General information

Subject type: Mandatory

Coordinator: Carolina Chabrera Sanz

Trimester: Third term

Credits: 4

Teaching staff: 

Miquel Perea Garcia
Eva Diago Balart 
Francisco Luis Gil Moncayo 
Juan Francisco Domínguez Rebato 
Meritxell Puyané Oliva 
Rebeca Marín Martínez 

Teaching languages

The classes are in Catalan or Spanish, while the teaching material (articles, presentations, etc.) can be in Spanish or English


Basic skills
  • CB5_That students have developed those learning skills necessary to undertake further studies with a high degree of autonomy.

  • CB1_That students have demonstrated knowledge and understanding of an area of ​​study that is based on general education, and is usually found at a level that, while supported by advanced textbooks. Also includes some aspects that involve knowledge from the forefront of their field of study

  • CB3_That students have the ability to gather or interpret relevant data (usually within their area of ​​study), to make judgments that include reflection on relevant social, scientific or ethical issues

Specific skills
  • CE13_Apply the nursing process to provide and guarantee the well-being, quality and safety of the people being cared for

  • CE14_Know and apply the principles that underpin comprehensive nursing care

  • CE15_Direct, evaluate and perform comprehensive nursing care, to the individual, the family and the community

  • CE16_Ability to describe the fundamentals of the primary level of health and the activities to be developed to provide comprehensive nursing care to the individual, family and community. Understand the role and activities and cooperative attitude that the professional must develop in a Primary Health Care team. Promote the participation of individuals, families and groups in their health-illness process. Identify and analyze the influence of internal and external factors on the level of health of individuals and groups. Apply the necessary methods and procedures in their field to identify the most relevant health problems in a community. Analyze statistical data related to population studies, identifying possible causes of problems and health. Educate, facilitate and support the health and well-being of members of the community whose lives are affected by health problems, risk, suffering, illness, disability or death.

  • CE25_Know palliative care and pain control to provide care that alleviates the situation of advanced and terminally ill patients

General competencies
  • CG3_Know and apply the foundations and theoretical and methodological principles of nursing

  • CG4_Understand the interactive behavior of the person according to gender, group or community, within their social and multicultural context

  • CG6_Basing nursing interventions on scientific evidence and available media

  • CG1_To be able, in the field of nursing, to give adequate technical and professional attention to the health needs of the people they care for, in accordance with their state of development of the scientific knowledge of each moment and with the levels of quality and safety that are established in the applicable legal and deontological norms

  • CG2_Planning and providing nursing care aimed at individuals, families or groups, oriented to health outcomes, assessing its impact, through clinical practice and care guidelines, which describe the processes by which a patient is diagnosed, treated or treated health problem

  • CG7_Understand without prejudice to people, considering their physical, psychological and social aspects, as autonomous and independent individuals, ensuring respect for their opinions, beliefs and values, guaranteeing the right to privacy, through confidentiality and professional secrecy

  • CG8_Promote and respect the right to participation, information, autonomy and informed consent in the decision-making of the people cared for, according to the way in which they live their health-illness process

  • CG18_Know the strategies to take the measures of comfort and attention of symptoms, addressed to the patient and family, in the application of palliative care that contribute to alleviate the situation of advanced and terminal patients

Transversal competences
  • CT 1 Develop the ability to assess inequalities based on sex and gender, to design solutions


The subject Cares in the processes of death and grief aims to train the student to develop specific and qualified care in situations of advanced and terminal illness, providing tools that allow a professional response to the needs of the patient and their families.

The objective of the subject is for the nursing student to acquire knowledge and skills to assess, attend to and understand the physical, emotional and spiritual aspects of people who find themselves in this situation and their socio-familial environment. As well as developing the ability to provide specific care in accompanying the situation of the last days in a respectful, dignified and compassionate way.

Learning outcomes

LO9. Establish an empathic and respectful therapeutic relationship.
LO10. Use strategies and skills that allow effective communication.
LO11. Know the basic principles of identification and action in life-threatening situations and terminal situations.
LO19. Apply the nursing care process from an integrative and holistic care model.
LO 26. Know the strategies of teamwork as well as the specific contribution of nurses.
LO 38. Develop a global and integrative view of the process of death and grief from the different nursing theories.
LO 41. Identify the main aspects of palliative care.
LO 42. Apply the process of nursing care to people in the process of death and mourning.
LO 43. Differentiate the various resources for caring for people in the process of death and mourning.
LO 44. Recognize the pathological processes of mourning.

LO 45. Know how to make inclusive and non-sexist use of language.

LO 46. Be able to perform a medical history, physical, psychological examination, or nursing diagnosis, or own diagnostic activity of other health professions specifically for men and women.

LO 47. Communicate effectively with patients, demonstrating awareness of the difference in professional-patient power, including the use of language that minimizes power imbalances, validates the experiences of people who suffer, and eliminates gender stereotypes.

Working methodology

Teaching methodologies

MD1. Expository class sessions
MD2. Seminars
MD3. Work in group

MD5. Presentations

MD10. Simulations

MD11. Self-employment.


  1. Death in our current society
    1. The experience of death
    2. Where to die: hospital / home
  2. Palliative care
    1. History and foundations of palliative care
    2. Situation of advanced and/or terminal illness
    3. Interdisciplinary team
  3. The right to a dignified death
    1. Advance will document
    2. Advance decision planning
    3. Euthanasia law
  4. Comprehensive assessment of symptom control in palliative care
  5. Physical and psychological problems in people in an end-of-life process and symptom control:
    1. Systemic symptoms:
      • Asthenia
      • Anorexia
      • Cachexia
      • Dehydration
      • Fever
      • Insomnia
    2. Digestive problems:
      • Nausea and vomiting
      • Dysphagia
      • Gastric crushing syndrome
    3. Intestinal problems:
      • Narrowing
      • Diarrhea
      • Intestinal obstruction
    4. Alterations of the oral cavity:
      • xerostomia
      • Mucositis and Stomatitis
      • Oral mycoses
      • Painful mouth
    5. Respiratory problems:
      • Dyspnoea
      • Cough
      • Haemoptysis
      • hiccup
      • Respiratory grooves
    6. Genitourinary symptoms:
      • Dysuria
      • You have a bladder
      • Pollaciuria
      • Hematuria
      • Urinary retention
      • Urinary incontinence
    7. Neuropsychological problems:
      • Anxiety
      • Depression
      • Delirium
    8. Skin problems:
      • Lymphedema
      • Itching
      • Pressure ulcers
  6. The pain
  7. Emergencies in palliative care
  8. Evolution of geriatric syndromes at the end of life
  9. Communication at the end of life
    1. Basic principles of communication
    2. Bad news
    3. difficult situations
  10. Nursing care for people in an end-of-life process
  11. Postmortem care
  12. The mourning
    1. General aspects
    2. Psychosocial support and accompaniment to the family


Learning activities

training activities

Typology of the activity



AF1. Master class


Classes aimed at exposing theoretical content, encouraging participatory debate.

AF2. Face-to-face tutorials


Training activities to guide on learning

concepts, skills and attitudes.

AF5. Seminars


Case study for the elaboration of individualized Care Plans,

AF6. Work in group


Pedagogical guidelines to guide cooperative learning.

Bibliographic search.

Oral presentation of works

AF9. Personal study


Readings of recommended texts, articles, clinical practice guides, etc.

Study of the contents worked on in the subject

Evaluation system

Generic and specific skills will be assessed with the following activities:

Qualifications Weighting Assessed skills
SE1. Exam 35% CB1, CB3, CG18, CE16, CE25
SE3. Work in group 25%

CB1, CB3, CG1, CG2, CG3, CG6, CG8, CG18, CE14, CE13, CE15, CE16, CE25

SE8. Individual follow-up:     

- Activities derived from the seminars 20%

- Face-to-face tutorials 5% (simulation)

25% CT1, CB5, CG1, CG4, CG7, CE15, CE25
SE 4. Classroom participation (simulation) 15% CT1, CG1, CG6, CG8, CE13, CE14, CE15, CE25

It is mandatory to pass the evaluation test of the final exam and the group work with a minimum of 5 to be able to weight it with the rest of the qualifications, as well as compulsory attendance at the two seminars.

The quantitative (0 to 10) and qualitative qualification system (suspended, approved, notable, excellent, honors registration) is used according to RD 1125/2003.

Recovery period

The assessment activity with the possibility of recovery is the final exam. The grades of the continuous assessment will be maintained.

NOTE: According to UPF regulations, students who have the option of retrieving the subject are those who have obtained a “suspended” grade, which are the only ones that can be modified in the recovery process.




Comprehensive care manual for people with advanced chronic diseases: clinical aspects
Xavier Gómez Batiste-Alentorn, Jordi Amblàs Novellas, Cristina Lasmarías Martínez, Agnès Calsina-Berna
Date of publication: 11/2017
Elsevier Publishing
ISBN 9788490224991

Symptom Control Manual in Cancer Patients
Joaquim Julià-Torras, Gala Serrano Bermúdez
Edition 4
In print Ediciones Aran 2019

Days of Life: Conversations with Joan Hunt

Juan Carlos Perez Jimenez

Plaza y Valdés Editores, 2015

ISBN 9788416032648

Care of the sick at the end of life and attention to his family

Wilson Astudillo Alarcón, Carmen Mendinueta, Edgar Astudillo Alarcón

(6th ed.) EUNSA 2018

ISBN 9788431332884

Oxford handbook of palliative care

Watson, M., Campbell, R., Vallath, N., Ward, S., Wells, J.

3 ed. Medical Classroom, 2020

ISBN 9788478856695