Course Title: Implement and monitor nursing care for clients with chronic health problems

Part B: Course Detail

Teaching Period: Term2 2013

Course Code: NURS5262C

Course Title: Implement and monitor nursing care for clients with chronic health problems

School: 155T Vocational Health and Sciences

Campus: City Campus

Program: C5313 - Diploma of Nursing (Enrolled-Division 2 Nursing)

Course Contact: Jaye Keating

Course Contact Phone: +61 3 9925 4845

Course Contact Email:

Name and Contact Details of All Other Relevant Staff

City Campus:

Bundoora Campus:

Nominal Hours: 50

Regardless of the mode of delivery, represent a guide to the relative teaching time and student effort required to successfully achieve a particular competency/module. This may include not only scheduled classes or workplace visits but also the amount of effort required to undertake, evaluate and complete all assessment requirements, including any non-classroom activities.

Pre-requisites and Co-requisites


Course Description

This unit of competency describes the skills and knowledge required in contributing to the care of the client with a chronic illness by performing nursing interventions that support the client’s needs and assist in maintaining an optimal lifestyle

The knowledge and skills described in this competency unit are to be applied within jurisdictional nursing and midwifery regulatory authority legislative requirements. Enrolled/Division 2 nursing work is to be carried out in consultation/collaboration with registered nursesand under direct or indirect supervisory arrangements in line with jurisdictional regulatory requirements

National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTEN513B Implement and monitor nursing care for clients with chronic health problems


1. Identify the impact of chronic health problems on the client and their family
2. Contribute to planning care for the client with a chronic health problem in a variety of health care settings
3. Perform nursing interventions to support health care of clients with chronic health problems
4. Contribute to an emergency response
5. Assist in evaluating the outcomes of planned nursing actions

Performance Criteria:

1.1 Clarify the clinical manifestations of chronic health problems on body systems
1.2 Clarify the physical and/or psychological impacts of a chronic health problem on activities of daily living through discussion with the client and/or family (with client consent)
1.3 Confirm the client's understanding of their underlying/presenting condition
1.4 Identify actual and potential health issues of a client presenting with a chronic health problem through discussion of information gained from a preliminary health assessment with the appropriate members of the health care team
1.5 Use a problem solving approach to assess the impact of chronic disease processes on the client and/or their family and the achievement of activities of daily living
1.6 Discuss available resources and support services with client/s and significant others where appropriate with the consent of the client

2.1 Gather and record admission data for the client with a chronic health problem, for inclusion in a care plan according to organisation policy
2.2 Gather and record ongoing clinical data for inclusion in the client's care plan in line with organisation policy
2.3 Contribute information and data on the activities of daily living for the client with chronic health problem for inclusion in discharge plans
2.4 Implement client discharge procedures in line with organisation policy and procedures
2.5 Accurately gather, document and report changes in client condition to the appropriate health care team members
2.6 Contribute to planning the nursing care of a client requiring extended care, including restorative/ rehabilitation care
2.7 Identify community based care services for a client with a need for restorative/rehabilitation care
2.8 Contribute to planning the nursing care of a client with cancer and/or a life-limiting illness
2.9 Advocate for clients in health and/or community settings

3.1 Identify and prioritise nursing interventions according to client needs as documented in predetermined care plan
3.2 Base nursing interventions on client needs and individuality and perform with respect for client's dignity and privacy
3.3 Reflect consideration of cultural and religious issues in the performance of nursing interventions
3.4 Encourage the client and/or their family to assist in the performance of nursing interventions as able
3.5 Consider physical, psychological and social needs in the performance of nursing interventions
3.6 Carry out nursing interventions in accordance within professional, legal, ethical and organisation requirements
3.7 Assist the client to meet their activities of daily living
3.8 Address gender and age issues in the performance of nursing interventions
3.9 Recognise emergency situations and respond according to organisation policy and procedures and within legal and professional requirements
3.10 Reflect on pre and post procedure care in nursing interventions and improve practices appropriately
3.11 Contribute to and support health-teaching plans for the client with a chronic health problem

4.1 Confirm the roles and responsibilities of members of the emergency response team
4.2 Prepare and/or check the equipment on the emergency trolley
4.3 Access in response to request from emergency response team, drugs commonly used during emergency resuscitation (including drugs for anaphylaxis)
4.4 Participate in performing emergency resuscitation techniques

5.1 Report client response to nursing interventions to the registered nurse or other appropriate health care colleague
5.2 Document client response to nursing interventions according to organisation policy and legal and professional requirements

Learning Outcomes

At the end of this course the students should be able to:

• Demonstrate a sound & competent understanding of chronic illnesses within the acute & community environment
• Display an safe & competent clinical ability
• Identify and practice within the division 2 competency standards
• Discuss the professional, ethical and legal aspects surrounding caring from a patient with a chronic illness
• Demonstrate an appropriate knowledge base of chronic illnesses

Details of Learning Activities

  • Lecture
  • Self Directed Learning
  • Student discussion & Group Work
  • Road Maps
  • Peer Reflection

Teaching Schedule

Lesson 1: Introduction to the course

 • Describe the Course Content
• Assignments & Acceptation
• Clinical Skills

• Describe Acute and Chronic Illness
• Briefly discuss the management of chronic versus acute illness
• Identify 4 examples of both acute & chronic illness
• Identify 4 risk factors for chronic illnesses with a rationale to support each one
• Describe how a chronic illness impacts on the individual’s lifestyle.

Lesson 2: Rehabilitation

 • Define rehabilitation
• Discuss the importance and different types of resources available
• Outline the objectives of Rehabilitation management
• Discuss the principles of rehabilitation
• Briefly discuss the cultural considerations in nursing the chronically ill patients
• Identify and define the types of rehabilitation
• Discuss the role of a Division 2 nurse in the rehabilitation process
• Discuss the discharge planning, referral services & supports
Adult learning Activity: Community Resources & services
Students are to work in groups and define the following:
• Ambulatory Care

Lesson 3: Diabetes

• Define Diabetes and describe the basic pathophysiology behind diabetes
• Identify and discus the difference between type 1 and type 2 diabetes
• Identify the clinical manifestations of diabetes
• Discuss the nursing/medical management of diabetes. Provide rationales to support your nursing interventions
• Demonstrate a basic understanding of the importance of patient education and self-care
• Identify and discuss 2 emergency situations that can arise for a diabetic patient.
• Discuss health teaching plans for diabetic patients
• Describe 2 scenario’s in which age, gender and cultural can cause an issue with a diabetic

Lesson 4: Pain

• Discuss acute versus chronic pain
• Identify and describe interventions to manage patient pain
• Discuss the management of a patient with Chronic Pain
• Identify alternative therapies options for pain management

Lesson 5: Palliative Care

Palliative care
 Discuss the meaning behind palliative care nursing
 Discuss the legal and ethical issues surrounding palliative care
 Describe the principles of Palliative Care Nursing
 Develop a basic understanding of Victorian medico-legal legislation regarding end-of-life care
 Identify support services and organization protocols.
 Identify and discuss pain and symptom management
 Discuss the importance of nutritional support in a palliative care patient
 Identify 3 issues/areas for conflict around being a patient advocate and family involvement

Lesson 6: Cancer Nursing

• Define and discuss the types of cancer including their pathophysiology.
• Describe the nursing management of a patient with cancer
• Describe the types of cancer treatment available
• Describe the importance of pain/symptoms relief

Lesson 7: Common Chronic Musculo-skeletal Conditions

• Define and Describe the following conditions; Rheumatoid Arthitis , oesteoarthitis,osteoporisis
• Discuss appropraite nursing care of these patients
• Define back pain and discuss the pathophysiology behind chronic back pain

Lesson 8: Neurological Conditions

• Define and briefly discuss the pathophysiology of following terms;Motor Neurone Disease; Parkinson’s Disease; Multiple Sclerosis; Hungtinsons Disease; Myasthenia Gravis; Dementia;Delium
• Identify the nursing interventions commonly utilized with these conditions and discuss how you would respond in evaluating the effectiveness of these nursing interventions.
• Define and discuss CVA & TIA including the pathophysiology behind these conditions.
• Acute and chronic management of CVA & TIA’s
• Patient education
• Community support services
• Discharge planning
• Discuss aphasia and nursing management of a patient with aphasia.

Lesson 9: Communiciable Diseases including; TB ,HIV, STDS,Hepatitis

• Discuss how the diseases are transmitted and prventative interventations that should be implemented.
• Identify policy & procedure guidelines.
• Explain the importance of early diagnsis,isolation and intervention
• Discuss the legal,ethical process of notifiable disease.
• Revision of Barrier Nursing
• Documentation

Lesson 10: Chronic Renal Conditions

• Define and discuss acute and chronic renal failure
• Identify clinical manifestations of chronic renal failure
• Discuss the nursing management of acute and chronic renal failure
• Reinforce the essential aspects of Diabetes mellitus
• Define and discuss chronic kideny disease
• Discuss the nursing management of CKD
• Discuss the different diaysis options and the impact it has on someones livestyle.

Learning Resources

Prescribed Texts

No Prescribed text for this course


Kozier and Erb's fundamentals of nursing: volume 3/Audrey Berman ... [et al.]. 2nd ed


Other Resources

All powerpoints will be posted on the student Blackboard

Overview of Assessment

Underpinning knowledge for this unit of competency will be assessed via the following methods:

  • Written Assessment
  • Classroom Activities
  • Clinical Placement

Assessment Tasks

  • Class Activities - 30%
  • Written Assessment - 50%
  • Clinical Placement Assessment - 20%

All assessment requirements will be discussed on first day of the course

Classroom attendance 80% requirement

Clinical placement 100% requirement

All assessments must have a competency grade awarded in order to be deemed competent in this course

Assessment Matrix

All assessment must have a competency grade in order to be deemed competent in this course and be able to move onto the next phase of the program

All assessments must have a competency of 60% to be deemed competent in this course

Asessment Matrix:

  • 60 -69     - CAG
  • 70 -79      -CC
  • 80 - 89     - CDI
  • 90 -100   - CHD

Other Information

Delivery: Nominal Hours 50

• Face to Face
• Self-directed learning
• Field Trip

Course Overview: Access Course Overview