Study Planning 2

Last Days/Hours/Imminent Death Care 13 DAYS - Dec 21 - Jan 11

Signs and symptoms of imminent death- cognitive changes(decreased awareness, increased drowsiness, restlessness); - physical changes (profound weakness, respiratory changes, skin coloration, difficulty swallowing, decreased urinary output).

Pain and symptom assessment and management (unique to last hours)

Comfort measures

Preparing for time of death:- organ, tissue, and body donation,- autopsy- pronoucement of death- certification of death

Family:- support- care- education

Care of the Person and Family 9 DAYS = Jan 17 - Feb 4

Coping strategies

Individual & family responses/ reactions to dx and living with life-limiting illness

Grief:- cumulative losses- anticipatory grief

Effective communication strategies:- presence- empathy- reflective listening

Impacts of:- culture- spirituality - family dynamics, roles, responsibilities (e.g., role change, stressors); - family structure & function- stage of development and associated tasks; - age of children in the family (e.g., considering developmental concept of illness and dying  and death); - life experience of the person and family. 

Impacts on:- intimacy;  - sexuality and sexual function;  - body image;  - self-concept and self-esteem; - abuse/neglect (e.g., physical, verbal, emotional, financial, sexual).

Promoting functional capacity and independence

Caregiver stress & exhaustion

Conflict resolution

Preparing for end of nurse-family relationship

Inter professional/Collaborative Practice 5 DAYS - Feb 5 - Feb 13

family conferences

Care goals & care planning

Integration & supervision of unregulated personnel- students, volunteers, personal support workers

Admission & transition between care settings

Education  5 DAYS - Feb 14 - Feb 24

Promoting public awareness

Education to:- family- individual- health care professionals- students- volunteers

Loss, Grief and Bereavement Support 4 DAYS - Feb 25 - Mar 4

Loss, grief & bereavement- what is it?

Types of grief:- anticipatory;  - uncomplicated; - complicated; - disenfranchised;  - unresolved.

Manifestations of grief: - physical;  - cognitive;  - emotional;  - behavioural/social;  - spiritual.

Depression vs grief

Complicated grief- risk for

Children/ developmental stages & grief

Legacy work

Last Days/Hours/Imminent Death Care

Care of the Person and Family

Inter professional/Collaborative Practice

Education

Loss, Grief and Bereavement Support