Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

HLTENN010 Mapping and Delivery Guide
Apply a palliative approach in nursing practice

Version 1.0
Issue Date: April 2024


Qualification -
Unit of Competency HLTENN010 - Apply a palliative approach in nursing practice
Description
Employability Skills
Learning Outcomes and Application This unit describes the skills and knowledge required to provide nursing care using a palliative approach in care environments such as hospitals, home and community care, hospices and long-term care facilities. This unit applies to enrolled nursing work carried out in consultation and collaboration with registered nurses, and under supervisory arrangements aligned to the Nursing and Midwifery Board of Australia regulatory authority legislative requirements. The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice.
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.

Skills must have been demonstrated in the workplace or in a simulated environment. The following conditions must be met for this unit:

use of suitable facilities, equipment and resources in line with the Australian Nursing and Midwifery Accreditation Council’s Standards including:

advance care directives

organisation policies and procedures on which the candidate bases the planning

modelling of industry operating conditions including access to real people for simulations and scenarios in enrolled nursing work.

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

In addition, assessors must hold current registration as a Registered Nurse with Nursing and Midwifery Board of Australia.
Prerequisites/co-requisites
Competency Field
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities 		Slides
PPT 		Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: Elements define the essential outcomes of a unit of competency.
       
Element: The Performance Criteria specify the level of performance required to demonstrate achievement of the Element.
       
Element: Recognise the special needs of a person requiring a palliative approach to care.
  • Apply principles of palliative care and the palliative approach in undertaking holistic assessment of the person.
  • Apply knowledge of pathophysiological changes associated with a life-limiting illness and the needs of the person.
  • Assess a person’s pain management, and implement strategies to address pain and any medication-induced constipation in consultation with registered nurse.
  • Identify and respect the person’s needs in relation to their lifestyle, social context and emotional and spiritual choices, and document these in accordance with care plan.
  • Identify and work within roles and responsibilities of the inter-disciplinary team when planning palliative care for the person.
  • Apply in own practice an awareness of the psychosocial impact of palliative care on the person’s family or carer.
       
Element: Support person, family or carers using the palliative approach.
  • Provide the person, family or carer with opportunities to discuss spiritual and cultural issues in an open and non-judgmental manner.
  • Use effective communication techniques and access relevant support services to provide a supportive environment for the person, family or carer.
  • Monitor the person’s condition and provide accurate and timely information on stages of dying to the person, family or carer, ensuring that information-provision respects their wishes.
  • Identify and address legal and ethical implications of implementing advance care planning (ACP) and advance care directives (ACD).
       
Element: Identify and respond to signs of deterioration and the stages of dying.
  • Apply knowledge of the physiology of dying in supporting the person, family or carer as they experience the person’s dying process.
  • Identify signs of respiratory and swallowing difficulties and implement management strategies in accordance with ACP or ACD.
  • Address malignant wound management in accordance with the unique needs of non-healing wounds of a deteriorating person.
  • Identify and report signs of the person’s deterioration or imminent death in accordance with ACP or ACD.
  • Support the dignity of the person when undertaking all care activities in their end-of-life stages as well as after their death.
  • Identify and reflect on any ethical issues or concerns about the person, and discuss with an appropriate person according to organisation procedures.
       
Element: Care for the person’s body after death and provide support for the family and others.
  • Apply knowledge of legislation to own role and responsibilities when a person dies.
  • Provide care of a person’s body after death using standard precautions and in accordance with organisation policy and procedures.
  • Ensure care of the person’s body is carried out with dignity and respect, and that the person’s individual customs, culture, religion, spiritual practices and choices are taken into account.
  • Discuss support needs and resources including the accessibility and availability of resources with the family, carer or others requiring bereavement care.
  • Provide emotional support to the person, family or carer in relation to grief, loss and bereavement.
       
Element: Provide for own self-care in palliative care role.
  • Identify own need for self-care and support and implement effective ways to sustain own social and emotional wellbeing.
  • Encourage self and colleagues to access support and, where indicated, participate in professional debriefing.
       
Element: Care for the person’s body after death and provide support for the family and others.
  • Apply knowledge of legislation to own role and responsibilities when a person dies.
  • Provide care of a person’s body after death using standard precautions and in accordance with organisation policy and procedures.
  • Ensure care of the person’s body is carried out with dignity and respect, and that the person’s individual customs, culture, religion, spiritual practices and choices are taken into account.
  • Discuss support needs and resources including the accessibility and availability of resources with the family, carer or others requiring bereavement care.
  • Provide emotional support to the person, family or carer in relation to grief, loss and bereavement.
       


Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes of a unit of competency.

The Performance Criteria specify the level of performance required to demonstrate achievement of the Element.

1. Recognise the special needs of a person requiring a palliative approach to care.

1.1 Apply principles of palliative care and the palliative approach in undertaking holistic assessment of the person.

1.2 Apply knowledge of pathophysiological changes associated with a life-limiting illness and the needs of the person.

1.3 Assess a person’s pain management, and implement strategies to address pain and any medication-induced constipation in consultation with registered nurse.

1.4 Identify and respect the person’s needs in relation to their lifestyle, social context and emotional and spiritual choices, and document these in accordance with care plan.

1.5 Identify and work within roles and responsibilities of the inter-disciplinary team when planning palliative care for the person.

1.6 Apply in own practice an awareness of the psychosocial impact of palliative care on the person’s family or carer.

2. Support person, family or carers using the palliative approach.

2.1 Provide the person, family or carer with opportunities to discuss spiritual and cultural issues in an open and non-judgmental manner.

2.2 Use effective communication techniques and access relevant support services to provide a supportive environment for the person, family or carer.

2.3 Monitor the person’s condition and provide accurate and timely information on stages of dying to the person, family or carer, ensuring that information-provision respects their wishes.

2.4 Identify and address legal and ethical implications of implementing advance care planning (ACP) and advance care directives (ACD).

3. Identify and respond to signs of deterioration and the stages of dying.

3.1 Apply knowledge of the physiology of dying in supporting the person, family or carer as they experience the person’s dying process.

3.2 Identify signs of respiratory and swallowing difficulties and implement management strategies in accordance with ACP or ACD.

3.3 Address malignant wound management in accordance with the unique needs of non-healing wounds of a deteriorating person.

3.4 Identify and report signs of the person’s deterioration or imminent death in accordance with ACP or ACD.

3.5 Support the dignity of the person when undertaking all care activities in their end-of-life stages as well as after their death.

3.6 Identify and reflect on any ethical issues or concerns about the person, and discuss with an appropriate person according to organisation procedures.

4. Care for the person’s body after death and provide support for the family and others.

4.1 Apply knowledge of legislation to own role and responsibilities when a person dies.

4.2 Provide care of a person’s body after death using standard precautions and in accordance with organisation policy and procedures.

4.3 Ensure care of the person’s body is carried out with dignity and respect, and that the person’s individual customs, culture, religion, spiritual practices and choices are taken into account.

4.4 Discuss support needs and resources including the accessibility and availability of resources with the family, carer or others requiring bereavement care.

4.5 Provide emotional support to the person, family or carer in relation to grief, loss and bereavement.

5. Provide for own self-care in palliative care role.

5.1 Identify own need for self-care and support and implement effective ways to sustain own social and emotional wellbeing.

5.2 Encourage self and colleagues to access support and, where indicated, participate in professional debriefing.

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

undertaken nursing work in accordance with Nursing and Midwifery Board of Australia professional practice standards, codes and guidelines

analysed health information and clinical presentation of 1 person to reach an accurate conclusion of possible palliative care planning and nursing interventions in consultation with a registered nurse

provide nursing care using a palliative approach to 1 person in the workplace including performing nursing interventions with the person through the end-of-life stages and professional interactions with the family or carer.

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

how to identify needs of the person, family or carers during the palliative approach to health care

State/Territory legislation on advance care planning, advance care directives and notification of a death

diverse cultural, religious and spiritual factors underpinning the persons choices at end-of-life

ethical and legal issues related to a palliative care approach including:

decisions regarding advance care directives

conflicts that may occur in relation to personal values and decisions made by or for the person

organ donation

request for autopsy

hydration and nutrition requirements during palliative care and at end-of-life

pain management including:

medication administered using a syringe driver or intima sub-cut lines

common non-pharmaceutical and complementary care

indications and contraindications for use of syringe drivers in administration of pain medication

indications for intima sub cut lines for pain relief, anti-nausea and steroid injections

impact of loss and grief on person, family or carers and staff members

own role and responsibilities, and those of other team members involved in palliative care

relevant organisation policies, procedures, protocols and practices in relation to palliative care

relevant resources available to those requiring grief and bereavement support.

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes of a unit of competency.

The Performance Criteria specify the level of performance required to demonstrate achievement of the Element.

1. Recognise the special needs of a person requiring a palliative approach to care.

1.1 Apply principles of palliative care and the palliative approach in undertaking holistic assessment of the person.

1.2 Apply knowledge of pathophysiological changes associated with a life-limiting illness and the needs of the person.

1.3 Assess a person’s pain management, and implement strategies to address pain and any medication-induced constipation in consultation with registered nurse.

1.4 Identify and respect the person’s needs in relation to their lifestyle, social context and emotional and spiritual choices, and document these in accordance with care plan.

1.5 Identify and work within roles and responsibilities of the inter-disciplinary team when planning palliative care for the person.

1.6 Apply in own practice an awareness of the psychosocial impact of palliative care on the person’s family or carer.

2. Support person, family or carers using the palliative approach.

2.1 Provide the person, family or carer with opportunities to discuss spiritual and cultural issues in an open and non-judgmental manner.

2.2 Use effective communication techniques and access relevant support services to provide a supportive environment for the person, family or carer.

2.3 Monitor the person’s condition and provide accurate and timely information on stages of dying to the person, family or carer, ensuring that information-provision respects their wishes.

2.4 Identify and address legal and ethical implications of implementing advance care planning (ACP) and advance care directives (ACD).

3. Identify and respond to signs of deterioration and the stages of dying.

3.1 Apply knowledge of the physiology of dying in supporting the person, family or carer as they experience the person’s dying process.

3.2 Identify signs of respiratory and swallowing difficulties and implement management strategies in accordance with ACP or ACD.

3.3 Address malignant wound management in accordance with the unique needs of non-healing wounds of a deteriorating person.

3.4 Identify and report signs of the person’s deterioration or imminent death in accordance with ACP or ACD.

3.5 Support the dignity of the person when undertaking all care activities in their end-of-life stages as well as after their death.

3.6 Identify and reflect on any ethical issues or concerns about the person, and discuss with an appropriate person according to organisation procedures.

4. Care for the person’s body after death and provide support for the family and others.

4.1 Apply knowledge of legislation to own role and responsibilities when a person dies.

4.2 Provide care of a person’s body after death using standard precautions and in accordance with organisation policy and procedures.

4.3 Ensure care of the person’s body is carried out with dignity and respect, and that the person’s individual customs, culture, religion, spiritual practices and choices are taken into account.

4.4 Discuss support needs and resources including the accessibility and availability of resources with the family, carer or others requiring bereavement care.

4.5 Provide emotional support to the person, family or carer in relation to grief, loss and bereavement.

5. Provide for own self-care in palliative care role.

5.1 Identify own need for self-care and support and implement effective ways to sustain own social and emotional wellbeing.

5.2 Encourage self and colleagues to access support and, where indicated, participate in professional debriefing.

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
 
 
Apply principles of palliative care and the palliative approach in undertaking holistic assessment of the person. 
Apply knowledge of pathophysiological changes associated with a life-limiting illness and the needs of the person. 
Assess a person’s pain management, and implement strategies to address pain and any medication-induced constipation in consultation with registered nurse. 
Identify and respect the person’s needs in relation to their lifestyle, social context and emotional and spiritual choices, and document these in accordance with care plan. 
Identify and work within roles and responsibilities of the inter-disciplinary team when planning palliative care for the person. 
Apply in own practice an awareness of the psychosocial impact of palliative care on the person’s family or carer. 
Provide the person, family or carer with opportunities to discuss spiritual and cultural issues in an open and non-judgmental manner. 
Use effective communication techniques and access relevant support services to provide a supportive environment for the person, family or carer. 
Monitor the person’s condition and provide accurate and timely information on stages of dying to the person, family or carer, ensuring that information-provision respects their wishes. 
Identify and address legal and ethical implications of implementing advance care planning (ACP) and advance care directives (ACD). 
Apply knowledge of the physiology of dying in supporting the person, family or carer as they experience the person’s dying process. 
Identify signs of respiratory and swallowing difficulties and implement management strategies in accordance with ACP or ACD. 
Address malignant wound management in accordance with the unique needs of non-healing wounds of a deteriorating person. 
Identify and report signs of the person’s deterioration or imminent death in accordance with ACP or ACD. 
Support the dignity of the person when undertaking all care activities in their end-of-life stages as well as after their death. 
Identify and reflect on any ethical issues or concerns about the person, and discuss with an appropriate person according to organisation procedures. 
Apply knowledge of legislation to own role and responsibilities when a person dies. 
Provide care of a person’s body after death using standard precautions and in accordance with organisation policy and procedures. 
Ensure care of the person’s body is carried out with dignity and respect, and that the person’s individual customs, culture, religion, spiritual practices and choices are taken into account. 
Discuss support needs and resources including the accessibility and availability of resources with the family, carer or others requiring bereavement care. 
Provide emotional support to the person, family or carer in relation to grief, loss and bereavement. 
Identify own need for self-care and support and implement effective ways to sustain own social and emotional wellbeing. 
Encourage self and colleagues to access support and, where indicated, participate in professional debriefing. 
Apply knowledge of legislation to own role and responsibilities when a person dies. 
Provide care of a person’s body after death using standard precautions and in accordance with organisation policy and procedures. 
Ensure care of the person’s body is carried out with dignity and respect, and that the person’s individual customs, culture, religion, spiritual practices and choices are taken into account. 
Discuss support needs and resources including the accessibility and availability of resources with the family, carer or others requiring bereavement care. 
Provide emotional support to the person, family or carer in relation to grief, loss and bereavement. 

Forms

Assessment Cover Sheet

HLTENN010 - Apply a palliative approach in nursing practice
Assessment task 1: [title]

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I declare that the assessment tasks submitted for this unit are my own work.

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Assessment Record Sheet

HLTENN010 - Apply a palliative approach in nursing practice

Student name:

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Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

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