Portale di Ateneo - En.Unibs.it

The course aims, as indicated by the basic training lines of the EAPC implemented in Italy, by the Core Curriculum of the palliative care nurse and by the regulations in application of Law 38/2010 on the establishment of the Palliative Care Network and the pain therapy, to allow students to acquire the following knowledge: specificity of care in palliative care; field and criteria of appropriateness; delivery setting and network concept for continuity of care; clinical care management of the complex need; accompanying relationship and taking charge of the family; ethical aspects related to the advanced stage of the disease; spiritual and psychological relational aspects related to the situation of terminality; mourning preparation and management (integrated areas of expertise that will be treated from the point of nursing specificity).

THEME AREA AIMS
Provide knowledge and activate reflection on:
1) From the definition of palliative care to the regulatory framework: l.38 / 2010 Palliative care goals and end-of-life care;
- regulatory aspects: ......... Law 38/2010; .Accordo Stato Regioni of 25 July 2012; DGR 4610/2012;
- DGR 5918/2016
- General and ethical aspects of Palliative Care: The ethical decisions of the end of life. Protection of the patient's dignity and quality of life, protection of the patient's will: informed consent, advance treatment directives, the code of ethics;
- The organization of Palliative Care: delivery models (from the traditional model to the Simultaneous care, the Palliative Care Network Model); the palliative care team;
2) clinical-welfare aspects: advanced nursing of illness and end of life - taking care of and planning complex needs: the reformulation of care objectives (meaning to take care, what are the care priorities in the end of life?)
- End-of-life management: the main symptoms to be controlled (pain, dyspnoea, delirium, asthenia, psychological distress) and its interference with needs (nutrition, mobilization, respiration, elimination, communication, diagnostic and therapeutic prescriptions)
- The concept of refractory symptom and its management: palliative or terminal sedation (indications, drugs, control)
- focus on: total pain management: WHO scale and therapy setting guidelines (aspects of nursing interest on prevention and / or management of side effects), tools for pain assessment (analog scales VAS, NRS, Wong-Baker (scale of the faces)
- ... monitoring and evaluation of intervention outcomes; stairs BPAS (BEVIORAL PAIN ASSESMENT SCALE), SCALA DI RUDKIN, RASS, RANTOLO
3) communicative and relational aspects in the relationship with the patient and his family the accompanying report
- communication of bad news and preparation for mourning
- the development of NANDA diagnosis applied to nursing in palliative care (exercises with pre-structured material)
- Clinical cases