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Improving end of life care

Improving end of life care. Sue Cole, Staff Tutor Chris Kubiak, Lecturer The Open University. Introduction. Death and dying: an educational approach to improving aspects of end of life care The module is mapped to the EoLC competences Available since 2009, sponsored students 2010

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Improving end of life care

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  1. Improving end of life care Sue Cole, Staff Tutor Chris Kubiak, Lecturer The Open University

  2. Introduction • Death and dying: an educational approach to improving aspects of end of life care • The module is mapped to the EoLC competences • Available since 2009, sponsored students 2010 • Four blocks, each with a specific focus • End of life care certificate • Transforming care short courses

  3. Module evaluation • On completion of the module • Designed to explore the impact on practice, including the competences • Electronic questionnaire and follow-up telephone interviews • Provide quantitative and qualitative data • Report drawing together the findings

  4. Outcomes ~ 1 • Identified benefits: • Communication • “Since taking the course I start a conversation much sooner and have the confidence to take it where the patient wants to go.” • Assessment and care planning • “I never used to think about planning but now I follow the procedures and preparation especially if I see signs and symptoms of a patient changing. Prior to the course it was mainly crisis management but now there is more planning.”

  5. Outcomes ~ 2 • Symptom management • “It has made a massive difference to managing symptoms and we now have drugs available in the building for out of hours and arrange a GP visit if needed.” • Advanced care planning • “I am more likely to begin discussion earlier to establish wishes and record them using the Preferred Priorities of Care document.” • Overarching values and knowledge • “We used to put a cross and a bible and flowers on/near people who had died. Now we would not automatically do this, it would depend on their religion and if they were practising.”

  6. The future • Responding to different practitioner and employer needs • 40 hour short courses • Fully online • Non-accredited • Self-directed • Responsive andcontemporary

  7. Improving end-of-life care

  8. Underpinning theory and reflection

  9. Examining practice and service user experience

  10. Self quiz, action planning and statement of participation

  11. Further information Google: • K260 Death and dying • KG001 Improving end of life care • Sue Cole: S.Cole@open.ac.uk • Chris Kubiak: Chris.Kubiak@open.ac.uk

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