Nursing VIII Continued and Palliative Care

Scholar Year: 2019/2020

Courses

Head Teacher Responsability Hugo Miguel Martins Alves Franco Head Andreia Filomena Ferreri de Gusmão Gonçalves Cerqueira Colaborador Edgar Manuel dos Prazeres Duarte Canais Colaborador Hugo Miguel Martins Alves Franco Colaborador Bruno André Magalhães Ferreira Colaborador Ricardo Alexandre Pinto Fernandes Colaborador

Weekly workload Hours/week T TP P PL TC S E EL OT TPL O OT/PL Type of classes 1,33 ,67 ,67 Lectures Type Teacher Classes Hours Theoretical Totals 1 1,33 Edgar Canais   0,40 Hugo Franco   0,93 Theoretical-practical Totals 2 1,34 Andreia Cerqueira   0,66 Hugo Franco   0,66 Orientação Tutorial Totals 4 2,68 Andreia Cerqueira   1,00 Bruno Ferreira   0,66 Hugo Franco   0,66 Ricardo Fernandes   0,66

Teaching language

Portuguese/English

Intended learning outcomes (Knowledges, skills and competencies to be developed by the students)

This Curricular Unity aims at understanding of the nursing care to the person/family in the context of continuing and palliative care.
Learning outcomes:
 Meets national and international guidelines for organization of responses to the needs of people in long-term care and end-of-life;
 Sets the basics and key concepts of nursing in continuing and palliative care;
 Identifies the nursing needs of individuals and families in continuing and palliative care;
 Recognize the patient's and family reactions against the terminal stage of the life cycle;
 Mobilizing knowledge in order to provide care to the terminally ill and family in a psychosocial perspective;
 Provides justification for the implementation of the nursing process of individuals and families in continuing and palliative care;
 Analyzes the specificity of the clinical decision-making in continuing and palliative contexts;
 It sets out specific interventions of continuing and palliative contexts, within the specificity of the nursing process applied to people in Chronic and Palliative situation;
 Proposes the provision of holistic care, mobilizing knowledge and responding to the needs of individuals and families in continuing and palliative care

Syllabus

Palliative Care
 National and international guidelines on palliative care
 Philosophy of palliative care
 Palliative care teams organization
 Basics and key concepts
 Pillars of palliative care – Communication; Team work; Control of symptoms; Family support

Community Care
 Organization of long-term care needs
 Types of units/teams in long-term care
 Nursing Intervention on long-term care

Control of symptoms in Palliative care
 General principles of control of symptoms in CP
 Nursing interventions to the person with Pain
 Nursing Interventions to the person with Dyspnea
 Nursing Interventions to the person with nausea and vomiting
 Nursing Interventions to the person with Asthenia
 Nursing Interventions to the person with changes in the basic human need to feed/hydrate/eliminate
 Nursing Interventions to the person with Anxiety
 Nursing Interventions to the person with Depression
 Subcutaneous hydration and therapeutics in continuing and palliative care
 Nursing Intervention to the person in need of complex therapeutic protocols
 Evaluation Instruments in continuing and palliative care

Communication in continuing and palliative care
 Family Conference
 Techniques of bad news transmission

Emergencies in palliative care
 Tumor Lysis Syndrome
 Syndrome of Superior vena Cava
 Syndrome of Medullar Compression
 Massive Hemorrhage
 Insufficiency acute respiratory
 Delirium
 Palliative Sedation : definition and indication; ethical and legal considerations; Process and Sedation in Agony vs emergency Sedation´

Complex Wounds in continuing and palliative care
 Nursing Interventions to the person with complex wound in context of long-term care and Palliative

Summary of ethical aspects, ethics and palliative care legal
 Concepts of hope, spirituality, grief and mourning
 Conjunction with the content taught in DSE, DP I and Ethics II

Demonstration of the syllabus coherence with the UC intended learning outcomes

The syllabus allows the student to acquire knowledge of nursing in continuing and palliative contexts giving relevance to the chronic and palliative nursing and are consistent with the goals of the UC. The contents allow the student to know the main concepts associated with the evolution of the continuing and palliative care, as well as to identify the main focus of care-the person and the family. Integrate and articulate in his essence the conceptual pillars of palliative care-symptom control, communication, teamwork and family support. The themes of the programme, in particular the concepts and the discussion around the complex community problems, palliative care emergencies, wounds and ethical and deontological aspects in palliative care provides a global analysis and depth of the integration theme skills intervention level specifies in this context of nursing care

Teaching methodologies

Exhibition-participatory method in theoretical and theoretical-practical.
Theoretical and practical lessons are discussed and debated specific aspects on topics taught in the lectures.
Tutorial guidance to student support in monitoring, development of group work and clarification of doubts. Are used as methodological resources in these classes the role-playing, analysis of texts and videos, discussion of cases and situations of simulated practice.
The evaluation of the Course can be held in evaluation continues or under review. The evaluation methodology consists in carrying out a written test that will allow evaluating the individual acquiring knowledge about the contributions taught. At the end of the course the student who does not get 9.5 or more rating values, can perform the evaluation on examination (test).

Demonstration of the teaching methodologies coherence with the curricular unit's intended learning outcomes

UC Nursing VIII emphasizes active and participative methodology in order to promote student development, facilitating the deepening of knowledge, enabling it to develop competencies in the field of nursing care in contexts Continuing and Palliative care. The developing skills for students are organized based on the evidence produced in this area, a theoretical framework of care based on the promotion of comfort (Kolcaba) and humanist nature Care (Watson) to ensure insurance and quality care. Students are prepared to develop critical spirit, appropriate care that lend themselves in continuing and palliative contexts, as well as a set of specific skills (communication, symptom control, team work) in the field of clinical decision-making enabling adapted responses in situations of complexity inherent in continuing and palliative care.
It is intended that students throughout the UC meet and discuss the issues that are being taught, it was considered appropriate to use the exhibition and participatory methodology in the theoretical and practical/theoretical, stimulating critical thinking and reflective of the students.
Theoretical-practical lessons allow you to give expression to the practical content of the lectures.
Tutorial orientation lessons are carried out in order to monitor the development of the student's work in the development of materials to support the teaching and learning process, as well as the teaching resource in simulated environment of palliative situations, retracing the steps of the nursing process, stimulating the instrumental competence and ensuring the acquisition of the syllabus.

Assessment methodologies and evidences

Written test- October 19th
Examination for access to Clinical Education- October 25th

Attendance system

Free presence in theoretical classes
Mandatory presence in TP and OT classes

Assement and Attendance registers

Bibliografia

Brauman, R. (2000). Os dilemas da acão humanitária. Sta Maria da Feira: Teorema.
Clemente, A. M.(2002). Intervenção social e comunitária. Promover a inclusão. Lisboa.
Barbosa, A.; Pina, P.; Tavares, F. & Neto, I. (Eds.)(2016). Manual de Cuidados Paliativos. 3ª edição, Núcleo de Cuidados Paliativos do Centro de Bioética da Faculdade de Medicina de Lisboa. Lisboa.
Barbosa, A.; Pina, P.; Tavares, F. & Neto, I. (Eds.)(2015). Casos Clínicos em Cuidados Paliativos. 1ª edição, Núcleo de Cuidados Paliativos do Centro de Bioética da Faculdade de Medicina de Lisboa. Lisboa.
Barbosa, A. (Coord.) (2012). Investigação qualitativa em cuidados paliativos. Lisboa: Núcleo de Cuidados Paliativos/Centro de Bioética/Faculdade de Medicina da Universidade de Lisboa, 269 p.
Barbosa, A. (Coord.) (2012). Investigação quantitativa em cuidados paliativos. Lisboa: Núcleo de Cuidados Paliativos/Centro de Bioética/Faculdade de Medicina da Universidade de Lisboa, 328 p.
Bermejo, J.C.(2003). Estou en duelo. Centro de Humanization de S.Camillo.
Ferrell, B.R. & Coyle, N. (2006). Textbook of Palliative Nursing. 2end. New York. Ed: Oxford University Press.
Franco, Hugo (2014). Melhoria da Qualidade dos Cuidados em Ambulatório de Oncologia – Focos altamente sensíveis aos Cuidados de Enfermagem em Ambulatório de Oncologia – Relatório de Trabalho de Projeto no âmbito do II Mestrado de Enfermagem Médico Cirúrgica da ESS do IPS. Setúbal
Gomez, S.M. (1999). Tratado de Medicina Paliativa en la Cultura Latina. Madrid: Ed. Aran.
Kuebier,K.; Berry,P & Hedrich, D. (2002). End of Life Care. Clinical. Pratice Guidellines. W.B.Saunders Company.
Macdonald, N. (2008). Palliative Medicine: a case based manual. Oxford University Press.
Ramon, B. (2001). Psicologia del Sufrimiento y de la Muerte. Barcelona: Ed. Martinez Roca.
Nunes, Lucília (2016). E quando eu não puder decidir?. Fundação Francisco Manuel dos Santos
ORDEM DOS ENFERMEIROS (2010) – Catálogo CIPE - Cuidados Paliativos para uma Morte Digna. Cadernos OE - Série II N.º 2
SFAP (2000) – Sociedade Francesa de Acompanhamento e Cuidados Paliativos. Desafios da Enfermagem em Cuidados Paliativos. Lisboa: Lusociência

Observations

Course unit awaits review by CP and CTC of ESS