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Plan for and provide care services using a palliative approach

Unit Descriptor This unit describes the knowledge and skills required of a worker in contributing to the development, implementation, evaluation and communication of a care plan for clients with life-limiting illness and/or normal ageing process in a team environment using a palliative approach.

1 . Support clients to identify their preferences for quality of life choices
  1. Consult clients, family members, significant others and carers to identify and share information regarding changing needs and preferences

  2. Respect client lifestyle, social context and spiritual needs in developing the care plan

  3. Respect cultural choices in line with care plan

  4. Support the freedom of the client, his/her family, carer and significant others to discuss spiritual and cultural issues in an open and non-judgemental way within scope of own responsibilities and skills

  5. Demonstrate respect for the roles of the client and carer in planning and delivering care

  6. Address any client issues in line with own responsibilities or refer them to the appropriate member of the care team in line with organisational requirements

  7. Provide emotional support using effective communication skills

2 . Support the incorporation of advanced care directives within the care plan
  1. Demonstrate an understanding of the legal and ethical implications of advanced care directives and communicate them to all staff according to organisational policy

  2. Support the process of end-of-life ethical decisions agreed by client and family, as documented in the care plan by an appropriate staff member in line with organisational policy

  3. Report the client's needs/issues in relation to end-of-life to the appropriate team member for documentation in the care plan

  4. Observe any impact on carers of client's end-of-life needs/issues and provide support

3 . Contribute to the development of and implementation of end-of-life care strategies
  1. Respect client's preferences including cultural and spiritual wishes when contributing to an end-of-life care plan

  2. Respect the dignity of the client when planning end-of-life care and immediately following death

  3. Observe any signs of a client's imminent death/deterioration and report to an appropriate member of the care team in line with organisational requirements

  4. Provide a supportive environment for the client, families, carers and those involved in their care at end-of-life

  5. Inform other staff that decisions made by the client are reviewed regularly as indicated by changes on the care plan

  6. Recognise and support emotional needs of other clients and their families and/or carers affected when a death occurs

  7. Prepare client, family, other staff and self for any distressing end-of-life events within own responsibilities

4 . Take action to alleviate pain and other end-of-life symptoms experienced by client/resident
  1. Plan and document in care plan strategies to promote comfort in collaboration with supervisor and/or other health professional

  2. Assess resident/client need for pain and other symptom relief in line with care plan and report to supervisor and/or other health professional

  3. Provide pain relief in line with relevant legislation and organisational policy and care plan

  4. In consultation with supervisor and/or other health professional, provide appropriate information about the use of pain relieving medication and other treatments to staff, clients and their family

  5. Observe, report and document effectiveness of interventions for symptom relief

  6. Communicate ineffectiveness of interventions to supervisor and/or other health professional and document

5 . Identify and manage emotional responses in self and others
  1. Identify and reflect upon own emotional responses to death and dying and raise and discuss any issues with supervisor and/or other appropriate person

  2. Identify and reflect upon potential impact of personal responses on self and others and action appropriately

  3. Inform others about support systems available such as bereavement care

  4. Follow organisational policies and procedures in relation to emotional welfare of self, team members, clients and family

  5. Assist colleagues to debrief and discuss bereavement care

  6. Identify other strategies/resources available for debriefing

  7. Evaluate effectiveness of emotional response strategies

Key CompetencyExamples of ApplicationPerformance
How can information be collected, analysed and organised?
How are ideas and information communicated within this competency?
How are activities planned and organised?
How are problem solving skills applied?
How are mathematical ideas and techniques used?
How is use of technology applied?
How is team work used within this competency?

Range Statement

Aim of a palliative approach adapted from Guidelines for a Palliative Approach in Residential Aged Care (2004) is:

Palliative approach services include:

Issues of loss and grief may include:

Worker emotional responses may include:

Advanced care planning:

Advanced care directives:

Legal implications of advanced care directives:

End-of-life ethical decisions may include:

Client's lifestyle choices may include:

Life limiting illness describes:

Strategies to relieve pain may include:

Carers include:

Impact on carers may include:



Ethical issues may include:

Evidence Guide

Critical aspects of assessment:

Essential knowledge:

Essential skills must include ability to:

Resource implications:

Consistency in performance:

Context of assessment:

This competency unit will be most appropriately assessed in a simulated workplace and/or in the workplace and under the normal range of workplace conditions