Course Title: Implement and monitor nursing care for older clients

Part B: Course Detail

Teaching Period: Term2 2016

Course Code: NURS5288C

Course Title: Implement and monitor nursing care for older clients

School: 155T Vocational Health and Sciences

Campus: City Campus

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

Course Contact: Leeanne Mond

Course Contact Phone: +61 3 9925 4837

Course Contact Email: leeanne.mond@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

Pamela Maher

pamela.maher@rmit.edu.au

Nominal Hours: 75

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

NIL PRE REQUISITES

This unit is delivered in collaboration with HLTEN502B Apply Effective Communication Skills in Nursing Practice

                            HLTEN511B Provide nursing Care for clients requiring palliative care.

Course Description

This competency unit describes the skills and knowledge required for the Enrolled/Division 2 Nurse to perform nursing interventions to support the health care needs of the older person in both acute care settings and residential aged care environments.


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTEN515B Implement and monitor nursing care for older clients

Element:

1. Respond to the special health requirements of the older adult

Performance Criteria:

1.1       Work within the scope of practice for the Enrolled/Division 2 nurse with the aged care client within any health care setting

1.2       Work with an understanding of physical changes that take place as part of the ageing process, associated age-related adjustments and transitions and psychosocial needs of the older persons and their families

1.3       Allow for the fact that drugs and medicines have different effects in the older person

1.4       Reflect an understanding of pathophysiological disorders and how they may affect older persons and their family

1.5       Communicate effectively with older person experiencing sensory loss

1.6       Perform preventive health checks in consultation/collaboration with a registered nurse

1.7       Assist the older person to maintain health lifestyle practices

1.8       Work with an awareness of own values, attitudes and beliefs towards ageing and the aged person

1.9       Work with an awareness of common stereotypes associated with ageing and the influences they can have on the care of the older adult

1.10     In planning and implementing care for the older person, use work practices that reflect an understanding of theories of aging and best practice care guidelines

1.11 Take action to manage factors which may tend to segregate and disadvantage the older adult

Element:

2. Contribute to care plan development for the older person

Performance Criteria:

2.1       Assess the older client to determine their health status in consultation/collaboration with registered nurse

2.2       Complete appropriate health assessment tools used specifically in the aged care environment

2.3       Assist the older client to identify self-care abilities and disabilities

2.4       Develop the nursing care plan within the context of the health care setting using organisation policies and procedures

2.5       Ensure client, family and/or significant other understand the implications of their admission to the health care setting

2.6       Discuss with older client or their family representative psychological, social and/or physical needs

2.7       Discuss with older person or their family representative the impact of the ageing process and/or pathophysiological disorders on the performance of activities of daily living

2.8       Share information regarding older person's health status with other members of health care team

2.9       Implement care as per nursing care plan and monitor work allocated to others

2.10     Provide support, comfort for grieving family/client

2.11 Take into account the impact of complex issues involved in aged care on carer(s)

Element:

3. Assist to evaluate outcomes of planned nursing care of the older client

Performance Criteria:

3.1       Document responses of older client to nursing actions

3.2       Report changes in older client response to nursing actions to registered nurse

3.3       Convey information clearly and accurately to appropriate staff member

3.4       Take in account complex and dual diagnosis issues in addressing aged care

3.5  Provide information on community services available to older person and their family

Element:

4. Practise within the aged care environment

Performance Criteria:

4.1       Work with an understanding of the funding mechanisms impacting on aged care provision

4.2       Take into account the variety of areas of practice within the aged care environment

4.3       Take into account the changes and impacts of those changes to the delivery of health care for the older person

4.4       Work with an understanding of the changing demographics of the aging population

4.5       Work with an awareness of own values, attitudes and beliefs towards ageing and the aged person

4.6       Promote health maintenance for older person and their family

4.7       Provide information on community services available to older person and their family

4.8       Provide care of deceased person

4.9       Provide support, comfort for grieving family/client

4.10Take into account the impact of complex issues involved in aged care on carer(s)

Element:

5. Address contemporary issues in aged care practice

Performance Criteria:

5.1       Work with an awareness of the current legal and ethical issues involved in aged care practice

5.2       Work with accurate knowledge of the role of guardianship, advanced health directives and legislation in aged care practice

5.3       Recognise and support the rights and responsibilities of the older person

5.4       Work with an awareness of elder abuse as a significant contemporary issue for older persons

5.5       Act as an advocate for the client and their family

5.6       Demonstrate respect for individual culture, spiritual and religious practice for the older person

5.7  Observe and respond appropriately to physical, emotional and mental signs of stress in the older adult

Element:

6. Use strategies which relate to the progressive and variable nature of dementia

Performance Criteria:

6.1       Work with an awareness of dementia as a neurological condition

6.2       Provide activities appropriate for gender, culture and age reflecting likes and dislikes of the individual

6.3       Design activities that provide the client with opportunities for autonomy and risk-taking where they can maintain safety, dignity and comfort

6.4  Use a range of validation strategies to relieve distress and agitation in clients

Element:

7. Develop and implement strategies to minimise impact of challenging behaviours

Performance Criteria:

7.1       Observe and document behaviours to determine triggers which may be related to: physical and emotional health; environment; tasks; and communication

7.2       Consider the potential impact of the behaviours on the person or other persons in determining an appropriate response

7.3       Consider a range of options when developing effective responses for inclusion in the person's care plan

7.4       Implement best practice strategies which minimise the impact of behaviours

7.5  Regularly review strategies that are implemented to ensure maximum effectiveness


Learning Outcomes


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

  • Respond to the special health requirements of the older adult
  • Contribute to the development of a care plan for the older person
  • Assist to evaluate outcomes of planned nursing care of the older client
  • Practise within the aged care environment
  • Address contemporary issues on aged care practice
  • Use strategies which relate to the progressive and variable nature of dementia
  • Develop and implement strategies to minimise the impact of challenging behaviours
     


Details of Learning Activities

 

Learning activities include:

  • Classroom Teacher delivery
  • Group work
  • Self directed learning
  • Research
  • Practical sessions


Teaching Schedule

 

LESSONTOPIC
1Theory of ageing
2Disease process
3Activities of daily living
4The older client
5Care planning
6Funding in aged care
7Complex issues in aged care
8Care planning
9Dementia
LabADLs and Nutrition

 

 

 


Learning Resources

Prescribed Texts


References


Other Resources

 

The recommended text for this unit is:

Kozier, B,and Erbs, G., (2014) Fundamentals of Nursing (3rd ed.) Pearson, Australia. (Volumes 1 - 3)

Blackboard videos


Overview of Assessment

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

  • Written Assessment
  • Practical Assessment
  • Clinical Placement


Assessment Tasks

 

This unit is part of an integrated program.
You must demonstrate Performance and Knowledge Evidence of the unit in order to be deemed competent.
Assessment methods have been designed to measure achievement of each competency in a flexible manner over a range of assessment tasks.

The skills and knowledge to be assessed within this unit are as follows:

1. Interview of a resident during clinical placement (self-reflection)

2. Developing a nursing care plan (group activity)

3. Clinical placement

Competency based training requires you to be in attendance in order for assessment to be undertaken.

Feedback will be provided throughout the semester in class and/or online discussions, through individual and group feedback on practical exercises and by individual consultation.

All Assessment tasks should be performed or submitted by their due dates.

If due to illness or other unforeseen circumstance, you are unable to attend on the due date of an assessment (e.g. test, examination, oral, etc.) OR you do attend, but your performance has been affected, you may submit an APPLICATION FOR SPECIAL CONSIDERATION within two (2) working days of the due date. If Special Consideration is granted, you will be given the opportunity to complete/repeat the assessment task at a later date. For advice on this application please visit www.rmit.edu.au/students/specialconsideration or speak to your Program Coordinator.


If due to illness or other unforeseen circumstance, you are unable to submit by the due date (e.g. assignment, report, project etc.):
• you may submit an APPLICATION FOR EXTENSION OF TIME FOR SUBMISSION OF ASSESSABLE WORK for an extension of time of up to seven (7) calendar days or less. This must be lodged with the Program Coordinator one (1) working day before the original due date. If granted, you will have the opportunity to submit up to seven (7) days later than the original due date. For advice on this application please visitwww.rmit.edu.au/students/assessment/extension or speak to your Program Coordinator.
OR:
• you may submit an APPLICATION FOR SPECIAL CONSIDERATION within two (2) working days of the due date. If Special Consideration is granted, you will be given the opportunity to submit the assessment task more than seven (7) days after the original due date. For advice on this application please visit www.rmit.edu.au/students/specialconsideration or speak to your Program Coordinator.

You are expected to prepare all assignments and other written work in a professional manner. More information on general academic study and writing skills can be found on the “Learning Lab”http://emedia.rmit.edu.au/learninglab/ . All work submitted for assessment must be submitted electronically unless otherwise advised.

Students must keep a copy of all submitted assessments including electronic copies.
Harvard style is used for all referencing and for bibliography.
RMIT University has a strict policy on academic integrity and plagiarism and. Please refer to the website for more information on this policy. www.rmit.edu.au/students/academic-integrity
If you have a long term medical condition and/or disability it may be possible to negotiate to vary aspects of the learning or assessment methods. You can contact the program coordinator or the Disability Liaison Unit if you would like to find out more.
Your rights and responsibilities as a student can be found athttp://www1.rmit.edu.au/students/rights-and-responsibilities  
This course assessment conforms to RMIT assessment principles, regulations, policies and procedures which are described and referenced at www.rmit.edu.au/students/assessment

Credit transfer and RPL
 

Credit transfer is available to students who have already completed the same or similar courses. Recognition of prior learning is available to students who have relevant prior skills or experience. Please refer to http://www.rmit.edu.au/browse;ID=8u7jborsx9dy (unresolved)


Assessment Matrix

 

The assessment mapping demonstrates alignment of assessment tasks with the relevant unit of competency and with the performance evidence, knowledge evidence and assessment conditions for each unit.

The Assessment Matrix is available on Blackboard.

Other Information

 

The assessment resource for this unit is the recommended text:

Kozier, B,and Erbs, G., (2014) Fundamentals of Nursing (3rd ed.) Pearson, Australia. (Volumes 1 - 3)

Each assessment will be marked as either Satisfactory or Not Satisfactory.

To achieve overall Competence for this unit you must achieve a Satisfactory result for each assessment task.

The student is expected to attend classes, Lab sessions and Clinical Placement where applicable.

Resubmission or Reassessment of an Assessment Task:

Re-submissions of assessments which are deemed Not Satisfactory is not standard practice. However individual consideration may be given in consultation with the Teacher and the Program Coordinator.

Reassessment of students who have attempted to undertake a practical assessment in the Clinical Lab (resulted as Not Satisfactory), and have attended all Lab sessions will be given one (1) further opportunity to demonstrate a Satisfactory result.
 

Course Overview: Access Course Overview