Course
Overview:
This
course provides basic concepts related to end-of-life care for older adults. The
focus is placed on palliative care, symptom management, preparation for death
and support to older adults and families. Emphasis is to develop a knowledge base
of specific concepts and nursing management strategies to promote end-of-life
care planning among older adults, families and healthcare professionals.
Prerequisite:
None Course
Objectives:
-
Identify
major principles of palliative and hospice care. -
Critique personal attitudes and
beliefs about death and dying. -
Discuss nursing strategies for
physical and psychological symptom management at the end of life.
-
Describe end of life tasks related
to preparation for death for older adults and families. -
Analyze decision making and ethical/legal
issues related to end of life care among older adults. -
Identify stages and types of grief
and bereavement with corresponding nursing interventions. -
Analyze selected issues to promoting
end-of-life care planning for older adults across the long term care continuum.
-
Describe the roles and benefits
of collaboration with the multidisciplinary team in providing end of life care.
Textbook
Requirements:
The
required text: Ferrell,
B. R., & Coyle, N. (2001). Textbook of palliative nursing. New York,
NY: Oxford University Press Inc.
In
addition, readings will be assigned from a variety of selected periodical literature
and placed on electronic reserve. Course
Requirements:
-
Discussion
participation -- students are expected to participate in class discussion by contributions
to the discussion board at the end of each module. -
Completion
of an evidenced based management paper. The student will select a nursing problem
related to end of life care and develop a nursing standard of care for managing
the problem. -
Completion
of two written case presentations. Students will be given a case study reflecting
a clinical problem encountered in end-of-life care. They will be expected to assess
the problem and develop a plan of care for the problems identified.
-
A final
written multiple choice and short answer exam will be administered.
Evaluation
and Grading:
-
Methods of Evaluation
Students:
Students will be evaluated by written assignments and discussions on the discussion
board and a final written exam. Course:
Students are expected to evaluate the course by completing the School of
Nursing standardized course evaluation form (CEQ and FEQ).
-
Criteria
for Final Grade
| Class discussion
on discussion board (2% each module) | 10% |
| Evidence-Based
Management Paper | 35% |
| Two Written Case
Studies | 35% |
| Final
Examination | 20% |
| Total
: | 100% |
Policies:
Academic
Integrity and Conduct:
Students
are referred to the University of Maryland School of Nursing Student Handbook
for all policies regarding academic integrity and conduct. These include the University
of Maryland System Policy on Faculty, Students and Institutional Rights and Responsibilities
for Academic Integrity, the School of Nursing Statement of Student Rights and
Responsibilities, and the University of Maryland Graduate Policies and Procedures
for Academic Misconduct.
UNIVERSITY
OF MARYLAND SCHOOL
OF NURSING SCHEDULE
OF CLASSES
NURS
418: End of Life Care (OnLine Course)
SPRING 2004 | |
Overview of Module Content
|
Class |
| Module 1 | •
Introduction: Nursing Care at the End-of-life
|
2 weeks | | Module 2 | •
Death, Dying, Society View, and Culture Consideration
|
2 weeks | | Module 3 | •
Grief, Loss, Bereavement, and Spiritual Care
|
2 weeks | | Module 4 | •
Palliative Nursing Care: Symptom Assessment and Management;
Multidisciplinary Care Team |
3 weeks | | Module 5 | •
Caring for Family Members, Relatives, or Friends
|
1 week | | Module 6 | •
The Preparation of Approaching Death; a Good Death
|
2 weeks | | Module 7 | •
Palliative Care Across the Long Term Care Continuum
| 1 week | SCHEDULE OF CLASSES | CLASS |
TOPIC |
READINGS | | Week 1 MODULE 1: Nursing Care at the End-of-Life
| Introduction & Overview of Course
Principles of hospice care Palliative care Quality of life at the end-of-life
| Ferrell & Coyle - Chapter 1 & 2
Ferrell,
B. R. & Coyle, N. (2002). An
overview of palliative nursing care. American Journal of Nursing, 102(5),
26-32. Available at:
| | Week 2 | Chronic & terminal illness National Initiatives for End of Life Care
SUPPORT study
| Ferrell & Coyle - Chapter 3 |
| Week 3 MODULE 2: Death, Dying, Societal View, and Cultural Considerations
| Cultural Consideration Spiritual and Cultural assessment
Beliefs regarding the after life
| Ferrell & Coyle - Chapter 4 & 29 O'Gorman, Stella Mary (1998). Death
and dying in contemporary society: an evaluation of current attitudes and the
rituals associated with death and dying and their relevance to recent understandings
of health and healing, Journal of Advanced Nursing, 27(6) June 1998.
Project
on Death in America (1999). Diversity
in dying: Improving
palliative care in a multicultural society. PDIA Newsletter, #6.
“The Elephant in the Room” – Terry
Kettering
Zoucha, R. (2000). The keys to
culturally sensitive care. American Journal of Nursing, 100(2),
pp 24GG-24II.
| | Week 4 | Decision-making at end-of-life Ethical/legal issues
| Ferrell & Coyle - Chapter 47
Before
I Die: Medical Care and Personal Choices www.nursingworld.org
- review Position Papers on Assisted Suicide; Promotion of Comfort and Relief
in Dying Patients, Active Euthanasia, Foregoing Nutrition and Hydration, Do-Not-Resuscitate
Decisions, Patient Self-Determination Acts
|
| Week 5 MODULE 3 Grief, Loss, Bereavement & Spiritual Care
| Grief, loss, & bereavement The grieving process, Speaking with bereaved
| Ferrell & Coyle - Chapter 25 |
| Week 6 | Spiritual care
| Ferrell & Coyle - Chapter 30 Cohen,
A.B. & H.G. Koenig (2002). Spirituality
in palliative care. Geriatric Times, III(6).
| | Week 7 MODULE 4 Palliative Nursing Care | Symptom assessment and management Pain management; Multidisciplinary care team
| Ferrell & Coyle - Chapters 5 - 22; p. 684
Ferrell, B.R, Virani, R. & Grant, M.(1999). Analysis
of symptom assessment and management content in nursing textbooks. Journal
of Palliative Medicine, 2(2): 161-172.
|
| Week 8 | Management of common physical symptoms
| Ferrell & Coyle - Chapters 5 – 22 |
| Week 9 | Management of common psychological symptoms
| Ferrell & Coyle - Chapter 5 – 22 |
| Week 10 MODULE 5 Caring for Family Members, Relatives, and Friends
| Communication strategies Listening
| Ferrell & Coyle - Chapter 26 |
| Week 11 MODULE 6 Preparing for Death | Tasks for the end of life Symptoms of ‘active dying’ process
| Ferrell & Coyle - Chapter 28 Strong, B. (1992). A view from the mattress.
Nursing, 92, 22(5): 46-49.
| | Week 12 | The preparation of family for the process of dying
| Ferrell & Coyle Chapter 28
| | Week 13 | A good death Care following death
| Ferrell & Coyle Chapter 28
| | Week 14 MODULE 7 Palliative Care Across the Long-Term Care
| End of life care issues within and across long term care
settings | Ferrell & Coyle Chapter 37 | | Week 15 | Final exam Course evaluation |
| The
required text: Ferrell,
B. R., & Coyle, N. (2001). Textbook
of palliative nursing. New York, NY: Oxford University Press Inc.
The following resources will help in your journey through the End-of-Life
course:
·
ELNEC Project - http://www.aacn.nche.edu/elnec/index.htm
·
American Association of Colleges of Nursing - http://www.aacn.nche.edu ·
City of Hope - http://www.cityofhope.org/
·
Last Acts - http://www.lastacts.org/
·
On Our Own Terms - http://www.pbs.org/wnet/onourownterms/index.html
·
American Geriatrics Society - http://www.americangeriatrics.org/
·
American Journal of Nursing - http://www.ajnonline.com/
·
American Association of Retired People
- www.aarp.org ·
Nursing World - nursingworld.org
·
National Institute of Nursing Research
- www.nih.gov/ninr
| 
