Programme of Study
| This one year part-time programme will cover 210 hours of lectures and practical experience. The programme will consist of a total of five modules: (ENLC 5001, 5002, 5003, 5004, 5005, total 5 units) and students are required to write up three case studies on ENLC 5202 (4 units) and ENLC 5204 (6 units) based on clinical attachment, or student’s clinical work in the care of patients in end of life, at medical and health setting.
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Year 1 Term 1 ENLC 5001, 5002
Year 1 Term 2 ENLC 5202
Year 1 Term 3 ENLC 5003, 5004, 5005, 5204
Module
one: ENLC 5001 Principles and perspectives of end of life care (1 unit)
Introduction
to the overall concept of end of life care
The need for better end of life care
The principles and philosophy of palliation at end of life
What is a good end of life care
What is a good death
Who needs end of life care
Who should provide end of life care
Different
perspectives in end of life care
Cancer and supportive care at end of life
Non-cancer end of life care
End of life care for organ failures
End of life care for paediatric patients
More coverage on paediatrics palliative care and bereavement issues
End of life care for older patients
End of life care for frailty syndrome and neurodegenerative disease
Module two: ENLC 5002 Symptom control and medical care in end of life care (2 units)
Principles in symptom control in end of life
Symptoms prevalence in palliative care patients
Subjectivity and multiple dimensions in symptoms assessment
Pain and symptom assessment tools and clinical care pathways
Best interests for patients: benefits vs risk and burden in symptom relief
Pain control
Principles in pain control and total pain concept
WHO analgesic ladder and adjuvant therapy
Principles and use of interventional pain management
Palliative Care From the Plastic Surgeon perspective
Personalized Cancer treatment in Palliative setting
Clinical use of opioids in cancer and non-cancer setting
Management of neuropathic pain
Opioid myths and management of side effects of opioids
Alternative opioids and opioid rotation
Other symptoms control
Management of dyspnoea and in end of life setting
Management of confusion and delirium at the end of life
Management of malignant seizures and cord compression
Management of other miscellaneous symptoms at end of life
Cachexia, vomiting and intestinal obstruction
Lymphoedema and lymphorrhoea
Wound management
Death rattle and terminal restlessness and emergencies in terminal stage
Surgical perspectives on end of life care
Palliative cancer therapy
Principles and use of palliative chemotherapy
Principles and use of palliative radiotherapy
The use of molecular target therapy and other novel treatment in cancer
Alternative therapies in cancer palliation
Use of Chinese Medicine in Advanced Cancers
Use of Chinese Medicine in other end of life situations
Module three:
ENLC 5003 Psychospiritual care in end of life (BSA)
(1 unit)
Psychological
care at end of life
Breaking bad news
Basic communication and counselling skills
Truth telling and family collusion
Stress and coping with end of life
Anxiety and depression in end-of-life clinical psychologist’s approach
Management of psychiatric symptoms in end of life
Spiritual
/existential care at end of life
Dignity and suffering
Religious and spiritual perspectives
Cultural aspects and Chinese perspectives
Quality of life and dying
Care Pathway & Last Office
Funeral Logistics
Bereavement
support
Grief and bereavement
Bereavement risk stratification
Anticipatory grief support
Supporting the family and use of family therapy
Respect and Donation of Body after Death for Medical Education
Care for carers
Team building and resilience in crisis
Burnout and compassion fatigue
Professionals reflections in facing death and dying
Module four: ENLC 5004 Ethical principles and dilemmas in end of life care (0.5 unit)
Ethical principles
Autonomy, beneficience, and justice
Use of antibiotics and other life-sustaining treatments
Approach to food and hydration and issues of tube feeding
Withholding and withdrawing treatment
Advance Care Planning for Old age home residents
Advanced directive and do not resuscitate orders
Euthanasia
Module five: ENLC 5005 Service models and future directions in end of life care (0.5 unit)
End of life care in hospital and in community
Inpatient services and quality care
Day care model and services
Dying at home
Role of hospital support and consultative teams
Palliative care in old age homes
Ageing in place and dying in place
Desire and barriers for home deaths
Service gaps and future directions
Practical experience ENLC 5202 (4 units)
Work or attachment in the care of patients in end of life in a medical and health setting (in the broadest sense including nursing and allied health disciplines), and/or social setting, and the writing up of one case report, consisting of three hours per week over a three month period.
Practical experience ENLC 5204 (6 units)
Work or attachment in the care of patients in end of life in a medical and health setting(in the broadest sense including nursing and allied health disciplines), and/or social setting, and the writing up of two case reports, consisting of four hours per week over a three month period.
