NUR 465 End-of-Life and Palliative Care Practice

Explore issues of culture, care and family dynamics for patients in palliative and hospice care.

Format: Online
Duration: 8 weeks
Credits: 2

In NUR 465 End-of-Life and Palliative Care Practice, you’ll examine the inter-professional approach to nursing care for the physical, psychological, social, and spiritual concerns of patients and families as they relate to pain, symptom management, and comfort care, and end-of-life decisions.

Course Description

In NUR 465 End-of-Life and Palliative Care Practice, you’ll examine the philosophy and principles of hospice and palliative care that can be integrated across settings to improve symptom management and quality of care through chronic illness and at the end of life. Specific areas you will study include pain management, communication strategies and ethical issues that occur at the end-of –life.


Sample Assignment

You’ll select one movie from a list provided by your professor. In a 15- to 20-slide PowerPoint presentation, you’ll reflect on how palliative care and/or hospice care is depicted in the film.


Pain and symptom relief can be vital for end-of-life patients. You’ll identify common causes and symptoms at the end of life as well as interventions that can prevent or diminish symptoms. Ethical issues often arise in palliative care and you’ll gain insight into the responsibility of the palliative care nurse with regards to advocacy of patient rights. As you explore ethical issues and dilemmas that can arise in end-of-life and palliative care, you’ll see the importance of advanced directives in preventing ethical dilemmas.

In the role of palliative care nurse, promoting clear, open communication among team members and the patient and family is essential. You’ll look at communication characteristics that patients and families expect of health care professionals. You’ll also consider the attributes that are needed for culturally competent nursing care by identifying the influence of culture on palliative care and examining beliefs about death and dying that are held by various cultures.


Learning Exercise Example

You’ll read case studies to identify and analyze the physiological, emotional, social, and environmental challenges of specific palliative and hospice care situations. You’ll then present your interpretations and solutions based on the literature for class discussion.


For hospice patients and their families, grief can begin long before death. You’ll appreciate the individual ways people experience loss, grief and bereavement as you look at interventions and systems of support that may help facilitate normal grief.

Course Topics

Throughout this course, you’ll focus on core topics or themes. Sample topics are listed below and are subject to change based on the instructor.

  • ::  Introduction to Palliative Care
  • ::  Pain Management
  • ::  Symptom Management
  • ::  Ethical Issues
  • ::  Communication/ advanced directives
  • ::  Cultural and Spiritual Considerations
  • ::  Loss, Grief, Bereavement
  • ::  Care in the Final Hours

Learning Outcomes: Your Top 12 Takeaways

In NUR 347, you’ll gain insight into the needs of terminal patients and their families, as well as the role nurses play in end-of-life and palliative care.

  1. Identify the role of the nurse in providing palliative care across the lifespan.
  2. Describe the philosophy and principles of hospice and palliative care that can be integrated across settings to affect quality care at the end of life.
  3. Discuss the role of the nurse involved in involved with pain assessment and management at the end of life.
  4. Identify common symptoms associated with end-of-life processes and nursing interventions for patients across the life span.
  5. Describe ethical issues and dilemmas that may arise in end-of-life/palliative care.
  6. Understand the specific roles of the nurse in ethical decision-making.
  7. Know the dimensions of culture and the influence of culture on palliative care for patients across the life span.
  8. Appreciate the philosophy and principles of hospice and palliative care that can be integrated across settings to affect quality of palliative care/hospice care for the pediatric patient.
  9. Define the importance of ongoing communication with the interdisciplinary team, patient, and family throughout an end-of-life process.
  10. Distinguish between anticipatory grief, normal grief, and complicated grief; describe the tasks of grief.
  11. Examine personal death awareness and cumulative loss associated with professional care giving.
  12. Evaluate physical, psychological, social, and spiritual needs and interventions for an imminently dying patient and their family.

Learn More

In NUR 465 End-of-Life and Palliative Care Practice, you’ll examine palliative and hospice care nursing across the life span. For more information about this course or other courses in Utica College’s online RN to Bachelor of Science in Nursing (RN-BSN) degree, request more information or call us at 315.732.2640 or toll-free 866.295.3106.

The content presented on this page is representative information for example purposes and is subject to change as course and student needs change over time.