Palliative care

Palliative care
Module:	Nursing care
ECTS:	3
Contact hours – lectures:	30
Contact hours – seminar:	15
Contact hours – clinical exercises:
Contact hours – clinical practice:
Holder of subject:	Marjana Bernot, Senior Lecturer
Year of study:	Third
Palliative care
Contact hours – lectures:	30
Contact hours – seminar:	15
Contact hours – clinical exercises:
Contact hours – clinical practice:
Holder of subject:	Marjana Bernot, Senior Lecturer
Education providers:	Marjana Bernot, Senior Lecturer Jernej Benedik, Lecturer Dr Anja Simonič, Senior Lecturer Judita Slak, Assistant
Level of study:	First Bologna cycle professional education study program
Semester:	Winter
Language:	Slovene/English
Subject-specific competences:	To describe and understand key concepts and principles in palliative care; To identify the needs of patients and their family members in their environments for holistic, continuous coordination of care; Proper and timely response to changing needs of patients and their family members; To meet ethical decision-making challenges in palliative care; To identify changes in patients during their last days of life; To know the existing nursing resources for extremely demanding patients in the terminal stage of life; To know and understand the cultural factors in death and dying; To know the roles of different members of the social and health care teams and recognize the importance of interdisciplinary work; To have the required communication skills for palliative care. Knowledge and understanding The student: Becomes familiar with issues of advanced chronic diseases and with their impact on the social environment; Becomes familiar with the development of palliative care, nursing in palliative care and the special features of this field; Obtains the knowledge to understand the principles of palliative care; Becomes familiar with the basic areas of activities and the role of a nurse in palliative care at the primary, secondary and tertiary levels of health care, and the roles of other interdisciplinary team members; Learns how to recognize and assess patient needs and make a nursing plan according to patients’ and their families’ goals and expectations; Learns how to assess and plan the care for the most frequent physical symptoms at the end of life: pain, dyspnea, nausea/vomiting and delirium; Learns how to implement the assessment of psycho-social and spiritual needs and plan treatment activities; Becomes familiar with the holistic multidisciplinary approach to palliative care, and the importance of ongoing education of patients and their families; Recognizes and manages the process of dying; Recognizes the importance of NGOs and volunteers in palliative care; Recognizes the importance of maintaining psychological, physical and spiritual strength in working with patients with advanced chronic diseases.
Mandatory references:	Benedik, J., Červek, J., Červ, B., Gugić Kevo, J., Mavrič, Z., Serša, G. & Zakotnik, B., eds., 2008. Pogosta vprašanja v paliativni oskrbi. Ljubljana: Onkološki inštitut. Benedik, J., 2008. Delirij v paliativni medicini. Neprepoznani sopotnik ob koncu življenja. Onkologija, 12(2), pp. 105–107. Benedik, J., 2009. Prehrana v paliativni medicini. Onkologija, 13(2), pp. 117–119. Benedik, J., 2011. Oskrba bolnika ob koncu življenja. Onkologija, 15(1), pp. 52–58. Červek, J., Simončič Godnič, S., Benedik, J., Ebert, M., Gugić Kevo, J., Lahajnar Čavlovič, S., et al., 2012. Zdravila za uporabo v paliativni medicini. 2. izd. Ljubljana: Onkološki inštitut. Ministrstvo za zdravje Republike Slovenija, 2010. Državni program paliativne oskrbe. Ljubljana: Ministrstvo za zdravje Republike Slovenija. Available at: http://www.mz.gov.si. Metulj, 2014. Available at: http://www.paliativnaoskrba.si/o-projektu.html Jelen Jurič, J. & Benedik, J., 2009. Hipodermokliza – varen, udoben, praktičen in cenovno ugoden postopek parenteralne hidracije. Onkologija, 8(2), pp. 120–123. Matzo, M., Sherman, D.W., eds., 2015. Palliative care nursing: quality care to the end of life. 4th ed. New York: Springer Publihing Company. Rajer, M., 2011. Obravnava težkega dihanja pri bolnikih v zadnjih dneh življenja. Onkologija, 15(2), pp. 130–132. Takač, I., Červek, J., Benedik, J., Čas Sikošek, N., Lubanjšek, N., eds., 2012. 2. šola za paliativno oskrbo. ABC paliativne oskrbe pri bolnikih z rakom: zbornik prispevkov, Maribor, 23. in 24. marec 2012. Maribor: Univerzitetni klinični center Maribor, Klinika za ginekologijo in perinatologijo, Oddelek za ginekološko onkologijo in onkologijo dojk, Tim za paliativno oskrbo OI Ljubljana. Ferrell, B.R., & Coyle, N., eds., 2010. Oxford Textbook of Palliative Nursing. 3rd ed. Oxford: Oxford University Press.
Recommended references:	European Journal of Palliative Care The Journal of the European Association for Palliative Care Gradiva šole paliativne oskrbe Obzornik zdravstvene nege
Study obligations:	100% obligatory attendance at the seminars 50% attendance at lectures
Assessment methods:	written examination (80%) seminar (20%)