Complex care
training

• Understand Autonomic Dysreflexia
• Understand the causes of Autonomic Dysreflexia
• Understand the importance of prompt management of Autonomic Dysreflexia
• Have a knowledge of medication for effective management
• Understand the key care implications for Autonomic Dysreflexia

• Familiarisation of the anatomy and physiology of the respiratory system
• Indications and contraindications for assisted coughing
• The procedure and associated risks of assisted cough

• Discuss the mechanics of respiration and recognise respiratory distress
• Outline the indications for noninvasive ventilation (NIV)
• Explain the role of NIV in the management of respiratory failure
• Recognise the absolute and relative contraindications in patient selection
• Risk assess, maintain equipment and manage patient care (IPAP : EPAP pressures) in relation to NIV therapy in the community
• Demonstrate setting up, promoting compliance and administering NIV and oxygen entrainment (if prescribed) using onsite equipment
• Outline the monitoring, duration and weaning and documentation associated with NIV therapy
• Discuss trouble shooting problems and potential solutions

• Types of tracheostomy
• Requirement for a tracheostomy
• Tracheostomy and suction
• Importance of Stoma Care in relation to tracheostomy
• Cleaning of a Stoma and the changing of dressings
• Changing a tracheostomy inner cannula
• Resuscitation with a tracheostomy
• Practise with a manikin
• Managing complications
• Importance of documentation and consent
• Awareness of privacy and dignity

• Anatomy and physiology of the upper airway and respiratory system
• Indications for Nasal, Oral and Tracheostomy suction
• Contraindications and risks relevant to suctioning
• Equipment required for safe and effective suctioning
• Infection Prevention and Control relevant to suctioning
• Evidenced Based Practice Procedure for Suctioning
• Observations and monitoring
• Emergency Management
• Legal and ethical issues including consent, best interest, care planning and documentation

• The purpose of gastrostomy tube feeding
• Conditions, indications and contraindications for a gastrostomy tube
• The procedures for feeding and administering medications via a gastrostomy tube
• Recognising, dealing with and reporting complications
• gastrostomy care training and maintenance of gastrostomy sites and enteral feeding tubes
• Procedures for effective mouth care
• Defensible documentation and record keeping
• Practical simulation

• Assessment and Recognition of the Acutely Ill Patient Utilising an ABCDE Approach.
• SEPSIS 6 Protocol.
• Understanding Altered Physiology During Acute Illness.
• Effective Communication Management in Challenging Scenarios.
• Legal and Ethical Challenges in Acute and Critical Care Environments.
• DecisionMaking, Professional Judgement, and Emotional Resilience

• Take an in-depth look at the digestive tract, looking at myths, facts and statistics for the stomach, the small intestine and the colon.
• See the digestive tract in action, to understand the digestion process
• Look at conditions such as inflammatory bowel disease, gastroparesis and paralysis and how that affects the digestive system
• Give a greater understanding of both diarrhoea and constipation and what faecal impaction is
• Investigate laxatives
• Talk about bowel movements and what they should look like, and what it might indicate
• Learn how to insert suppositories and enemas
• Optional competencies for either or both suppositories and enemas

• Defining Pressure Ulcers
• Learn and understand what a pressure ulcer is
• Ulcer formation
• Describe how a pressure ulcer forms
• Ulcer risks
• Demonstrate knowledge of what makes an individual at higher risk of developing pressure ulcers
• Warning signs
• Describe warning signs that would alert you to the possibility of a pressure ulcer forming
• Treatment
• Understand the severity of pressure ulcers and how they are treated

• Gain a basic understanding of wound management
• Develop an understanding of the anatomy and physiology of the skin
• Develop an understanding of the stages of wound healing and the factors that affect this process
• Identify the different types of wounds
• Understand the process of assessing wounds
• Understand the elements of managing wounds – including dressing types and correct dressing selection

• Anatomy and Physiology relevant to People and Manual Handling
• Relevant Legislation (MHOR, LOLER)
• Care Planning and Risk Assessments
• Principles of Safe Handling
• Ergonomics, Biomechanics and Posture
• The Handling of People Principles and Techniques
• People Handling Equipment being used (Hoist, Slings, Chairs, Beds, Wheelchair, Bathing Hoist)

• Have an overview of Clinical Risk Management and Assessment to include why and how we do this
• Be aware of Hazards, Control and Risk, including Legal and Governance Frameworks, Local and National Policies and Guidelines
• Have an understanding of the underpinning regulations and regulatory bodies – RIDDOR, COSHH, CQC, NMC and the Risk
• Assessment Process
• Be aware of documentation and components of a best practice Risk Management Plan and the Governance Lead Role
• Understand Cultural Sensitivity
• Have the opportunity of building a Risk Management plan
• Be involved in poor Risk Assessment and Management Consequences – What happens when it goes wrong, including scenarios?

• Anatomy and Physiology relevant to People and Manual Handling
• Relevant Legislation (MHOR, LOLER)
• Care Planning and Risk Assessments
• Principles of Safe Handling
• Ergonomics, Biomechanics and Posture
• The Handling of People Principles and Techniques
• People Handling Equipment being used (Hoist, Slings, Chairs, Beds, Wheelchair, Bathing Hoist)

• Understand what is meant by a pressure ulcer
•  Identify who is at risk
•  State the causes of pressure ulcers
•  Identify pressure areas of the body
•  Describe the stages of a pressure ulcer
•  Understand how to manage a pressure ulcer

• Understand normal & Spinal Cord Injury (SCI) bowel function (flaccid and spastic bowel)
•  Understand the importance of maintaining bowel regime
•  Have a knowledge of medication for effective bowel management
•  Understand how to manually evacuate the lower bowel (Digital Rectal Stimulation and Digital Rectal Manual Evacuation)

• Understand why catheters are used
•  Understand drainage systems
•  Be able to care for urinary catheters
•  Be able to prevent infection of the urinary tract
•  Be able to obtain specimens
•  Obtain knowledge on removal of catheter

• Epilepsy defined
•  The causes of epilepsy
•  Diagnosis, management and treatment of epilepsy including Buccal Midazolam
•  Individualised seizure triggers
•  Seizures classifications and types
•  How to help, seizure management and when to call for help
•  Record keeping, seizure management plans
•  Status epilepticus
•  Seizure First Aid
•  Other aspects of living with epilepsy

• What is catheterisation
• Be able to describe catheterisation and understand what it is
• Why use catheterisation
• Understand the purpose of urinary catheterisation
• The causes and types of incontinence
• Understand the causes and types of incontinence
• Different types
• Describe the different types of catheters
• How a catheter is inserted
• Understand how a catheter is inserted

• Define venepuncture
•  Identify suitable veins for venepuncture
• Explore the problems in identifying suitable veins forvenepuncture
• Identify complications and actions i.e. faint, anxiety, haematoma arterial puncture
• Demonstrate health and safety awareness issues related to venepuncture e.g. hand washing,
  needlestick injury, infection risk, and sharp disposal

Bespoke training packages available, lets talk more!

• Defining palliative care
• Describe what is meant by palliative care and what is end of life care
• Coping with palliative care
• Understand how we cope with palliative care and help others
• Types of complementary therapy
• Describe the different types of complementary therapies
• Empathy and support
• Understand how to empathise with, and support patients and relatives
• Strategies
• Describe some end-of-life care strategies
• Attitudes and fears
• Think about your attitudes and fears about death and dying
• Experiences
• Recognise different experiences around death and dying
• Advanced Care Planning
• Understand the need for Advanced Care Planning
• Symptom Management
• Describe the importance of Symptom Management
• Advance Directives
• Describe ‘Advance Directives’
• Roles and responsibilities
• Understand roles and responsibilities in end-of-life care