Our team´s selected setting is Suncrest Home Care and Hospice located in rural Iowa.  The focus of our proposed curriculum is to provide hospice caregivers and patients with the education needed to adequately manage pain at the end-of-life. 

This is for a MSN degree

 

Our team´s selected setting is Suncrest Home Care and Hospice located in rural Iowa.  The focus of our proposed curriculum is to provide hospice caregivers and patients with the education needed to adequately manage pain at the end-of-life.  The hospice nurse would provide the education to family, caregivers, and patients during their initial and follow up visits with patients.  Our audience will largely consist of mature learners at a highly emotional time, therefore I will look at strategies that fall under the adult learning theory.

The first strategy I would apply is that of self-directed learning.  Initially, information would be provided to caregivers and patients, giving them the opportunity to review the education on their own time and develop questions, reinforcing that the information provided will be useful when caring for their hospice patient.  As stated by Keating, “adults are self-directed and will learn information that is useful and relevant to them” (Keating & DeBoor, 2018, p. 111).  This strategy allows the teacher to encompass the role of mentor or coach, encouraging active learning by the participants (Keating & DeBoor, 2018).

The second strategy I would utilize is that of hands-on, or direct demonstration and practice of skills.  As hospice care providers, medication management and symptom recognition are two very important skills to have when caring for a loved one at the end of life (Lau et al., 2009).  An example of utilizing this strategy, would be to utilize pillboxes to dispense medications, as well as keeping a log of symptoms in order to evaluate efficacy.  Adequate pain control and management is a Community Health Accreditation Partner (CHAP) hospice care standard (2018).  Although the hospice nurse will be available for support and as a guide, the main provider of symptom relief will be family or caregivers in the patient´s home; education that will increase medication management knowledge and skill is imperative to provide relief (Chi & Demiris, 2017).

References

Chi, N.-C., & Demiris, G. (2017). Family Caregivers’ Pain Management in End-of-Life Care: A Systematic Review. AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE34(5), 470–485. https://doi-org.ezp.waldenulibrary.org/10.1177/1049909116637359

Community Health Accreditation Partner [CHAP]. (2018).  About our history.  Retrieved from https://chapinc.org/contact-about-us/

Keating, S. B., & DeBoor, S. S.  (Ed.). (2018). Curriculum development and evaluation in nursing (4th ed.). New York, NY: Springer.

Lau, D. T., Kasper, J. D., Hauser, J. M., Berdes, C., Chang, C. H., Berman, R. L., Masin-Peters, J., Paice, J., & Emanuel, L. (2009). Family caregiver skills in medication management for hospice patients: a qualitative study to define a construct. The journals of gerontology. Series B, Psychological sciences and social sciences64(6), 799–807.