2.2 Explain how the beliefs, religion and culture of individuals and key people influence end of life care Advance Care Planning Assessment Communication Symptom Management Spirituality 01_02 02_08 03_05 04_04 08_01 Cultural and spiritual considerations in ACP Context of assessment: cultural and language issues Cultural and language in communication Individual preferences and cultural influences on symptom management Spirituality and the philosophy of end of life care 2.3 Explain why key people may have a distinctive role in an individual’s end of life care Not covered 2.4 Explain why support for an individual’s health and well-being may not always relate to their terminal condition Assessment Assessment Symptom Management Symptom Management Integrating Learning 02_06 02_16 04_04 04_30 and Assessment of social and occupational wellbeing Identifying the patients goals and priorities Individual preferences and cultural influences on symptom management Symptom management complicated by coexisting conditions These scenarios cover dying in prison or as a homeless person and may be useful 3. Understand advance care planning in relation to end of life care 3.1 Describe the benefits to an individual of having as Advance Care Planning 01_03 02_16 Benefits and risks of ACP to patients, families and staff
much control as possible over their end of life care Assessment Symptom Management 04_04 Identifying the patients goals and priorities Individuals preferences and cultural influences on symptom management 3.2 Explain the purpose of advance care planning in relation to end of life care Advance Care Planning 01_01 Introduction to principles of ACP 3.3 Describe own role in supporting and recording decisions about advance care planning Advance Care Planning Advance Care Planning Advance Care Planning 01_15 01_18 How to document conversations about advance care planning How to negotiate decisions which may be difficult to implement Developing your practice, clinical supervision, further reading 3.4 Outline ethical and legal issues that may arise in relation to advance care planning Advance Care Planning Advance Care Planning Advance Care Planning Communication Communication 01_01 01_07 03_21 03_19 and 03_20 Introduction to principles of ACP Advance Decisions to Refuse Treatment principles Mental Capacity Act: aims and principles Legal and ethical issues embedded in communication These sessions cover request for organ and tissue donation as well as euthanasia that may be helpful 4. Be able to provide support to individuals and key people during end of life care 4.1 Support the individual and key people to explore their thoughts and feelings about death and dying Advance Care Planning 01_12 01_13 How to get started and get the timing right How to handle patients questions and concerns
Advance Care Planning Assessment Communication Bereavement 02_07 03_22 07_01 Assessment of spiritual wellbeing ‘Am I dying?’ How long have I got?’ handling challenging questions Talking about death and dying 4.2 Provide support for the individual and key people that respects their beliefs, religion and culture Advance Care Planning Assessment Communication Symptom Management Spirituality 01_02 02_08 03_05 04_04 08_01 Cultural and spiritual considerations in ACP Context of assessment: cultural and language issues Cultural and language in communication Individual preferences and cultural influences on symptom management Spirituality and the philosophy of end of life care 4.3 Demonstrate ways to help the individual feel respected and valued throughout the end of life period Advance Care Planning Assessment Communication Symptom Management 01_02 02_08 03_05 04_04 08_01 Cultural and spiritual considerations in ACP Context of assessment: cultural and language issues Cultural and language in communication Individual preferences and cultural influences on symptom management Spirituality and the philosophy of end of life care
Spirituality 4.4 Provide information to the individual and/or key people about the individual’s illness and the support available Advance Care Planning Assessment Communication Communication Symptom Management 01_14 02_17 03_14 03_34 04_03 How to document conversations about advance care planning Documentation, communication and coordination Information giving Dealing with challenging relatives Communicating the plan of management and care 4.5 Give examples of how an individual’s well-being can be enhanced by: • environmental factors • non-medical interventions • use of equipment and aids • alternative therapies Assessment Communication Symptom Management Symptom Management Social Care 02_06 03_04 04_28 04_40 06_01 Assessment of social and occupational wellbeing Talking with ill people: considering the surrounding environment in which conversations take place Non-drug interventions in symptom management Management of physical deterioration Supporting people to live and die well 4.6 Contribute to partnership working with key people to support the individual’s Advance Care Planning Social Care 01_17 06_01 Developing ACP in your organisation Supporting people to live and die well 5. Understand how to address sensitive issues in relation to end of life care 5.1 Explain the importance of recording significant conversations during end of life care Advance Care Planning Assessment 01_14 02_17 03_13 How to document conversations about advance care planning Documentation, communication and coordination Written communication
Communication 5.2 Explain factors that influence who should give significant news to an individual or key people Advance Care Planning Advance Care Planning Communication Communication Integrating Learning 01_11 01_15 03_14 03_15 05_01 to 05_04 Introduction to conducting conversations about advance care planning How to negotiate decisions which may be difficult to implement Information giving Breaking bad news These sessions cover differing scenarios around initiating conversations about end of life care that may be useful 5.3 Describe conflicts and legal or ethical issues that may arise in relation to death, dying or end of life care Communication Bereavement 03_21 07_02 Legal and ethical issues embedded in communication Assessment of carers needs 5.4 Analyse ways to address such conflicts Not specifically covered, but embedded in other sessions highlighted in this section 6. Understand the role of organisations and support services available to individuals and key people in relation to end of life care 6.1 Describe the role of support organisations and specialist services that may contribute to end of life care Advance Care Planning Assessment Social Care Bereavement 01_17 02_02 06_01 07_03 Developing ACP in your organisation Introduction to principles of assessment in end of life care: Part 2 Supporting people to live and die well Practical support after a bereavement
8. Be able to support individuals through the process of dying 8.1 Carry out own role in an individual’s care Advance Care Planning Developing your practice, clinical supervision, further reading 8.2 Contribute to addressing any distress experienced by the individual promptly and in agreed ways Communication Symptom Management Spirituality 03_33 04_26 08_02 Distress: the crying patient Managing distress during the dying phase Understanding and assessing spiritual need and spiritual distress 8.3 Adapt support to reflect the individual’s changing needs or responses Advance Care Planning Assessment Symptom Management 01_16 02_04 02_18 04_05 How to review previous ACP decision Assessment of dying phase and after death Following up assessments and evaluating outcomes Influence of transition points and crisis on decision making in symptom management 8.4 Assess when an individual and key people need to be alone Communication 03_03 Communicating with ill people 9. Be able to take action following the death of individuals 9.1 Explain why it is important to know about an individual’s wishes for their after-death care Advance Care Planning 01_02 Cultural and spiritual considerations in ACP 9.2 Carry out actions immediately following a death that respect the individual’s wishes and follow agreed ways of working Assessment Integrating Learning Integrating Learning 02_14 05_19 05_20 Assessment of dying phase and after death Care death 1 – Introduction to care after death Care after death 2 – Providing personal care after death