Caring PATIENT. through CANCER Journey. Mei-Chih Huang, RN, PhD

Transcription

1 Lesson learned from National Cheng Kung University in preparing students for inter-professional education Caring PATIENT through CANCER Journey Mei-Chih Huang, RN, PhD,Department of Nursing, National Cheng Kung University, Taiwan 醫學院護理學系 Department of Nursing

2 Location of National Cheng Kung University Taiwan 2

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4 Medical Center of National Cheng Kung University 4

5 Department of Nursing College of Medicine, NCKU Nursing Morals Respect 尊重 Empathy 同感 Caring 關懷 Commitment 敬業 Love 愛人 5

6 Course INNOVATION Teaching +learning + working Together Department of Nursing Prof. 黃美智 Mei-Chih Huang Assistant Prof. 賴維淑 Lai, Wei-Shu Assistant Prof. 高綺吟 Kao, Chi-Yin Associate Prof. 方素瓔 Fang, Su-Ying Department of Physical Therapy Prof. 洪菁霞 Hung, Ching-Hsia Assistant Prof. 蔡昆霖 Tsai, Kun-Lin Department of Medicine Prof. 蘇五洲 Su, Wu-Chio Assistant Prof. 林鵬展 Lin, Pon-Jan

7 Caring PATIENT through CANCER Journey 醫學院護理學系 Department of Nursing

8 Exercise prescription Clinical assessment and management of lymphedema Comfort care practice: oral care, NG care, dying signs and initial care Evidence-based Complementary and Alternative Medicine (CAM) Precision Medicine Wound care and case discussions T E A C H W O R K L E A R N Communicate with patients and medical team Advance Care Planning (ACP) Decision making consultation T h e C a n c e r Symptom control and management Bereavement care Transition from curative care to palliative care multidisciplinary meeting Inter-Profession J o u r n e y Multidisciplinary care team Detection Diagnosis Treatment and managing side effects Supportive care Follow-up care Survivorship End of life care

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11 Cancer Care Comfort Care How to bring evidence-based complementary and alternative medicine knowledge to the cancer journey Precision medicine in cancer treatment Innovations in cancer treatment and care - Implications for nursing practice (Internet) Introduction of cancer wound care and case discussions Comfort care practice (I): skills for restorative and rehabilitative bed side care in cancer patients Clinical assessment and management of lymphedema: a cased-based learning and practice Exercise prescription for cancer patients Comfort care practice (II): oral care, hand and foot care, NG care, dying signs and initial care of the deceased, constipation care Prof Lynda Balneaves Prof Su, Wu-Chou Prof Sanchia Aranda Prof Lo, Shu-Fen Prof Hung, Ching-Hsia PT Sandy Hsin Prof Tsai, Kun-Ling NP Shih, Ya-Lan

12 Bioethics Palliative Care How to communicate with patients and medical team through cancer journey and practice No decision about me without me- advance care planning (ACP) Let me talk: advance care planning Decision making consultation with cancer patients and practice Symptom control and management: multidisciplinary approach Bereavement care: healing the grieving heart Transition from curative care to palliative care: barriers, challenges and potential solutions A collaborative approach to conduct a multidisciplinary meeting Prof Wendy Lam Prof Helen Chan Prof Helen Chan Prof Wendy Lam Dr. Lin, Peng-Chan Lee, Jun- Hua Prof Lynda Balneaves Dr. Weng,

13 Micro-Credit Courses LIVE

14 Comfort Care LIVE

15 INTER-PROFESSIONAL/ MULTI-LEVELS GROUP PROJECT WRAP-UP PRESENTATION

16 夢想中的回家路 運用虛擬實境 (VR) 完成夢想 床的世界 免下床拋棄式移動型馬桶 海報發表 真相與謊言 癌末的病情告知 如何好好說再見 認識預立醫療照護諮商 (ACP) 生活中常見的化工威脅 我們的日常用品 如果, 我要離開 運用心智圖概念引導生命回顧及 ACP 不留遺憾, 輕鬆說再見兒童哀撫慰繪本 No Regrets, Easy to Say Goodbye

17 與心共舞 癌症患者舞蹈治療 運用互動式遊戲讓輔助療法 (CAM) 生活化 口頭發表 感染變色繃帶輔助醫療, 醫病? 醫心? 運用桌遊於兒童面對癌末親屬之預期性哀傷舒適護理的發想與應用 穴位蒸氣美足膜 按呢講 卡 好 頭頸部癌症病人溝通卡 癌症旅途加油站 Cancer Journey Pump-N- Run

18 WRAP-UP PRESENTATION

19 Creative Bedpan for Bedridden Patients

20 Students display creative bedpan model

21 Chosen Alive Monopoly make knowledge of complementary alternative medicine practical and interesting Table game help children with family members of terminal cancer cope with anticipatory grief

22 Children Picture book on death and bereavement care

23 People Communication tool for head and neck cancer patients Time Food and drinks Places

24 Dream about going home? V R t e c h n o l o g y 夢想中的回家路

25 Innovative student projects award

26 Course Results Four Micro-Credit Courses : 61 students / 170 completers Cross field cooperation Nursing, Physiotherapy, Medical Laboratory Science and Biotechnology, History, Law, Business Administration, Chemical Engineering, Mechanical Engineering, Psychology, Life Science, Ocean Technology and Marine Affair, Industrial Information Management etc. Four innovative e-learning materials (Chinese & English Ver.) Manual Lymphatic Drainage Getting out of Bed and Standing up from a Wheelchair Palliative Care in Practice Dying Preparation and Post-mortem Care

27 E-Learning Materials NEW

28 Course Evaluation BIOETHICS 4.6 PALLIATIVE CARE COMFORT CARE CANCER CARE EVALUATION BS Nursing 4.6 ; Master of Nursing 4.6 Departments in Medical School 4.8 ; Others 4.7

29 Course Feedback To be a nurse, like me, Do nothing is okay, but, do something would make a lot of difference. I realized that nursing skills written in the textbook would bring a lot of comforting to patients in real life. The most important characteristic that providers should have is not only let patients and their family know the condition, but also let them know what they can do. I learned how to live in the moment, and to express my love to my family. We should ask: have any complementary care can help patient feeling better? 1 / 2

30 Course Feedback We should reinforce the connection between difference professional fields. Inter-professional cooperation is really important. Try to find out a common language when we have a inter-professional communication. Not to reach me OUT, but to bring others IN. Can get something new to enrich our profession. Update information anytime. The complementary care and the advance care plan (ACP) are important issues now. I start to face the death, and thinking how to prepare for the death in the future. 2 / 2

31 Course Feedback Comfort care can make differences. Seize the day, express love and caring to the family members. Not only know why but also know how to take action. Inter-professional communication skill and working together. Learn the different aspects of healthcare providerpatient/family communications. Keep updating information in health care is important. Rethinking death and dying issues.

32 Course Difficulties Difficult to understand medical terminology Flip class, materials in Moodle Barriers to listen English in the class Summary translation Case discussion

33 Course Benefits Collaboration and Reciprocal with multidiscipline and mixed-levels group Innovative and Creative Tasks Find the self-value through communication and collaboration with other disciplines

34 Acknowledgement All students contribute their intellectual works International and local speakers Funding supported by Ministry of Education, Taiwan Shih-Chun Lin for preparing the presentation materials

35 THANK YOU

36 問題發現與改善 尊重與關懷生命 持續學習與成長 人際互動 資訊運用以解決臨床問題 課後自我評值 4,4 4,72 4,75 4,51 4,34 Students Self Evaluation After Class