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.
1Understand the impact of the last days of life on the individualand others / 1.1Describe 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
1.2Analyse 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
2Understand how to respond to common symptoms in the last days of life / 2.1.Describe the common signs of approaching death / Assessment
Symptom Management
Symptom Management
Symptom Management / 02_14
04_23
04_24
04_25 / Assessment of dying phase and after-death
Recognising the dying phase, last days of life and verifying death
Managing death rattle
Managing agitation and restlessness in the dying phase
2.2.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
2.3.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
2.4.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
2.5.Identify the signs that death has occurred / Symptom Management / 04_23 / Recognising the dying phase, last days of life and verifying death
3Be able to support individuals and others during the last days of life / 3.1Demonstrate 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
3.2Work 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
3.3Describe 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
3.4Support 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
4.Be able to respond to changing needs of an individual during the last days of life / 4.1Explain 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
4.2Record 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
4.3Support the individual when their condition changes according to agreed ways of working / Advance care planning
Assessment
Symptom Management
Integrating Learning / 01_16
02_13
04_05
05_10 to
05_12 / How to review previous ACP decisions
Assessing urgent situations with limited information
Influence of transition points and crises on decision making in symptom management
These sessions cover critical situation scenarios that may be useful
5.Be able to work according to national guidelines, local policies and procedures, taking into account preferences and wishes after the death of the individual / 5.1Implement actions immediately after a death that respect the individual’s preferences and wishes according to agreed ways of working / Assessment
Integrating Learning
Integrating Learning / 02_14
05_19
05_20 / Assessment of dying phase and after death
Care after death I – Introduction to care after death
Care after death II – Providing personal care after death
5.2Provide care for the individual after death according to national guidelines, local policies and procedures / 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
5.3Explain the importance of following the advance care plan to implement the individual’s preferences and wishes for their after-death care / Advance Care Planning
Advance Care Planning
Assessment / 01_02
01_03
02_14 / Cultural and spiritual considerations in ACP
Benefits and risks of ACP to patients, families and staff
Assessment of dying phase and after death
5.4Follow agreed ways of working relating to prevention and control of infection when caring for and transferring a deceased person / 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
5.5Explain 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
6.Be able to manage own feelings in relation to an individual’s dying or death / 6.1Identify 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
6.2Use support systems to manage own feelings in relation to an individual’s death / Bereavement / 07_05 / Emotional support and signposting