Course Title: Implement and monitor care of the older person

Part B: Course Detail

Teaching Period: Term1 2017

Course Code: NURS5393C

Course Title: Implement and monitor care of the older person

School: 174T School of VE Engineering, Health & Science

Campus: City Campus

Program: C5365 - Diploma of Nursing

Course Contact: Leeanne Mond

Course Contact Phone: +61 3 99254837

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


Name and Contact Details of All Other Relevant Staff

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

There are no pre-requisites for this unit of competency

Course Description

 

This course describes the skills and knowledge required to perform nursing interventions to support the social and emotional wellbeing and nursing care needs of the older person in both acute care settings and residential care environments.

 

This course applies to enrolled nursing work carried out in consultation and collaboration with registered nurses, and under supervisory arrangements aligned to the Nursing and Midwifery Board of Australia regulatory authority legislative requirements.

 

This course includes a Work Integrated Learning experience in which your knowledge and skills will be applied and assessed in a real or simulated workplace context and where feedback from industry and/or community is integral to your experience.


This course includes clinical placement


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTENN013 Implement and monitor care of the older person

Element:

1. Respond to the health requirements of an older person.

Performance Criteria:

1.1 Apply knowledge in own practice of age-related physical changes and transitions and the psychosocial needs of the person and their family or carer.

1.2 Identify possible age-related effects of drugs and medications on the person and make adjustments as required in consultation with registered nurse.

1.3 Identify age-related pathophysiological disorders and how they may affect the person and their family or carer.

1.4 Communicate effectively and appropriately with the person, including making adjustments for people who have sensory impairments.

1.5 Perform preventive health assessment of the person to identify their needs in providing preventive care, in consultation and collaboration with a registered nurse.

1.6 Adapt work practices to reflect knowledge of theories of ageing and apply best practice care guidelines for older people.

1.7 Develop and implement strategies to ensure companionship and social inclusion in consultation with the person.

1.8 Recognise signs that indicate the person has, or may develop, an oral health problem.

1.9 Identify and respond to signs of distress or behaviours of concern, especially in a person unable to communicate their symptoms or concerns.

Element:

2. Contribute to the care plan for an older person.

Performance Criteria:

2.1 Assess the person’s health status in consultation and collaboration with registered nurse and using assessment tools specific to the aged care environment.

2.2 Document and report health findings according to organisation procedures.

2.3 Assist the person to identify their abilities and limitations in capacity for self-care.

2.4 Contribute to development of the person’s nursing care plan within the context of the health care setting and organisation policy and procedures.

2.5 Ensure the person, and the family or carer as appropriate, understand the implications of the person’s admission into the health care facility.

2.6 Discuss with the person, family or carer possible impacts of age-related pathophysiological disorders including impact on the person’s capacity to perform daily living activities.

2.7 Document responses to nursing interventions, and report changes and concerns to a registered nurse.

Element:

3. Apply nursing practice in the aged care environment.

Performance Criteria:

3.1 Identify external factors and common stereotypes associated with ageing and how these can adversely impact the older person.

3.2 Consider in own practice the impact of complex issues involved in aged care, including impacts on family or carer.

3.3 Consider own values, attitudes and beliefs towards ageing and the older person, and monitor own performance to ensure all interventions are conducted appropriately and within scope of practice of the enrolled nurse.

3.4 Promote health maintenance with the older person and provide relevant information on available community services for the person, family or carer.

Element:

4. Identify requirements and address issues in aged care nursing practice.

Performance Criteria:

4.1 Identify legal requirements and possible ethical issues and other issues of concern in aged care practice, including possible signs of elder abuse.

4.2 Ensure own work practice accords with legal requirements, is ethical and supports the rights and dignity of the older person and their family or carer.

4.3 Advocate for the person, their family or carer as required within own role parameters and organisation policies and procedures.

4.4 Observe and respond appropriately to physical, emotional and mental signs of stress in the person.

4.5 Provide care for the deceased person using standard precautions and in accordance with organisation policy and procedures.

4.6 Provide support and comfort for grieving family or carer within own role parameters.

Element:

5. Use strategies that relate to the progressive and variable nature of dementia.

Performance Criteria:

5.1 Identify the nature of dementia and use appropriate treatments and nursing interventions when working with the person with dementia.

5.2 Provide activities appropriate to the gender, culture and age of the person with dementia, reflecting their individual likes and dislikes.

5.3 Use a range of strategies, such as validation strategies, instructed activities and reorientating therapy to relieve distress and agitation in the person with dementia.

Element:

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

Performance Criteria:

6.1 Observe the person and document their behaviours and relevant environmental factors to assist in determining triggers contributing to challenging behaviour.

6.2 Consider potential impact the behaviours may have on the person and others in determining an appropriate response.

6.3 Implement best practice strategies that minimise the impact of behaviours, in consultation with the registered nurse and in accordance with organisation policies and procedures.

 

Learning Outcomes


The critical learning for this course takes place in clinical placement within the health sector and within simulations in RMIT laboratories.

You will be instructed in skills through demonstration, modelling and role-play. Skills development is supported by lectures on theory and underpinning knowledge, classroom discussions, group work, research and reflective practice.

 

 

On completion of this course you should be able to:

  1. Respond to the health requirements of an older person.

    1.1 Apply knowledge in own practice of age-related physical changes and transitions and the psychosocial needs of the person and their family or carer.

    1.2 Identify possible age-related effects of drugs and medications on the person and make adjustments as required in consultation with registered nurse.

    1.3 Identify age-related pathophysiological disorders and how they may affect the person and their family or carer.

    1.4 Communicate effectively and appropriately with the person, including making adjustments for people who have sensory impairments.

    1.5 Perform preventive health assessment of the person to identify their needs in providing preventive care, in consultation and collaboration with a registered nurse.

    1.6 Adapt work practices to reflect knowledge of theories of ageing and apply best practice care guidelines for older people.

    1.7 Develop and implement strategies to ensure companionship and social inclusion in consultation with the person.

    1.8 Recognise signs that indicate the person has, or may develop, an oral health problem.

    1.9 Identify and respond to signs of distress or behaviours of concern, especially in a person unable to communicate their symptoms or concerns.

  2. Contribute to the care plan for an older person.

    2.1 Assess the person’s health status in consultation and collaboration with registered nurse and using assessment tools specific to the aged care environment.

    2.2 Document and report health findings according to organisation procedures.

    2.3 Assist the person to identify their abilities and limitations in capacity for self-care.

    2.4 Contribute to development of the person’s nursing care plan within the context of the health care setting and organisation policy and procedures.

    2.5 Ensure the person, and the family or carer as appropriate, understand the implications of the person’s admission into the health care facility.

    2.6 Discuss with the person, family or carer possible impacts of age-related pathophysiological disorders including impact on the person’s capacity to perform daily living activities.

    2.7 Document responses to nursing interventions, and report changes and concerns to a registered nurse.

  3. Apply nursing practice in the aged care environment.

    3.1 Identify external factors and common stereotypes associated with ageing and how these can adversely impact the older person.

    3.2 Consider in own practice the impact of complex issues involved in aged care, including impacts on family or carer.

    3.3 Consider own values, attitudes and beliefs towards ageing and the older person, and monitor own performance to ensure all interventions are conducted appropriately and within scope of practice of the enrolled nurse.

    3.4 Promote health maintenance with the older person and provide relevant information on available community services for the person, family or carer.

  4. Identify requirements and address issues in aged care nursing practice.

    4.1 Identify legal requirements and possible ethical issues and other issues of concern in aged care practice, including possible signs of elder abuse.

    4.2 Ensure own work practice accords with legal requirements, is ethical and supports the rights and dignity of the older person and their family or carer.

    4.3 Advocate for the person, their family or carer as required within own role parameters and organisation policies and procedures.

    4.4 Observe and respond appropriately to physical, emotional and mental signs of stress in the person.

    4.5 Provide care for the deceased person using standard precautions and in accordance with organisation policy and procedures.

    4.6 Provide support and comfort for grieving family or carer within own role parameters.

  5. Use strategies that relate to the progressive and variable nature of dementia.

    5.1 Identify the nature of dementia and use appropriate treatments and nursing interventions when working with the person with dementia.

    5.2 Provide activities appropriate to the gender, culture and age of the person with dementia, reflecting their individual likes and dislikes.

    5.3 Use a range of strategies, such as validation strategies, instructed activities and re-orientating therapy to relieve distress and agitation in the person with dementia.

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

    6.1 Observe the person and document their behaviours and relevant environmental factors to assist in determining triggers contributing to challenging behaviour.

    6.2 Consider potential impact the behaviours may have on the person and others in determining an appropriate response.

    6.3 Implement best practice strategies that minimise the impact of behaviours, in consultation with the registered nurse and in accordance with organisation policies and procedures.


Details of Learning Activities

Learning Activities

All learning activities you will undertake within the course are designed to provide you with the skills, knowledge and attitudes required to perform to the standard expected in the health industry.

Learning activities include:

Lectures – introduce you to the key concepts within the course
Practical workshops – provide an opportunity to practise your skills in a simulated work environment
Online Quizzes – provide you with formative feedback as you progress through your learning.
Work placement – provides you with practical experience in a nursing workplace.


Teaching Schedule

Week

Content

Assessment

6 (Sess1)

Introduction to the course including:

●      Course requirements

●      Course support documents

●      Course Blackboard access

●      Accuracy of enrolment

●      Assessment requirements/cover sheets

●      Reminder re Plagiarism

●      Reminder re Appeals

●      Extensions/Resubmissions

●      Feedback in this course

●      Reminder re submission requirements

●      Getting help

Outline

Assessment 1/2/3

 

6 (Sess1)

Attitudes

●     Ageism/stereotypes

General demographics older people in Australia

●    The older person, their family, friends (carers) and community

Positive ageing

●    Promote self-care and independence (of older person)

Aged Care Services, resources, tools

 

6 (Sess2)

Physiology (of ageing)

Theories of Ageing

Admission/Assessment (physical – basic) – basic assessment tools

 

7 (Sess3)

Age-related Pathophysiology

 

 

7 (Lab1)

Communication (soft skills)

Culturally safe care

Admission/Assessment (physical – basic)

 

8 (Sess4)

Nursing care (BASIC) of the older person

●         community, residential aged care, acute care

 

8 (Sess5)

Legal and ethical

 

9 (Sess6)

In class Presentation

Assessment Task 2 09/03/17

9 (Lab 2)

Activities of Daily Living (Basic)

 

10 (Sess7)

Complex care needs

 

 

10 (Sess8)

End of life care

 

11 (Sess9)

 

Dementia/behaviours

 

 

11 (Lab 3)

Activities of Daily Living continuation

Patient comfort

  

12

 

Assessment Task 3 Due 30/03/17


Learning Resources

Prescribed Texts

Op-amps and Linear Integrated Circuits By Ramakant Gayakwad

0-13-280868-

References


Other Resources


Overview of Assessment

 

Assessment Tasks

 

Assessment Task 1:  Clinical Placement and Reflective Journal

This assessment task supports Course Learning Outcomes (CLOs) 1, 2, 3, 4, 5 & 6


Assessment Task 2:  

Research Assignment

This assessment task supports knowledge assessment and CLO 1.6, 2.3, 3.1& 3.3

 

Assessment Task 3:

Progressive Scenario Case Study

This assessment task supports CLOs 1, 4,5 & 6

 

You will be provided with an assessment overview for the course and a descriptor for each assessment task.

Feedback is provided on each assessment.


Assessment Tasks

Assessment Task 1-  Theories of Ageing  Due Date: 09 March 2017

You will be assigned to a group and required to prepare an inclass presentation covering the theories of ageing. Students will be able to choose theories assigned by the teacher, and apply to case studies.

Students will present their group work during session 6 to fellow students. This assessment will be marked in class using a marking rubric.

All students are required to participate in group work content and submit evidence of their contribution on the assessment date. Part B of the assessment will be submitted online.

 

Assignment 2 – Case Study  Due Date: 30 March 2017    

Students will be required to complete all questions and activities related to the case study. This assessment task will be available on Blackboard and student responses will be marked automatically for some activities, whereas others will be marked online.

 

Assignment 3 – Clinical Placement & reflective journal      Due Date:  24 May 2017

You will be required to check the health status of two patients in a simulated workplace environment.  You will be observed by an RMIT assessor and feedback will be provided by your tutor.

You will be required to keep a reflective journal during your aged care clinical placement and complete questions 1 to 5 in your journal for HLTENN013.

 

You will be graded Competent or Not Yet Competent.


Assessment Matrix

Elements

Performance Criteria

Related Assessment Task

1

2

3

1. 

1.1   

   

  

 X

1.2   

   

  X

X

1.3   

   

 X

X

1.4   

 

 

 X

1.5   

 

 X

X

1.6   

X

 

X 

1.7   

 

 

 X

1.8   

 

 

 X

1.9   

 

 X

X

2. 

2.1. 

 

 X

X

2.2. 

 

 X

X

2.3. 

 X

 

 X

2.4. 

 

 

X

2.5. 

 

 X

X

2.6. 

 

 

 X

2.7. 

 

 X

X

3. 

3.1  

X

 

 X

3.2   

 

 

 X

3.3   

X

 

 X

3.4   

 

 X

X

4. 

4.1   

 

 

X

4.2   

 

 

 X

4.3   

 

 

 X

4.4   

 

 X

X

4.5   

 

 X

X

4.6   

 

 X

X

5. 

5.1 

 

 X

X

5.2 

 

 

 X

5.3 

 

 

 X

6. 

6.1 

 

 X

X

6.2 

 

 

 X

6.3 

 

 X

X

Other Information

You must be competent in all elements to successfully complete the course.

You are permitted to have a maximum of 2 resubmissions for this course, however each individual assessment may only be resubmitted once.

All resubmissions must be completed and submitted no more than 7 days after your work has been assessed.

Course Overview: Access Course Overview