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e-ELCA
The End-of-life Care for All (e-ELCA) programme is an e-learning library which provides resources to enhance the training and education of the health and social care workforce so that well-informed high-quality care can be delivered by confident and competent staff and volunteers to support people wherever they happen to be.
To access e_ELCA topics and sessions log in here
e-ELCA 01: Advance care planning
Introduction to Principles of ACP
This session provides an introduction to advance care planning within the context of end of life care. (30 minutes)
Cultural and spiritual considerations in ACP
This session considers individual, cultural and spiritual care influences within the context of advance care planning (ACP). (30 minutes)
Benefits and risks of ACP to patients, families and staff
This session focuses on the benefits and risks associated with implementing advance care planning within an end of life care context. (20 minutes)
ACP in practice: using an end-of-life care tool
This session describes how the Preferred Priorities for Care tool may be used to facilitate advance care planning. (20 minutes)
Advance decisions to refuse treatment: principles
This session focuses on principles of good practice which underpin the appropriate and valid use of Advance Decisions to Refuse Treatment (ADRT), within an end of life care context. (30 minutes)
Advance decisions to refuse treatment in practice
This session builds on the principles of advance decisions to refuse treatment. It focuses on the practical steps involved in supporting patients requesting the development of an advance decision. (30 minutes)
Writing an advance decision to refuse treatment
This session will use 4 case studies to think about the process of creating an advance decision to refuse treatment (ADRT). (30 minutes)
Mental Capacity Act: aims and principles
This session considers the aims and key principles that underpin the Mental Capacity Act (2005). It discusses why the Act was needed, describes how capacity to make decisions may be assessed and discusses the principles of best interests decision making. (30 minutes)
Mental Capacity Act: in practice
This session focuses on applying the aims and principles of the Mental Capacity Act (2005) within the context of advance care planning. (20 minutes)
Approaching ACP when capacity is uncertain, fluctuating, or likely to deteriorate
This session focuses on managing advance care planning in situations where the patient has a disorder or impairment of the mind or brain which is fluctuating or deteriorating and is likely to affect capacity. (30 minutes)
ACP and different illness trajectories
This session provides an overview of the concept of illness trajectories and its influence on the advance care planning (ACP) process in end of life care. (20 minutes)
Introduction to conducting conversations about advance care planning
This session will focus on the key elements of advance care planning conversations and the skills, knowledge and attitudes which professionals require to conduct them. This session also serves as an introduction to the subsequent series of ‘how to’ sessions which will offer more in-depth coverage of the key elements of the advance care planning conversation. (30 minutes)
How to get started and get the timing right
This session will focus on how to initiate ACP conversations. (20 minutes)
How to handle patients’ questions and concerns
This session will assist you with developing the knowledge and skills to respond sensitively to patients’ questions and concerns about advance care planning and handle any misunderstandings. (20 minutes)
Engaging effectively about advance care planning with people from ethnically diverse backgrounds
This session aims to build healthcare professional confidence and expertise in supporting people from diverse ethnic backgrounds to engage in thinking ahead about deterioration and dying at a time and at a level with which the patient feels comfortable. (40 minutes)
How to document conversations about ACP
This session explores the process and relevance of documenting the outcomes of the advance care planning (ACP) discussion. (20 minutes)
How to negotiate decisions which may be difficult to implement
This session considers how health and social care professionals can sensitively handle advance care planning (ACP) situations where needs, preferences and expectations are unrealistic or may not be achievable. (30 minutes)
How to review previous ACP decisions
This session focuses on reviewing statements and decisions, which have previously been made by patients within the advance care planning process for end of life care. (20 minutes)
Developing ACP in your organisation
This session focuses on the principles, processes and considerations involved in integrating advance care planning within your organisation. (30 minutes)
Developing your practice, clinical supervision, further reading
This session offers a selection of practical approaches to help you to develop your skills, knowledge and practice in advance care planning. (20 minutes)
e-ELCA 02: Assessment in end-of-life care
Introduction to principles of assessment in end-of-life care: part 1
This session explores the principles and values of assessment in end-of-life care. It discusses the purpose of assessments, what should be assessed and introduces you to what a holistic assessment includes. (30 minutes)
Introduction to the principles of assessment in end-of-life care: part 2
This session describes the structure of the end-of-life care assessment process and the personnel and locations involved at each stage. It will explore the role of the assessor, and look at interpersonal issues raised by the assessment. (30 minutes)
Recognising palliative care needs
This session describes common palliative care needs and offers guidance on how to identify these needs and provide the most appropriate care on an individual basis. (30 minutes)
Assessment of physical symptoms
Assessment of physical wellbeing is 1 of the 4 core areas (also known as domains) of a holistic assessment. In this session you will explore assessment of physical symptoms and how this may interact with the other aspects of a holistic assessment. (30 minutes)
Assessment of physical function
Assessment of physical function is one of the four core areas (also known as domains) of a holistic assessment. In this session you will explore assessment of physical function and its potential interactions with other areas. (30 minutes)
Assessment of psychological wellbeing
Psychological assessment is 1 of the 4 core areas (also known as domains) of a holistic assessment. In this session you will explore this domain and its potential interactions with the other areas. (30 minutes)
Assessment of social and occupational wellbeing
This session considers the importance of addressing social and occupational needs for patients at the end of life. As well as considering when and how to assess, you will be introduced to a framework to assist you in formulating achievable goals with patients. (20 minutes)
Assessment of spiritual wellbeing
Assessment of spiritual wellbeing is one of the 4 core areas (also known as domains) of a holistic assessment in end-of-life care. In this session you will explore this domain and its potential interactions with the other core areas. (30 minutes)
Context of assessment: cultural and language issues
This session explores the issues of culture and language, which are part of the individual context for each person being assessed. (30 minutes)
Bereavement assessment and support
Bereavement and grief are highly individual and complex experiences. This session looks at factors that may affect (or influence) the experience of grief and bereavement. (30 minutes)
Carer assessment and support
This session looks at the importance of carers’ needs, how to assess the needs of carers and sources of support for carers. (30 minutes)
Assessing through proxies
This session will introduce issues related to assessing people’s end of life care needs through a proxy when the individual is not able to communicate directly with the person carrying out the assessment. (30 minutes)
Assessing those with fluctuating mental capacity
This session explores issues related to the assessment of end-of-life care needs of someone who has fluctuating mental capacity. (30 minutes)
Assessing urgent situations with limited information
This session will look at how you can assess urgent end-of-life care situations when you have limited information.
Assessment of the dying phase and after death
This session focuses on the critical aspects of the holistic assessment of a dying patient, including the patient’s family and carers. It describes the procedures following death and the potential impact that such deaths have on professional carers. (40 minutes)
First assessment: meeting the patient
This session will help you to prepare for your first assessment meeting with a patient or individual, in the specific context of end-of-life care. It will assist you to consider things in order to achieve the most out of a first assessment. (30 minutes)
Identifying the patient’s goals and priorities
In this session, you will look at different ways of identifying what a patient’s goals and priorities are, as part of the assessment process. (30 minutes)
Documentation, communication and coordination
This session discusses the importance of documenting and communicating assessments of palliative and end-of-life care needs. (30 minutes)
Following up assessments and evaluating outcomes
This session looks at the importance of follow up assessments and evaluation of outcomes in end-of-life care. It also looks at how the actions identified as part of the assessment process help to meet patients’ needs. (30 minutes)
Uses and limitations of assessment tools
There are a wide range of tools for assessment in end-of-life care. This session explores the uses and limitations of some of those tools. (30 minutes)
e-ELCA 07: Bereavement care
Talking about death and dying
This session explores the cultural issues surrounding death and dying in the UK and offers guidance on how to talk about this often difficult subject. (30 minutes)
Assessment of carers’ needs
This session outlines the areas that should be considered in a holistic assessment of carers’ needs and highlights the risk factors that can impact on a carer’s experience of death and bereavement. (20 minutes)
Practical support after a bereavement
This session provides an overview of the practical issues following a death. It covers areas such as registering a death, choosing a funeral director, arranging a funeral, and the probate system. (30 minutes)
Sudden death and bereavement
This session gives an overview of the bereavement issues surrounding sudden and unexpected death. It focuses in particular on the issues raised by sudden death and bereavement in emergency department settings. (30 minutes)
Emotional support and signposting
This session will help you to understand the skills required to communicate effectively with individuals and families affected by bereavement, demonstrating empathy and signposting to other services where appropriate. (30 minutes)
Children and bereavement
The session explores grieving in children. It describes a range of ways in which health professionals and families can support children who are bereaved. (30 minutes)
Dementia (DEM)
Dementia awareness -This session addresses learning outcomes in subject 1 of the Dementia Training Standards Framework nd is designed to support the Dementia Action Alliance Dementia Statements. In this session, we will describe what dementia is, how common it is and what it is like to live with its common symptoms, both for the person and their family. We will describe the signs that can be mistaken for dementia and what we can do to reduce our risk of getting dementia. We will describe how we can help people affected by dementia to live as well as possible. (40 minutes)
This module describes how the health and social care workforce can enable people to live well with dementia, covering a range of topics across a range of settings, in the context of diverse communities and current legislation. It contains 13 e-learning sessions.
Person-centred Dementia Care
This session will help you to understand that person-centred dementia care involves:respecting the human rights of all people living with dementia, including their rights to dignity, liberty, privacy and to be treated in a humane way;engaging with the person as a unique individual taking into account their life experience, unique abilities, interests, culture, likes, dislikes and needs; taking the person’s perspective and seeing the world through their eyes; ensure people living with dementia and their family carers are equal partners in decisions about their care; providing a supportive and enabling physical and social environment which includes a role for family carers in meeting a person’s physical and psychosocial needs as the disease progresses (30 minutes)
Dementia identification, assessment and diagnosis
This session explores the identification, assessment and diagnosis of dementia and the benefits of an early diagnosis. Later, it will investigate what the assessment process entails and how it is experienced by people with dementia, stressing why it is important to ensure sensitive, person-centred assessment and appropriate and timely post-diagnostic support. (35 minutes)
Dementia risk reduction and prevention
This session looks at how behaviour in adult life may link with risks of developing certain types of dementia and how lifestyle change may delay onset or slow progression. It examines what factors affect people’s ability to make lifestyle changes, how to convey key messages and how to signpost people to support for making changes. (30 minutes)
Communication, interaction and behaviour in dementia care
This session will introduce ways to facilitate effective communication with people living with dementia. It will help you to understand the communicative impairments as well as the retained abilities that individuals with dementia may experience and the variety of ways people with dementia may communicate their needs and preferences. (30 minutes)
Health and wellbeing in dementia
This session explores how to ensure optimal physical health and emotional wellbeing for people living with dementia. It will look at ways to prevent, and ensure early detection of, pain, falls, fatigue, dehydration and hunger. It describes ways to support the person to maintain personal hygiene and appearance. In promoting emotional wellbeing, it focuses on understanding behaviour as an expression of unmet need and the limited role for medication in helping someone who feels distressed. (30 minutes)
Pharmacological interventions in dementia care
This session will investigate the most common medications prescribed for people living with dementia, including their risks and benefits and the importance of regular recorded reviews. (40 minutes)
Living well with dementia and promoting independence
This session will help you to understand how to support and promote a person’s independence and meaningful involvement in their own daily life. (30 minutes)
Families and carers as partners in dementia care
This session will explore the roles, needs, rights and experiences of family members caring for a relative living with dementia. It will describe ways to support and work in partnership with family carers. (35 minutes)
Equality, diversity and inclusion in dementia care
This session will investigate how factors such as stigma, age, gender and ethnicity affect the experience of living with or caring for people with dementia. Later, it will offer guidance on how to adapt your practice to address discrimination and tailor care and services to meet the diverse needs of people affected by dementia. (40 minutes)
Law, ethics and safeguarding in dementia care
This session provides an overview of your duty of care to ensure safe practice. It describes the requirements of the Mental Capacity Act which include that you are to always act in the best interests of people living with dementia who may lack capacity to make a particular decision. It discusses the requirement that you can recognise and act on neglect, abuse or exploitation in your or your colleagues’ practice with reference to safeguarding procedures. (40 minutes)
Research and evidence-based practice in dementia care
This session looks at conducting service evaluation and research in the workplace and how people affected by dementia may be involved in service evaluation and research. (30 minutes)
Leadership in transforming dementia care
This session will introduce you to the key policy drivers and evidence base that inform high quality, compassionate, person-centred care practices. It will help you to understand how you can use leadership skills to work collaboratively with your colleagues to implement evidence-based practice and maintain a high level of care quality. (30 minutes)
DNACPR and other resources
A unified DNACPR policy
This session provides an introduction to Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) policies and highlights when cardiopulmonary resuscitation (CPR) should not be attempted. (30 minutes)
01_01 Respect Awareness
This training is aimed at staff across health and social care organisations that come into contact with service/patient users. It provides an understanding of the ReSPECT process and gives them the tools to respond appropriately to a patient with a ReSPECT form in an emergency. (30 mins)
01_02 Respect Authorship Training
This training is aimed at health and social care professionals having ReSPECT conversations and completing and endorsing the patient held form.
There are two elements to the programme: a pre-course e-learning unit and a one-day workshop.
‘Our training programme, No Conversation Too Tough, equips healthcare professionals (HCPs) with the skills, knowledge and confidence to support parents with an incurable cancer diagnosis to have challenging conversations with their children about death and dying.’
The e-learning takes around two hours. The workshop is held over a full day, from 09:00 to 16:30.
