Study Guide

Objective

The student
-identifies the need of a patient for palliative or end-of-life care.
-draws up a nursing care plan for the last phase of a patient’s life in collaboration with the patient, his or her next-of-kin, the physician in charge and other members of the multidisciplinary team.
-implements symptomatic and humane palliative care and end-of-life care.
-encounters and implements nursing care of a dying patient and supports his/ her next-of-kin.
-uses various methods to support the psycho-social and conviction needs of patients and their next-of-kin.

Content

Palliative care and end-of-life care; key concepts, values and principles
Identifying the need for palliative or end-of-life care
Encountering a patient with terminal condition
The role of a nurse in palliative care and end-of-life care
Palliative care and end-of-life care; legal bases
Key elements of a nursing care plan for the last phase of life, living will
Addressing suffering and related symptoms
Pain relief
Symptoms in airways, gastrointestinal tract, mouth, dehydration, fading away and anorexia, exceptional fatigue, itching and other skin symptoms, sweating, delirium, anxiety and depression
Encountering a dying patient and his or her next-of-kin
Recognition and anticipation of changes in communication caused by the disorder
Existential support
Psycho-social support
Signs of impending death
Support and consideration of family members and friends
Identification of the need for spiritual support
Professional assistance and how to arrange it

Qualifications

Basics of Clinical Nursing
Drug Care and Drug Calculations

Assessment criteria, satisfactory (1)

1-2
The student
- uses the knowledge foundation of client-centered clinical nursing narrowly.
- on a satisfactory level, seeks information and uses evidence-based knowledge to explain the actions in client-centered clinical nursing.
- on a satisfactory level, implements his/her competence in client-centered clinical nursing in various nursing/public health nursing situations.
- is capable of client-centered and safe clinical practice based on ethical principles.
- possesses adequate skills in client-centered clinical decision-making.
- is to some extent prepared to develop client-centered clinical nursing.

Assessment criteria, good (3)

3-4
The student
- competently and extensively uses the concepts and knowledge of client-centered clinical nursing.
- evaluates and critically uses evidence-based knowledge in client-centered clinical nursing.
- implements their competence in client-centered clinical nursing in an anticipatory manner and is capable of independent decision-making in various client-centered clinical nursing situations.
- is capable of client-centered, responsible and safe clinical practice.
- applies alternative solutions to decision-making in client-centered clinical nursing.
- evaluates action and safety in client-centered clinical nursing based on professional ethical principles of nursing/public health nursing.
- acts as an expert of client-centered clinical nursing in multidisciplinary teams and projects in collaboration with people who represent different cultures.
- purposefully develops himself/ herself and the working community in client-centered clinical nursing.

Assessment criteria, excellent (5)

5
The student
- demonstrates competence in the nursing scientific knowledge base and competently applies this knowledge to client-centered clinical nursing.
- independently seeks, uses and critically evaluates international evidence-based nursing scientific knowledge in client-centered clinical nursing.
- implements his/her competence in client-centered clinical nursing in an anticipatory manner and is capable of independent decision-making in various client-centered clinical nursing situations.
- assumes responsibility for the patient's/client's care and service process in client-centered clinical nursing.
- creates innovative alternative solutions to decision-making in client-centered clinical nursing.
- develops action and safety based on the professional ethics of nursing /public health nursing in client-centered clinical nursing.
- as an expert of client-centered clinical nursing, develops action in multidisciplinary teams and projects in collaboration with people who represent different cultures.
- develops himself/ herself , the profession and practice in client-centered clinical nursing purposefully, with a career-oriented approach.

Assessment criteria, approved/failed

Fail = 0
The student
- evaluates and uses the knowledge foundation of client-centered clinical nursing insufficiently.
- insufficiently explains the actions in client-centered clinical nursing.
- implements his/her competence in client-centered clinical nursing insufficiently.
- is not capable of client-centered and safe clinical practice based on ethical principles.
- does not possess adequate skills in client-centered clinical decision-making.
- does not have the readiness to develop client-centered clinical nursing.