Universitat Internacional de Catalunya

Specific Devices, Techniques and Care for the Advanced Patient

Specific Devices, Techniques and Care for the Advanced Patient
3
15145
1
Second semester
op
Main language of instruction: Spanish

Other languages of instruction: Catalan, English

Teaching staff


Dra. GUERRERO TORRELLES, Maria - mguerrero@uic.es

Introduction

The patient with advanced disease very often requires specialised care. This topic will provide the information and resources necessary for this care both during the disease process and at the end of life or even after death. It will also reflect on the dignity and attitude of the professional.

Pre-course requirements

Be interested in knowing the specific care as well as the usual procedures for patients with advanced disease.

Objectives

  • Acquire knowledge of specialised palliative or end-of-life care.

  • Correctly identify the type of approach for injuries or wounds based on their aetiology and evolution.

  • Know the different devices for administering medication/feeding and drainage.

  • Reflect on ethical aspects related to end-of-life and postmortem care in a multicultural context.

Competences/Learning outcomes of the degree programme

  • CN01 - Acquire advanced and specific knowledge in symptom control (physical and emotional) and in communication and patient and family care.
  • CN07 - Identify advanced techniques of assessment and management of physical, psychological (including spiritual) and social needs with a multicultural vision.
  • CP02 - Apply the principles of intellectual honesty and scientific integrity in the professional field of PCs.
  • CP03 - Independently carry out tasks in the area of PC according to the protocols established for this purpose.
  • CP04 - Manage care practice by adapting it and prioritising the personalisation of care in complex and changing healthcare environments.
  • CP09 - pply solutions to problems that may arise when carrying out tasks in the field of PCs.
  • HB05 - Demonstrate capacity for interdisciplinary collaborative teamwork in palliative care.

Learning outcomes of the subject

Al finalizar la materia, el alumnado será capaz de: 

4.1. Identify the indications and contraindications of the techniques and tools necessary for the management of the most prevalent symptoms and for the prevention and treatment of crisis situations in palliative care with a holistic view of the needs of the patient and his/her family. 

4.4. Indicate the most common devices for symptom control, describing their characteristics and applications, as well as the follow-up of the patient treated with them. 

4.5. Describe the indications and contraindications of the techniques and tools necessary for the management of complex situations in palliative care.


Syllabus

  1. Feeding in palliative care

  2. Management of the subcutaneous route

  3. Wounds: injuries, PUs, fistulae, tumour ulcers

  4. Devices: catheters

  5. Devices: drains

  6. Body image care

  7. Specific procedures in palliative care

  8. Last days situation (LDS)

  9. Sedation

  10. Death and post-mortem care

Evaluation systems and criteria

Online



Continuous assessment activities: a participation in individual and group tutorials of at least 50% (minimum) will be required to ensure synchronous participation with teachers with asynchronous activities.

Deliverable activities: 

  • Questionnaires 

  • Self-assessment tests

  • Article commentary

  • Video presentation 

  • Resolution of a case study

Bibliography and resources

Servicio aragonés de salud. PLAN DE CUIDADOS DE ENFERMERÍA EN PACIENTES QUE PRECISAN CUIDADOS PALIATIVOS. España: 2022; Disponible en: https://www.aragon.es/documents/20127/93704596/Plan_cuidados_enfermer%C3%ADa_CPAragon.pdf

Codorniu N., Bleda M., Alburquerque E., Guanter L., Adell J., García F. et al . Cuidados enfermeros en Cuidados Paliativos: Análisis, consensos y retos. Index Enferm  [Internet]. 2011  Jun [citado  2024  Feb  28] ;  20( 1-2 ): 71-75. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-12962011000100015&lng=es.

Rial Carrillo Inés, Martínez-Santos Alba-Elena, Rodríguez-González Raquel. Characteristics of the subcutaneous route use for the administration of medication in palliative care patients. Index Enferm  [Internet]. 2020  Jun [citado  2024  Feb  28] ;  29( 1-2 ): 37-41. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-12962020000100009&lng=es. Epub 19-Oct-2020.

Guía de Práctica Clínica sobre atención paliativa al adulto en situación de últimos días. Ministerio de Sanidad. Agencia Gallega para la Gestión del Conocimiento en Salud (ACIS);2021. Disponible en: https://portal.guiasalud.es/wpcontent/uploads/2021/09/gpc_612_atencion_paliativa_avaliat_compl.pdf 

Viftrup DT, Hvidt NC, Prinds C. Dignity in end-of-life care at hospice: An Action Research Study. Scand J Caring Sci; 2021; 35: 420–429 

 Julià Torras J, Serrano Bermúdez G. Manual de síntomas en pacientes con cáncer avanzado. 4ª edición. España: Editorial Arán; 2019.


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