – person centred care
  • Assessing and managing pain
  • Evidenced based practice – management of pain

Session 5

Session 5- Optimising function in palliative care

  • Optimising function in palliative care
  • Different responses and emotions of people living with life-limiting illness
  • Strategies for facilitating collaborative decision making
  • Advanced care planning in palliative care
  • Supporting communities and carers

Session 6

Session 6- End-of-life care and bereavement support

  • Recognise end of life phase
  • End of life care needs for those with cognitive and mental health impairment
  • Documentation
  • Person centred goals
  • Cultural, ethical and legal consideration
  • Providing care after death
  • Strategies for bereaved families and carers

Date, Week, Session

Clinical skill Lab Sessions and Activities

Lab 1 and 2

Practice-based Clinical lab 1

  • Pain management
  • Pain assessment
  • Documentation

Practice-based Clinical lab 2

  • Deteriorating patient

  • Death – care of the deceased person

Week 11

AT1 - Case study

Week 12

AT2 – Knowledge Quiz (online assessment)

Week 13

AT3: In-lab Simulated Practical Assessment

TBC

AT4- Clinical Placement

Theory and practical class requirements

All students are required to:

  • Check student emails and Canvas announcements daily. On occasions timetable and assessment dates may need to change. If this occurs, you will be notified.
  • Attend and participate appropriately in all scheduled activities.
  • 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.
  • Complete post-class activities as per canvas.
  • Meet the 100% attendance requirement for lectures.
  • Up to 80% attendance will be accepted with evidence in the form of a medical certificate or statutory declaration. It will be the student's responsibility to catch up and/ or seek assistance from their educator. If a student’s attendance falls below 80%, they will undergo a review by the RMIT Nursing Program Coordinator and may be required to repeat the course.
  • 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.
  • Full laboratory uniform is required for laboratory sessions. Students not appropriately attired will not be allowed to practice.
  • 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 outcome in relevant courses.

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


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

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

Task

Method and Type

Ungraded

Due Date

Knowledge

Product Based

Practical

AT1- Case study Assessment

Part 1-Two patients’ assessments

Part 2- 14 Short answer questions (online assignment from home)

S/NYS

Week 11, TBA

AT2- Knowledge Quiz

12 MCQs, true/false and match the columns (online, in-class assessment)

S/NYS

Week 12, TBA

AT3- Simulated Practical Assessment

Care of patient before and after death- practical task in lab

S/NYS

Week 13, TBA

AT4- Clinical Placement

Clinical Placement 3

S/NYS

TBA

Assessment Conditions

1. Refer to individual assessment task instructions for information on when and how to submit and

specific assessment conditions.

2. All written assessments must be submitted online through Canvas and/or on paper.

3. Students are assessed as either S (satisfactory) or NYS (Not yet 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. Students are permitted 2 attempts on written and practical assessments.

6. Resubmissions are not automatic and will only be approved at the discretion of the Program

Coordinator, after consultation with the teacher. Attendance and course engagement will be taken

into consideration when deciding.

7. For written assessments, if you answer less than 50% of the questions in each part during your first

attempt, you will not be granted a second attempt.

8. All resubmissions must be completed and submitted no more than 7 days after the work has been

assessed.

9. IT IS THE STUDENT’S RESPONSIBILITY TO CHECK CANVAS FOR ASSESSMENT RESULTS AND FEEDBACK

AND RESPOND ACCORDINGLY.


Assessment Matrix

Other Information

Student Attendance

All students are required to:

  • Check student emails and Canvas announcements daily. On occasions timetable and assessment dates may need to change. If this occurs, you will be notified.
  • Attend and participate appropriately in all scheduled activities.
  • Complete pre-class preparation – e.g., recommended reading and learning activities on Canvas.
  • Study all material provided to maximize chances of meeting the Unit's objectives.
  • Complete post-class activities as per canvas.
  • Meet the 100% attendance requirement for lectures.
  • Up to 80% attendance will be accepted with evidence in the form of a medical certificate or statutory declaration. It will be the student's responsibility to catch up and/ or seek assistance from their educator. If a student’s attendance falls below 80%, they will undergo a review by the RMIT Nursing Program Coordinator and may be required to repeat the course.
  • 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.
  • Full laboratory uniform is required for laboratory sessions. Students not appropriately attired will not be allowed to practice.
  • 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 outcome in relevant courses.
  • Four hundred (400) clinical placement hours must be completed by the end of the Diploma of nursing 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.

Important information regarding Assessment Tasks:

  1. Refer to individual assessment task instructions for information on when and how to submit and specific assessment conditions.
  2. All written assessments must be submitted online through Canvas and/or on paper.
  3. Students are assessed as either S (satisfactory) or NYS (Not yet 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.

Assessment Attempts:

You are permitted 2 attempts on written and practical assessments.

  • Resubmissions are not automatic and will only be approved at the discretion of the Program Coordinator, after consultation with the teacher. Attendance and course engagement will be taken into consideration when deciding.

  • All resubmissions must be completed and submitted no more than 7 days after your work has been assessed.

Recognition of Prior Learning and Credit Transfer

If you think you have some or all of the knowledge and competencies described, please discuss the Recognition of Prior Learning and Credit Transfer options with may be available to you with your Course Coordinator. For more information go to:

RMIT Connect

Please read the following thoroughly by clicking the links:

Special consideration

Use the special consideration process if your circumstances are such that you cannot fulfil assessment requirements. For example, if you are unable to complete any piece of assessment by a due date.

Special Consideration Policy

Equitable Learning Services

Assessment attempts:

  • You are permitted 2 attempts on written and practical assessments.
  • Resubmissions are not automatic and will only be approved at the discretion of the Program Coordinator, after consultation with the teacher. Attendance and course engagement will be taken into consideration when deciding.
  • For written assessments, if you answer less than 50% of the questions in each part during your first attempt, you will not be granted a second attempt.
  • All resubmissions must be completed and submitted no more than 7 days after your work has been assessed.

Recognition of Prior Learning and Credit Transfer

If you think you have some or all of the knowledge and competencies described, please discuss the Recognition of Prior Learning and Credit Transfer options with may be available to you with your Course Coordinator. For more information go to:

RMIT Connect

Please read the following thoroughly by clicking the links:

Special consideration

Use the special consideration process if your circumstances are such that you cannot fulfil assessment requirements. For example, if you are unable to complete any piece of assessment by a due date.

Special Consideration Policy

Equitable Learning Services

Service Portal - RMIT Connect

Course Overview: Access Course Overview