Course Title: Implement and monitor nursing care for older clients

Part B: Course Detail

Teaching Period: Term2 2015

Course Code: NURS5289C

Course Title: Implement and monitor nursing care for older clients

School: 155T Vocational Health and Sciences

Campus: Bundoora Campus

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

Course Contact: Leeanne Mond

Course Contact Phone: +61 3 9925 4837

Course Contact Email:

Name and Contact Details of All Other Relevant Staff

Erica O’Donoghue

+61 3 9925 7573

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


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


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



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)


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


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


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


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


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


Power points

Group Work

Class discussions

Teaching Schedule

Lesson 1 Effective Communication

Lesson 2 Roles of Healthcare

Lesson 3 Conflict Resolution

Lesson 4 Open Disclosure

Lesson 5 Assessment Questionnaire

Lesson 6 Ageing Process

Lesson 9 Care plan Assessment

Lesson 10 Scenario

Lesson 11 ACFI

Lesson 12 Older Client - Complex

Lesson 13 Myotherapy massage lecture

Lesson 14 Dementia

Lesson 15 Recognise needs

Lesson 16 Symptoms of Palliative care

Lesson 17 Loss & Grief

Lesson 18 Last Rites.

Lab 1 Computer lab

Lab 2 ADL’s

Lab 3 Massage

Lab 4 Handover

Lab 5 Last Rites


Conducted in conjunction with HLTEN502B & HLTEN511B

Learning Resources

Prescribed Texts


Other Resources

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

Assessment 1 Interview

Part A: Develop a tool for interview during class time
Part B: Interview a client during Clinical Placement
Part C: Undertake a peer evaluation via Turnitin following the marking guide provided

Assessment 2 Development of Care Plan

In groups of 3-4 as allocated by teacher, develop a care plan related to a scenario provided
Submit the completed care plan via Turnitin (Blackboard)

Assessment 3 Develop a Group DVD

In groups of 2-3 as allocated by teacher, you will be provided with a topic to discuss
The group topic discussion is to focus on ‘cultural, religious and spiritual beliefs of the dying and death process’.
The discussion is to be video recorded as a MP4 file and submitted via Turnitin (Blackboard).
Submission of references is to be included in the Turnitin submission.

Assessment 4 Computer Skills Lab

Students are to undertake 2 tasks to demonstrate how technology is used to enhance nursing communication. This task will be undertaken in class (Computer Lab/Library) or off campus.

Assessment 5 Clinical Placement

Attendance of Clinical LABS & WARD DAYS for skills practice and/or assessment
Satisfactory completion of Clinical Placement as determined by the Clinical Coordinator


Assessments undertaken with HLTEN502B & HLTEN511B



Assessment Matrix

See assessment matrix on Blackboard

Other Information

Assessment Information

Please refer to RMIT assessment policy for, Special Consideration, extensions of time, equitable assessment arrangements and future assessment adjustments.

Additional Information

Re-submission of written work, or other assessments, (once only, Excluding exams) can be granted on recommendation from the teacher and approval coordinator


Plagiarism is a form of cheating in assessment and may occur in oral, written or visual presentations. It is the presentation of the work, idea or creation of another person, without appropriate referencing, as though it is your own:http://rmit.edy\


Is an online service, in to which teachers and students submit student assignments into a large database, via Blackboard, refer Turnitin website.

Course Overview: Access Course Overview