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2010/1 Module Catalogue
Module Provider: Health & Social Care Short Name: PALLIATIVECARE
Level: M Module Co-ordinator: WILLIAMS SC Miss (HSC)
Number of credits: 15 Number of ECTS credits: 7.5
Module Availability
Semester 2
Assessment Pattern
A peer assessed presentation of an assessment of a patient the student has been involved with, focusing on one of the patient’s symptoms or a clinical issue. This should include an account of how the patient was assessed, tools used and the appropriateness (or not) of the tool. The particular needs and the context in which the care took place should be discussed.

Using a case study approach, critically discuss a symptom or clinical issue experienced by a patient in the context of palliative care/end-of-life care. Include discussion of the interventions utilised in practice and make recommendations for practice development. This should include a critical analysis of the use of palliative interventions and an evaluation of how interventions influence the patient’s symptom experience. Evidence of the relevant details of the case must be shown in the appendices of the essay. Identity of the site and patient must be kept anonymous (3000 words).
Module Overview
First degree or ability to work at M level, this will be assessed by the student writing an essay under exam conditions.
Module Aims

To explore the multidimensional nature of clinical issues in advanced illness, appraise the evidence base in relation to symptom assessment and interventions and facilitate the patient/carer involvement in managing clinical issues at the end of life
Learning Outcomes
At the end of this module the student will be able to:

Subject knowledge and understanding
• Critically discuss issues in providing palliative care for people with both malignant and non malignant terminal illnesses
• Critically appraise and synthesise the outcomes of research and ethics related to clinical issues and symptom management in advanced illness
• Evaluate assessment frameworks related to a range of symptoms and issues e.g. pain, breathlessness, fatigue, nausea and vomiting, lymphoedema, and comment on reliability and validity
• Critically reflect on the influence of gender, ethnicity and age in relation to clinical issues in palliative care

Cognitive/intellectual skills
• Critically appraise the practitioner’s own skills in communicating and networking to enable the management of symptoms in advanced illness
• Apply and evaluate research evidence to the care of patients with distressing symptoms at the end of life
• Negotiate and facilitate patients and carers to be active participants in symptom management
• Implement effective leadership within primary and secondary care settings to enable effective symptom management and continuity of care

Practical Skills
• Implement and evaluate strategies related to symptom management, including pharmacological and non-pharmacological approaches e.g. TENS, relaxation, complementary therapies
• Enable and facilitate patients and carers so that they feel supported to make informed choices about care at the end of life
Module Content
Current issues in the definition and delivery of palliative care
The concerns, requirements and position of people with chronic illness
Consideration of Government initiatives for end of life care in the UK

Approaches to clinical issues and symptom management
Aims and principles of symptomology
Assessment, measurement and evaluation of symptoms
Multidisciplinary team in primary and secondary care
Specialist and generic services interface
Therapeutic process of helping the person with symptoms

Theoretical aspects of symptom distress
Multidimensional nature of symptom experience in palliative care
Lived experience of symptoms at the end of life
Cultural, psychological and sociological aspects of symptoms
Palliative interventions: Pharmacological and non-pharmacological methods of symptom management
Methods of Teaching/Learning
Taught: 30 hours
Self-directed: 150 hours
Selected Texts/Journals

Addington-Hall JM and Higginson IJ (eds) 2001 Palliative Care for Non-Cancer Patients. O.U.P: Oxford.
Ahmedzai S, Muers M eds 2005 Supportive Care in Respiratory Disease. O.U.P: Oxford
Bennett M 2006 Neuropathic Pain. O.U.P: Oxford
Booth S, Dudgeon D eds 2006 Dyspnoea in Advanced Disease: a Guide to Clinical Management. O.U.P: Oxford
Booth S 2004 Palliative Care Consultations in Primary and Metastatic Brain Tumours. O.U.P: Oxford
Bruera E et al 2006 Textbook of Palliative Medicine. Hodder Arnold: London
Currow D, Clark K 2006 Emergencies in Palliative and Supportive Care. O.U.P: Oxford
Dean M et al 2006 Symptom Relief in Palliative Care. Radcliffe: Oxford
Dickman A et al 2005 The Syringe Driver: Continuous Subcutaneous Infusion in Palliative Care. 2nd edn. Oxford: O.U.P.
Doyal D, et al 2004 Oxford Textbook of Palliative Medicine Oxford University Press, Oxford
Houldin AD 2000 Patients with cancer: understanding the psychological pain Lippincott, New Yotk
Hughes J ed 2006 Palliative Care in Severe Dementia. Quay Books: London:
Johnson M & Lehman R 2006 Heart failure and palliative care Radcliffe Publishing: Oxford
Payne S, Seymour J & Ingleton C 2004 Palliative care nursing: principles and evidence for practice O.U.P: Buckingham
Regnard C, Tempest S 2004 A Guide to Symptom Relief in Palliative Care. 5th edn. Butterworth-Heinemann: London
Winningham ML & Barton-Burke M 2000 Fatigue in cancer Jones & Bartlett Publishers, London
Woodruff R 2004 Palliative Medicine: Evidence-Based Symptomatic and Supportive Care for Patients with Advanced Cancer. O.U.P:.Oxford
Worthington R 2005 Ethics and Palliative Care: a case-based manual. Radcliffe: Oxford

Recommended Journals:

International Journal of Palliative Nursing
Palliative Medicine
Journal of Pain and Symptom Control
Journal of Palliative Care
The American Journal of Hospice Care
The Hospice Journal
Journal of Palliative Medicine
Journal of Advanced Nursing
Social Science and Medicine
Cancer Nursing
Drugs and Therapeutic Bulletin
European Journal of Cancer Care
Journal of Clinical Oncology
Journal of Oncology Nursing
Pain Reviews
Support Cancer Care

Useful websites and databases:

Nausea and vomiting
palliative and Supportive Care
Nurse Prescribing
National Council for Palliative Care
End of life initiatives
Gold Standards Framework
Liverpool Care Pathways
International Association for the Study of Pain
Pain Society
Terminal Pain
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