Caring and Accompanying until the End of Life
Code: 106134Credits: 3
| Degree programme | Type | Course |
|---|---|---|
| Nursing | OP | 4 |
Contact lecturer
- Name :
- Jessica Izcara Cobo
- Email :
- jessica.izcara@uab.cat
Group languages
You can consult this information at the end of the document.
Prerequisites
There are no prerequisites.
Objectives
- Know the different health structures and organizations aimed at caring for the elderly, and recognize the role of nurses in care teams in older adults.
- Identify the elements of the assessment of palliative care, and recognize its usefulness and application in clinical practice.
- Select the most appropriate interventions to help individuals and families take care of themselves adapting to the changes produced by the disease process.
- Differentiate the necessary care in oncological and non-oncological diseases.
- Identify the concept of end of life and palliative care.
- Know different meanings of death from a social, historical and cultural perspective.
- Identify interventions aimed at caring for individuals and families in end-of-life situations or with palliative care needs.
- Identify interventions aimed at guaranteeing autonomy during decision-making.
- Analyse the most up-to-date scientific evidence on nursing care during end-of-life processes or with palliative care needs.
- Identify taboos, prejudices and assumptions in people and societies about death and ageing.
- Develop a relationship of help in the care of people and families in end-of-life situations or with palliative care needs.
Learning outcomes
- KM15 (Identify people's psychological and social responses to different situations and/or problems related to health, illness and suffering.) Identify people's psychological and social responses to different situations and/or problems related to health, illness and suffering.
- KM31 (Describe the diseases and health problems of older people, as well as their most frequent causes and clinical manifestations.) Describe the diseases and health problems of older people, as well as their most frequent causes and clinical manifestations.
- SM43 (Analyse the social impact of disease and health problems on people and their environments, recognising changes in social roles, interpersonal relationships and support networks.) Analyse the social impact of disease and health problems on people and their environments, recognising changes in social roles, interpersonal relationships and support networks.
Contents
1. Death, culture and society.
2. Oncological and non-oncological diseases.
3. Palliative care and end of life.
4. Control of symptoms in a situation of last days.
5. Pharmacological and non-pharmacological interventions in the end-of-life process.
6. Emotional accompaniment.
7. Sedation vs Euthanasia.
8. Health resources.
9. Assessment instruments.
10. Living wills document.
Learning activities and methodology
| Title | Hours | ECTS | Learning outcomes |
|---|---|---|---|
| Submission of assignments, preparation for written exam, reading of texts | 50.25 | 2.01 | |
| Theory | 24.75 | 0.99 |
The course will be structured as follows:
1- Theoretical classes. These will be lecture-based sessions in which the instructor will present the most relevant theoretical content necessary to achieve the expected learning outcomes. In addition, discussion dynamics or case analyses may be introduced.
Class attendance is mandatory at 90%.
Students may request individual tutorials with the instructor to clarify concepts or address any issues.
Assessment
Continuous assessment activities
| Title | Weight | Hours | ECTS | Learning outcomes |
|---|---|---|---|---|
| Portfolio 2 | 40% | 0 | 0 | KM15, KM31, SM43 |
| Portfolio 1 | 40% | 0 | 0 | KM15, KM31, SM43 |
| Self assessment | 20% | 0 | 0 | KM15, KM31, SM43 |
The evaluation of the subject consists of two tests:
1. The Learning Portfolio is a space where students must collect the exercises carried out during the seminars. It must also incorporate all the complementary materials used in the resolution of the exercises, such as scientific articles, protocols, clinical practice guidelines, videos, images, etc.
This portfolio will be evaluated in two moments of the subject in order to promote continuous evaluation. A specific rubric will be used. Each of the two deliveries has a weight in the final grade of 40%.
2. Self-evaluation. This activity has a weight in the final grade of 20%. Students must write a report in which critically and reflectively evaluate the learning acquired in the subject, as well as identify and argue their strengths and weaknesses in terms of learning and propose interventions to improve weaknesses and maintain strengths. This activity will be presented at the end of the subject.
It is necessary to have passed all the evaluation activities to be able to calculate the final grade.
In this subject, the use of Artificial Intelligence (AI) technologies is allowed as an integral part of the work development, provided that the final result reflects a significant contribution from the student in the analysis and personal reflection. The student must clearly identify which parts were generated with this technology, specify the tools used, and include a critical reflection on how they influenced the process and the final outcome of the activity. Lack of transparency in the use of AI will be considered an academic dishonesty and may result in a penalty in the activity's grade, or greater sanctions in cases of severity.
It will be understood as Not Assessable those situations in which:
- The student has not presented themselves to any or none of the assessment activities. When the student does not present themselves to anyor none of the planned assessment activities = Not Assessable
- The requirement for attendance specified in the Teaching Guide is not met.
- AI Use: in case of not justifying its transparency in its use for carrying out the activities.Students have the right to review assessment tests. For this purpose, the date will be specified on the virtual campus.
According to agreement 4.4 of the Governing Council 17/11/2010 of the evaluation regulations, the grades will be:
0 to 4.9 = Fail
From 5.0 to 6.9 = Pass
From 7.0 to 8.9 = Notable
From 9.0 to 10= Excellent
Non-Evaluable will be understood as those situations in which it has not been submitted to any or all of the evaluation activities. When the student does not attend any or all of the planned assessment activities = Not Evaluable
Students have the right to review the assessment tests. For this purpose, the date will be specified on the virtual campus.
The copy or plagiarism of any of the evaluation activities will entail the suspense of the subject with a zero without option to recovery.
This subject does not provide for the single assessment system
Bibliography
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Jiménez, Ana María Carmona et al. “IMPACTO FAMILIAR DE LA SEDACIÓN PALIATIVA EN PACIENTES TERMINALES DESDE LA PERSPECTIVA DEL CUIDADOR PRINCIPAL.” Psicooncologia 13.2/3 (2016): 351–365.
Acedo Claro, Clementina, and Bárbara Rodríguez Martín. “Sedación paliativa.” Revista clínica de medicina de familia 14.2 (2021): 93–97.
Eich, Melisse et al. “The Principles and Values Implied in the Practice of Palliative Sedation and the Euthanasia/ Principios e Valores Implicados Na Pratica Da Sedacao Paliativa e a Eutanasia/ Principios y Valores Implicados En La Practica de La Sedacion Paliativa y La Eutanasia.” Interface (Botucatu, Brazil) 22.66 (2018): 733–.
Taboada R., Paulina. “Sedación paliativa (parte II): Cuestiones éticas y principios morales.” Acta bioethica 20.2 (2014): 225–235.
Palacio G., Carolina. “\"El papel de la resiliencia y de los factores psicosociales y espirituales en la adaptación de los cuidadores principales de pacientes con cáncer avanzado/final de vida.” N.p., 2020.
Cuidado Paliativo: Una Aproximación a Los Aspectos Éticos En El Paciente Con Cáncer. Persona y Bioética, 9 (25). D - Universidad de La Sabana, 2009.
Guerrero Lira, Mario. “Cuidados Paliativos.” Ars medica (Santiago, Chile) 23.3 (2018): n. pag.
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Carvajal C., Sergio, Bernardita Portales V., and Juan Pablo Beca I. “Eutanasia: Aclarando Conceptos.” Revista medíca de Chile149.10 (2021): 1502–1506.
Porcar Rodado, Elena, David Peral Sanchez, and Marina Gisbert Grifo. “El documento de voluntades anticipadas. Comparativa de la legislación actual en el marco de la Unión Europea.” Revista española de medicina legal 47.2 (2021): 66–73.
Ibars Cervera, Maria Jose et al. “Comunidad y Documento de Voluntades Anticipadas (DVA), Una Realidad.” International journal of integrated care 19.4 (2019): 314–.
Maté-Méndez, Jorge et al. “Consenso sobre el estándar de atención psicooncológica, complejidad psicosocial y actividad asistencial en el Instituto Catalán de Oncología.” Psicooncologia 18.1 (2021): 11–.
Castellano-Tejedor, Carmina. “Els beneficis del suport social durant el càncer.” (2015): n. pag.
Cuidados Paliativos. Editorial Alfil, S. A. de C. V., 2022.
Sanz Ortiz, Jaime. Cuidados paliativos : recomendaciones de la Sociedad Española de Cuidados Paliativos (SECPAL) / [autores: Jaime Sanz Ortiz ... et al.] ; prólogo de Marcos Peña Pinto. Madrid: Ministerio de Sanidad y Consumo, Secretaría General Técnica, 1993.
Guía de recursos sanitarios y sociales en la fase final de la vida en Gipuzkoa. San Sebastián: Sociedad Vasca de Cuidados Paliativos, 2003.
Benito, E. (Enric) et al. El Acompañamiento espiritual en cuidados paliativos : una introducción y una propuesta / E. Benito, J. Barbero, A. Payás. Madrid: Arán, 2008.
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Allende Pérez, Silvia. Manual de cuidados paliativos para pacientes con cáncer Silvia Allende Pérez ...[et al.]. México D.F: Editorial Alfil, 2012.
Cabodevilla Eraso, Iosu. Guía no farmacológica de atención en enfermedades avanzadas : cuidados paliativos integrales / Iosu Cabodevilla Eraso. Bilbao: Desclée de Brouwer, 2014.
Jiménez López, Francisca Rosa, Pablo Román López, and María del Mar Diáz Cortés. Cuidados de enfermería en situaciones complejas de salud : proceso oncológico, cuidados paliativos, muerte y duelo / autores, Francisca Rosa Jiménez López, Pablo Román López, María del Mar Diáz Cortés. Almería: Editorial Universidad de Almería, 2015.
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Guía de práctica clínica sobre cuidados paliativos : Guía completa / [autoría: Grupo de Trabajo sobre GPC sobre Cuidados Paliativos]. Vitoria-Gasteiz: Servicio Central de Publicaciones del Gobierno Vasco, 2008.
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Cegri F, Ortiz M, Bullich I, Mestres J, Trelis J, Sacanella E, et al. Consens d’escales i eines per a la valoració multidimensional de les persones a Catalunya. Barcelona: Direcció General de Planificació i Recerca en Salut; 2023.
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Software
Does not require specific software.
Course groups and languages
The information provided is provisional until November 30. After this date, you will be able to consult the language of each group through this link. To access the information, you will need to enter the course CODE
| Type of teaching | Group | Language | Semester | Shift |
|---|---|---|---|---|
| (TE) Theory | 301 | Catalan | annual | afternoon |
| (TE) Theory | 501 | Catalan | annual | morning-mixed |
| (TE) Theory | 601 | Catalan | annual | morning-mixed |