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

Part B: Course Detail

Teaching Period: Term2 2015

Course Code: NURS5287C

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

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

Name and Contact Details of All Other Relevant Staff

Erica O’Donoghue

+61 3 9925 7573

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


2. Contribute to planning care for the client with a chronic health problem in a variety of health care settings

Performance Criteria:

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. Perform nursing interventions to support health care of clients with chronic health problems

Performance Criteria:

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,. Contribute to an emergency response

Performance Criteria:

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.. Assist in evaluating the outcomes of planned nursing actions

Performance Criteria:

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


1. Identify the impact of chronic health problems on the client and their family

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

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

Classroom delivery

Classroom activities

Group work

Case study

Teaching Schedule

Class 1 Introduction

Class 2 Respiratory

Class 3 Renal

Class 4 Neuro

Class 5 Unconscious Patient

Class 6 Diabetes

Class 7 Cardiac

Class 8 MS

Class 9 Rehab

Class 10 Case study

Class activities 30%

Learning Resources

Prescribed Texts

Kozier and Erb's (2014) Fundamentals of Nursing. (3rd ed.) Pearson:Australia


Other Resources

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

30% from Class activities


Assessment Matrix

See via Blackboard

Other Information

Re-submission of assessment

One further opportunity to demonstrate Clinical Lab competence, will be provided to students if not deemed Satisfactory at the time of clinical assessment.

Re-submission of Written work, or other assessments , (once only. Excluding Exams) can be granted on recommendation from the teacher and approval by Program 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:


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