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Palliative and End of Life Care Foundations -
6KNIS321 – Occurrence 2 (Term 3) 2018/2019 Level: 6
Credits: 15
Module leader: Chris Mangar
Tel: 020 7848 3583
Email: [email protected]
Module deputy: Dr Karen Gillett
Tel: 020 7848 3741
Email: [email protected]
____________________________________________________________________
This handbook must be read in conjunction with module information provided on KEATS, the King’s E-Learning And Teaching Service. You will be given access to KEATS on enrolment. Important information relating to assessment and related regulations can be found in the Undergraduate Programme Handbook, available on KEATS and via the Nightingale Student Hub. This handbook can also be provided in alternative formats (such as large print) upon request to [email protected].
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Contents
Module overview ................................................................................................................ 3
Module aim..................................................................................................................... 3
Learning outcomes .......................................................................................................... 3
Teaching arrangements ................................................................................................... 3
Support in Practice .......................................................................................................... 3
Assignment 1: Academic assignment .............................................................................. 5
Assignment 2: Practice based workbook .......................................................................... 5
Submitting coursework ....................................................................................................... 6
Submission dates for coursework .................................................................................... 6
Results and resubmissions for coursework ....................................................................... 6
Topics & Indicative Reading ............................................................................................... 8
Topic: Care of the Dying Person ..................................................................................... 8
Topic: Defining Palliative & End of Life Care ................................................................. 8
Topic: Common Symptoms at End of Life ...................................................................... 9
Topic: Principles of Holistic Assessment ......................................................................... 9
Topic: Interpersonal Communication .............................................................................. 10
Topic: Delivering End of Life Care in the Community .................................................... 10
Topic: End of Life Care in Acute Hospitals ..................................................................... 11
Topic: Assessment of Pain .............................................................................................. 11
Topic: Assessment of Gastrointestinal Symptoms ............................................................ 12
Topic: Assessment of Breathlessness ............................................................................... 12
Topic: Skin & Wound Assessment .................................................................................. 13
Topic: Assessment of Mental State .................................................................................. 13
Topic: Assessment of the Needs of a Person with Advanced Dementia ............................ 13
Topic: Spiritual & Cultural Needs – Concepts & Strategies for Assessment & Support .... 14
Topic: Loss & Bereavement – Theory, Assessment & Reflection .................................... 14
Topic: Assessing the Needs of Children Facing Loss ....................................................... 15
Topic: Assessing our Own Resilience .............................................................................. 15
Module evaluation .............................................................................................................. 16
Actions from previous evaluations .................................................................................. 16
Timetable – 6KNIS321, Occurrence 2; term 3 ..................................................................... 17
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Module overview
Welcome to Palliative and End of Life Care Foundations - 6KNIS321. This module can be taken as an option on the BSc in Clinical Practice. The course content has been developed in partnership with St Christopher’s Hospice and will be delivered equally from both sites, King’s College London, Waterloo Campus and the St Christopher’s Education Centre, Sydenham, South London. This module aims to equip nurses with the knowledge and skills required to effectively assess the needs of palliative/end of life care patients with any life-limiting/life-threatening conditions in any care setting. A strong clinical focus will be maintained throughout. The module can also be taken as a freestanding module.
Module aim
This course provides an examination of the philosophy and principles of palliative and end of life care, as specifically applied in all care settings. It aims to equip nurses with the skills to complete an initial and on-going assessment of a patient requiring palliative care, with regard to their physical, psychological, social, spiritual and cultural well-being. It will also explore and analyse the needs of the “family” and the role of the nurse and the multi-professional team in meeting these needs. These skills will be developed through evaluation of current recommended best practice as presented in research, evidence-based and policy documents.
Learning outcomes
At the end of the course the practitioners will be able to:
Describe the principles of applying a palliative approach to care and their application to practice in all care settings and to all life-limiting/life-threatening conditions;
Reflect on the impact of national policy on delivery of palliative care services
Demonstrate knowledge of the major symptoms affecting patients requiring palliative or end of life care and the principles underpinning their management;
Assess the holistic needs of a patient approaching end of life and his/ her family in the context of their culture, spirituality and religion;
Explore the issues influencing the establishment of an effective therapeutic relationship with patients approaching end of life, and their families;
Evaluate the management of the dying process in association with other members of the multi-professional team, including care of the family as appropriate;
Discuss the initial assessment of bereavement risk and initiate appropriate intervention;
Reflect on their own practice, identifying the limits of their role and the need for additional learning, experience and support.
Teaching arrangements
This module will be delivered through face to face sessions, tutorials and self-directed study. Learning will be assessed by completion of a practice-based workbook and a written assignment. The aim of the classroom sessions is to provide a safe environment for stimulating interesting discussion. 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, small group work, guided professional practice, personal reflection and experiential learning.
Support in Practice
It is important to identify a practice-based facilitator, who has expertise in palliative care. This person will need to sign and verify your completion of the practice-based workbook.
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Core Indicative Reading Books: (N.B. Please access at least one of the following palliative care nursing textbooks prior to the module).
Becker R. (2009) Fundamental Aspects of Palliative Care Nursing an Evidence-based Handbook for Student Nurses. 2nd ed. Quay Books, Salisbury.
Cherny N., Fallon M., Kaasa S., Portenoy R. & Currow D. (eds) (2015) Oxford Textbook of Palliative Medicine. 5th ed. Oxford University Press, Oxford.
De Souza J. & Pettifer A. (2013) End-of-Life Nursing Care a Guide for Best Practice. Sage Publications, London.
Ferrell B. & Coyle N. (2008) The Nature of Suffering and the Goals of Nursing. Oxford University Press, Oxford.
Ferrell B., Coyle N. & Paice J. (2015) Oxford Textbook of Palliative Nursing. 4th ed. Oxford University Press, Oxford.
Ingleton C. & Larkin P. (2016) Palliative Care Nursing at a Glance. John Wiley & Sons, New York.
Jevon P. (Editor) (2009) Care of the Dying and Deceased Patient. Wiley-Blackwell, UK.
Lugton, J. & McIntyre R. (eds) (2006) Palliative Care: The Nursing Role. Churchill Livingstone, Edinburgh.
Nicol J. & Nyatanga B. (2017) Palliative and End of Life Care in Nursing. 2nd ed. Sage Publications, London.
Payne S., Seymour J. & Ingleton C. (eds) (2011) Palliative Care Nursing: Principles and Evidence for Practice. 2nd ed. Open University Press, Maidenhead.
Journals:
International Journal of Palliative Care Nursing
Palliative Medicine
Websites:
Ambitions for Palliative and End of Life Care – http://endoflifecareambitions.org.uk/
Hospice UK – http://www.hospiceuk.org/
Macmillan Cancer Support – Learn Zone http://learnzone.org.uk/
Marie Curie Palliative Care Institute – http://www.mcpcil.org.uk/
National Council for Palliative Care – http://www.ncpc.org.uk/professionals
National End of Life Care Intelligence Network – http://www.endoflifecare-intelligence.org.uk/home
St Christopher’s Hospice – http://www.stchristophers.org.uk/healthcareprofessionals
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Summative assessment
Assignment 1: Academic assignment
N.B. This is to be submitted online through TurnItIn accessed via the KEATS module page A 2,000-word essay contributing 100% of the course mark. This assignment will demonstrate learning from the module, linking theoretical knowledge and clinical practice. Title: Critically evaluate the nursing assessment of one core issue/concern experienced by a palliative patient in your care, with reference to the literature, and incorporating the wider implications for palliative care nursing in the setting in which you work. Guidelines – the assignment should include:
Introduction/background/overview to patient and family, and rationale for selection of this patient and the issue.
Acknowledgement of the professional issues of consent and confidentiality with current reference.
Brief demonstration of an understanding of the selected issue in the context of palliative care.
Critical discussion of the quality of assessment that was undertaken of the patient and/or family, with a focus on the selected issue and the implications for effective management of the issue/concern.
Brief discussion of the wider implications of this issue in relation to palliative care nursing in the setting in which you work.
Conclusion.
Assignment 2: Practice based workbook
N.B. This is to be submitted as a hard copy to Nightingale Student Hub. The workbook can be downloaded from the module page on KEATS and must be completed within the practice setting. The verification sheet must be signed by your practice-based facilitator or manager prior to submission and a coversheet attached to the front.
Please complete all parts of the workbook. It will either be marked a pass or fail.
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Submitting coursework Coursework submission are provided on the modules KEATS site. It is essential that you use your candidate number on all assignments/examinations. Your candidate number, which will begin with Z for the academic year 2018/19 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 on “mitigating circumstances”. If you require further support in these circumstances, you are advised to contact KCLSU. The university and its Examination Boards in the ten Faculties (Institutes/Schools, King's Learning Institute and the Association of King's College (AKC), work with over 500 external examiners to ensure the quality and standard of our taught awards. Find the latest report on the External Examiners Report page, navigate to the Faculty’s section.
Submission dates for coursework Occurrence 2 (Term 3) Assignment 1 Tuesday 16 July 2019 by 11:59 am Assignment 2 (Practice based workbook) Tuesday 30 July 2019 by 11:59 am
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 a hard copy, please ensure you date stamp it and submit it to the submission room G15 James Clerk Maxwell Building. If your assignment is submitted electronically through TurnItIn, information about how to submit late will be provided on KEATS module sites under assessment information. Please label the file with your candidate number and double-check you have submitted the correct file. The external examiner for this module is Dr Brian Nyatanga. Students are not to make direct contact with external examiners, regarding their individual performance in assessments.
Results and resubmissions for coursework
Students will receive a provisional (unratified) mark for their coursework 4 weeks following submission of Assignment 2. 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 Nightingale Student Hub. To collect a hard copy assignment, you must provide your candidate number. Alternatively, you may send a stamped addressed envelope to the Nightingale Student Hub ensuring that this is large enough to accommodate your assignments and that you have 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 Records 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 on KEATS. Please also refer to the section 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 or please use King’s Libguides site.
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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 Chris Mangar. 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 resubmit your work.
Resubmission date: Tuesday 15 October 2019 by 11:59 am
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Topics & Indicative Reading Topics may not be presented in the order below.
Topic: Care of the Dying Person
By the end of the module the student will be able to: 1. Critically reflect on why the Liverpool Care Pathway (LCP) failed a tool 2. Understand how to use the 5 Priorities of Care to ensure individualised care at end of life
Reading Material:
Department of Health. (2013) More Care, Less Pathway: A review of the Liverpool Care Pathway. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/212450/Liverpool_Care_Pathway.pdf (Last accessed 17 July 2018).
Leadership Alliance for the Care of Dying People. (2014) One chance to get it right Improving people's experience of care in the last few days and hours of life. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/323188/One_chance_to_get_it_right.pdf, (Last accessed 17 July 2018).
National Institute for Health and Care Excellence. (2017) Care of dying adults in the last days of life. Quality standards [QS144]. https://www.nice.org.uk/guidance/qs144, (Last accessed 17 July 2018).
Topic: Defining Palliative & End of Life Care
By the end of the module the student will be able to:
Identify and explore the key principles within the philosophy of palliative and end of life care;
Begin to explore the impact of a life-limiting illness on the patient and family;
Discuss potential cultural differences in relation to attitudes towards death and dying
Begin to critically reflect on palliative care principles in relation to own practice. Reading Material:
Becker R. (2009) What is Palliative Care Nursing? In: Becker R. & Gamlin R. Fundamental Aspects of Palliative Care Nursing. Quay Books, Salisbury. 1-10.
De Souza J. & Pettifer A. (2013) End-of-life nursing care: A Guide for Best Practice. SAGE Publications Ltd, London.
Ferrell B. & Coyle N. (2008) The Nature of Suffering and the Goals of Nursing. Oxford University Press, Oxford.
Mitchell H., Noble S., Finlay I. & Nelson A. (2015) Defining the palliative care patient: its challenges and implications for service delivery. BMJ Supportive & Palliative Care, 5, 46-52.
Payne S., Seymour J. & Ingleton C. (2008) Introduction. In: Payne S., Seymour J. & Ingelton C. (eds) Palliative Care Nursing. Principles and Evidence for Practice. 2nd ed. Open University Press, Maidenhead.
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Topic: Common Symptoms at End of Life
By the end of the module the student will be able to:
Reflect on the common physiology of advanced disease and resulting symptoms
Identify and evaluate risk factors associated with specific life-limiting conditions. Reading Material:
Cherny N., Fallon M., Kaasa S., Portenoy R. & Currow D. (eds) (2015) Oxford Textbook of Palliative Medicine. 5th ed. Oxford University Press, Oxford.
Ferrell B., Coyle N. & Paice J. (2015) Oxford Textbook of Palliative Nursing. 4th ed. Oxford University Press, Oxford.
Sykes N., Edmonds P. & Wiles J. (eds) (2004) Management of Advanced Disease. 4th ed. Arnold, London.
Topic: Principles of Holistic Assessment
By the end of the module the student will be able to:
Discuss the principles of a comprehensive palliative care assessment of the needs of a patient and family (to include physical, social, emotional, spiritual and cultural elements)
Explore the issues involved when negotiating clinical options with the patient, family and multi-professional team
Discuss the appropriate decision-making responsibilities of the multi-professional team, and the major ethical principles involved
Identify the emergencies/crises that can occur in palliative care (including the causes) and how to assess for potential risk factors.
Reading Material:
Blows W. (2018) The Biological Basis of Clinical Observations. 3rd ed. Routledge, London.
English V. (2007) Withholding and Withdrawing Life Prolonging Treatments. 3rd ed. Wiley-Blackwell.
Ferrell B., Coyle N. & Paice J. (2015) Oxford Textbook of Palliative Nursing. 4th ed. Oxford University Press, Oxford.
Fitzimmons D. & Amedzai S. (2004) Approaches to assessment in palliative care. In: Payne S., Seymour J. & Ingleton C. (eds) Palliative Care Nursing. Principles and Evidence for Practice. Open University Press, Maidenhead. 163-185.
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Topic: Interpersonal Communication
By the end of the module the student will be able to:
Reflect on the impact of good communication skills on the nurse/patient relationship
Examine the theory and research that underpin effective communication at the end of life
Evaluate approaches to working with barriers to communication. Reading Material:
Thomas K. & Lobo B. (2010) Advance Care Planning in End of Life Care. Oxford, Oxford University Press.
Bramhall E. (2014) Effective communication skills in nursing practice. Nursing Standard. 29(14), 53-59.
Topic: Delivering End of Life Care in the Community
By the end of the session the student will be able to:
Explore barriers to optimum delivery of end of life care in the community
Reflect on proposed tools and strategies to improve end of life care in the community. Reading Material:
Gold Standards Framework (2011) http://www.goldstandardsframework.org.uk/Resources/Gold%20Standards%20Framework/Acute%20Hospitals%20Project/GSFAH%20%20Phase%201%20Report%20Public%20Final.pdf
Gold Standards Framework (2016) Proactive Identification Guidance. http://www.goldstandardsframework.org.uk/cd-content/uploads/files/PIG/NEW%20PIG%20-%20%20%2020.1.17%20KT%20vs17.pdf (Last accessed 10 August 2017).
Public Health England (2013) What we know now 2013- New information collated by the National End of Life Intelligence Network. Crown Copyright. http://www.endoflifecare-intelligence.org.uk/view?rid=771 (last accessed 10 August 2017).
Thomas K. (2003) Caring for the Dying at Home: Companions on the Journey. Radcliffe Medical Press, Abingdon.
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Topic: End of Life Care in Acute Hospitals
By the end of the module the student will be able to:
Explore barriers to optimum delivery of end of life care in an acute setting
Reflect on proposed tools and strategies to improve end of life care in an acute setting. Reading Material:
Edmonds P., Burman R. & Prentice W. (2009) End of life care in the acute hospital setting. British Medical Journal. 339, b5048.
Guy’s and St Thomas’ NHS Foundation Trust (2012) http://www.ambercarebundle.org/
Department of Health (2013) More Care, Less Pathway: a review of the Liverpool care pathway https://www.gov.uk/government/publications/review-of-liverpool-care-pathway-for-dying-patients
NHS England (2015) Transforming End of Life Care in Acute Hospitals the Route to Success ‘how to’ guide. NHS England. https://www.england.nhs.uk/wp-content/uploads/2016/01/transforming-end-of-life-care-acute-hospitals.pdf (last accessed 16 July 2018).
Topic: Assessment of Pain
By the end of the module the student will be able to:
Explore the multi-dimensional nature of pain;
Analyse selected major types of pain in relation to relevant anatomy, physiology and pathology.
Discuss the principles underpinning treatment and management of the major types of pain;
Discuss the principles and methods of initial and ongoing pain assessment. Reading Material:
Hanks G., Cherny N.I. & Fallon M. (2015) Opioid analgesic therapy. In: Doyle D., Hanks G.W., Cherny N. & Calman K. (eds) Oxford Textbook of Palliative Medicine. 3rd ed. Oxford University Press, Oxford. 316-341.
Lussier D. & Portenoy R.K. (2015) Adjuvant analgesics in pain management. In: Doyle D., Hanks G.W., Cherny N. & Calman K. (eds) Oxford Textbook of Palliative Medicine. 3rd ed. Oxford University Press, Oxford. 349-378.
Payne R. & Gonzales G. (2015), Pathophysiology of pain in cancer and other terminal diseases. In: Doyle D., Hanks G. & MacDonald N. (eds) Oxford Textbook of Palliative Medicine. 3rd ed. Oxford University Press, Oxford. 288-297.
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Topic: Assessment of Gastrointestinal Symptoms
By the end of the module the student will be able to:
Identify and discuss the major gastrointestinal symptoms (e.g. oral symptoms, nausea, vomiting, intestinal obstruction, diarrhoea and constipation etc.) identifying possible causes
Reflect on the impact of these symptoms on the patient’s and family’s well-being. Reading Material:
Pace V. (2004) Nausea and vomiting. In: Sykes N., Edmonds P. & Wiles J., (eds). Management of Advanced Disease. 4th ed. Arnold, London. 156-167.
Sykes N. (2004) Constipation and diarrhoea. In: Sykes N., Edmonds P. & Wiles J. (eds). Management of Advanced Disease. 4th ed. Arnold, London. 94-100.
National Institute of Health and Care Excellence. (2016) Palliative Care – Nausea and Vomiting. Clinical Knowledge Summary. https://cks.nice.org.uk/palliative-care-nausea-and-vomiting (last accessed 10 August 2017).
Topic: Assessment of Breathlessness
By the end of the module the student will be able to:
Identify selected examples of the multiple causes of breathlessness;
Explore the psychological and social impact of breathlessness on the patient and family;
Explore strategies and tools of assessment of the breathless patient. Reading Material:
Hennoch et al (2008) Dyspnoea experience and management strategies in patients with lung cancer Psycho-Oncology, 17(7), 709–1.
Simon et al (2013) Episodes of breathlessness: types and patterns - a qualitative study exploring experiences of patients with advanced diseases Palliative Medicine. 27(6), 524-32.
Breathlessness Intervention Service (videos, patient leaflets etc) http://www.cuh.org.uk/breathlessness-intervention-service-bis
National Institute of Health and Care Excellence. (2016) Palliative care – dyspnoea. Clinical Knowledge Summary. https://cks.nice.org.uk/palliative-care-dyspnoea (last accessed 10 August 2017).
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Topic: Skin & Wound Assessment
By the end of the module the student will be able to:
Reflect on the principles of skin and wound care in the palliative care setting
Discuss the rationale for effective assessment to support appropriate treatment including dressing selection in palliative care
Examine evaluation strategies in palliative wound management, including the patient experience
Reflect on potential related body image issues which may be experienced by patients Reading Material:
Grocott P. & Dealey C. (2011) Skin problems in palliative medicine: nursing aspects. In: Doyle D., Hanks G.W., Cherny N. & Calman K. (eds) (2015) Oxford Textbook of Palliative Medicine. 4th ed. Oxford University Press, Oxford.
Grocott P., Gethin G. & Probst S. (2013) Malignant wound management in advanced illness: new insights. Current Opinion Supportive and Palliative Care, 7, 101-105.
Naylor W.A. (2005) A guide to wound management in palliative care. International Journal of Palliative Nursing 11(11), 572-579.
Topic: Assessment of Mental State
By the end of the module the student will be able to:
Examine the concepts of anxiety, depression and agitation in the context of palliative care
Evaluate appropriately selected tools used to assess mental state. Reading Material:
Bryan L. & Scott S. (2008) The assessment of mental state in advanced stage of disease. End of Life Care Journal. 2(1).
Udo I., Mohammed Z. & Gash A. (2013) Psychiatric Issues in Palliative Care: Assessing Mental Capacity. Palliative Care, 7, 37–42. http://doi.org/10.4137/PCRT.S10889 (Last accessed 10 August 2017).
Topic: Assessment of the Needs of a Person with Advanced Dementia
By the end of the module the student will be able to:
Reflect on signs of dying in the patient with advanced dementia
Evaluate symptom assessment of patients with dementia at the end of life
Discuss role and experience of carers of patients with advanced dementia. Reading Material:
Kelly F. & Innes A. (2010) End of Life Care for People with Dementia: A Best Practice Guide. Dementia Services Development Centre, University of Stirling.
Zwakhalen S., Hamers J., Abu-Saad H. & Berger M. (2006) Pain in elderly people with severe dementia: A systematic review of behavioural pain assessment tools. BMC Geriatrics 2006 6(3).
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Topic: Spiritual & Cultural Needs – Concepts & Strategies for Assessment & Support
By the end of the module the student will be able to:
Define the concepts of culture, spirituality and religion and analyse their inter-relationship
Evaluate the impact of cultural and religious practices
Identify strategies to assess and support a person’s spiritual health and discuss implementation of these.
Reading Material:
Puchalski C. et al (2009) Improving the Quality of Spiritual Care as a Dimension of Palliative Care: The Report of the Consensus Conference Full. Journal of Palliative Medicine. October 2009, 12(10), 885-904.
Topic: Loss & Bereavement – Theory, Assessment & Reflection
By the end of the module the student will be able to:
Appraise models and theories of grief;
Analyse normal and abnormal grief, and explore appropriate management strategies;
Analyse bereavement risk assessment tools and identify appropriate tools for own practice;
Explore the legal requirements following a death, and the potential impact of these on the family
Explore strategies which can be employed by the multi-professional team to effectively reflect (after patient death) on care provided.
Reading Material:
Firth P., Luff G. & Oliviere D. (eds) (2005) Loss, Change and Bereavement in Palliative Care. Open University Press, Maidenhead.
Kissane D.W. & Bloch S. (2002) Family Focused Grief Therapy. Open University Press, Maidenhead.
Small N. (2001) Theories of grief: a critical review. In: Hockley J., Katz J. & Small N. (eds.), Grief, Mourning and Death Ritual, Maidenhead, Open University Press 14-48.
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Topic: Assessing the Needs of Children Facing Loss
By the end of the module the student will be able to:
Explore the development of the child’s understanding of loss and death, and their resulting needs;
Explore strategies for supporting parents/ grandparents (or guardians) in managing children affected by loss;
Identify and explore the factors which will lead to effective communication with children affected by loss.
Reading Material:
Monroe B. & Sheldon F. (2004) Psychosocial dimensions of care. In: Sykes N., Edmonds P. & Wiles J. (eds) Management of Advanced Disease. 4th ed. Arnold, London. 405-437.
Monroe B. & Kraus F. (2005) Brief Interventions with Bereaved Children. Oxford, Oxford University Press.
Topic: Assessing our Own Resilience
By the end of the module the student will be able to:
Examine the impact on professionals of working with dying patients and their families;
Reflect on our own responses and personal management strategies;
Consider and explore new strategies for developing resilience as a professional practitioner. Reading Material:
Maslach C. (2003) Job Burnout: new directions in research and interventions. Current Directions in Psychological Science 12(5), 189-192.
Renzenbrink I. (2004) Relentless Self-care chapter 44 in Siverman P. & Berzoff J. (eds) (2004) Living with Dying: A Handbook for Health Practitioners in End of Life Care. Columbia University Press.
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Module evaluation As part of the university’s Student Voice Strategy, King’s uses an electronic module evaluation system known as EvaSys. This provides an opportunity for you to feedback on different aspects of the module through a series of pre-set questions and qualitative comments. At the end of the module you will receive an automated invitation via your KCL email account to complete your evaluation online.
Please take the time to complete as your feedback is important. It informs ongoing developments to individual modules to ensure that the learning needs and expectations of the Faculty’s student community are met to a high standard.
To strengthen the feedback cycle, a report summarizing the quantitative results for the module as a whole and the module lead’s reflections on your feedback will be sent to you after the online evaluation survey has closed.
Actions from previous evaluations Lengths of some sessions have been adjusted.
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Timetable – 6KNIS321, Occurrence 2; term 3 Note this is only a draft and is dependent on the availability of presenters. The most up-to-date timetable can be found online here: https://timetables.kcl.ac.uk/ Please login in using your k-number and password. .
Palliative End of Life Care Term 3 Timetable (6KNIS321)
Teaching mode
Date Type of session
Title Time Room Lecturer
University based study
7 May 2019 Lecture
Introduction to course 10:00-11:00
FWB 2.45 Chris Mangar Defining palliative & end of life care. National policy & challenges to delivery of care in all settings
11:00-13:00
Interpersonal communication in palliative & end of life care
14:00-15:15 FWB 2.42
TBC
Common symptoms at end of life 15:15-16:15 Jo de Souza
University based study
8 May 2019 Lecture
Principles of holistic assessment – part 1 09:00-11:00 FWB 2.45
Chris Mangar Principles of holistic assessment – part 2 11:00-13:00
FWB 2.45 & 2.48
End of life care in acute & community practice 14:00-1600 WBW 2.45
TBC, (Guy’s & St Thomas’ NHS Foundation) Trust
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University based study
3 June 2019
Lecture
Welcome to St Christopher’s
Overview of St Christopher’s library & administrative issues
09:30-10:00
SCH Lecture Theatre
Chris Mangar
Assessing goal, priorities and preferences 10:00-11:15 AHP Team
Assessing pain 11:30-13:00 Ros Cook; Consultant Nurse
Palliative care emergencies 13:45-15:00 Chris Mangar
Assessing the needs of the person with dementia
15:15-16:30 Helen Scott, Lecturer
Tutorials 16:30 Chris Mangar
University based study
4 June 2019
Tutorials 09:00-09:30
SCH Lecture Theatre
Chris Mangar
Lecture
Assessing spiritual and cultural needs 09:30-10.45
Assessing mental state and support 11:00-12:30 Kathy Burn, CNS and CBT Therapist
Assessing breathlessness 13:15-14:15 AHP Team
Skin & wound assessment 14:15-15:15 Claire Roberts Staff Nurse IPU
Assessing gastrointestinal symptoms 15:30-16:30 Chris Mangar
Tutorials 16:30
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University based study
5 June 2019
Tutorials 09:30-10:15
SCH Lecture Theatre
Chris Mangar
Lecture
Assignments & module evaluation 10:15-10:45
Loss & bereavement: theory, assessment & reflection
10:45-11:45
Alison Summers; Bereavement Services Coordinator
Assessing the dying adult 12:00- 13:00 Kathy Morris, Nurse Lecturer
Assessing the needs of children facing loss 13:45-15:00 Julie Shelton, Social Worker
Assessing our own needs 15:00-16:00 Chris Mangar
Tutorials 16:00 Module leaders
Location key: FWB – Franklin-Wilkins Building, Waterloo Campus JCMB – James Clerk Maxwell Building, Waterloo Campus WBW – Waterloo Bridge Wing, Waterloo Campus SCH – St Christopher's Hospice, Sydenham
