Comprehensive Advanced Palliative Care Education (CAPCE) Program

Cost: $325.00 Apply View Flyer
 

The Comprehensive Advanced Palliative Care Education (CAPCE) Program is designed to align with the Model to Guide Hospice Palliative Care: Based on National Principles and Norms of Practice (CHPCA 2002). CAPCE was developed in 2002 by the Palliative Pain and Symptom Management Consultation Program (PPSMCP) of Southwestern Ontario.

Consistent with the PPSMCP’s reputation of providing the highest quality hospice palliative care education opportunities, in 2013 CAPCE was redesigned to be reflective of best practice, evidence-based hospice palliative care and knowledge translation strategies in order to effectively meet the needs of the learners. This six-month process was facilitated by experts in education design and knowledge translation, and informed by learner feedback, and local, regional and provincial clinical experts in hospice palliative care.

Eligibility

In order for the Nurse Practitioner (NP), Registered Nurse (RN) or Registered Practical Nurse (RPN) to be eligible to participate in the CAPCE program, the following attributes/ experience will be considered:

  • A minimum of 1 year experience caring for people with a progressive, life-limiting illness
  • Ability and interest to function as a Resource Nurse, providing primary level support and advanced level knowledge and skills for care team members in his or her organization
  • Ability and interest to coach others, facilitate change and be a role model
  • Sensitivity to the impact of attitudes, behaviours, life experiences, values, thoughts and feelings on the well-being and quality of life from the perspective of all partners in care
  • Ability to listen, learn from others, to question self and others, and identify new approaches
  • Ability to solve problems and take action to provide the best care possible
  • Ability to learn and develop, both personally and as part of a team and organization
  • Ability to engage in self-directed study and independent research using resources such as libraries, the Internet, peers and subject matter experts

To help ensure his or her success, the NP, RN or RPN also requires the following from his or her organization:

  • A commitment of those in positions of authority (e.g., Administrators, Directors of Care, Medical Directors) to implement policies, protocols and accountability for pain and symptom management and end-of-life care
  • Ongoing support and encouragement from those in leadership positions as well as peers (e.g., support for pain assessment, management and staff education)
  • Removal of barriers to learning i.e., work with the most appropriate physician to be a part of the team, scheduling of staff to facilitate attendance at education sessions
  • Assistance with the transfer of new skills and knowledge to the work place

Additionally, the NP, RN or RPN must:

  • Have access to an Internet-enabled computer
  • Have working knowledge of basic computer programs (e.g. Power Point, Word, Internet Explorer)
  • Be a part-time or full-time employee currently caring for persons requiring hospice palliative care
  • Have completed The Fundamentals of Hospice Palliative Care program (including the Enhanced Modules developed in 2013) or equivalent as determined by the CAPCE Program Team
  • Be available to complete all components of the program
  • Connect with the CAPCE Coach, throughout the program duration (via teleconference, one-to-one, etc.)

Prerequisites:

Successful completion of the Fundamentals Enhanced program

Completion Requirements:

  • Attendance at three, 4-hour, case-based learning sessions
  • Self-directed reading of course materials
  • Peer-to-peer discussions
  • e-learning modules
  • Attendance at coaching sessions
  • Reflective activities
  • Course evaluation

Performance Objectives:

Following active participation in all components the CAPCE learner will practice as a competent hospice palliative care Resource Professional and support the development of skills among his or her peers. We have referred to this role throughout this program as the CAPCE Resource Nurse. Please note that this is not a professional designation, but rather a way to reference the skill set detailed below.

To demonstrate an understanding of the essential and basic steps of a therapeutic encounter, the CAPCE Resource Nurse will:

  1. Serve as a Resource Professional sharing knowledge by engaging in the following activities to the extent that he or she is able to:
    1. Collaborate with peers in problem solving and the development of an individualized plan of care that responds to the identified needs of the person/family
    2. Identify gaps in care delivery both at the bedside and within the organization, and considers strategies in response to identified gaps and needs
    3. Communicate organizational gaps and issues and possible problem solving strategies to management in an effort to enhance delivery of hospice palliative care within the organization
    4. Advocate for improved delivery of hospice palliative care within the organization
  2. Complete an assessment to the extent he or she is able to:
    1. Utilize appropriate screening questions and assessment tools in data collection related to the domains of issues
    2. Complete a comprehensive history of the person detailing information about health and symptom status, potential cause, associated expectations, needs, hope and fears, and the perceived benefits and burdens of any previous therapeutic interventions for issue or opportunity (including the disease), as well as information about adverse events and allergies
    3. Organize and think critically about the assessment findings to prepare for information sharing
  3. Share information to the extent he or she is able to:
    1. Determine, document and respect confidentiality limits defined by the person
    2. Determine what the person and family caregivers already know
    3. Assess and document the desire and readiness for information sharing
    4. Develop a process and documents a plan for sharing information in a timely manner in a setting where privacy can be ensured, and in a language and manner understandable and acceptable to the person and his or her family
    5. Determine and document the need for translation
    6. Observe and document the physical and emotional reaction to information provided
    7. Assess the understanding of information shared with the person and family
    8. Determine and document the desire for additional information
  4. Assists in the decision-making process to the extent that he or she is able to:
    1. Demonstrate through documentation that the components of consent, disclosure, capacity, and voluntariness have been met
    2. Assess and document decision-making capacity regularly
    3. Determine and document the legal substitute decision-maker and verifies knowledge of substitute decision-making legislation
    4. Determine who the person wants to include in the information sharing and decision-making processes
    5. Encourage discussion related to values, goals and wishes
    6. Discuss and document current wishes and clarifies the person’s and/or family’s goals for care on a regular basis
    7. Collaborate with the person and/or family to prioritize identified issues
    8. Offer and explains therapeutic options in order to obtain informed consent as the person’s condition changes
    9. Discuss and document requests for withholding or withdrawing therapy; therapy with no potential benefit; hastened death, euthanasia or assisted suicide with the person and family
    10. Develop a plan for conflict resolution when needed
  5. Engages in care planning to the extent that he or she is able to:
    1. Determine and document wishes related to the person’s preferred setting of care
    2. Develop a process to negotiate and determine a plan of care that:
      • Addresses issues and opportunities and delivers chosen therapies
      • Includes a plan for; Care of dependents, Backup coverage, Respite care, Emergencies, Discharge planning, Bereavement care
    3. Regularly reviews and adjusts the plan of care with the person throughout the illness trajectory
  6. Engages in care delivery to the extent that he or she is able to:
    1. Support family and friend caregivers in their potential role as part of the care team
    2. Support formal caregivers so they may be competent and confident to provide care
    3. Document that care is aimed at meeting the goals of the person and family
    4. Identify team members who will provide leadership, coordination, facilitation and support
    5. Organize learning strategies to meet the needs of caregivers
    6. Identifies community resources including secondary level consultants/educators and demonstrates knowledge of how to access and utilize services
    7. Develop a written plan of care
    8. Ensure that mechanisms are in place to communicate the plan of care and information among all health care providers and family caregivers and across all settings of care
    9. Regularly review care delivery and adjusts the care plan to compensate for changes in the person’s and his or her family’s status and choices
  7. Confirms understanding of, and satisfaction with the treatment plan to the extent that he or she is able to:
    1. Document the person’s and his or her family’s understanding of the disease process and the expected course of the illness
    2. Document the level of satisfaction of the person in relation to the plan of care and the delivery of care
    3. Determine the perceived complexity of the treatment regime and document concerns, questions and issues raised
    4. Determine and documents any expressed level of stress
    5. Determine and documents the ability of health care providers and family caregivers to participate in the plan of care
    6. Document the therapeutic interventions and advocate for further intervention when goals and expectations are not met

 
 
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