MODULE SPECIFICATION TEMPLATE

MODULE DETAILSModule title End of Life: Principles of CareModule code NA6143Credit value 20LevelMark the box to the right of the appropriate level with an ‘X’

Level 4 Level 5 Level 6 X Level 7 Level 8Level 0 (for modules at foundation

level)

Entry criteria for registration on this modulePre-requisitesSpecify in terms of module codes or equivalent

Normal course entry requirements apply

Co-requisite modulesSpecify in terms of module codes or equivalent

Module deliveryMode of delivery Taught X Distance Placement Online

Other

Pattern of delivery Weekly X Block Other

When module is delivered Semester 1 Semester 2 X Throughout yearOther

Brief description of module content and/ or aimsOverview (max 80 words)

This module has been developed so for those involved in caring for the dying in order for them to critically review the basis of their practice. Challenges to approaches to the assessment and planning of care of the dying will be presented in order for students to develop critical reflective and analytical skills. A sound theoretical underpinning will be provided regarding key issues/concepts which affect practice enabling students to develop comprehensive knowledge and increased competence.

Module team/ author/ coordinator(s)

Liz Watson (Module Leader), Rachel Reed, Di Collins.

School SNMSite/ campus where delivered

St Barnabas Hospice (Worthing)

Course(s) for which module is appropriate and status on that courseCourse Status (mandatory/ compulsory/

optional)BSc(Hons) Professional Practice Optional

MODULE AIMS, ASSESSMENT AND SUPPORTAims To critically explore the precepts surrounding the care and

management of patients who are dying and those close to them.

Learning outcomes On successful completion of the module the student will be able to:

1. Critically analyse the importance of palliative care its application to your own area of practice.

2. Critically analyse the concepts of suffering and comfort with reference to the precepts identified by Saunders;

3. Recognise and assess common distressing end of life symptoms and critically appraise the care that is required within the context of multi-professional teamwork and interagency partnerships

4. Consider the ethical and legal imperatives in symptom management with reference to statutory initiatives and judgements at common law;

5. Develop critical self awareness, reflective ability and recognise the importance of ‘caring for self’ when caring for the dying patient.

6. Critically reflect on how personal experience, evidence-based practice, culture and beliefs may influence practice in palliative and end of life care.

7.Content Concepts and definitions of palliative care (formed by current

political and sociological thinking)The nature of suffering and providing comfortAssessment and management of symptoms and planning care from a physical; emotional; psychological; spiritual and social perspective.Communication skills – breaking bad news etc.Multi-professional working in palliative and end of life careLaw and ethics in end of life careComplementary therapies their use and value in end of life care.Caring for ourselvesGrief and bereavement

Learning support A good range of library resources, specialist websites and online learning resources support student learning.

Up-to-date reading lists, suggested websites, journals and online learning resources will be provided on commencement of the module, using Studentcentral.

Indicative ReadingLatest editions of the following texts:Addington-Hall, J.M. et al. 2007. Research methods in palliative care, Oxford. University PressAitken, S. 2009. Community Palliative Care: The Role of the Clinical Nurse Specialist, Oxford. John Wiley & SonsClark, D. 2006. Cicely Saunders, selected writings 1958-2004. Oxford. Oxford University PressDickman, A. 2012. Drugs in Palliative Care, Oxford. Oxford University PressDickman, A. 2011. Schneider, The Syringe Driver: Continuous subcutaneous infusions in palliative care, Oxford. Oxford University PressEllershaw, J. and S. Wilkinson. 2010. Care of the Dying: A pathway to excellence. Oxford. Oxford University Press

Key Websiteswww. advancecareplanning .org.uk www.carenotkilling.orgwww. cruse bereavementcare.org.uk www. endoflifecare .nhs.uk www.goldstandardsframework.org.ukwww.liv.ac.uk/mcpcil/ liverpool - care - pathway

Key Journals:

European Journal of Cancer Care International Journal of Palliative Nursing Journal of Advanced Nursing Progress in Palliative Care Palliative Medicine BMJ Supportive and Palliative Care

Other resourcesResources are available within the library of the hospice in which the module is delivered.

Teaching and learning activities

Details of teaching and learning activities

Teaching and learning strategies will include lectures, discussion, group work, case scenarios, service user involvement and student led seminars. The use of Student Central and web based resources will be emphasised. Mentors will assess the students in clinical practice.

Allocation of study hours (indicative)Where 10 credits = 100 learning hours

Study hours

SCHEDULED This is an indication of the number of hours students can expect to spend in scheduled teaching activities including lectures, seminars, tutorials, project supervision, demonstrations, practical classes and workshops, supervised time in workshops/ studios, fieldwork, external visits, and work-based learning.

70

GUIDED INDEPENDENT STUDY

All students are expected to undertake guided independent study which includes wider reading/ practice, follow-up work, the completion of assessment tasks, and revisions.

130

PLACEMENT The placement is a specific type of learning away from the University that is not work-based learning or a year abroad.

TOTAL STUDY HOURS 200

Assessment tasks

Details of assessment for this module

The assessment contains both theory and practice.Theory 50% 2.500 word assignment (L.O 1,2,4,5,6).The purpose of the assignment will be to assess the understanding of the student in relation to the stated learning outcomes of the module.To enable this to be done you will be required to write a fully supported essay of 2,500 words on one of the following titles:1) The notion of 'Total Pain' is well described in the literature relating to the care of people at the end of life.  How might a nurse use this idea when planning care for a patient who refuses to take their prescribed analgesia within a generic in patient multidisciplinary

setting?2)  What measures can the nurse take to aid the comfort of a patient who wishes to die in their preferred place of care?

Practice 50% (L.O. 3)Skills inventory - students are required to successfully pass allmandatory skills. Whist the skills are graded and a pass of 40%is required for successful completion of this module, the gradeswill not be used in the final calculation of the overall modulegrade.

Assessment of the patient requiring palliative care. Use of the World Health Organisation's analgesic ladder Morphine titration Management of a syringe driver Mouth care Assessing and monitoring the symptom of constipation for a

patient at end of life

Must pass both elements to pass the moduleTypes of assessment task1

Indicative list of summative assessment tasks which lead to the award of credit or which are required for progression.

% weighting(or indicate if component is pass/fail)

WRITTEN Written exam

COURSEWORK Written assignment/ essay, report, dissertation, portfolio, project output, set exercise

50%

PRACTICAL Oral assessment and presentation, practical skills assessment, set exercise

50%

EXAMINATION INFORMATIONArea examination board BSc(Hons) Professional Practice

Refer to Faculty Office for guidance in completing the following sections

External examiners

Name Position and institution Date appointed Date tenure ends

Michelle Brown Senior Lecturer, University of Derby

1.9.12 31.8.16

QUALITY ASSURANCEDate of first approvalOnly complete where this is not the first versionDate of last revision 2008

1Set exercises,which assess the application of knowledge or analytical, problem-solving or evaluative skills, are included under the type of assessment most appropriate to the particular task.

Only complete where this is not the first versionDate of approval for this version

June 2013

Version numberModules replacedSpecify codes of modules for which this is a replacement

NA2117, NA3143

Available as free-standing module? Yes x No