Course Title: Implement and monitor care for a person with chronic health problems

Part B: Course Detail

Teaching Period: Term2 2019

Course Code: NURS5391C

Course Title: Implement and monitor care for a person with chronic health problems

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

Campus: City Campus

Program: C5365 - Diploma of Nursing

Course Contact: Jaye Keating

Course Contact Phone: +61 3 9925 4845

Course Contact Email: jaye.keating@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

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

There are no pre-requisites for this unit of competency.

Course Description

This course describes the skills and knowledge required to contribute to the care of a person with chronic health problems by performing nursing interventions that support the person’s needs and assist them in maintaining an optimal lifestyle.

 

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:

HLTENN012 Implement and monitor care for a person with chronic health problems

Element:

1. Identify impact of chronic health problems on a person, family or carer.

Performance Criteria:

1.1 Identify the person’s chronic health problem and research possible impact of the condition on body systems and a person’s ability to perform daily living activities.

1.2 Seek information from the person, and as appropriate, with family or carer to confirm their understandings of the condition and its impact.

1.3 Identify current treatments and determine available resources and support services by seeking information from interdisciplinary health team or the person.

1.4 Identify community based care services that are available for the person with a need for restorative or rehabilitation care.

1.5 Actively involve the person in the development of strategies to self-manage their condition.

Element:

2. Contribute to a coordinated service approach.

Performance Criteria:

2.1 Identify current contribution of other agencies and professionals in supporting the person.

2.2 Identify the level and type of contribution and support made by family or carer.

2.3 Identify and meet own role and responsibilities in communicating and reporting the person’s response to nursing interventions.

2.4 Respond to variations in the person’s needs in the context of a coordinated service approach.

2.5 Contribute to health education and evaluate the person’s understanding of their chronic health problems in consultation with interdisciplinary health team.

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. Identify impact of chronic health problems on a person, family or carer.

    1.1 Identify the person’s chronic health problem and research possible impact of the condition on body systems and a person’s ability to perform daily living activities.

    1.2 Seek information from the person, and as appropriate, with family or carer to confirm their understandings of the condition and its impact.

    1.3 Identify current treatments and determine available resources and support services by seeking information from interdisciplinary health team or the person.

    1.4 Identify community based care services that are available for the person with a need for restorative or rehabilitation care.

    1.5 Actively involve the person in the development of strategies to self-manage their condition.

  2. Contribute to a coordinated service approach.

    2.1 Identify current contribution of other agencies and professionals in supporting the person.

    2.2 Identify the level and type of contribution and support made by family or carer.

    2.3 Identify and meet own role and responsibilities in communicating and reporting the person’s response to nursing interventions.

    2.4 Respond to variations in the person’s needs in the context of a coordinated service approach.

    2.5 Contribute to health education and evaluate the person’s understanding of their chronic health problems in consultation with interdisciplinary health team.


Details of Learning Activities

This course describes the skills and knowledge required to work respectfully with people living with chronic health problems. For many Australians measures of health and wellness are not seen as a problem but just something to live with. A retired footballer may view his back problems as a badge of honour. A new mum may find she has stress incontinence that requires pelvic floor exercises and time to overcome. A teenager with Type 1 diabetes may ignore dietary constraints that could lead to adverse complications later in life. 

The Australian Government has released the National Strategic framework for Chronic Conditions 2017 acknowledging that chronic conditions is the preferred term. As a result this course will refer to chronic conditions rather than chronic problems or diseases.

Understanding some chronic health conditions will help the student nurse to undertake nursing work in a vast range of settings, with a wide variety of people living with chronic health problems and conditions. There are far too many diseases and conditions to consider during this course however you will be given the tools to conduct your own learning as you embark on your nursing career. No doubt you will encounter people living with different diseases and conditions that fit the criteria of chronic health problems.


Teaching Schedule

 Week

 

  Topic  Assessment
 week 1

Lesson 1

 

 

  

Lesson 1

Introduction to course

Introduction to Chronic conditions including: Chronic pain		  

Assessment 1: on line Quiz 1 

available for 1 week 

Due 18/07/2019

 Week 2

Lesson 2

 Tutorial Cancer

 Tutorial written & conducted by Louise Roberts R.N., Bachelor of Nursing.,  Grad Cert Oncology & Palliative Care Nursing., Masters Health Service Management., Diploma of Management TAE.

  

Assessment 1: on line Quiz 2 

available for 1 week 

Due 27/07/2019

 Week 3

  No Lesson this week  Portal closes for Quiz 2

 Week 4

lesson 3

  

Chronic Lab 1

Cancer Nursing

Pain Assessment and Management

 

Lesson 3

Cardiovascular and Respiratory Conditions

  

Assessment 1: on line Quiz 3 

available for 1 week 

Due 09/08/2019

 Week 5

 

  No lesson this week  
 Week 6

 Lesson 4

Neurological conditions

  

Assessment 1: on line Quiz 4 

available for 1 week 

Due 23/08/2019
Week 7   No lesson this week  

Week 8

lesson 5

Lesson 5 

Muscular/skeletal & Integumentary conditions

  

Assessment 1: on line Quiz 5 

available for 1 week 

Due 05/09/2019
week 9 Lesson 6 Lesson 6 Gastro/intestinal and other chronic conditions

 

Assessment 1:

on line Quiz 6

available for 1 week 

Due 20/09/2019
Week 10 No lesson  
Week 11 No lesson  
Week 12 Lesson 7 Revision and preparation for Assessment Task 2  
Week 13 Assessment task 2: Nursing care plan assessment  Assessment task 2 will be conducted this week
Week 14    
Week 15 Assessment task 2. Reassessment only if unsatisfactory in week 13  


Learning Resources

Prescribed Texts


References


Other Resources

 

The latest publication by the Australian Institute of Health and Welfare March 2019 will be discussed in the first lesson.

https://www.aihw.gov.au/reports-data/health-conditions-disability-deaths/chronic-disease/overview


Overview of Assessment

This assessment will incorporate a variety of methods including written, oral, practical tasks and activities.

 

You will be asked to personally demonstrate to your teacher/assessor the practical skills gained during this course to the relevant industry standards. Assessment activities will occur throughout this course and feedback will be provided at regular intervals

 

Students must pass each of the following assessment tasks to demonstrate competent.

Assessment tasks

 

Assessment

Assessment 1

Set of five (5) Online Quizzes

Assessment 2

Nursing Care Plan Assessment

Assessment 3

Clinical Placement

 

                        

To be deemed competent you must demonstrate an understanding of all aspects required of the competency. Assessment methods have been designed to measure your achievement of each competency in a flexible manner over multiple tasks.

 

 

 


Assessment Tasks

There are three key assessments that you will need to successfully complete in order to be assessed as competent in this unit.

HLTENN012 - AT1 of 3: Weekly Quizzes

Students are required to complete weekly quizzes based on the knowledge they have acquired through classes and learning material. Each quiz will be available for one week only. Failure to submit on time, as with any assessment task, will require extension or special consideration as outlined in myRMIT.

CHCDIV002 - AT2: Nursing Care Plan Assessment 

Students are required to analyse health information and the clinical presentation of one person in a simulated environment, Possible nursing interventions related to their chronic health conditions,will be developed into a care plan under exam conditions.

HLTENN012 - AT3 of 3: Clinical Placement 

Students are to demonstrate that they have performed nursing interventions in the workplace to contribute to the support of 2 people who have chronic health problems.


Assessment Matrix

       

Competency assessment map

Unit Code

NURS5391C

HLTENN012

Unit Title

Implement and Monitor care for a person with chronic health problems

Date Competency Assessment Map completed/revised

25/01/19

Name (s) of the person/s who mapped assessments to the unit

Dianne Winters

Description

This Competency Assessment Map is a key document for assessors and must be completed for all units delivered and assessed. This document confirms that that all aspects of the unit of competency and assessment requirements have been addressed. This document is part of your assessment tool and once completed, must be filed with the other assessment documents. 

 

National Qualification Title

Diploma of Nursing

National Qualification Code

HLT54115

Elective unit or Core unit

Core

 

Assessment task number and title

Method of assessment

Use key below
        1. Chronic Knowledge Assessment Quizzes

WT
        1.  Care plan under exam conditions

 WES
        1.  Clinical Placement

 OTH placement

 

Assessment Methods

Written - Test or Short Answer Questions

WT

Practical - demonstration

PDE

Written - Essay

WES

Practical - presentation

PPR

Third Party Report

TPR

Role - play

ROL

Portfolio

POR

Other - state which…

OTH

 

Assessment

Task 1:Chronic Knowledge Assessment Quizzes x 5

Assessment

Task 2: Title

Assessment

Task 3: Title

Element

Performance criteria

 

 

 

 

 

Map to assessment criteria

 

Map to assessment criteria

 

Map to assessment criteria

 

1. Identify impact of chronic health problems on a person, family or carer.

1.1 Identify the person’s chronic health problem and research possible impact of the condition on body systems and a person s ability to perform daily living activities.

Quiz1

Q2,3,4, 5,6,7,8,

9,10

Quiz2

Q1,2,3,

Quiz3

Q7-10

Quiz4

Q1,2,3,4,

7,10

Quiz5

Q1-3

 

1.1-1.5

2.1-2.5

 

1.2 Seek information from the person, and as appropriate, with family or carer to confirm their understandings of the condition and its impact.

Q7,8

Q3,9,8

Q1-10

Q5-10

 

Q5-6

Q7-9

 

Q1, 3-5

 

1.1-1.5

2.1-2.5

 

1.3 Identify current treatments and determine available resources and support services by seeking information from interdisciplinary health team or the person.

 

Q1,2,4,5

,6,7,10

 

Q1-10

Q1-10

 

Q 6,9

 

 

1.1-1.5

2.1-2.5

 

1.4 Identify community-based care services that are available for the person with a need for restorative or rehabilitation care.

 

Q5,9

 

 

Q10

 

Q7

 

1.1-1.5

2.1-2.5

 

1.5 Actively involve the person in the development of strategies to self-manage their condition.

 

Q6,8

 

Q4,7-10

Q1-4

Q7-10

Q8,10

1.1-1.5

2.1-2.5

 

2. Contribute to a coordinated service approach.

2.1 Identify current contribution of other agencies and professionals in supporting the person.

 

Q4,9

 

 

 

 

1.1-1.5

2.1-2.5

 

2.2 Identify the level and type of contribution and support made by family or carer.

 

Q3,9

 

 

 

 

1.1-1.5

2.1-2.5

 

2.3 Identify and meet own role and responsibilities in communicating and reporting the person’s response to nursing interventions.

 

 

Q4,7,10

 

 

 

1.1-1.5

2.1-2.5

 

2.4 Respond to variations in the person’s needs in the context of a coordinated service approach.

 

Q8

 

 

 

 

1.1-1.5

2.1-2.5

 

2.5 Contribute to health education and evaluate the person’s understanding of their chronic health problems in consultation with interdisciplinary health team.

 

Q8,9

Q4,10

 

 

 

1.1-1.5

2.1-2.5

 

Foundation Skills

Foundation skill

The Foundation Skills describe those required skills (language, literacy, numeracy and employment skills) that are essential to performance.

Description

Foundation skills essential to performance are explicit in the performance criteria of this unit of competency.

 

 

 

Assessment

Task1:  Title

Assessment

Task 2: Title

Assessment

Task 3: Title

Performance Evidence

 

 

 

 

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

 

Map to assessment criteria

 

Map to assessment criteria

 

Map to assessment criteria

 
  • undertaken nursing work in accordance with Nursing and Midwifery Board of Australia professional practice standards, codes and guidelines

 

Quiz 1

Quiz 2

Quiz3

Quiz 4

Quiz 5

1.1  – 1.5

2.1 - 2.5

1.1-1.5

2.1-2.5

 
  • analysed health information and the clinical presentation of 1 person in the workplace or simulated environment to reach an accurate conclusion on possible nursing interventions related to their chronic health problems, in consultation with a registered nurse

 

 

 

Q7-10

 

Q1,2,3

Q5,6

Q7,8,9

1.1-1.5

2.1-2.5

 

1.1-1.5

2.1-2.5

 
  • performed nursing interventions in the workplace to contribute to the support of 2 people who have chronic health problems.

 

 

 

 

 

 

 

1.1-1.5

2.1-2.5

 

Knowledge evidence

 

 

 

 

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

Map to assessment criteria

 

Map to assessment criteria

 

Map to assessment criteria

 

Broad context for chronic disease:

  • World Health Organisation (WHO) and other models of chronic disease

 

 

 

 

Quiz 1

Q1

 

 

 

Quiz 2

 

 

 

 

Quiz 3

Q1

 

 

 

Quiz 4

 

 

 

 

Quiz 5

 

 

 
  • national health priorities for chronic disease

 

Q1

Q1-10

Q1,3

Q1-10

Q1-10

 

 
  • continuum of chronic disease

 

 

Q1,2,7,10

Q2,5,6

 

Q3,5,7

 

1.1-1.5

2.1-2.5

 
  • life variables that have an impact on health and well-being

 

Q1

Q1-10

Q2,3,4,5

 

Q3,5,7

 

1.1-1.5

2.1-2.5

 

Impacts of chronic disease:

  • social

 

Q7

Q2,3,4,8,9

Q2,3,4,5,6

Q8,9

Q10

 

1.1-1.5

2.1-2.5

 
  • emotional

 

Q7

Q4.8,9

 

Q8-9

Q10

 

1.1-1.5

2.1-2.5

 
  • physical

 

Q7

Q1,7,10

Q5,6

 

 

 

1.1-1.5

2.1-2.5

 
  • psychological

 

Q7,8,10

 

 

Q10

Q10

 

1.1-1.5

2.1-2.5

 
  • financial

 

Q6

 

 

 

Q10

 

1.1-1.5

2.1-2.5

 

Rehabilitation strategies, techniques and equipment used for chronic health conditions including:

  • physiotherapy

 

Q6,8

Q4

Q2,3,4,6

 

Q10

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • occupational therapy

 

 

 

Quiz 1

 

Q4

 

Quiz 2

 

Q2,6

 

Quiz 3

 

 

 

Quiz 4

 

Q10

 

Quiz 5

 

 

1.1-1.5

2.1-2.5 Dependent on patient cohort.

 
  • hydrotherapy

 

Q8

Q4

 

 

Q10

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.

 
  • Pilates

 

 

Q4

 

 

Q10

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.

 
  • massage

 

Q8

Q4

 

 

Q10

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.

 
  • art and music therapy

 

Q8

Q4

 

 

Q10

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • use of wheelchairs, scooters and walking aids

 

 

Q4

Q2,5,6

 

Q10

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.

 
  • use of prosthetics

 

 

Q4

 

 

Q10

 

1.1-1.5

2.1-2.5

 

Dependent on patient cohort.

 

Clinical manifestations of chronic disease or chronic health conditions including:

  • common sites for cancer development

 

 

 

 

Quiz 1

 

 

 

 

Quiz 2

 

Q1-10

 

 

 

Quiz 3

 

 

 

 

Quiz 4

 

 

 

 

Quiz 5

 

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • chronic asthma

 

 

 

Q3,4

 

 

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • chronic obstructive pulmonary disease

 

 

 

Q3

 

 

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • chronic pain including back pain

 

Q5-10

 

Q3

 

 

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • chronic renal failure

 

 

 

Q10

 

 

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • congestive heart failure

 

 

 

Q5,6.7-9

 

 

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • diabetes

 

Covered and assessed in HLTENN

025

 

 

 

 

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • eczema

 

 

 

 

 

Q5,6,7

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • incontinence

 

 

 

 

Quiz 1

 

 

 

 

Quiz 2

 

 

 

 

Quiz 3

 

Q1-4

 

 

Quiz 4

 

 

 

 

Quiz 5

 

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • motor neurone disease

 

 

 

 

 

Q9

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • neurological injury

 

 

 

 

Q1-4

 

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • long-term unconsciousness

 

 

 

 

Q1-4

 

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • osteoarthritis

 

 

 

 

 

Q1-3

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • permanent and temporary tracheostomies

 

 

 

 

Q4

 

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • Parkinson’s disease

 

 

 

 

Q8,9,10

 

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • rheumatoid arthritis

 

 

 

 

 

Q4

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • stroke

 

 

 

Q1-5

 

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.
  • systemic lupus erythematosus (SLE)

 

 

 

 

 

Q7,8,9

 

1.1-1.5

2.1-2.5

Dependent on patient cohort.

Strategies to address and manage chronic disease in the relevant work context:

  • prevention

Q4-10

Q5

Q4,7-10

 

Q1

 

1.1-1.5

2.1-2.5

 
  • use of various treatments

Q4-10

Q8.9

Q4,7-10

 

Q2

 

1.1-1.5

2.1-2.5

 
  • principles of and practices for person-focused nursing practice

 

Q2,3,4,7,

8,9,10

Q6,9

Q4,7-10

 

Q1,25,6,

7.8,9

 

1.1-1.5

2.1-2.5

 
  • maintenance of positive life roles

 

Q9

Q3,4

 

Q10

 

1.1-1.5

2.1-2.5

 
  • enabling change of a person’s behaviour over time

 

 

Q3,4,7-10,

 

Q9,10

 

1.1-1.5

2.1-2.5

 
  • stages of change, to establish readiness for attitudinal and behavioural change

 

 

Q1,2,4,6,9

Q4,7-10

 

Q10

 

1.1-1.5

2.1-2.5

 
  • palliative care.

 

 

Covered and assessed in HLTENN010

 

 

 

 

1.1-1.5

2.1-2.5

 

 

Assessment conditions

Describe how assessments meet the assessment conditions

 

Skills must have been demonstrated in the workplace with the addition of simulations and scenarios where the full range of contexts and situations cannot be provided in the workplace. The following conditions must be met for this unit:

Placement in a suitable location to address all student performance criteria where possible although the patient cohort will determine the scope of actual experiences available. Placement organisation, facilitation and evaluation is conducted by the Placement Coordinator at RMIT.

Additional learning and assessment is supported and conducted in the class room and nursing laboratory.

use of suitable facilities, equipment and resources in accordance with the Australian Nursing and Midwifery Accreditation Council’s Standards including:

  • assessment data

 

Students can understand assessment data including a variety of forms and resources introduced to students during class time. The ability to interpret these forms, set goals and implement and monitor care as described in this competency
  • progressive notes of a de-identified person’s medical history

Simulated patient histories are used in Assessment 2.

Students will have access to patient progress notes and histories. Students are aware of their legal and ethical obligations and the NMBA regulations for Enrolled Nurses and Code of Practice.
  • organisation policy and procedures on which the candidate bases the planning

 

Students are issued a Placement log book that includes: Introduction to their placement, the units of competency to be assessed, learning objectives, orientation and expectations.

Interim review is conducted by the Clinical Educator 1 week into the placement

 

Modelling of industry operating conditions including access to real people for simulations and scenarios in enrolled nursing work.

 

 

Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors.

In addition, assessors must hold current registration as a Registered Nurse with the Nursing and Midwifery Board of Australia.

 

 

Add or remove rows as needed

 

If the unit of competency includes a range statement, please complete

The range statement provides guidance in contextualising the performance criteria and allows for different work environments and situations. If the unit contains a range statement does the assessment take this guidance into account?

Yes/No

 

Other Information

 A guest speaker will present her experience of living with Parkinson's disease at a time to be confirmed.

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