ADVANCED ASESSMENT IN ENHANCING PALLIATIVE CARE PRACTICE 7KNIM726 – 2016/17 Level: 7 Credits: 30

Module Leader: Liz Bryan Lecturer Practitioner Room 4.34, James Clerk Maxwell Building 57 Waterloo Road, London SE1 8WA Tel: 020 7848 3583 Email: liz.bryan@kcl.ac.uk

Also contactable at: Education Centre St Christopher’s Hospice 51-59 Lawrie Park Road Sydenham, SE 26 6DZ Tel: 020 8768 4711 Email: l.bryan@stchristophers.org.uk

Module Deputy: Jo De Souza Lecturer in Nursing Room 2.41, James Clerk Maxwell Building 57 Waterloo Road London SE1 8WA Tel: 020 7848 3622 Email: joanna.de_souza@kcl.ac.uk _____________________________________________________________ This module handbook must be read in conjunction with module information provided on KEATS. You will be given access to KEATS on enrolment. Important information related to assessment and assignment related regulations can be found in the Postgraduate Handbook available on KEATS.

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Contents

Module Overview ............................................................................................................... 4

Module Outcomes .......................................................................................................... 4

Academic Support: ......................................................................................................... 4

Teaching arrangements .................................................................................................. 5

Core reading ................................................................................................................... 5

Submitting Coursework ..................................................................................................... 6

Assessment criteria ........................................................................................................ 6

Summative Assessments ................................................................................................ 6

Submission date for summative assessment ................................................................. 8

Results and re-submissions for coursework .................................................................. 8

Resubmission date ......................................................................................................... 9

Module evaluation ............................................................................................................ 10

Course Management Team .......................................................................................... 10

Learning outcomes ............................................................................................................ 11

Day 1 .................................................................................................................................. 11

Sessions 1 to 3 ................................................................................................................ 11

Days 2 to 5 ........................................................................................................................ 12

Session 4: Assessment Tools and Documents ............................................................. 12

Session 5: Advanced Assessment — A Structured and Systematic Approach ............ 12

Session 6: General Physical Examination ................................................................... 13

Session 7: Advanced Assessment and Clinical Examination of a Person with Palliative Care Needs .................................................................................................................... 13

Session 8: Using Secondary Data to ‘rule in or rule out’ Differential Diagnosis Part 1 — Radiology ........................................................................................................ 13

Session 9: Using Secondary Data to ‘rule in or rule out’ Differential Diagnosis Part 2 — Blood Tests .................................................................................................... 14

Session 10 — Assessment of Common Respiratory .................................................... 14

Session 11 — Assessment of Common Gastrointestinal Symptoms ........................... 14

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Session 12 — Assessment of Common Neurological Symptoms ................................ 15

Session 13 — Assessment of Common Symptoms of Advanced Heart Failure .......... 15

Session 14 — Assessment of Common Mental State Symptoms ................................ 15

Day 6 ................................................................................................................................. 16

Days 7 to 10 ...................................................................................................................... 18

Module evaluation ............................................................................................................ 19

Action from previous evaluations ................................................................................ 19

Module Timetable – 7KNIM726 ...................................................................................... 20

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Module Overview This standalone module has been developed in partnership with St Christopher’s Hospice. The first day will be delivered at KCL, Waterloo and the remainder at St Christopher’s Hospice, Sydenham.

This course aims to facilitate the personal and professional development of palliative care nurses and allied health professionals (AHPs) engaged in advancing their clinical practice and enhancing palliative care service delivery. The aim is to equip practitioners to work effectively within their organisational structure and to apply key principles to the development of their practice/service. The development of these skills will be underpinned by strategic concepts, appropriate theoretical frameworks and analytical tools, which will encourage practitioners to critically analyse the scope of their current role.

Module Outcomes The course will enable practitioners to:

1. Critically examine the historical development of palliative care practice, in order to understand the current context

2. Critically evaluate the organisation & delivery of relevant palliative care services,

demonstrating an in-depth understanding of social, political and professional influences which determine palliative care policy

3. Critically review the development of intra/inter professional working specifically in

relevant palliative contexts 4. Critically examine legal and ethical issues influencing and inherent in advanced

palliative care practice 5. Critically evaluate and apply models of problem solving and decision making and

analyse influences on their own decision making process 6. Demonstrate the necessary interpersonal skills, required to develop an effective

therapeutic relationship with the patient and family/carers 7. Demonstrate the process of in-depth holistic assessment of patients with advanced

progressive disease, including the analysis of primary and secondary data and physical examination when appropriate.

8. Demonstrate the coordination of complex decision-making processes involved in the

management of care, particularly at the end of life. 9. Critically explore barriers and facilitators to role development, in relation to course

learning outcomes

Academic Support: Academic support is received through the course leaders (contact details on page 1). Opportunities for a tutorial to discuss the assessment can be arranged on an individual basis as required. The members of the teaching team can also be approached for advice regarding their particular area of expertise.

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Teaching arrangements The Learning Outcomes will be achieved through self-directed study, taught sessions, seminars, practice-based learning and the written assignment. The aim of the sessions is to provide a safe environment for stimulating interesting interaction. We hope to encourage your participation and look forward to discussion, questions and challenges. A variety of practitioner-centred, adult learning approaches will be adopted to facilitate shared learning, attitudinal change and professional reflection. These include lectures, discussion, skills training and supervised practice, small group work, guided professional practice, personal reflection and experiential learning.

Core reading The following books are recommended as core reading prior to commencing the course. Please note; some do appear again for specific sessions. N.B. You will need to have refreshed your knowledge and understanding of relevant anatomy and physiology prior to commencing the module. Martini et al. (2011) is highly recommended. Try the college or local authority library. Cox C., Hill M. & Lack V. (Eds) (2011) Advanced Practice in Healthcare: Skills for Nurses and Allied Health Professionals. Routledge. London

Epstein O., Perkin D.G., de Bono D.P. & Cookson J. (2008) Clinical Examination. 4th ed. Mosby, Edinburgh. Ferrell B. & Coyle N. (2008) The Nature of Suffering and the Goals of Nursing. Oxford University Press, U.S.A Gawande A. (2015) Being Mortal: Illness, Medicine and What Matters in the End. Profile Books, London. Hamric A.B., Spross J.A. & Hanson C.M. (Eds) (2013) Advanced Practice Nursing: An Integrative Approach. 5th ed. Elsevier Saunders, St Louis. Hinchliff S. & Rogers R. (2008) Competencies for Advanced Nursing Practice. Hodder Arnold, London. Martini F., Nath J. & Bartholomew E. (2011) Fundamentals of Anatomy and Physiology. 9th ed. Pearson, San Francisco. Randall F. & Downie R.S. (2006) The Philosophy of Palliative Care: Critique and Reconstruction. Oxford University Press, Oxford. Rawles Z. (2009) Physical Examination Procedures for Advanced Nurses and Independent Prescribers: Evidence and Rationale. Hodder Arnold, London.

Royal Pharmaceutical Society (2013) The RPS Advanced Pharmacy Framework – http://www.rpharms.com/faculty-resources/advanced-pharmacy-framework.asp

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Submitting Coursework

Assessment criteria All parts of the assessment must be completed and submitted by the dates below. Failure to submit assignments or attend examinations will result in a fail grade being awarded. Please read carefully the information in the Postgraduate Handbook regarding assignments/examinations.

Summative Assessments Overview of Summative Assessment: 1. A 3,000 word Academic Assignment:

Contribution to course assessment — 100% of the course mark. 2. Practice Assessment:

Contribution to course assessment – compulsory (must be submitted having followed the guidelines given below).

Academic Assignment (to be submitted electronically via KEATS):

This assignment will demonstrate learning from the module, linking theoretical knowledge and clinical practice experience. Title: Critical exploration of advancing practice in palliative care, using an exemplar from a personal practice context. Guidelines:

The assignment should include: • Introduction and conclusion • Respect confidentiality according to professional standards of conduct, for

example the NMC performance and ethics for nurses and midwives (2008) • Definitions of appropriate terms, including advancing practice, advanced practice

etc • Discussion of the relationship between advanced practice and advancing practice • Critical exploration of your role in relation to advancing practice • Rationale for chosen exemplar • Through analysis and synthesis of appropriate literature, application of relevant

theory to the practice exemplar • Critical analysis of learning from the module in relation to future advancing

practice in your personal context

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Practice Assessment Portfolio (to be submitted as hard copy) This will comprise 4 workups of clinical assessments undertaken in practice verified by your mentor (no more than 1000 words each). Please note that each of the four core systems taught on the course must have been clinically assessed within at least one of the workups. It must also include evidence that 2 of the above clinical assessments were observed and critically reviewed by the student’s mentor using the provided marking criteria. The above must be completed from your practice setting, and both the verification sheet and marking sheet completed and signed by your practice-based mentor prior to submission. Mentor in Practice: To undertake this course you will need to be in clinical practice. Prior to commencing it is important to identify a practice-based mentor within your organisation. This should be a medical colleague who is a member of your multidisciplinary team and with whom you have regular contact and/or an advanced practitioner of any discipline who has undertaken an advanced assessment skills course and who is competent in physical examination of palliative care patients. In addition to the ten taught days it is essential that you allow four extra clinical study days. These four days should be used to observe and practice clinical assessment skills with your mentor(s) whenever possible and in particular those skills needed to undertake physical examination. Your mentor will be required to sign and verify your completion of the four clinical assessments required for your portfolio and will also be required to observe you undertaking two full clinical assessments and critically review your competence. Guidelines: Each of the 4 patient assessments must:

• State how consent was obtained • Demonstrate a thorough and focused approach to history taking and systems

review • Include rationale and outcomes of any physical examination • Include rationale for any secondary data used to assist in clinical decision making • Give some indication of differential diagnosis • Include an impression/diagnosis • Include a plan for management and justify how you made your decisions • Have been presented to or discussed with members of the multidisciplinary team

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PLEASE NOTE THE FOLLOWING: 1. Informed consent Patients' informed consent MUST be obtained to undertake all assessments and use their data in either assignment. Consent may be obtained verbally but must be clearly documented in writing for each assignment. If the patient is not competent to give informed consent (e.g. confused, sedated, unconscious, cognitive difficulties) this must be obtained from the medical practitioner in-charge of the patient’s case. It is also recommended that you also gain assent (agreement) from the patient’s family or significant other. 2. Confidentiality Patients' anonymity MUST be respected at all times. You must state how you have maintained confidentiality in each assignment. Confidentiality of the patient/client must be maintained according to the NMC Code of Professional Conduct: Standards for Conduct, Performance and Ethics (NMC 2008). Please note that confidentiality/ anonymity also applies to the ward/department, trust and health care professionals who must not be identified within the portfolio. 3. Unsafe practice Any issue regarded as unsafe practice (including a major breach of confidentiality) will constitute an automatic fail.

Submission date for summative assessment Academic Assignment: Tuesday 11 April 2017

Practice Assessment Document: Tuesday 25 April 2017

Coursework submission details are provided on the KEATS module page. It is essential that you use your candidate number on all assignments/examinations. Your candidate number, which will begin with X for the academic year 2016/17, will be available via Student Records on the King’s Intranet approximately one month after you enrol. If you are unable to submit your work by the deadline please refer to the information in your programme handbook on “mitigating circumstances”. Late submissions will be accepted for 24 hours following the submission date. All work submitted late will be marked as normal but will be capped at the pass mark for the module. If your assignment is hard copy please ensure you date stamp it and submit it to the submission room G15 JCMB. If your assignment is submitted electronically through TurnItIn, information about how to submit late will be provided on KEATS module sites under assessment information.

Results and resubmissions for coursework Students will receive a provisional (unratified) mark for their coursework 4 weeks following submission. According to the method of submission as detailed on your KEATS site, if your work was submitted online you will be able to download marked coursework from KEATS; alternatively, if you completed a hard copy submission you can collect your coursework and feedback from the Student Services Centre. To collect a hard copy assignment, you must provide your candidate number. Alternatively, you may send a stamped addressed envelope to the Student Services Centre ensuring that this is large enough to accommodate your assignments and that you have

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applied sufficient postage. Hard copy assignments will be retained for four weeks; if you have not collected your assignment by then, it will be destroyed. Feedback will include the award of a numerical grade which remains provisional until ratified by the examination boards. The dates for the examination boards are available on KEATS. Ratified marks can be viewed via Student Services Centre on the King’s Intranet, the Monday following the relevant examination board. The marking criteria by which your work is judged are provided in full in your programme handbook. Please also refer to the section in your programme handbook on plagiarism and how to avoid it. If you have a query about how to refer to a specific piece of work please ask your module leader, your group leader or a member of library staff for guidance. The feedback you receive on your assignment will guide you towards how to do better next time or how to maintain your existing high standard. If you do not understand your mark or the feedback you receive please contact the module leader. If you are unsuccessful, it is recommended that you contact the module leader before submitting your second attempt. This will enable the module leader to provide you with an appropriate level of support as you prepare to re-submit your work. Module leaders may indicate another for support. Resubmission date Tuesday 18 July 2017

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Module evaluation At the end of the module you are requested to complete the short online evaluation which will be available on your module on KEATS .

Student evaluations are very important to us and are required by Health Education England and the regional London Local Education and Training Boards.

Course Management Team St Christopher’s Hospice personnel, key teaching staff, clinicians and user/client views are represented in the construction and ongoing evaluation of the course.

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Learning outcomes

Day 1

Sessions 1 to 3 AIM: To increase understanding of relevant theoretical foundations to advancing practice in a palliative care context and the scope of the advanced practice role. OUTCOMES: By the end of the day students should be able to:

• Demonstrate awareness of appropriate theory regarding advanced practice • Critically explore the scope of ‘advancing’ practice • Critically discuss the current context of palliative care.

Indicative reading: Oberle K. & Allen M. (2001) The Nature of Advanced Practice Nursing. Nursing Outlook. 49(3). Por J. (2008) A critical engagement with the concept of advancing nursing Practice. Journal of Nursing Management, 16, 84–90.

Sheer B. & Wong F.K.Y. (2008) The development of advanced nursing practice globally. Journal of Nursing Scholarship, 40(3) 204-211.

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Days 2 to 5 AIM: To equip students to critically evaluate their clinical knowledge and skills and the scope of the advanced practice role in their specific area of practice. SESSION OUTCOMES:

Session 4: Assessment Tools and Documents By the end of the session the student should be able to:

• Critically reflect on the benefit or restriction of structured assessment tools • Critically evaluate the tools used within their own clinical setting.

Indicative reading: NICE Evidence search - http://www.evidence.nhs.uk/search?q=nursing+assessment+tools The Outcome Assessment and Complexity Collaborative (OACC) http://www.kcl.ac.uk/lsm/research/divisions/cicelysaunders/research/studies/oacc/index.aspx

Session 5: Advanced Assessment — A Structured and Systematic Approach By the end of the session the student should be able to:

• Understand and critically evaluate the principles of systematic, structured histories and systems reviews.

• Critically evaluate knowledge and skills required for consideration of differential diagnosis.

• Begin to understand the range of patient/client data required from both primary and secondary sources in order to make informed clinical decisions.

• Understand and have practiced the skills required to undertake a structured history and systems review.

Indicative reading: Coulehan J.L. & Block M.R. (2006) The Medical Interview: Mastering Skill for Clinical Practice. 5th ed. FA Davis, Philadelphia. Epstein O., Perkin D.G., de Bono D.P. & Cookson J. (2008) Clinical Examination. 4th ed. Mosby, Edinburgh. Fitzimmons D. & Amedzai S. (2008) Approaches to assessment in palliative care. In: Payne S., Seymour J., and Ingleton C. (eds) Palliative Care Nursing. Principles and Evidence for Practice. 2nd ed. Open University Press, Maidenhead. 163-185. National End of Life Care Programme and National Cancer Action Team (2010) Holistic common assessment of supportive and palliative care needs for adults requiring end of life care. http://www.endoflifecareforadults.nhs.uk/assets/downloads/HCA_guide.pdf

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Session 6: General Physical Examination By the end of the session the student should be able to:

• Understand the general principles of physical examination and be able to critically apply these to own practice.

Indicative reading: Baid H. (2006) The Process of Conducting a Physical Assessment: a Nursing Perspective. British Journal of Nursing. 15(3), 710 -714. Department of Health (2001) Reference Guide to Consent for Examination and Treatment [online]. Available https://www.dh.gov.uk/assetRoot/04/01/90/79/04019079.pdf Epstein O., Perkin D.G., de Bono D.P. & Cookson J. (2008) Clinical Examination. 4th ed. Mosby, Edinburgh. Martini F., Nath J. & Bartholomew E. (2011) Fundamentals of Anatomy and Physiology. 9th ed. Pearson, San Francisco.

Session 7: Advanced Assessment and Clinical Examination of a Person with Palliative Care Needs By the end of the session the student should be able to:

• Critically apply the principles of systems review and physical examination to the examination of a patient with palliative care needs.

• Critically analyse the use of interpersonal skills for data collection. Indicative reading: Doyle D., Hanks G.W., Cherny N. & Calman K. (eds) (2015) Oxford Textbook of Palliative Medicine. 5th ed. Oxford University Press, Oxford. Martini F., Nath J. & Bartholomew E. (2011) Fundamentals of Anatomy and Physiology. 9th ed. Pearson, San Francisco.

Session 8: Using Secondary Data to ‘rule in or rule out’ Differential Diagnosis Part 1 — Radiology By the end of the session the student should be able to:

• Recognise the full range of secondary data sources available to support clinical decision-making.

• Critically evaluate the appropriate use of a secondary data when making informed clinical decisions in a palliative care context.

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Session 9: Using Secondary Data to ‘rule in or rule out’ Differential Diagnosis Part 2 — Blood Tests By the end of the session the student should be able to:

• Critically discuss the rationale for using blood test results to inform clinical decisions in the management of people with palliative care needs.

• Analyse common palliative care symptoms and signs including reversible emergencies and their application to interpretation of a range blood test results.

Session 10 — Assessment of Common Respiratory (With demonstration) By the end of the session the student should be able to:

• Understand the principles of history taking focused on the respiratory system of a person with palliative care needs.

• Understand the principles of clinical examination of the respiratory system of a person with palliative care needs.

• Analyse common respiratory and signs including potentially reversible emergencies and their application to history taking and clinical examination.

• Understand the principles of documenting a respiratory examination Indicative reading: Epstein O., Perkin D.G., de Bono D.P. & Cookson J. (2008) Clinical Examination. 4th ed. Mosby, Edinburgh. Simpson H. (2006) Respiratory Assessment. British Journal of Nursing. 15(9), 484-492.

Session 11 — Assessment of Common Gastrointestinal Symptoms (With demonstration) By the end of the session the student should be able to:

• Understand the principles of history taking focused on the gastrointestinal system of a person with palliative care needs.

• Understand the principles of an abdominal examination • Analyse common gastrointestinal symptoms and signs and their application to

history taking and clinical examination. • Recognise bowel sounds and the implications of abnormalities. • Understand the principles of documenting an abdominal examination.

Indicative reading: Epstein O., Perkin D.G., de Bono D.P. & Cookson J. (2008) Clinical Examination. 4th ed. Mosby, Edinburgh.

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Session 12 — Assessment of Common Neurological Symptoms (With demonstration) By the end of the session the student should be able to;

• Understand the principles of history taking focused on the neurological system of a person with palliative care needs.

• Understand the principles of clinical examination of relevant cranial nerves, motor system and reflexes and sensation.

• Analyse common neurological symptoms and signs including reversible emergencies and their application to history taking and clinical examination.

• Understand the principles of documenting a neurological examination. Indicative reading: Epstein O., Perkin D.G., de Bono D.P. & Cookson J. (2008) Clinical Examination. 4th ed. Mosby, Edinburgh. Session 13 — Assessment of Common Symptoms of Advanced Heart Failure (With demonstration) By the end of the session the student should be able to:

• Understand the principles of clinical examination and management of the cardiovascular system in heart failure

• Analyse common heart failure signs and symptoms and apply this to the patient’s history and physical examination

• Understand the principles of documenting a cardiovascular assessment Indicative reading: Epstein O., Perkin D.G., de Bono D.P. & Cookson J. (2008) Clinical Examination. 4th ed. Mosby, Edinburgh.

Session 14 — Assessment of Common Mental State Symptoms By the end of the session the student should be able to:

• Understand the principles of history taking focused on mental health of people with palliative care needs.

• Analyse different mental health assessment tools and their application to practice in a palliative care context.

Indicative reading: Bryan L. & Scott S. (2008) The assessment of mental state in advanced stage of disease. End of Life Journal. 2(1). Epstein O., Perkin D.G., de Bono D.P. & Cookson J. (2008) Clinical Examination. 4th ed. Mosby, Edinburgh.

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Day 6 AIM: To broaden knowledge in relation to leadership and management of advancement in palliative care practice OUTCOMES: By the end of the day students should be able to:

• Critically examine relevant theoretical perspectives on leadership and management of change

• Critically analyse own role in relation to leadership and facilitation of change in practice

• Critically evaluate the opposing arguments for and against the extension of the scope of the clinical role of the advanced palliative care practitioner

• Critically analyse legal, ethical and professional issues related to undertaking advanced assessments.

Indicative reading: Murphy L. (2005) Transformational leadership: a cascading chain reaction. Journal of Nursing Management 13, 128-136. Sellgren S., Goran E. & Goran T, (2006) Leadership styles in nursing management: preferred and perceived. Journal of Nursing Management 14, 348-355. Sherman R., Bishop M., Eggenberger T. & Karden R, (2007) Development of a leadership competency model. JONA 37(2), 85-94. Hardy S., Titchen A., Manley K. & McCormack B. (2006) Re-Defining Nursing Expertise in the United Kingdom. Nursing Science Quarterly 19(3).

Hinchliff S. & Rogers R. (2008) Chapter 2: The Legal and Regulatory Implications of Advanced Nursing Practice. In: Competencies for Advanced Nursing Practice. Hodder Arnold, London.

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Web Resources: AANPE UK - http://aape.org.uk/about/ (Accessed 15 November 2016). Health Service Journal – http://info.hsj.co.uk/key-topics/clinical-leaders/ (Accessed 15 November 2016). NHS Scotland – Advanced Nursing Practice Toolkit http://www.advancedpractice.scot.nhs.uk/definitions/defining-advanced-practice.aspx (Accessed 15 November 2016). NMC (2015) The NMC Code of Professional Conduct: Standards for Conduct, Performance and Ethics. http://www.nmc-uk.org/Publications/Standards/The-code/Introduction/ (Accessed 15 November 2016). NMC (2010) Advanced Nursing Practice Update https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/215935/dh_121738.pdf (Accessed 15 November 2016).

NHS Institute for Innovation and Improvement - http://www.institute.nhs.uk/ (Accessed 15 November 2016). NHS Leadership Academy - http://www.leadershipacademy.nhs.uk/ (Accessed 15 November 2016).

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Days 7 to 10 AIM: To consolidate learning from days 1-6 OUTCOMES: By the end of the 4 days, participants should be able to

• Demonstrate an increased awareness of the possibilities of advancing practice in palliative care through advanced clinical skills, research, education and leadership.

• Identify areas for development in personal skill bases, with regard to advancing practice

• Demonstrate through presentation and group discussion an understanding of the implications of the chosen themes to their own service delivery and development

• Critically demonstrate advanced clinical decision making skills related to patient assessment.

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Module evaluation At the end of the module you are requested to complete the short online evaluation which will be available on your module KEATS site. Student evaluations are very important to us and are required by Health Education England and the regional London Local Education and Training Boards.

Action from previous evaluations No significant changes made for 2016-17.

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Module Timetable – 7KNIM726

1 Day – Introduction to Advanced Palliative Care Practice Date Time Room Session Facilitator DAY 1: Venue: Kings College London, Waterloo Campus

Monday 23 January 2017

10.00-11.00 Franklin Wilkins Building (FWB) –

2.46

1 Welcome, Introductions, H&S, Handbooks, ground rules etc. Module Leaders

11.00-13.00 FWB – 2.46 2 Advanced/Advancing Practice (with break) 13.00-14.00 Lunch 14.00-16.00 FWB – 1.14 3 Palliative Care in Context Module Leaders

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4 Days - Advanced Assessment for Nurses and Allied Health Professionals DAY 2: St Christopher’s Hospice, Sydenham

Tuesday 24 January 2017

9.30-11.00

Lecture Theatre, Education Centre

4 Introduction to Assessment Tools, Documentation and Legal Requirements

Liz Bryan

11.00-11.15 Break 11.15-12.00 5 Advanced Assessment: A Structured and

Systematic Approach Dr Emma Hall 12.00-13.00 6 General Physical Examination 13.00-13.45 Lunch 13.45-14.45 7 Advanced Assessment and Clinical

Examination of a Palliative Care Patient (with demonstration)

Dr Emma Hall

14.45-15.00 Break 15.00-16.00 Observed Practice Dr Emma Hall 16.00-16.30 Feedback

DAY 3: St Christopher’s Hospice, Sydenham

Wednesday 25 January 2017

9.30-11.00

Lecture Theatre, Education Centre

8 Secondary Data Using: secondary data to ‘rule in or rule out’ differential diagnosis Part 1 - Radiology

Member of St Christopher’s clinical team

11.00-11.15 Break 11.15-12.45 9 Secondary Data Using: secondary data to ‘rule

in or rule out’ differential diagnosis Part 2 - Blood tests

Member of St Christopher’s clinical team

12.45-14.00 Lunch 14.00-15.30 10 Assessment of Common Respiratory

Symptoms (with demonstration) Member of St Christopher’s clinical team

15.30-15.45 Break 15.45-16.30 Supervised Practise As above

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DAY 4: St Christopher’s Hospice, Sydenham

Thursday 26 January 2017

10.00-11.30

Lecture Theatre, Education Centre

11 Assessment of Common Gastrointestinal Symptoms (with demonstration)

Member of St Christopher’s clinical team

11.30-11.45 Break 11.45-13.00 Supervised Practise As above 13.00-13.45 Lunch

13.45-15.15 12 Assessment of Common Neurological

Symptoms (with demonstration) Member of St Christopher’s clinical team

15.15-15. 30 Break 15.30-16.30 Supervised Practise As above

DAY 5: St Christopher’s Hospice, Sydenham

Friday 27 January 2017

10.00-12.00

Lecture Theatre, Education Centre

13 Assessment of Common Symptoms of Advanced Heart Failure (with demo & practice)

Member of St Christopher’s clinical team

12.00-12.15 Break 12.15-13.00 Introduction to assignments Liz Bryan 13.00-13.45 Lunch 13.45-16.00 14 Assessment of Common Mental State

Symptoms Member of St Christopher’s clinical team

16.00-16.30 Evaluation Liz Bryan

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5 Days – Applying Principles of Advanced Practice (order of themes to TBC)

Day 6: St Christopher’s Hospice, Sydenham

Monday 6 March 2017

10.00-10.15

Lecture Theatre

Welcome and Group Catch-up Course Tutor 10.15-11.15 Theme: Educating the Workforce TBC 11.15-11.30 Break 11.30-12.30 Theme: Palliative and End of Life Care Education Student presentations

12.30-13.00 Group Discussion All 13.00-14.00 Lunch 14.00-15.30 Clinical Presentations 15.30-16.00 Tutorials Course Tutor

Day 7: St Christopher’s Hospice, Sydenham

Tuesday 7 March 2017

10.00-10.05

Lecture Theatre

Welcome and Group Catch-up Course Tutor 10.05-11.00 Theme: Leading Palliative Care Services Student presentations 11.00-11.15 Break 11.15-12.15 Theme: Leading a Palliative Care Service TBC 12.15-13.00 Group Discussion - with contribution from guest

speaker All

13.00-14.00 Lunch 14.00-15.30 Clinical Presentations 15.30-16.00 Tutorials Course Tutor

Day 8: St Christopher’s Hospice, Sydenham

Wednesday 8 March 2017

10.00-10.15

Lecture Theatre

Welcome and Group Catch-up Course Tutor 10.15-11.15 Theme: Service Development and Change in

Palliative Care Delivery TBC

11.15-11.30 Break 11.30-12.30 Theme: Service Development and Change in

Palliative Care Delivery Student presentations

12.30-13.15 Group Discussion - with contribution from guest speaker

All

13.15-14.00 Lunch 14.00-15.30 Clinical Presentations

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15.30-16.00 Tutorials Course Tutor Day 9: St Christopher’s Hospice, Sydenham

Thursday 9 March 2017

10.00-10.15

Lecture Theatre

Welcome and Group Catch-up Liz Bryan 10.15-11.15 Theme: Researching Palliative and End of Life Care TBC 11.15-11.30 Break 11.30-12.30 Theme: Researching Palliative and End of Life Care Student presentations 12.30-13.15 Group Discussion - with contribution from guest

speaker All

13.15-14.00 Lunch 14.00-15.30 Clinical Presentations

15.30-16.00 Tutorials Course Tutor Day 10: St Christopher’s Hospice, Sydenham

Friday 10 March 2017

10.00-10.15

Dame Cicely Saunders Room

Welcome and Group Catch-up Liz Bryan 10.15-11.15 Theme: Clinical Practice (Ethical, Legal and

Regulatory Implications of Advanced Practice) 11.15-11.30 Break 11.30-12.15 Group Discussion All 12.15-13.00 Assignment Update and Evaluation Liz Bryan 13.00-13.45 Lunch 13.45-16.00 Self-directed study

Location key: FWB – Franklin-Wilkins Building; Waterloo campus St Christopher’s Hospice, 51-59 Lawrie Park Road, Sydenham, SE26 6DZ

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