Social Care 1.3 Analyse legal and ethical issues relating to decision making at end of life Communication Communication Communication Communication 03_13 03_20 03_21 03_30 Written communication Request for euthanasia Legal and ethical issues embedded in communication Discussing ‘do not attempt CPR’ decisions 1.4 Explain how issues of mental capacity could affect end of life care Advance Care Planning Assessment Assessment Assessment Symptom Management Integrating Learning 01_09 02_11 02_12 04_29 05_09 Approaching ACP when capacity is uncertain, fluctuating or likely to deteriorate Assessment through proxies Assessing those with fluctuating mental capacity Symptom management in people with learning difficulties or mental health problems Case study: dementia 2 Understand current theory and practice underpinning end of life care 2.1 Describe the theoretical models of grief, loss and bereavement Advance Care Planning Assessment Bereavement Spirituality 01_02 02_08 07_01 08_03 Cultural and spiritual considerations in ACP Context of assessment: cultural and language issues Talking about death and dying Spiritual care and the models of spiritual intervention
2.2 Explain how grief and loss manifest in the emotions of individuals who are dying and others Advance Care Planning Advance Care Planning Assessment Communication Symptom Management Social Care Spirituality 01_02 01_13 02_05 03_29 04_26 06_01 08_02 Cultural and spiritual considerations in ACP How to handle patients’ questions and concerns Assessment of psychological well-being ‘Why me?’ – discussing spiritual distress Managing distress during the dying phase Supporting people to live and die well Understanding and assessing spiritual need and spiritual distress 2.3 Analyse how a range of tools for end of life care can support the individual and others Advance Care Planning Assessment Assessment Integrating Learning 01_04 02_01 02_19 05_22 ACP in practice: using end of life care tools Introduction to the principles of assessment in end of life care Part 1 Uses and limitations of assessment tools Using the NHS Continuing Healthcare Fast Track Pathway Tool 2.4 Explain the pathway used by your local health authority Not covered 2.5 Critically reflect on how the outcomes of national research can affect your workplace practices Not covered
3.5 Ensure there are sufficient and appropriate resources to support the delivery of end of life care services Not covered 3.6 Describe the possible role(s) of advocates in end of life care Not covered 3.7 Manage palliative care emergencies according to the wishes and preferences of the individual Advance Care Planning Assessment Symptom Management Integrating Learning Integrating Learning 01_03 02_13 04_05 05_11 05_12 Benefits and risks of ACP to patients, families and staff Assessing urgent situations with limited information Influence of transition points and crisis on decision making in symptom management Scenario: ambulance called to home Scenario: patient dying in acute hospital: optimising situation 3.8 Use a range of tools for end of life care to measure standards through audit and after death analysis Not covered 4 Be able to establish and maintain key relationships to lead and manage end of life care 4.1 Identify key relationships essential to effective end of life care Advance Care Planning Assessment Social Care Spirituality 01_17 02_02 06_01 08_05 Developing ACP in your organisation Introduction to principles of assessment in end of life care: Part 2 Supporting people to live and die well Spirituality and the multidisciplinary team
4.2 Analyse the features of effective partnership working within your work setting Not covered 4.3 Implement shared decision making strategies in working with individuals at end of life and others Advance Care Planning Advance Care Planning 01_17 01_14 Developing ACP in your organisation How to document conversations about advance care planning 4.4 Analyse how partnership working delivers positive outcomes for individuals and others Social Care 06_01 Supporting people to live and die well 4.5 Initiate and contribute to multi-disciplinary assessments Assessment Assessment Assessment Social Care 02_01 02_01 02_17 06_03 Introduction to principles of assessment in end of life care: Part 1 Introduction to principles of assessment in end of life care: Part 2 Document, communication and coordination Assessment in end of life 4.6 Explain how to overcome barriers to partnership working Communication 03_35 Challenging communication with colleagues 4.7 Access specialist advice to manage complex situations Symptom Management Social Care Spirituality 04_06 06_01 08_05 Recognising your own limitations in symptom management Supporting people to live and die well Spirituality and the multidisciplinary team
5 Be able to support staff and others in the delivery of excellence in the end of life care service 5.1 Describe how a shared vision for excellent end of life care services can be supported Not covered 5.2 Implement strategies to empower staff involved in the delivery of end of life care to ensure positive outcomes for individuals and others Advance Care Planning Integrating Learning Social Care 01_17 05_18 06_06 Developing ACP in your organisation Treatment and care towards the end of life: good practice decision making End of life care in care homes and domiciliary care settings 5.3 Support others to use a range of resources as appropriate to manage own feelings when working in end of life care Not specifically covered 5.4 Support staff and others to comply with legislation, policies and procedures Advance Care Planning Advance Care Planning Advance Care Planning Assessment Integrating Learning Social Care Communication 01_06 01_07 01_17 02_17 05_21 06_01 03_13 03_20 03_21 Advance Decisions to Refuse Treatment in practice Mental Capacity Act in practice Developing ACP in your organisation Documentation, communication and coordination A unified DNACPR Policy Supporting people to live and die well Written communication Request for euthanasia Legal and ethical issues embedded in communication Discussing ‘do not attempt
Communication Communication Communication 03_30 CPR’ decisions 5.5 Support staff and others to recognise when mental capacity has reduced to the extent that others will determine care and treatment for the person at the end of life Advance Care Planning Assessment Assessment Assessment Symptom Management Integrating Learning 01_09 02_11 02_12 04_29 05_09 Approaching ACP when capacity is uncertain, fluctuating or likely to deteriorate Assessment through proxies Assessing those with fluctuating mental capacity Symptom management in people with learning difficulties or mental health problems Case study: dementia 5.6 Access appropriate learning and development opportunities to equip staff and others for whom you are responsible Not covered 5.7 Explain the importance of formal and informal supervision practice to support the staff and volunteers in end of life care Not covered 5.8 Provide feedback to staff on their practices in relation to end of life care Not covered 6 Be able to 6.1 Analyse how reflective practice approaches can Advance Care Planning 01_18 Developing your practice, clinical supervision, further