Study Guide

Objective

The student
- can define the concepts of palliative care, knows the levels of palliative care, and the service system.
- identifies the patient's need for palliative care or end of life care.
- knows how to implement symptomatic palliative care and end of life care in a multi-professional manner.
- knows how to deal with a dying patient and his or her next-of-kin holistically, in a family-oriented manner and taking into account individual needs.

Content

- Palliative care and end of life care; key concepts, values, principles and organization of treatment in Finland
- Ethical and legal matters of palliative care and end of life care
- Identifying the need for palliative or end of life care
- Anticipatory care plan for the end of life, patient`s will about care
- Identifying suffering
- Identification, assessment and treatment of pain
- Respiratory symptoms, gastrointestinal symptoms, oral symptoms, loss of appetite, abnormal fatigue, itching and other skin symptoms, sweating, urinary symptoms, delirium, anxiety and depression
- Signs of approaching death and post-death care
- Encountering and supporting the dying patient and his/her next-of-kin in a family-oriented way.
- Knowing the changes in communication caused by the disease and supporting them
- Grief, crisis and hope in palliative care and end of life care
- Existential, mental and spiritual support
- Psycho-social support
- Culture sensitivity in palliative care
- Acting as a registered nurse in palliative care and end of life care
- Multiprofessionalism in palliative care

Evaluation scale

1-5

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 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.

Qualifications

Basics of Clinical Nursing
Drug Care and Drug Calculations