HSC 3048 - Skills for Care

?End of life qualifications mapping to E:ELCA modulesHSC 3048 – Optional Level 3 – Support individuals at the end of lifeBefore utilising the e-learning sessions it is recommended that the session Introduction to e-learning for End of Life Care (e-ELCA) 00_01 is undertaken. Note: The usefulness of the sessions will be dependent on the level of prior knowledge and competence of the learner.Learning outcome Assessment CriteriaModuleRef. NoSessionSpecific1. Understand the requirements of legislation and agreed ways of working to protect the rights of individuals at the end of life1.1 Outline legal requirements and agreed ways of working designed to protect the rights of individuals in end of life careAdvance Care PlanningAdvance Care PlanningAdvance Care PlanningCommunicationIntegrating LearningIntegrating LearningSocial Work01_0101_0501_0703_2105_2105_2206_05Introduction to principles of ACPAdvance Decisions to Refuse Treatment principlesMental Capacity Act: aims and principlesLegal and ethical issues embedded in communicationA unified DNACPR PolicyUsing the NHS Continuing Healthcare Fast Track Pathway ToolHospital social work1.2 Explain how legislation designed to protect the rights of individuals in end of life care applies to own job roleNot covered2. Understand factors affecting end of life care2.1 Outline key points of theories about the emotional and psychological processes that individuals and key people may experience with the approach of deathAssessment02_05Assessment of psychological wellbeing2.2 Explain how the beliefs, religion and culture of individuals and key people influence end of life careAdvance Care PlanningAssessmentCommunicationSymptom ManagementSpirituality01_0202_0803_0504_0408_01Cultural and spiritual considerations in ACPContext of assessment: cultural and language issuesCultural and language in communicationIndividual preferences and cultural influences on symptom managementSpirituality and the philosophy of end of life care2.3 Explain why key people may have a distinctive role in an individual’s end of life careNot covered2.4 Explain why support for an individual’s health and well-being may not always relate to their terminal conditionAssessmentAssessmentSymptom ManagementSymptom ManagementIntegrating Learning02_0602_1604_0404_3005_15 and05_16Assessment of social and occupational wellbeingIdentifying the patients goals and prioritiesIndividual preferences and cultural influences on symptom managementSymptom management complicated by coexisting conditionsThese scenarios cover dying in prison or as a homeless person and may be useful3. Understand advance care planning in relation to end of life care3.1 Describe the benefits to an individual of having as much control as possible over their end of life careAdvance Care PlanningAssessmentSymptom Management01_0302_1604_04Benefits and risks of ACP to patients, families and staffIdentifying the patients goals and prioritiesIndividuals preferences and cultural influences on symptom management3.2 Explain the purpose of advance care planning in relation to end of life careAdvance Care Planning01_01Introduction to principles of ACP3.3 Describe own role in supporting and recording decisions about advance care planningAdvance Care PlanningAdvance Care PlanningAdvance Care Planning01_1401_1501_18How to document conversations about advance care planningHow to negotiate decisionswhich may be difficult to implementDeveloping your practice, clinical supervision, further reading3.4 Outline ethical and legal issues that may arise in relation to advance care planningAdvance Care PlanningAdvance Care PlanningAdvance Care PlanningCommunicationCommunication01_0101_0501_0703_2103_19 and03_20Introduction to principles of ACPAdvance Decisions to Refuse Treatment principlesMental Capacity Act: aims and principlesLegal and ethical issues embedded in communicationThese sessions cover request for organ and tissue donation as well as euthanasia that may be helpful4. Be able to provide support to individuals and key people during end of life care4.1 Support the individual and key people to explore their thoughts and feelings about death and dyingAdvance Care PlanningAdvance Care PlanningAssessmentCommunicationBereavement01_1201_1302_0703_2207_01How to get started and get the timing rightHow to handle patients questions and concernsAssessment of spiritual wellbeing‘Am I dying?’ How long have I got?’ handling challenging questionsTalking about death and dying4.2 Provide support for the individual and key people that respects their beliefs, religion and cultureAdvance Care PlanningAssessmentCommunicationSymptom ManagementSpirituality01_0202_0803_0504_0408_01Cultural and spiritual considerations in ACPContext of assessment: cultural and language issuesCultural and language in communicationIndividual preferences and cultural influences on symptom managementSpirituality and the philosophy of end of life care4.3 Demonstrate ways to help the individual feel respected and valued throughout the end of life periodAdvance Care PlanningAssessmentCommunicationSymptom ManagementSpirituality01_0202_0803_0504_0408_01Cultural and spiritual considerations in ACPContext of assessment: cultural and language issuesCultural and language in communicationIndividual preferences and cultural influences on symptom managementSpirituality and the philosophy of end of life care4.4 Provide information to the individual and/or key people about the individual’s illness and the support availableAdvance Care PlanningAssessmentCommunicationCommunicationSymptom Management01_1402_1703_1403_3404_03How to document conversations about advance care planningDocumentation, communication and coordinationInformation givingDealing with challenging relativesCommunicating the plan of management and care4.5 Give examples of how an individual’s well-being can be enhanced by: ? environmental factors? non-medical interventions ? use of equipment and aids? alternative therapiesAssessmentCommunicationSymptom ManagementSymptom ManagementSocial Care02_0603_0404_2804_4006_01Assessment of social and occupational wellbeingTalking with ill people: considering the surrounding environment in which conversations take placeNon-drug interventions in symptom managementManagement of physical deteriorationSupporting people to live and die well 4.6 Contribute to partnership working with key people to support the individual’s well-beingAdvance Care PlanningSocial Care01_1706_01Developing ACP in your organisationSupporting people to live and die well5. Understand how to address sensitive issues in relation to end of life care5.1 Explain the importance of recording significant conversations during end of life careAdvance Care PlanningAssessmentCommunication01_1402_1703_13How to document conversations about advance care planningDocumentation, communication and coordinationWritten communication5.2 Explain factors that influence who should give significant news to an individual or key peopleAdvance Care PlanningAdvance Care PlanningCommunicationCommunicationIntegrating Learning01_1101_1503_1403_1505_01 to05_04Introduction to conducting conversations about advance care planningHow to negotiate decisions which may be difficult to implementInformation givingBreaking bad newsThese sessions cover differing scenarios around initiating conversations about end of life care that may be useful5.3 Describe conflicts and legal or ethical issues that may arise in relation to death, dying or end of life careCommunicationBereavement03_2107_02Legal and ethical issues embedded in communicationAssessment of carers needs5.4 Analyse ways to address such conflictsNot specifically covered, but embedded in other sessions highlighted in this section6. Understand the role of organisations and support services available to individuals and key people in relation to end of life care6.1 Describe the role of support organisations and specialist services that may contribute to end of life careAdvance Care PlanningAssessmentSocial CareBereavementSpirituality01_1702_0206_0107_0308_05Developing ACP in your organisationIntroduction to principles of assessment in end of life care: Part 2Supporting people to live and die wellPractical support after a bereavementSpirituality and the multidisciplinary team6.2 Analyse the role and value of an advocate in relation to end of life careNot covered6.3 Explain how to establish when an advocate may be beneficialAdvance Care PlanningAssessment01_0702_11Mental Capacity Act: aims and principlesAssessment through proxies6.4 Explain why support for spiritual needs may be especially important at the end of lifeAdvance Care PlanningAssessmentSpirituality01_0202_0708_01Cultural and spiritual considerations in ACPAssessment of spiritual wellbeingSpirituality and the philosophy of end of life care6.5 Describe a range of sources of support to address spiritual needsSpirituality08_01 to08_06These sessions make up the spirituality module and may be useful7. Be able to access support for the individual or key people from the wider team7.1 Identify when support would best be offered by other members of the teamAdvance Care PlanningSymptom ManagementSocial work01_0204_0606_02Cultural and spiritual considerations in ACPRecognising your own limitations in symptom managementPalliative care social work7.2 Liaise with other members of the team to provide identified support for the individual or key peopleNot specifically covered but embedded in a number of session already identified8. Be able to support individuals through the process of dying8.1 Carry out own role in an individual’s careAdvance Care Planning01_18Developing your practice, clinical supervision, further reading8.2 Contribute to addressing any distress experienced by the individual promptly and in agreed waysCommunicationSymptom ManagementSpirituality03_3304_2608_02Distress: the crying patientManaging distress during the dying phaseUnderstanding and assessing spiritual need and spiritual distress8.3 Adapt support to reflect the individual’s changing needs or responsesAdvance Care PlanningAssessmentSymptom Management01_1602_0402_1804_05How to review previous ACP decisionAssessment of dying phase and after deathFollowing up assessments and evaluating outcomesInfluence of transition points and crisis on decision making in symptom management8.4 Assess when an individual and key people need to be aloneCommunication03_03Communicating with ill people9. Be able to take action following the death of individuals9.1 Explain why it is important to know about an individual’s wishes for their after-death careAdvance Care Planning01_02Cultural and spiritual considerations in ACP9.2 Carry out actions immediately following a death that respect the individual’s wishes and follow agreed ways of workingAssessmentIntegrating LearningIntegrating Learning02_1405_1905_20Assessment of dying phase and after deathCare after death 1 – Introduction to care after deathCare after death 2 – Providing personal care after death9.3 Describe ways to support key people immediately following an individual’s deathAssessmentSymptom ManagementIntegrating LearningIntegrating LearningBereavement02_0904_2605_1305_1407_01 to07_06Bereavement assessment and supportManaging distress during the dying phaseWhen the dying process is protracted or unexpectedly fastSudden unexpected deathThese sessions make up the bereavement module and may be useful10. Be able to manage own feelings in relation to the dying or death of individuals10.1 Identify ways to manage own feelings in relation to an individual’s dying or deathAssessmentSymptom Management02_1404_26Assessment of dying phase and after deathManaging distress during the dying phase10.2 Utilise support systems to deal with own feelings in relation to an individual’s dying or deathNot covered ................
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