Course Title: Implement and monitor care of the older person

Part B: Course Detail

Teaching Period: Term1 2020

Course Code: NURS5394C

Course Title: Implement and monitor care of the older person

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

Campus: Bundoora 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

Course coordinator - Rosemarie Russell

Teacher - Dianne Winters

dianne.winters@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

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

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:

Face to face classes – 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
Clinical placement – provides you with practical experience in a nursing workplace


Teaching Schedule

 

 

Week

Content

Assessment

Week Commencing  10th Feb 2020

As per your student timetable

Week 1 (Session.1)

Introduction to the course including:

●      Course requirements

●      Course support documents

●      Course Canvas 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 Task 1: Knowledge Assessment

Assessment Task 2: Case Study

Assessment Task 3: Reflective Questions

Assessment Task 4: Clinical placement 1 & 2

 

 Week 1 (Session.1)

 

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

Each week there are online Modules and interactive learning material ALL students are encouraged to complete prior scheduled classes.

These modules and online activities are designed to enhance your learning and give you an opportunity to ask further questions in class.

Its a way to check for your understanding after class too. By redoing the quiz.

Now lets get started.

 Week 1 (Session.2)

Physiology (of ageing)

Theories of Ageing

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

 

Week commencing 17th Feb 2020

As per your student timetable

Week 2 (Session.3)

Age-related Pathophysiology

 

 

As per your student timetable

Week 2 (Lab 1)

Communication (soft skills)

Culturally Safe Care

Admission/Assessment (physical – basic)

 

 

As per your student timetable

Week 2 (Session.4)

Nursing Care of the Older Person (Basic) Settings:

Community, Residential Aged Care, Acute Care

 

Week commencing 24th Feb 2020

As per your student timetable

Week 3 (Session.5)

Legal and Ethical

Online discussion forum "Home and Safety review"

Week commencing 2nd March 2020

As per your student timetable

Week 4 (Session. 6)

Complex Care Needs

Palliative/End of life Care

 

Week 4 (Lab 2)

As per your student timetable

Activities of Daily Living (Basic)

 

Week commencing 9th March 2020

As per your student timetable

Week 5 (Session.7)

Introduction to Dementia and associated behaviours

Engage online discussion forum, student participation 

Week commencing 16th March 2020

As per your student timetable

Week 6 (Session.8)

 

Recap Dementia key points

Depression/Delirium/Behaviours 

Final theory session

Assessment Task 1 Knowledge assessment Due as per Canvas

Week commencing 23rd March 2020

Week 7  (Lab 3)

As per your student timetable

Delivering fundamentals of basic nursing care. "Putting it all together"

Care of the deceased person

 

 

 

Week commencing 4th May 2020

As per your student timetable

Week 12

 

 

Assessment Task 2 Case study (online) Due as per Canvas

 

 

Assessment Task 3 Reflective report

Due 2 weeks following completion of CP1 (Aged care). 

SEM 1 week 18 (CP1)

SEM 2 week 18 (CP2)

 

Assessment Task 4 Clinical placement logbook

Due following CP1 Age care and CP2 Advanced Age care 


Learning Resources

Prescribed Texts


References


Other Resources

Classroom, AV equipment, computers, library access, RMIT clinical lab environment and lab equipment, participation in lab activities(observational checklist) documented in students clinical skills lab book, clinical placements (CP1 and CP2)


Overview of Assessment

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

Theories of ageing- Group presentation

Assessment 2

Progressive scenario case study

Assessment 3

Reflective questions based on clinical placement

Assessment 4

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

Assessment Task 1. Knowledge Assessment- Theories of Ageing Group presentation: This short -answer assessment task is one of four assessment tasks you need to complete satisfactorily, in order to be deemed competent for this unit. This assessment task allows you to demonstrate your knowledge required to perform nursing interventions to support the social and emotional well being and nursing care needs of the older person in both acute care settings and residential care environments.

This is an online assessment to be completed on CANVAS

This assessment task will be marked as (S) or (NS).

Assessment Task 2. Progressive scenario case study: Students are required to work through  3 parts of an online case study, on Canvas.

This assessment task will be marked as (S) or (NS). 

Assessment Task 3. Reflective questions based on clinical placement: Students will be assessed on clinical placement. Students will be required to complete five (5) reflective questions at the end of the clinical placement (CP1). These responses will be submitted online in Canvas.

This assessment task will be marked as (S) or (NS).

Assessment Task 4: Clinical placements (CP1&CP2)

Students are required to satisfactorily complete all 4 assessment tasks.

A final Competent (CA) or Not yet competent (NYC) will be the final grade for this course.


Assessment Matrix

 

Assessment tasks

AT1

AT2

AT3

AT4

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

1.1   

  

 

X

x

1.2  

 

X

X

x

1.3   

 

X

X

x

1.4  

 

 

X

x

1.5   

 

X

X

x

1.6   

X

 

X

x

1.7   

 

 

X

x

1.8  

 

 

X

x

1.9   

 

X

X

x

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

2.1

 

X

X

x

2.2

 

X

X

x

2.3

X

 

X

x

2.4

 

 

X

x

2.5

 

X

X

x

2.6

 

 

X

x

2.7

 

X

X

x

3. Apply nursing practice in the aged care environment.

3.1 

X

 

X

x

3.2   

 

 

X

x

3.3   

X

 

X

x

3.4  

 

X

X

x

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

4.1   

 

 

X

x

4.2   

 

 

X

x

4.3  

 

 

X

x

4.4  

 

X

X

x

4.5   

 

X

X

x

4.6 

 

X

X

x

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

5.1

 

X

X

x

5.2 

 

 

X

x

5.3 

 

 

X

x

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

6.1 

 

X

X

x

6.2 

 

 

X

x

6.3 

 

X

X

x

 

Other Information

Important information regarding Assessment Tasks:

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

Resubmissions are not automatic and will only be approved at the discretion of the Program Coordinator, after consultation with the teacher.

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

   

Please note an opportunity to repeat clinical placement is not guaranteed and will be at the discretion of the Clinical Coordinator/Program Manager.

 

Attendance

It is expected that you attend all sessions in order to engage in the required learning activities, ensure the maximum opportunity to gain competency.

 

Academic Integrity and Plagiarism

RMIT has a strict policy on plagiarism and academic integrity. Please refer to: http://www1.rmit.edu.au/students/academic-integrity for more information.

Working with Children Check and Police Check

This course requires a Working with Children Check and Police Check

Recognition of Prior Learning and Credit Transfer

If you think you have some or all of the knowledge and competencies described, please discuss the Recognition of Prior Learning and Credit Transfer options which may be available to you with your Course Coordinator: For more information go to: http://www1.rmit.edu.au/students/enrolment/credit

 

Course Overview: Access Course Overview