Topic 5: Optimising function in palliative care

Maintenance of physical, psychological, and social functioning is important to ensure optimal quality of life for people with life-limiting conditions and their families.

Overview

Topic 5: Optimising function in palliative care will help you develop your understanding of how to provide support for people with life-limiting conditions and their families. In particular, it focuses on issues of loss and establishing goals of care.

Aims & Objectives

After completing this topic, you should be able to:

  • recognise the different responses and emotions of people living with life-limiting conditions and their families
  • discuss strategies for facilitating collaborative decision-making on care goals with people with life-limiting conditions and their families
  • identify management strategies that will optimise physical, psychological and social function for people with life-limiting conditions and their families.

Sessions

5.1 Living with a life-limiting condition – experiencing loss

  • describe the range of experiences of loss at the end of life
  • Common experiences of loss at the end of life
  • Case story – Bob’s story

5.2 Goals of care and advance care planning

  • describe strategies for establishing goals of care for people with life-limiting conditions
  • describe the role of advance care planning in palliative care
  • describe ethical and legal considerations impacting people with life-limiting conditions
  • Establishing goals of care
  • Family meetings
  • Documenting goals of care
  • Advance care planning
  • Ethical considerations
    • Collusion, disclosure and ‘truth telling’
    • Case study – Mrs Li’s story
    • Organ and tissue donation

5.3 Optimising physical and social function

  • identify strategies and resources to optimise function for people with life limiting conditions
  • Outline the management of malignant wounds at end of life
  • Assessing and supporting function
  • Role of allied health in supporting function
  • Role of communities and caregivers in supporting function
  • Case study – Supporting Bob’s functional status
  • Malignant wounds

The EN Toolkit eLearning Topics can be accessed through the red buttons on the EN Toolkit homepage.