HSC 3048 - Skills for Care

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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) 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
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
01_01
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
01_05
Advance Care
Planning
Advance Care
Planning
01_07
03_21
Communication
05_21
05_22
Integrating Learning
Integrating Learning
06_05
Social Work
1.2 Explain how legislation
designed to protect the rights
of individuals in end of life
care applies to own job role
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
Not covered
Assessment
02_05
Assessment of psychological
wellbeing
Specific
2.2 Explain how the beliefs,
religion and culture of
individuals and key people
influence end of life care
Advance Care
Planning
01_02
02_08
Assessment
03_05
Communication
04_04
Symptom
Management
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
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
02_06
Assessment
02_16
Symptom
Management
04_04
04_30
Symptom
Management
Integrating Learning
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
Advance Care
an individual of having as
Planning
much control as possible over
their end of life care
Assessment
01_03
02_16
04_04
Symptom
Management
3.2 Explain the purpose of
advance care planning in
relation to end of life care
Benefits and risks of ACP to
patients, families and staff
Identifying the patients goals
and priorities
Individuals preferences and
cultural influences on symptom
management
Advance Care
Planning
01_01
Introduction to principles of ACP
3.3 Describe own role in
Advance Care
supporting and recording
Planning
decisions about advance care
planning
Advance Care
Planning
01_14
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
01_15
01_18
3.4 Outline ethical and legal
issues that may arise in
relation to advance care
planning
Advance Care
Planning
Advance Care
Planning
01_01
01_05
Advance Care
Planning
Advance Care
Planning
Communication
Communication
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 Advance Care
key people to explore their
Planning
thoughts and feelings about
death and dying
Advance Care
Planning
Assessment
01_12
01_13
02_07
03_22
Communication
07_01
4.2 Provide support for the
individual and key people that
respects their beliefs, religion
and culture
Bereavement
Advance Care
Planning
01_02
02_08
Assessment
03_05
Communication
04_04
Symptom
Management
08_01
How to get started and get the
timing right
How to handle patients
questions and concerns
Assessment of spiritual
wellbeing
‘Am I dying?’ How long have I
got?’ handling challenging
questions
Talking about death and dying
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
4.3 Demonstrate ways to help Advance Care
the individual feel respected
Planning
and valued throughout the
end of life period
Assessment
01_02
02_08
03_05
Communication
04_04
Cultural and spiritual
considerations in ACP
Context of assessment: cultural
and language issues
Cultural and language in
communication
Individual preferences and
Symptom
Management
08_01
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
01_14
02_17
Assessment
Communication
Communication
03_14
03_34
04_03
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
Symptom
Management
Assessment
02_06
Communication
03_04
Symptom
Management
04_28
04_40
Symptom
Management
4.6 Contribute to partnership
working with key people to
support the individual’s wellbeing
Social Care
Advance Care
Planning
06_01
01_17
06_01
Social Care
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
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
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
01_14
02_17
Assessment
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
01_11
01_15
Advance Care
Planning
Communication
Communication
Integrating Learning
03_14
03_15
05_01
to
05_04
5.3 Describe conflicts and
legal or ethical issues that
may arise in relation to death,
dying or end of life care
Communication
03_21
Bereavement
07_02
5.4 Analyse ways to address
such conflicts
Not specifically
covered, but
embedded in other
sessions highlighted
in this section
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
Legal and ethical issues
embedded in communication
Assessment of carers needs
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
01_17
02_02
Assessment
06_01
Social Care
07_03
Bereavement
08_05
Spirituality
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
01_07
02_11
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 and the
multidisciplinary team
Mental Capacity Act: aims and
principles
Assessment through proxies
Assessment
6.4 Explain why support for
spiritual needs may be
especially important at the
end of life
Advance Care
Planning
01_02
02_07
Assessment
08_01
Spirituality
6.5 Describe a range of
sources of support to address
spiritual needs
Spirituality
08_01
to
08_06
Cultural and spiritual
considerations in ACP
Assessment of spiritual
wellbeing
Spirituality and the philosophy of
end of life care
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
01_02
04_06
Symptom
Management
06_02
Cultural and spiritual
considerations in ACP
Recognising your own
limitations in symptom
management
Palliative care social work
Social work
8. Be able to support
individuals through the
process of dying
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
8.1 Carry out own role in an
individual’s care
Advance Care
Planning
01_18
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
03_33
04_26
Distress: the crying patient
Managing distress during the
dying phase
Understanding and assessing
spiritual need and spiritual
distress
08_02
Spirituality
8.3 Adapt support to reflect
the individual’s changing
needs or responses
Advance Care
Planning
01_16
02_04
Assessment
02_18
Symptom
How to review previous ACP
decision
Assessment of dying phase and
after death
Following up assessments and
evaluating outcomes
8.4 Assess when an
individual and key people
need to be alone
Management
04_05
Influence of transition points and
crisis on decision making in
symptom management
Communication
03_03
Communicating with ill people
01_02
Cultural and spiritual
considerations in ACP
Assessment
02_14
Integrating Learning
05_19
Integrating Learning
05_20
Assessment of dying phase and
after death
Care after death 1 – Introduction
to care after death
Care after death 2 – Providing
personal care after death
9. Be able to take action 9.1 Explain why it is important Advance Care
following the death of
to know about an individual’s Planning
individuals
wishes for their after-death
care
9.2 Carry out actions
immediately following a death
that respect the individual’s
wishes and follow agreed
ways of working
9.3 Describe ways to support Assessment
key people immediately
following an individual’s death Symptom
Management
02_09
04_26
05_13
Integrating Learning
Integrating Learning
Bereavement
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 dying or death of
individuals
10.1 Identify ways to manage
own feelings in relation to an
individual’s dying or death
Assessment
02_14
Symptom
Management
04_26
10.2 Utilise support systems
to deal with own feelings in
relation to an individual’s
dying or death
Not covered
Assessment of dying phase and
after death
Managing distress during the
dying phase
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