End of life qualifications mapping to E:ELCA modules EOL 306 – Optional Component for Level 2, 3 and 5 - Support individuals during last days of life Before 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 criteria Module Ref no. Session Specific Integrating learning module - There are range of case specific scenarios(sessions 05_01 to 05_09) in relating to certain conditions, cardiac arrest, motor neurone disease, COPD, renal disease and dementia which could be helpful in the given circumstances. Sessions 05_13 to 05_17 cover differing scenarios around dying such as in prison or as a homeless person that may also be useful. Understand the impact of the last days of life on the individual and others Describe psychological aspects of the dying phase for the individual and others Assessment Assessment Communication Symptom Management Symptom Management 02_05 02_14 03_22 04_24 04_26 Assessment of psychological wellbeing Assessment of dying phase and after death ‘Am I dying?’ How long have I got?’ – handling challenging questions Managing death rattle Managing distress during the dying phase Analyse the impact of the last days of life on the relationships between individuals and others Symptom Management Integrating 04_23 05_13 Recognising the dying phase, last days of life and verifying death When dying process is protracted or unexpectedly fast Understand how to respond to common symptoms in the last days of life Describe the common signs of approaching death Assessment Symptom Management 02_14 04_23 Assessment of dying phase and after-death Recognising the dying phase, last days of life and
Symptom Management Symptom Management 04_24 04_25 verifying death Managing death rattle Managing agitation and restlessness in the dying phase Explain how to minimise the distress of symptoms related to the last days of life Symptom management Symptom Management 04_26 04_35 Managing distress during the dying phase Assessment and management of agitation Describe appropriate comfort measures in the final hours of life Symptom management 04_36 to 04_41 These sessions cover management of advanced illness symptoms that may be useful Explain the circumstances when life-prolonging treatment can be stopped or withheld Advance Care Planning Advance Care Planning Communication Symptom Management Integrating Learning 01_05 01_06 03_30 04_05 05_17 Advance decision to refuse treatment (ADRT) – principles Advance decision to refuse treatment (ADRT) – in practice Discussing ‘do not attempt CPR’ decisions Influence of transition points and crisis on decision making in symptom management Dying in intensive care unit Identify the signs that death has occurred Symptom Management 04_23 Recognising the dying phase, last days of life and verifying death
Be able to support individuals and others during the last days of life Demonstrate a range of ways to enhance an individual’s well- being during the last days of life Assessment Symptom management Social Care Spirituality 02_05 04_36 to 04_41 06_06 08_04 Assessment of psychological well being These sessions cover management of advanced illness symptoms that may be useful End of life care in care homes and domiciliary care settings Spiritual resources and quality of life Work in partnership with others to support the individual’s well-being Symptom Management Social Care Spirituality 04_03 06_02 08_05 Communicating the plan of management and care Palliative care social work Spirituality and the multidisciplinary team Describe how to use a range of tools for end of life care according to agreed ways of working Advance Care Planning Advance Care Planning Assessment Integrating Learning Integrating Learning 01_04 01_17 02_19 05_21 05_22 ACP in practice: using end of life care tools Developing ACP in your organisation Uses and limitations of assessment tools A unified DNACPR Policy Using the NHS Continuing Healthcare Fast Track Pathway Tool Support others to understand the process following death according to agreed ways of working Integrating Learning Integrating Learning 05_19 05_20 Care after death I – Introduction to care after death Care after death II –
Providing personal care after death Be able to respond to changing needs of an individual during the last days of life Explain the importance of following the individual’s advance care plan in the last days of life Advance Care Planning Advance Care Planning Assessment Communication Symptom Management 01_02 01_03 02_16 03_34 04_04 Cultural and spiritual considerations in ACP Benefits and risks of ACP to patients, families and staff Identify the patient’s goals and priorities Dealing with challenging relatives Individual preferences and cultural influence on symptom management Record the changing needs of the individual during the last days of life according to agreed ways of working Advance Care Planning Advance Care Planning Symptom Management 01_14 01_16 04_05 How to document conversations about advance care planning How to review previous ACP decisions Influence of transition points and crises on decision making in symptom management Support the individual when their condition changes according to agreed ways of working Advance care planning Assessment Symptom Management 01_16 02_13 04_05 How to review previous ACP decisions Assessing urgent situations with limited information Influence of transition points and crises on
caring for and transferring a deceased person Care after death II – Providing personal care after death Explain ways to support others immediately following the death of the individual Assessment Bereavement 02_14 07_01 to 07_06 Assessment of dying phase and after death These sessions cover aspects of bereavement that will be useful and it is recommended that the learner work through all the given sessions Be able to manage own feelings in relation to an individual’s dying or death Identify ways to manage own feelings in relation to an individual’s death Symptom Management Bereavement 04_26 07_01 Managing distress during the dying phase Talking about death and dying Use support systems to manage own feelings in relation to an individual’s death Bereavement 07_05 Emotional support and signposting