End of life qualifications mapping to E:ELCA modules HSC 3048 – Optional Level 3 – Support individuals at the end 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) 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 1. Understand the requirements of legislation and agreed ways of working to protect the rights of individuals at the end of life 1.1 Outline legal requirements and agreed ways of working designed to protect the rights of individuals in end of life care Advance Care Planning Advance Care Planning Advance Care Planning Communication Integrating Learning Integrating Learning Social Work 01_01 01_07 03_21 05_21 05_22 06_05 Introduction to principles of ACP Advance Decisions to Refuse Treatment principles Mental Capacity Act: aims and principles Legal and ethical issues embedded in communication A unified DNACPR Policy Using the NHS Continuing Healthcare Fast Track Pathway Tool Hospital social work 1.2 Explain how legislation designed to protect the rights of individuals in end of life care applies to own job role Not covered 2. Understand factors affecting end of life care 2.1 Outline key points of theories about the emotional and psychological processes that individuals and key people may experience with the approach of death Assessment 02_05 Assessment of psychological wellbeing
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 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 05_15 and 05_16 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 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_14 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 issues that may arise in relation to advance care planning Advance Care Planning Advance Care Planning Advance Care Planning Communication Communication 01_01 01_05 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 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 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_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 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 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
Spirituality 08_05 Spirituality and the multidisciplinary team 6.2 Analyse the role and value of an advocate in relation to end of life care Not covered 6.3 Explain how to establish when an advocate may be beneficial Advance Care Planning Assessment 01_07 02_11 Mental Capacity Act: aims and principles Assessment through proxies 6.4 Explain why support for spiritual needs may be especially important at the end of life Advance Care Planning Assessment Spirituality 01_02 02_07 08_01 Cultural and spiritual considerations in ACP Assessment of spiritual wellbeing Spirituality and the philosophy of end of life care 6.5 Describe a range of sources of support to address spiritual needs Spirituality 08_01 to 08_06 These sessions make up the spirituality module and may be useful 7. Be able to access support for the individual or key people from the wider team 7.1 Identify when support would best be offered by other members of the team Advance Care Planning Symptom Management Social work 01_02 04_06 06_02 Cultural and spiritual considerations in ACP Recognising your own limitations in symptom management Palliative care social work 7.2 Liaise with other members of the team to provide identified support for the individual or key people Not specifically covered but embedded in a number of session already identified
9.3 Describe ways to support key people immediately following an individual’s death Assessment Symptom Management Integrating Learning Integrating Learning Bereavement 02_09 04_26 05_13 05_14 07_01 to 07_06 Bereavement assessment and support Managing distress during the dying phase When the dying process is protracted or unexpectedly fast Sudden unexpected death These sessions make up the bereavement module and may be useful 10. Be able to manage own feelings in relation to the or death of individuals 10.1 Identify ways to manage own feelings in relation to an individual’s dying or death Assessment Symptom Management 02_14 04_26 Assessment of dying phase and after death Managing distress during the phase 10.2 Utilise support systems to deal with own feelings in relation to an individual’s dying or death Not covered