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Module Description

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The goal of this session is to introduce learners to practice breaking bad news and to provide compassionate, person-centered, team-based care for patients with HIV with severe life-threatening diseases. This session will focus on use of reflective practice and will explore the ethical dimensions in providing care to someone at the end of life, with hopes to convey the importance of compassion.

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Objectives

By the end of the module, the learner will be able to:

  • Reflect on one’s own feelings about the end of life
  • Demonstrate how to break bad news to a patient and their family
  • Discuss how to elicit patient and family preferences for care
  • Describe ways to promote comfort and caring for a patient at the end of their life
  • Discuss how to support and guide the family throughout the dying process

Optimizing Team-Based Care to Achieve High Quality HIV Care

Central to this module, facilitators should prompt all learners to consider how they can deliver care that fosters optimized team-based care to ensure high quality HIV care. Consider how the case enables learners to gain greater competency in the following domains:

  • Values and ethics: Work with individuals of other professions to maintain a climate of mutual respect and shared values.
  • Roles/responsibilities: Use the knowledge of one’s own role and those of other professions to appropriately assess and address the health care needs of patients and to promote and advance the health of populations.
  • Interprofessional Communication: Communicate with patients, families, communities, and professionals in health and other fields in a responsive and responsible manner that supports a team approach to the promotion and maintenance of health, the prevention and treatment of disease, and the management of terminal illness and death.
  • Teams and Teamwork: Apply the values and principles of team dynamics to build relationships and perform effectively in different team roles to plan, deliver and evaluate person-centered care and population health programs and policies that are safe, timely, efficient, effective and equitable.

ABBREVIATIONS

AIDS –                 Acquired Immune Deficiency Syndrome
ART –                  Anti-retroviral therapy
EOL –                  End of life
HIV  –                  Human Immunodeficiency Virus
HIV RNA  –         HIV ribonucleic acid or viral load
KS  –                   Kaposi’s Sarcoma
NGT  –                Nasogastric tube
NPO  –               nil per os, Latin abbreviation for the medical terminology of
                          nothing per the mouth, i.e. food or water is not allowed to
                          be taken in by the mouth
WHO –              World Health Organization