Health Sciences and Social Services Curative Health

Comfort Care for Acute and Chronically Ill Patients Training

SAQA US 252090 | NQF 7 | Credits 11 | Duration 8 Days
From $1,658 per delegate

Description

This course equips healthcare workers with the knowledge and skills to maintain physical and psychological comfort for acute and chronically ill patients, as well as their significant others. It focuses on holistic care approaches that address pain management, emotional support, and communication strategies to enhance patient well-being.

Learning Outcomes

  • Apply principles of holistic comfort care to assess and address physical and psychological needs of acute and chronically ill patients.
  • Demonstrate effective communication techniques to support patients and their significant others during illness and treatment.
  • Implement pain management strategies and non-pharmacological interventions to alleviate discomfort.
  • Evaluate the impact of chronic illness on patients' mental health and apply appropriate psychological support measures.
  • Design individualized comfort care plans that incorporate cultural sensitivity and patient preferences.
  • Analyze the role of the healthcare team in providing comprehensive comfort care and collaborate effectively.

Target Audience

This course is designed for nurses, caregivers, and healthcare support staff working in hospitals, clinics, hospices, and home-based care settings who interact with acute or chronically ill patients.

Prerequisites

None — open enrollment

Course Outline

Day 1: Introduction to Comfort Care and the Healthcare Context

Objectives:
• Define comfort care and its importance in acute and chronic illness.
• Understand the legal and ethical framework for care in South Africa.
• Identify the roles of the multidisciplinary team.
• Differentiate between acute and chronic illness trajectories.

Topics:
• Overview of comfort care philosophy
• Ethical principles: autonomy, beneficence, non-maleficence, justice
• South African healthcare legislation and patient rights
• The care continuum: acute vs chronic illness
• Multidisciplinary team roles and communication

Day 2: Pain and Symptom Management

Objectives:
• Describe the pathophysiology of pain and common symptoms.
• Apply pain assessment tools (e.g., numerical rating scale, PAINAD).
• Explain pharmacological and non-pharmacological interventions.
• Develop a basic symptom management plan.

Topics:
• Types of pain: nociceptive, neuropathic, breakthrough
• Pain assessment in verbal and non-verbal patients
• WHO analgesic ladder
• Management of nausea, dyspnoea, fatigue, constipation
• Non-pharmacological comfort measures (positioning, relaxation)

Day 3: Psychosocial and Spiritual Care

Objectives:
• Identify psychosocial needs of patients and families.
• Apply active listening and empathetic communication.
• Recognise spiritual distress and provide support.
• Understand cultural sensitivity in end-of-life care.

Topics:
• Impact of illness on mental health (anxiety, depression, grief)
• Communication skills: breaking bad news, active listening
• Spiritual assessment and interventions
• Cultural and religious considerations in comfort care
• Supporting family caregivers

Day 4: Advanced Care Planning and End-of-Life Decision Making

Objectives:
• Define advance care planning (ACP) and its components.
• Discuss legal documents: living will, power of attorney.
• Facilitate ACP discussions with patients and families.
• Apply ethical decision-making frameworks.

Topics:
• Principles of ACP
• Legal aspects in South Africa: National Health Act, Mental Health Care Act
• Withholding/withdrawing treatment: ethical considerations
• Do-not-resuscitate orders and palliative sedation
• Role of the healthcare team in ACP

Day 5: Symptom Management in Complex Cases

Objectives:
• Manage complex symptoms: delirium, malignant bowel obstruction, terminal agitation.
• Use syringe drivers for continuous symptom control.
• Identify and manage opioid-induced neurotoxicity.
• Apply evidence-based guidelines for symptom management.

Topics:
• Delirium: assessment and management
• Malignant bowel obstruction: medical and surgical options
• Terminal restlessness and agitation
• Syringe driver use: indications, drugs, troubleshooting
• Opioid rotation and equianalgesic dosing

Day 6: Wound Care and Skin Integrity in Palliative Patients

Objectives:
• Assess and classify pressure injuries and malignant wounds.
• Apply principles of wound care in palliative context.
• Manage odour, exudate, and pain associated with wounds.
• Understand the role of dressings and topical therapies.

Topics:
• Pressure injury prevention and staging
• Malignant wounds: characteristics and management
• Wound assessment tools (e.g., Bates-Jensen, PUSH)
• Dressings for comfort: odour control, moisture balance
• Topical analgesia and haemostasis

Day 7: Ethical and Legal Challenges in Comfort Care

Objectives:
• Analyse ethical dilemmas: euthanasia, assisted suicide, futility.
• Apply the principles of beneficence, non-maleficence, and justice.
• Understand the legal position on euthanasia in South Africa.
• Develop strategies for resolving ethical conflicts.

Topics:
• Euthanasia and assisted suicide: international perspectives vs SA law
• Medical futility and resource allocation
• Ethical decision-making models
• Conflict resolution within the care team
• Case studies on ethical dilemmas

Day 8: Integration, Case Studies, and Quality Improvement

Objectives:
• Apply comprehensive comfort care through case-based learning.
• Evaluate quality indicators in palliative care.
• Develop a personal action plan for implementing comfort care.
• Reflect on self-care and prevention of burnout.

Topics:
• Multidisciplinary case discussions (acute and chronic)
• Quality improvement: audits, patient feedback, outcomes
• Self-care strategies for healthcare workers
• Creating a comfort care protocol for the workplace
• Course review and evaluation

Practicals

24 hours of practicals To be conducted online or on-campus or in-house
Overview

Practicals provide hands-on experience in pain assessment, wound care, syringe driver use, and communication skills. Learners practice clinical procedures under supervision to integrate theoretical knowledge into safe, compassionate care.

Practical Activities
  • Pain Assessment and Non-Pharmacological Interventions — Learners practice using pain assessment tools (NRS, PAINAD, FLACC) on simulated patients and apply non-pharmacological techniques such as positioning, relaxation, and heat/cold therapy. (6h)
  • Wound Care and Dressing Techniques — Learners perform wound assessment and apply various dressings on simulated wounds, including pressure injuries and malignant wounds, focusing on odour control and pain management. (6h)
  • Syringe Driver Setup and Troubleshooting — Learners assemble, program, and operate a syringe driver (e.g., Graseby or CADD) using simulated medications. They troubleshoot common alarms and errors. (4h)
  • Communication Skills: Breaking Bad News and Advance Care Planning — Learners role-play breaking bad news using the SPIKES protocol and facilitate an advance care planning discussion with a simulated patient and family. (4h)
  • Comprehensive Comfort Care Simulation — In teams, learners manage a simulated patient with complex symptoms (pain, dyspnoea, delirium) requiring integrated comfort care. They prioritise interventions, communicate with the team, and document care. (4h)

Summatives

Each delegate is assessed continuously throughout the course via daily exercises, scored practical assignments, and a final summative test at the end.

Practical Assignments — 30%

Practical assignments are observed and scored against a rubric during the practical sessions. Each delegate's practical mark is averaged into a single 100% score and contributes 30% to the final total.

Daily Exercises — 20%

Every training day ends with a multiple-choice exercise scored out of 100%. The scores from each daily exercise are averaged across the duration of the course to produce a Daily Average mark, which contributes 20% to the final total.

Final Test — 50%

On the last day a final summative test is written. It is a multiple-choice paper with multiple-answer questions: each question may have more than one correct option, and a single wrong selection on a question marks the entire question wrong — no partial credit. The final test is scored out of 100% and contributes 50% to the overall mark.

Final Total
Component Out of Weight
Practical Assignments (rubric-scored) 100% 30%
Daily Average (multiple choice) 100% 20%
Final Test (multi-answer multiple choice) 100% 50%
Final Total 100%

All marks are recorded on the AATICD LMS and visible to each learner under their account.

Certificate

Certificate of Completion

Awarded to delegates who achieve an overall mark of 50% or higher on the Final Total (Practicals 30% + Daily Average 20% + Final Test 50%).

How it works
  • Certificates are auto-generated on the AATICD LMS as soon as the marks pass the 50% threshold.
  • Each certificate is a branded PDF with the delegate's name, the course title, the unit standard ID, NQF level, credits, and the date of issue.
  • You can download or print your certificate from your LMS dashboard at any time after issue — there's no reissue fee and no expiry date.
  • If you scored under 50% you can sit the final test again at the next scheduled session at no extra cost.
Where to find it

Sign in to the LMS, open your dashboard, and your certificates appear under My Certificates. Each entry has a View / Download button and a print option.

Training Discounts

Group discounts apply automatically — the more delegates you enrol, the greater the saving. Discounts are calculated at 3% per 5 delegates, scaling up to 40% off for 100+ delegates.

Delegates Discount
5 3% off
10 6% off
15 9% off
20 12% off
25 15% off
30 18% off
50 30% off
75 35% off
100 40% off

3% discount per 5 delegates, up to 40% off for 100+ delegates. Contact us for a custom group quote.

Upcoming Training Sessions
Online training — attend live sessions from anywhere via our virtual classroom.
Start End Delivery Season Price Action
Fri 11 Sep 2026 Tue 22 Sep 2026 Virtual Spring 2026 $1,658 Register
Thu 01 Oct 2026 Mon 12 Oct 2026 Virtual Spring 2026 $1,658 Register
Wed 21 Oct 2026 Fri 30 Oct 2026 Virtual Spring 2026 $1,658 Register
Wed 09 Dec 2026 Fri 18 Dec 2026 Virtual Summer 2026 $1,658 Register
Tue 12 Jan 2027 Thu 21 Jan 2027 Virtual Summer 2026 $1,658 Register
Mon 15 Feb 2027 Wed 24 Feb 2027 Virtual Summer 2026 $1,658 Register
Fri 05 Mar 2027 Tue 16 Mar 2027 Virtual Autumn 2027 $1,658 Register
Thu 11 Mar 2027 Mon 22 Mar 2027 Virtual Autumn 2027 $1,658 Register
Wed 17 Mar 2027 Fri 26 Mar 2027 Virtual Autumn 2027 $1,658 Register
Tue 08 Jun 2027 Thu 17 Jun 2027 Virtual Winter 2027 $1,658 Register
Mon 28 Jun 2027 Wed 07 Jul 2027 Virtual Winter 2027 $1,658 Register
Fri 23 Jul 2027 Tue 03 Aug 2027 Virtual Winter 2027 $1,658 Register
Thu 09 Sep 2027 Mon 20 Sep 2027 Virtual Spring 2027 $1,658 Register
Wed 29 Sep 2027 Fri 08 Oct 2027 Virtual Spring 2027 $1,658 Register
Tue 19 Oct 2027 Thu 28 Oct 2027 Virtual Spring 2027 $1,658 Register
Wed 08 Dec 2027 Fri 17 Dec 2027 Virtual Summer 2027 $1,658 Register
Tue 28 Dec 2027 Thu 06 Jan 2028 Virtual Summer 2027 $1,658 Register
Mon 17 Jan 2028 Wed 26 Jan 2028 Virtual Summer 2027 $1,658 Register
On-Campus training — face-to-face sessions at our training venues across Africa and beyond.
Showing all 522 sessions across 26 venues
Start End Venue Season Price Action
Mon 06 Jul 2026 Wed 15 Jul 2026 Kigali, Rwanda Winter 2026 $4,860 Register
Tue 07 Jul 2026 Thu 16 Jul 2026 Kinshasa, DRC Winter 2026 $4,860 Register
Wed 08 Jul 2026 Fri 17 Jul 2026 Kampala, Uganda Winter 2026 $4,860 Register
Wed 08 Jul 2026 Fri 17 Jul 2026 Mbabane, Eswatini Winter 2026 $3,942 Register
Thu 09 Jul 2026 Mon 20 Jul 2026 Mombasa, Kenya Winter 2026 $4,860 Register
In-House training — we bring the trainer to your organisation, tailored to your team.
Start End Delivery Season Price Action
Mon 14 Sep 2026 Wed 23 Sep 2026 Your Premises Spring 2026 $2,155 Register
Fri 09 Oct 2026 Tue 20 Oct 2026 Your Premises Spring 2026 $2,155 Register
Thu 29 Oct 2026 Mon 09 Nov 2026 Your Premises Spring 2026 $2,155 Register
Thu 17 Dec 2026 Mon 28 Dec 2026 Your Premises Summer 2026 $2,155 Register
Wed 20 Jan 2027 Fri 29 Jan 2027 Your Premises Summer 2026 $2,155 Register
Tue 23 Feb 2027 Thu 04 Mar 2027 Your Premises Summer 2026 $2,155 Register
Mon 08 Mar 2027 Wed 17 Mar 2027 Your Premises Autumn 2027 $2,155 Register
Fri 19 Mar 2027 Tue 30 Mar 2027 Your Premises Autumn 2027 $2,155 Register
Thu 25 Mar 2027 Mon 05 Apr 2027 Your Premises Autumn 2027 $2,155 Register
Wed 16 Jun 2027 Fri 25 Jun 2027 Your Premises Winter 2027 $2,155 Register
Tue 06 Jul 2027 Thu 15 Jul 2027 Your Premises Winter 2027 $2,155 Register
Mon 26 Jul 2027 Wed 04 Aug 2027 Your Premises Winter 2027 $2,155 Register
Fri 17 Sep 2027 Tue 28 Sep 2027 Your Premises Spring 2027 $2,155 Register
Thu 07 Oct 2027 Mon 18 Oct 2027 Your Premises Spring 2027 $2,155 Register
Wed 27 Oct 2027 Fri 05 Nov 2027 Your Premises Spring 2027 $2,155 Register
Thu 16 Dec 2027 Mon 27 Dec 2027 Your Premises Summer 2027 $2,155 Register
Wed 05 Jan 2028 Fri 14 Jan 2028 Your Premises Summer 2027 $2,155 Register
Tue 25 Jan 2028 Thu 03 Feb 2028 Your Premises Summer 2027 $2,155 Register
Training Discounts
Delegates Discount
5 3% off
10 6% off
15 9% off
20 12% off
25 15% off
30 18% off
50 30% off
75 35% off
100 40% off

3% off per 5 delegates, up to 40% for 100+

View Sessions & Register Get A Quote Download Course Brochure
Have an account?

Sign in to track your applications and manage your cart.

Related Courses

Other Health Sciences and Social Services courses at NQF level 7 learners on this page also viewed.

Browse the full Health Sciences and Social Services category for health sciences and social services training programmes.
GET A QUOTE / APPLY COURSE CATALOGUE