Posted: April 3rd, 2022

End of Life and Palliative Care for Patients with HIV/AIDS

Study Bay Coursework Assignment Writing Help

College students:

• Surendra Ramkissoon
• Rishi Gajadhar

Introduction:

Through the 1980s, there was a speedy enhance within the quantity of HIV/AIDS circumstances for which there was little therapy for each the person and their household. Nevertheless with the arrival of antiretroviral remedy, there got here a drastic change within the lifespan of these sufferers, delaying demise and restoring the expectation of having a median life.

This was not with out flaw as there grew to become an added enhance within the quantity of problems of remedy, together with despair and psychological misery, ache and isolation from buddies and household. This paper seeks to introduce a curriculum for use in faculties of nursing nationally to coach nurses in coaching about palliative and finish of life care for people with HIV/AIDS. It has been develop in line with the World Well being Group present requirements of Palliative Care for People with HIV and focused in direction of assembly the wants of the consumer and household alike.

Southern Union State Nursing College:

End of Life and Palliative Care for People with HIV/AIDS Curriculum:

Imaginative and prescient:

The Southern Union State Nursing College is a dynamic and numerous educational group of school and college students the place Undergraduate Nursing college students work collaboratively to turn out to be full pledged nursing professionals for numerous ranges of nursing practices. The Establishment has pledged to offer wonderful instructional applications, progressive sensible preparations, and companies to the group. We aspire to be the faculty of Excellence for skilled nursing careers on the nationwide and regional ranges.

Mission:

Our mission is to offer an progressive, caring and multicultural surroundings wherein school, college students and workers work collectively to generate and transmit data, knowledge and values to advertise high quality of life and well being for current and future generations.To raised mirror the distinctive range and heritage of Trinidad and Tobago, the SUSNS is dedicated to rising the usual of well being care the place college students observe in a pluralistic society, which is characterised by rising social and cultural range. This requires that nurses respect cultural variations and acknowledge the best of selection concerning well being care points and finish of life care.

Philosophy:

Every particular person has private rights and is deserving of respect with regards to his/her specific customs, beliefs, and wants on the finish of life (Smith, 1998). The well being shopper, who’s served by nursing, has a proper to actively take part and collaborate with well being care suppliers in his/her plan of care (Taylor, 1998). The nurse is ever aware of the buyer’s rights to be cared for and cared about, so as to impact a most stage of wellness (Spence-Cagle, 2006).The SUSNS was based on the assumption that persons are distinctive and possess the best to the preservation of their private, ethnic, and cultural identities. Moreover they’ve the best to entry well being care that’s culturally congruent and respects their roles as companions in well being promotion and illness prevention (Juckett, 2005). Human caring is seen because the essence of nursing, constructed on the premise that every individual has intrinsic value and worth. Nursing care subsequently focuses on preventative well being schooling and research-based nursing interventions for people and communities (Liu, 2005). The SUSNS program is dedicated to fostering a dynamic curriculum that evolves in response to the altering calls for of present and future well being care wants in nursing, on the native, state, nationwide, or worldwide ranges.

Core Values:

Our mission is supported by 4 core values:

1. Professionalism:

To uphold the best moral requirements with accountability and transparency

2. Steady enchancment:

To be categorical in our pursuit for excellence and attempt to re-invent ourselves to remain present and related

3. Empowerment:

To be ambassadors for our pursuit of excellence and be accountable for creating an enriching and inspiring expertise (Gilbert, 2003)

 

Purpose:

The goal of this course is to facilitate the attainment of data to enhance the standard of care delivered to people with HIV/AIDS on the finish of their life. This competency would apply to observe in a spread of healthcare settings, sufferers throughout the wellness sickness continuum, and sufferers throughout the lifespan, in collaboration with the interprofessional workforce (Singleton& Linton, 2007).

Rationale:

HIV/AIDS has affected each continent, and continues to infiltrate nations that after believed that they is likely to be resistant to its devastation. The virus presents an unmatched risk to human improvement and requires sustained motion and long run dedication of all companions in healthcare. The rationale for proposing the mixing of finish of life and palliative care in Baccalaureate of Nursing Training is as a result of nurses have been on the frontline in responding to this illness, offering fingers on care to sufferers, supporting the event of patient-centered care and offering consolation to households every day (Institute of Drugs, 2003). Since cultural range is prevalent within the well being care system of Trinidad and Tobago, it is important for employees to achieve efficient coaching and schooling in finish of life and palliative care to take care of a reliable relationship with their sufferers. Moreover, this curriculum consists of the mandate to eradicate well being disparities, in order that nurses can be ready to perform in a worldwide surroundings, and in partnership with different healthcare disciplines (Gillespie & Brown, 1996). This mandate can be met by means of the best requirements of coaching within the prevention, Assessment and therapy of ache and different bodily, psychosocial and religious issues related with the HIV/AIDS virus.

Course Description:

Shortcomings in medical and nursing care on the finish of life in Trinidad and Tobago and rising recognition of the unmet wants of sufferers and their households who confront critical life-threatening and terminal diseases has gas a lot hypothesis about finish of life care. Though palliative care has been rising each regionally and globally inside current years, there may be nonetheless deficiencies within the course of and unmet wants of many sufferers with HIV/AIDS. The aim of this course is to offer a useful resource to strengthen the data and competence of nursing college students in delivering knowledgeable, compassionate and high quality care to people with HIV/AIDS all through the size of their sickness and on the finish of their life. This Program may even Help college students to develop an appreciation for their very own cultural identities and turn out to be critically self-reflective of their orientation towards variations within the cultural identities of others as outlined by race, ethnicity, gender, class, sickness and sexual orientation (Ayonrinde, 2003).

Module 1: The Idea of End of Life and Palliative Care

Studying Outcomes:

By the tip of this unit the scholars will be capable to:

1. Outline finish of life care and palliative care.
2. Describe the administration of sufferers approaching finish of life.
3. Define the general public well being approaches to palliative care.
4. Examine and Distinction palliative care and hospice care.
5. Define the function of the palliative care nurse within the administration of HIV&AIDS.
6. Talk about the historical past of palliative care in Trinidad and Tobago.

Module 2: Communication with Affected person and Household.

Studying Outcomes:

By the tip of this unit the scholars will be capable to:

1. Talk about the idea of communication in relation to palliative and finish of life care
2. Describe the Course of of Breaking Dangerous Information.
3. Show the flexibility to speak successfully with affected person and household in offering data.
4. Perceive when to withdraw therapy choices and talk this to the household.
5. Decide the tactic and timing of breaking the dangerous information to household (Again & Curtis, 2002).

Module three: Ache and Symptom Administration.

Studying Outcomes:

By the tip of this unit the scholars will be capable to:

1. Assess the extent of ache skilled by shoppers with HIV
2. Make the most of data by implementing administration of shoppers experiencing ache with HIV
3. Perceive the traits and therapy of nociceptive and neuropathic ache in HIV
4. Define drawbacks associated to ache administration in HIV sufferers
5. Talk about underlying causes of dyspnea on the finish of life
6. Clarify what’s concerned within the Assessment and therapy of dyspnea in HIV sufferers
7. Perceive the nurses function in managing the affected person with dyspnea within the final hours of life

Module Four: Psychosocial and Psychiatric Points.

Studying Outcomes:

By the tip of this unit the scholars will be capable to:

1. Outline Psychosocial Care.
2. Internalize what’s concerned in permitting the sufferers to have a very good demise.
3. Decide what is supposed by sustaining value and dignity of the affected person.
4. Acknowledge the significance of household and religious leaders (additionally different societal Help teams) within the affected person’s life.
5. Discover applicable nursing actions concerned in caring for the terminally unwell affected person.

Module 5: Spirituality and Tradition in Palliative Care:

Studying Outcomes:

By the tip of this unit the scholars will be capable to:

1. Describe spirituality.
2. Talk about the Activity of Non secular Care.
3. Talk about the fears of Dying and Dying.
4. Clarify results of tradition in Palliative care.
5. Talk about the interplay between belief and cross-cultural communication.

Case Research 1: Communication with Affected person and Household.

Sort of Exercise: Function Play

Train: Breaking Dangerous Information

Time: 20 minutes

Situation: You’re the nurse. Mary Jane has a clinic appointment at the moment. She is a 30-year-old lady dwelling with HIV for the previous 5 years. She has been on numerous HAART regimens over that complete time with non-compliance has been an ongoing concern. Her viral load has now been rising and T-Cell depend trending low. On her final go to you probably did a resistance testing to see what is likely to be happening. Primarily based on the outcomes, she is likely to be out of choices for HAART. Observe the dangerous information protocol to inform the Mary Jane this information.

Case Research 2: Spirituality and Tradition in Palliative Care:

Sort of Exercise: Dialogue

Time: 45-60 minutes

Objective: To allow college students to using communication expertise throughout the cultural continuum.

Situation: Because the nurse attending to an African-American man dying of AIDS, you and the medical workforce meet with his household to replace them of his situation. The workforce has determined that additional therapy is futile and has no constructive consequence for his current situation. The affected person’s mother and father and siblings insist that the whole lot be carried out regardless, and turn out to be indignant while you and the workforce say it could be futile. What do you might want to know? What’s going to you do and say on this state of affairs? Course Insurance policies:

Attendance Coverage:

Punctuality and Regularity is an important half of this course. Factors may even be awarded based mostly on energetic participation and contributions to class dialogue throughout recitations and lectures. In case you miss a category for any purpose, it’s your duty to search out out the assignments, the fabric lined, and every other data that may have been offered through the missed class. There may be completely no exception to this. An attendance of 75% minimal is obligatory for this course (SANE Pupil handbook 2010/2011)

Participation:

There are 2 case research for dialogue. A whole session will probably be dedicated to this dialogue. The trainer’s function is that of a moderator with the scholars figuring out and discussing their views and ideas in regards to the case. There is no such thing as a proper or unsuitable solutions in these workout routines as we’re extra interested by significant contributions that both add to the talk or transfer it in a brand new route. In case you discover it uncomfortable to talk up at school about a problem, we encourage visiting of the professor in workplace hours to aide in engaged on this ability of group dialogue (CMU, 2013).

Expectation of the College students:

It’s anticipated that each one college students will conduct themselves in a fashion conducive to tertiary stage studying. Please word that mobile phone use is extraordinarily disruptive to all the class and is subsequently prohibited throughout class. If there’s a private emergency that requires you to be contacted throughout class, please make preparations previous to class (CMU, 2013).

Educating Methodology:

1. Case Research
2. Lecture / Dialogue (45 to 60 minutes).
3. Energy Level and Video Displays.
4. Handouts on HIV/AIDS in Trinidad and Tobago.
5. Oral shows on a Breaking Dangerous Information to Patients and Household.
6. Function performs on Bettering Interpersonal Relations.
7. Guided fieldtrip to Medical Analysis Facility of Trinidad and Tobago.

Assessment / Analysis Strategies:

1. Quiz
2. Particular person Project
3. Mid Time period Examination
4. Group Drawback Primarily based Studying Project
5. Closing Examination

Required Studying:

1. A Clinical Guide to Supportive and Palliative Care for HIV/AIDS in Sub-Saharan Africa

http://hab.hrsa.gov

Reference Texts:

1. Palliative Nursing: Throughout the Spectrum of Care Edited by Elaine Stevens, Susan Jackson, Stuart Milligan
2. Palliative Care Nursing: High quality Care to the End of Life, Third Version. Edited by Marianne LaPorte Matzo, Deborah Witt Sherman

Abstract:

Based on WHO (2007), HIV/AIDS presents with distinctive finish of life points and challenges. Typically, the youthful extra marginalized or members of minority teams have been affected. Though main developments have been made in combating this illness in phrases of treatment and therapy, there may be nonetheless an extended solution to go because it pertains to finish of life and palliative care. It’s essential to do not forget that as life is prolonged, signs of ache, despair and spirituality will plague the person from the time of analysis till demise.

This curriculum supplies an in depth take a look at the most important points surrounding HIV/AIDS and palliative/finish of life care because it impacts the worldwide group. All well being care suppliers should attempt to make sure that entry to this sort of complete care with out concern and prejudice is made out there to all dwelling with this illness. Due to this fact this curriculum has been tailor-made to be launched into faculties of nursing to coach coaching nurses on the significance of permitting an individual a cushty finish of life and demise with dignity.

Grading Scale

Project	Share of Closing Grade
2 Case Research Discussions	10 %
1 Particular person Project	5%
1 Midterm	10%
1 Group PBL	10%
Attendance and Participation	5%
Closing Examination	60%
TOTAL	100%

90-100%	A	Four credit
80-89.9%	B	three credit
70-79.9%	C	2 credit
60-69.9%	D	1 credit score
≤59.9%	F	zero credit

References:

Ayonrinde, O. (2003). Significance of cultural sensitivity in therapeutic transactions: Concerns for healthcare suppliers. Incapacity Administration and Well being Outcomes, 11(Four), 234-246

Again, A. (1998). The Course of of Breaking Dangerous Information. College of Washington Division of Drugs Ethics in Drugs Retrieved http://eduserv.hscer.washington.edu/bioethics/topics/badnws.html

Again, A. & Curtis, J.R. (2002). Speaking dangerous information. Western Journal of Drugs 176: 1-5.

Carnigie-Mellon College. (2013). The Syllabus: Course Insurance policies / Expectations. Retrieved https://homeworkacetutors.com//write-my-paper/cmu.edu/teaching/designteach/design/syllabus/samples-policiesexpectations/

Fox, R. (2001). Palliative care within the age of HIV/AIDS: The analysis perspective. J R Soc Med 94(9): 428.

Gilbert, J. (2003). Ideas and really helpful requirements for cultural competence schooling of well being care professionals. Retrieved https://homeworkacetutors.com//write-my-paper/calendow.org/uploadedfiles/principles_standards_cultural_competence.pdf

Grady, P., Knebel, A. & Draper, A. (2001). End-of-life points in HIV/AIDS: The analysis perspective. J R Soc Med 94(9): 479-82. PubMed Summary.

Greenberg, B., McCorkle, R., Vlahov, D. & Selwyn, P. (2000). Palliative care for HIV within the period of HAART. J Urb Hlth 77(2): 150-65. PubMed Summary.

Grothe, T. & Brody, R. (1995). Palliative care for HIV/AIDS. J Pall Care 11(2): 48-9. PubMed Summary.

Gillespie, J. & Brown, Okay.M. (1996). Selling cultural competence within the baccalaureate nursing scholar.South Carolina Nurse, three(Four): 22.

Well being Assets Providers Administration HIV/AIDS Bureau. (2000). Palliative and supportive care. HRSA Care Motion 2000(July): 1-Four. F

Fox, R. (2001). Palliative care within the age of HIV/AIDS: The analysis perspective. J R Soc Med 94(9): 428.

Institute of Drugs, (2003). Unequal Remedy. What healthcare suppliers must

find out about racial and ethnic disparities in healthcare. Nationwide Academy Press.

Washington, D.C.

Juckett, G. (2005). Cross-cultural medication.Journal of American Household Doctor, Vol. 72(11), 2267-2275.

Liu, G. Z. (2005). Greatest Practices: Creating Cross-cultural Competence from a Chinese language Perspective. In J.H. Stone (Ed.), Tradition and incapacity: offering culturally competent companies (pp.187-201). Thousand Oaks, CA: Sage Publications.

Selwyn, P. (2001). Palliative care wants of medically-underserved individuals with HIV/AIDS in an city internal metropolis. Retrieved: apha.confex.com/apha/129am/techprogram/paper_31243.htm.

Selwyn, P., & Arnold, R. (1998). From destiny to tragedy: The altering meanings of life, demise, and AIDS. Annals of Inner Drugs 129(11): 899-902.

Singleton, G., & Linton, C. (2007). Facilitator’s Information for A Area Information for Attaining

Fairness in Faculties: Brave Conversations about Race Corwin Press.

Spence-Cagle, C. (2006). Pupil understanding of culturally and ethically responsive care: Implications for nursing curricula. Nursing Training Views, 27(6): 308-314.

Sserunkuma, R., Otolok-Tanga, E. & Kasule, Okay. (1998). Dwelling with and dying of AIDS: At the moment’s adjustments. Worldwide Convention on HIV/AIDS 1998, Retrieved http://depts.washington.edu/pallcare/training/curriculum_pdfs/OverviewModule.pdf

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