Study Guide

Objective

Objectives
• Students will acknowledge how they personally view incurable conditions and death
• Students will know how to explain the key concepts of palliative care and end-of-life care, how they are related to each other and how to apply this information in their work
• Students will know how to plan, carry out, assess and document the treatment and management of the symptoms and pain of patients in palliative care and how to counsel the patient and their family members by taking individual needs into account
• Students will know the principles and modes of administering pain medication and how to apply unmedicated pain management methods
• Students will know how to face, support and see to the needs of patients and their family members in a comprehensive manner and how to apply physical presence as a mode of support
• Students will know how to perform end-of-life care and postmortem care in a dignified manner by taking the family members of the deceased into account

Content

Content
• Basics of palliative care, treatment policies and restrictions, predictive treatment plan
• Pain and symptomatic treatment in palliative care: total pain, pain indicators, pain medication, unmedicated treatment, shortness of breath, oral symptoms, constipation, fatigue, anxiety
• Comprehensive support for the patient and their family members: family-oriented approach, mental support, existential support, grief and hope
• Interaction and meetings: meeting patients and their family members, active interaction and communications
• End-of-life care: acknowledging that death is near, supporting the patient and their family members, nursing and symptomatic treatment of a dying patient, postmortem nursing
• Multiprofessional teamwork and self-reflection

Materials

- Palliatiivinen hoito ja saattohoito. Käypä hoito -suositus. Suomalaisen Lääkäriseuran Duodecimin ja Suomen Palliatiivisen Lääketieteen yhdistyksen asettama työryhmä. Helsinki: Suomalainen Lääkäriseura Duodecim, 2019. Saatavilla: https://www.kaypahoito.fi/hoi50063#K1

- Saarto, T. & Lehto, J. 2019. Palliatiivisen hoidon ja saattohoidon järjestäminen Suomessa – kolmiportainen malli. Saatavilla: https://helda.helsinki.fi/bitstream/handle/10138/314503/duo14834.pdf?sequence=1

- Lehto, J., Marjamäki, E. & Saarto, T. 2019. Elämän loppuvaiheen ennakoiva hoitosuunnitelma. Saatavilla: https://www.duodecimlehti.fi/duo14788

- Videoluento, seminaariesitykset, tunneilla käydyt asiat

Teaching methods

Contact and online teaching, assignments, seminar presentation, small group work, ITS exam

Exam schedules

ITS Exam
The retake test is in ITS and the date is agreed with the teacher separately.
The course must be completed in full within six months, calculated from the end date of the course.

International connections

Simulation pedagogy: learning takes place in an authentic situation simulation learning environment, where the student gains a safe experience of the learning situation.

Online pedagogy: utilizing digital tools to support pedagogy so that the student can access impactful learning experiences and outcomes in a meaningful way.

Inclusive pedagogy: the purpose is to provide an opportunity and tools for developing a willingness to change, for example, challenging interaction and cooperation situations are limited to the subject of discussion and learning. Collaborative skills are practiced in groups utilising the diversity of the participants. Multi-voice dialogue is initiated through online discussions.

In sustainability pedagogy: students are encouraged to engage in critical thinking, creative problem solving, and collaborative activities in order to develop their capacity to make a positive impact on the environment and society.

Completion alternatives

No alternative course performance.

Student workload

Course Implementation and Tasks. All are mandatory.

Listen to the introductory lecture.

Register for the seminar group no later than the day after the info class and make rules and scheduling for your work in your small group.

Take a look at the materials on the Info page and start an online discussion about the videos. The online discussion ends 2 days before the exam.

Seminar presentations are held remotely at 4h.

Make an online course of hospice care and nurse's medicine calculation during the course, but no later than 2 days before the end of the course.

Small group work at school 3h: speech-taking exercises (possibly combined with another implementation group. No advance assignment)

Content scheduling

Online discussion of videos
Nurse's medicine calculation
Seminar Presentations
Online course in hospice care
PAHO exam
Simulation of the encounter

Further information

Nursing studies of an internist or surgical patient must have been completed for approval before the course, as must clinical practice.

Evaluation scale

H-5

Assessment methods and criteria

Palliative Care Seminar 0- K5

Hospice care online course accepted / rejected

Seminar opponation (accepted / rejected). The opponation must be returned after the performance in the same week. Assessment criteria are distributed to all students at the beginning of the course.

Nurse's medicine calculation100% correct (accepted / rejected)

Small group work (accepted / rejected). Assessment criteria are distributed to all students at the beginning of the course.

ITS exam (70% =1)

Assessment criteria, fail (0)

Palliative Care Seminar Rejected: No participation or work performed does not meet the minimum criteria for acceptable performance.

Online course in hospice care Rejected: The student has not completed the required tasks of the online course or demonstrated an adequate understanding of hospice care. The tasks are incomplete or too superficial.


ITS exam (70%=1) Rejected: Less than 70% correct answers in the exam, indicating deficiencies in managing the subject area of the exam.

Assessment criteria, satisfactory (1-2)

Palliative Care Seminar T1: Basic Performance The student demonstrates a rudimentary understanding of palliative care and related concepts, but deals with the topic narrowly or imprecisely.

Seminar on palliative care T2: Reasonable performance the student has a basic knowledge of the key principles of palliative care and is able to apply them partially correctly, but the presentation or analysis is superficial.

ITS exam (70%=1) Approved: At least 70% correct the student masters the basics of the content area of the ITS exam and demonstrates sufficient knowledge for further study or practical work.

Hospice Online Course Approved: The student has completed all course requirements and demonstrates basic knowledge of the key concepts and care principles of hospice care. The student is able to describe the stages of hospice care and their role in the implementation of care.

Assessment criteria, good (3-4)

Seminar on palliative care H3: Good performance the student shows a broader understanding and ability to apply the principles of palliative care and is able to analyze different aspects of the topic at a satisfactory level.

Seminar on palliative care H4: Very good performance the student presents in-depth information and analysis on palliative care and shows competence to apply the knowledge in a diverse way.

Assessment criteria, excellent (5)

Seminar on palliative care K5: Excellent performance the student has a broad and in-depth understanding of palliative care, and is able to apply and analyze information independently and innovatively. Students demonstrate an excellent ability to use theoretical and practical knowledge critically.