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NUMS Post-Graduate Certificate in Palliative Care (PG-CPC) - Course Timeline

Pc 301

Session 2022-23, 2^nd Batch

8^th dec 2022

Introductory Session with students

Tutorial on Moodle

Dr. Nafisa Tahir

Dr Rimsha Azhar

Aqsa ARSHAD

Introduction to the certificate/curriculum/assessment methods

Dr. Nafisa Tahir

Dr ayaz butt

Dr sadaf

Course 1: Introduction to Palliative Care

Learning Objectives: At the end of this module, the participants will be able to:

Identify the concept of palliative care and its role in management of illness
Apply the principles of palliative care to manage pain by pharmacological and non-pharmacological approaches
Understand the challenges of breaking bad news
Recognize factors contributing to the prognosis of various life limiting illnesses, recognize EOL and trajectory events referred to as actively dying or imminent death
Define code status and understand principles of DNA CPR
Making the decisions about commencing an end of life care plan.

Course 1	Course breakdown	Dates	Weeks	Topics	Facilitators
PC-301 Introduction to Palliative Care	Palliative Care Range of patients and needs in Palliative Care Settings: home/hospital/home/hospice Pain control	9^TH DEC-15 DEC	Week 1	Introduction to Palliative Care, Palliative History and Examination	Humaira Jamal
		16^TH DEC-22 DEC	Week 2	Communication skills, Breaking Bad news (Part 1 and Part 2)	Shagufta Mirza Khalique Rehman
		23 DEC-29^TH DEC	Week 3	Cancer Pain Management	Adnan Kabir
				Advanced Pain Management	Mohammad Butt
				Palliative Oncology	Mohammad Butt
	Experience of the end of life DNA/CPR & ceilings of care. Coping with seeing patients close to the end of life and at death	30^th dec-5^th jan 2023	Week 4	Care of the dying	Adnan Kabir Elisabeth Bjorndal
		6^th jan-12th jan	Week 5	End of Life Care	Mohammad Butt
		6^th jan-12th jan	Week 5	How Long I have got Doc?	Humaira Jamal

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Course Description and Scheme

1. Description of Course & Scheme of Study

This will be a 26-week certificate program.

24-week self-study model with synchronous online sessions : This program comprises of prerecorded video lectures by palliative care /oncology experts and interactive online teaching sessions.
Online learning of 24 weeks is conducted via NUMS digital e-learning portal, accessible to faculty and participants through their personal accounts.
A hybrid workshop on communication skill is conducted at NUMS campus. In this workshop participants from Rawalpindi and Islamabad participate physically whereas rest of the participant participate through zoom link.

2. Curriculum Outline:

The basics and advance management of palliative care will be divided into 4 modules.

Introduction to Palliative Care
Ethical issues at the end of life
Public health and palliative care
Symptom management

This certificate program is of 12 credit hours; details are given in the table below.

Course Code	Course (Each course of 6 weeks)	Credit Hours
PC – 301	Introduction to Palliative Care	3
PC – 302	Ethical issues at the end of life	3
PC – 303	Public Health and Palliative Care	3
PC – 304	Symptom Management	3
Total Credit Hours		12

Online Contact Session Once in a week (Lecture or chat box)	Self-study Pre-recorded lectures, case studies, forum discussion, reading material and assignments		Online Contact Session Once in a week (Lecture or chat box)	Online Contact Session Once in a week (Lecture or chat box)
	Course 1	Course 2		Course 3	Course 4
Weeks	5 weeks (3 credit hrs)	6 weeks (3 credit hrs)	Weeks	6 weeks (3 credit hrs)	7 weeks (3 credit hrs)
Duration	9^th Dec 2022-12^th Jan 2023	13^th Jan 2023-23^rd feb 2023	Duration	24^th feb 2023-6^th april 2023	7^thapril 2023-8^th jun 2023

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[ Modified: Wednesday, 7 December 2022, 11:44 AM ]

Anyone in the world

NUMS Post-Graduate Certificate in Palliative Care (PG-CPC)

Learning Objectives & Program Outline

Module 1: Introduction to Palliative Care

Learning Objectives: At the end of this module, the participants will be able to:

Identify the concept of palliative care and its role in management of illness
Apply the principles of palliative care to manage pain by pharmacological and non-pharmacological approaches
Understand the challenges of breaking bad news
Recognize factors contributing to the prognosis of various life limiting illnesses, recognize EOL and trajectory events referred to as actively dying or imminent death
Define code status and understand principles of DNA CPR
Making the decisions about commencing an end of life care plan.

Course 1	Course breakdown	Dates	Weeks	Topics	Facilitators
PC-301 Introduction to Palliative Care	Palliative Care Range of patients and needs in Palliative Care Settings: home/hospital/home/hospice Pain control	9^TH DEC-15 DEC	Week 1	Introduction to Palliative Care, Palliative History and Examination	Humaira Jamal
		16^TH DEC-22 DEC	Week 2	Communication skills, Breaking Bad news (Part 1 and Part 2)	Shagufta Mirza Khalique Rehman
		23 DEC-29^TH DEC	Week 3	Cancer Pain Management	Adnan Kabir
				Advanced Pain Management	Mohammad Butt
				Palliative Oncology	Mohammad Butt
	Experience of the end of life DNA/CPR & ceilings of care. Coping with seeing patients close to the end of life and at death	30^th dec-5^th jan 2023	Week 4	Care of the dying	Adnan Kabir Elisabeth Bjorndal
		6^th jan-12th jan	Week 5	End of Life Care	Mohammad Butt
		6^th jan-12th jan	Week 5	How Long I have got Doc?	Humaira Jamal

Module 2: Ethical issues at the end of life

Learning Objectives: At the end of this module, the participants will be able to:

Understand the ethical issues towards the end of life and relevant choice of treatments
Understand the Golden standard framework and its relevance to local practices, principles of peri-death care with cultural sensitivities
Provide and verify a death certificate
Inform relatives with empathy, referral to coroner/funeral services according to local rules
Recognize stages of grief and depression
Look after oneself, practice resilience and guide carers
Navigate through the difficult journey

Course Code / Course Title	Course breakdown	Dates	Weeks	Topics	Facilitators
PC-302 Ethical issues at the end of life	Ethics in palliative care Ethical and legal principles (with Clinical Ethics and Law) Difficult cases, euthanasia, assisted suicide Artificial nutrition and hydration	13^th January-19 january	Week 6	Ethical Issues	Iqtedar Muazzam
				Gold standard Framework	Liz Dorey
		20^th January-26^th january	Week 7	Advanced Care Planning	Mohammad Butt
				Nutrition and hydration at EOL	Maimona Ali
	Bereavement Symposium Morbidity and mortality of bereavement Models of grief Caring for the bereaved in practice Self-care	27^th January-2 February	Week 8	Bereavement and Grief	Mohammad Saeed
				Care of the carers	Abid Raza
		3^rd Feb-9^th feb	Week 9	Self-Care	Mohammad Butt
				Well-being and Resilience	Farhan Zahid Khawaja
	Care after Death Conversations with relatives after death Interview with Funeral Director Visit to hospital mortuary Religious and cultural issues Death verification, death certification and cremation certificates	10^th-16^th feb	Week 10	Death verification, death certification and cremation certificates	Fawad Ahmad
				Post Death Conversation	Sadaf Muddassar
		17^th feb-23rd feb	Week 11	Religious and Cultural issues	Mohammad Butt
MCQ Assessment

Module 3: Public Health Aspects

Learning Objectives: At the end of this module, the participants will be able to:

Understand the relevance of health inequalities and its impact on provision of healthcare.
Integrate palliative care in cancer and other major long-term illness and how to integrate palliative care in those areas.
Understand issues related to pediatric long term illnesses.

Course Code / Course Title	Course breakdown	Dates	Weeks	Topics	Facilitators
PC-303 Public Health Aspects in	Public health and palliative care POD stats and inequalities. PPOD	24 feb - 2^nd march	Week 12	Public Health and Palliative care	Mohammad Butt
		24 feb - 2^nd march	Week 12	POD	Mohammad Butt
		3^rd march-9th march	Week 13	Public Health inequalities	Mohammad Butt
	Living with uncertainty in non-cancer long-term illness	10^th march-16th march	Week 14	Prognostication	Tayyaba Irshad
		17^th march-23rd march	Week 15	Prognostication	Dr. Waqas Ali
		24^th march-30th march	Week 16	Heart Failure	Mohammad Butt
		24^th march-30th march	Week 16	Dyspnoea/ Breathlessness	Noori Rafique
	Pediatric & Adolescent Palliative Care	31^st march-6th april	Week 17	Palliative care for The Adolescent and Young	Farhan Zahid Khawaja
	Pediatric & Adolescent Palliative Care	31^st march-6th april	Week 17	Paediatric PC	Sobia Bilal

Module 4: Symptom Management

Learning Objectives: At the end of this module, the participants will be able to:

Recognize and manage emergencies in palliative care, including Major hemorrhage, Hypercalcemia, Superior vena cava obstruction, Spinal cord compression, Bone fractures Anxiety/panic, and Seizures
Develop an understanding of the principles of symptom assessment by history taking and identifying different types of symptoms taking into account the perspectives of individual patients

Course Code / Course Title	Course breakdown	Dates	Weeks	Topics	Facilitators
PC-304 Symptom Management In palliative care	Management G.I symptoms Pain management Emergency management	7^th april-13th april	Week 18	Palliative Care in ER	Palwasha Khan
				Nausea and Vomiting	Naheed Khan Lodhi
				Constipation and Palliative care	Naheed Khan Lodhi

		Ramadan /eid ul fitr break 14^th april-27th april
		28^th april-4th may	Week 19	Management of seizure	Waqas Ilyas
				Hypercalcaemia	M. Muneeb Khan
		5^th may- 11^th may	Week 20	Gastrointestinal Symptoms in PC	Mateen Akhtar
				SVCO	Ilyas Mansoori
		12^th may-18th may	Week 21	Palliative Radiotherapy-mSCC, Brain and Bone Metastasis	Tanzeel Khalid Janjua
				Drug Conversions	Mamoona Ali
		19^th may -25^th may	Week 22	Principles of Chemotherapy and Toxicity management	Sohail Amin
				Extravasation management	Waqas Ilyas
		26^th may -1stjun	Week 23	Orphan symptoms	Maimoona Ali
				Complimentary Therapies	Farhan Zahid Khawaja
	Confusion and Affective States in Palliative Care Confusion and delirium. Anxiety/depression/ appropriate sadness	2^nd june -8^th jun	Week 24	Mental Health	Amer Mukhtar
				Confusion and restlessness	Mohammad Butt
Final Assessment including all 4 courses