Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

HLTEN414B Mapping and Delivery Guide
Deliver basic nursing care to older clients

Version 1.0
Issue Date: May 2024


Qualification -
Unit of Competency HLTEN414B - Deliver basic nursing care to older clients
Description This competency unit describes the skills and knowledge required for the Enrolled/Division 2 Nurse to perform basic nursing interventions to support the health care needs of the older person in any environment
Employability Skills This unit contains Employability Skills
Learning Outcomes and Application The knowledge and skills described in this competency unit are to be applied within jurisdictional nursing and midwifery regulatory authority legislative requirementsEnrolled/Division 2 nursing work is to be carried out in consultation/collaboration with registered nurses and under direct or indirect supervisory arrangements in line with jurisdictional regulatory requirements
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites Not Applicable
Competency Field
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities 		Slides
PPT 		Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: Respond to the special health requirements of the older adult
  • Work within the scope of practice for the Enrolled/Division 2 nurse with the aged care client within any health care setting
  • 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 person
  • Allow for the fact that drugs and medicines have different effects in the older person
  • Reflect an understanding of common medical conditions and how they may affect older persons and their family
  • Communicate effectively with older person experiencing sensory loss
  • Perform preventive health checks in consultation/collaboration with a registered nurse
  • Assist the older person to maintain health lifestyle practices
  • Work with an awareness of own values, attitudes and beliefs towards ageing and the aged person
  • Work with an awareness of common stereotypes associated with ageing and the influences they can have on the care of the older adult
  • In caring for the older person, use work practices that reflect an understanding of theories of ageing
  • Promote health maintenance for older person and their family
  • Take action to manage factors which may tend to segregate and disadvantage the older adult
       
Element: Contribute to care plan development for the older person
  • Assess the older client to determine their health status in consultation/collaboration with registered nurse
  • Complete appropriate health assessment tools used specifically in the aged care environment
  • Assist the older client to identify self-care abilities and disabilities
  • Implement the nursing care plan within the context of the health care setting using organisation policies and procedures
  • Ensure client, family and/or significant other understand the implications of their admission to the health care setting
  • Discuss with older client or their family representative psychological, social and/or physical needs
  • Share information regarding older person's health status with other members of health care team
  • Implement care as per nursing care plan and monitor work allocated to others
  • Provide support, comfort for grieving family/client
  • Take into account the impact of complex issues involved in aged care on carer(s)
       
Element: Assist to evaluate outcomes of planned nursing care of the older client
  • Document responses of older client to nursing actions
  • Report changes in older client response to nursing actions to registered nurse
  • Convey information clearly and accurately to appropriate staff member
  • Take into account complex and dual diagnosis issues in addressing aged care
  • Provide information on community services available to older person and their family
       
Element: Use strategies which relate to the progressive and variable nature of dementia
  • Work with an awareness of dementia as a neurological condition
  • Provide activities appropriate for gender, culture and age reflecting likes and dislikes of the individual
  • Design activities that provide the client with opportunities for autonomy and risk-taking where they can maintain safety, dignity and comfort
  • Use a range of validation strategies to relieve distress and agitation in clients
       
Element: Develop and implement strategies to minimise impact of challenging behaviours
  • Observe and document behaviours to determine triggers which may be related to: physical and emotional health; environment; tasks and communication
  • Consider the potential impact of the behaviours on the person or other persons in determining an appropriate response
  • Consider a range of options when developing effective responses for inclusion in the person's care plan
  • Implement best practice strategies which minimise the impact of behaviours
  • Regularly review strategies that are implemented to ensure maximum effectiveness
       


Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria, Required Skills and Knowledge, the Range Statement and the Assessment Guidelines for this Training Package.

Critical aspects for assessment and evidence required to demonstrate this competency unit:

The individual being assessed must provide evidence of specified essential knowledge as well as skills

Observation of performance in a work context is essential for assessment of this unit

Consistency of performance should be demonstrated over the required range of workplace situations and should occur on more than one occasion and be assessed by a registered nurse

Context of and specific resources for assessment:

This unit is most appropriately assessed in the workplace under the normal range of workplace conditions but partial assessment could be undertaken under simulated conditions

Assessment should replicate workplace conditions as far as possible

Where, for reasons of safety, access to equipment and resources and space, assessment takes place away from the workplace, simulations should be used to represent workplace conditions as closely as possible

Method of assessment

Observation in the work place

Written assignments/projects

Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice

Questioning - verbal and writing

Role play/simulation

Resource implications:

Access to appropriate workplace(s) where assessment can be conducted

Access and equity considerations:

All workers in the health industry should be aware of access and equity issues in relation to their own area of work

All workers should develop their ability to work in a culturally diverse environment

In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities, workers should be aware of cultural, historical and current issues impacting on health of Aboriginal and Torres Strait Islander people

Assessors and trainers must take into account relevant access and equity issues, in particular relating to factors impacting on health of Aboriginal and/or Torres Strait Islander clients and communities

Related units:

This unit is recommended to be assessed in conjunction with the following related competency units:

HLTAP401B Confirm physical health status

HLTEN509B Apply legal and ethical parameters to nursing practice

HLTEN402B Communicate effectively in a nursing role

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

This describes the essential skills and knowledge and their level required for this unit.

Essential knowledge:

The candidate must be able to demonstrate essential knowledge required to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes knowledge of:

Acute health problems with older person

An understanding of the potential impacts of dual/multiple diagnosis on identifying and prioritising needs

Basic knowledge of current research or dementia including relevant statistics

Best practice guidelines to address complex and/or special needs

Chronic health problems with older person

Common indicators and symptoms of dementia

Confidentiality and privacy

Continence management

Documentation principles

Effective communication skills

Environment policy and procedures

Fundamental nursing interventions

Importance of relevant activities and communication in working with people with dementia

Infection control principles

Legal frameworks/requirements e.g. RCS documentation, Aged Care Act

Limitations and legal ramifications of physical, chemical and psychological restraint

Medication administration principles

Nature of dementia as a neurological condition which is progressive

Organisation protocols and policies related to own area of work

Pain management

Plan of care for the client

Principles and practices of assessment of individuals with complex and/or special needs

Stereotypes and influences on ageing

Support services available

The importance of a physical, social and emotional environment for people with dementia

The importance of a safe, physical environment for people with dementia

The range of appropriate strategies to be implemented when working with people with dementia

Understanding of physiology of ageing process

Workplace health and safety

Essential skills:

It is critical that the candidate demonstrate the ability to effectively do the task outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the identified work role

This includes the ability to:

Apply problem solving skills, including use of tools and techniques to solve problems, analyse information and make decisions that require discretion and confidentiality

Apply clinical skills related to activities of daily living:

hygiene

grooming

oral hygiene

nutrition

fluid intake

elimination

dressing

admission and discharge activities

Apply cognitive skills related to ageing

Apply professional standards of practice:

ANMC code of conduct

ANMC code of ethics

ANMC national Enrolled/Division 2 nurse competency standards

state/territory Nurse Regulatory Nurses Act

state/territory Nursing and Midwifery Regulatory Authority standards of practice

scope of nursing practice decision making framework

Prioritise and address changing service needs of clients with complex and special care needs

Use interpersonal skills, including working with others, empathising with client and relatives, using sensitivity when dealing with people and relating to persons from differing cultural, social and religious backgrounds

Use oral communication skills (language competence) required to fulfil job roles as specified by the organisation/service. Advanced oral communication skills include interviewing techniques, asking questions, active listening, asking for clarification from client or other persons at the scene, negotiating solutions, acknowledging and responding to a range of views. The work may involve using interpreters

Use written communication skills (literacy competence) required to fulfil job roles as specified by organisation/service. The level of skill may range from reading and understanding incident reports and case management materials to preparing handover reports for receiving agency staff

Work effectively with older people, carers, colleagues and other health care providers

The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts.

Theories of ageing could include:

Biological theories

Psychosocial theory

Disengagement theory

Social exchange theory

Wear and tear theory

Activity theory

Health care settings may include, for example, environments involving:

Acute care

Sub-acute care

Rehabilitation

Aged care

Social attitudes and beliefs could include:

Fear of ageing

Definitions of aging

Demographics of aging

Changing attitudes

Culture

Religion

Normal ageing process

Normal physiological changes of aging

Age related laboratory values

Age related physical changes

Age related psychosocial changes

Age related adjustments could include:

Role changes

Retirement

Multiple losses

Loneliness

Depression and suicide

Fear of death

Changes in body image

Preventative health care include:

Health screenings

Dental health

Vision/hearing

Cancer screenings

Immunisations

Activities of daily living include:

Maintaining a safe environment

Communication

Breathing

Eating and drinking/Eliminating

Personal cleansing and dressing/grooming

Controlling body temperature

Mobilising/Working and playing

Expressing sexuality

Sleeping

Dying

Spiritual needs

Tools for functioning assessment:

Katz index

Barthel index and scale

Norton scale

Water low scale

Functional health patterns

Activities of daily living tool

Geriatric depression scale

Special health problems may include:

Common psychiatric problems

Delirium

Dementia

Prevention of illness and injury

Risk of falls

Depression

Disease processes include:

Alterations in sensory function

Alterations in cardiac function

Alterations in respiratory function

Alterations in neurological function

Alterations in musculoskeletal function

Alterations in genitourinary function

Alterations in endocrine function

Alterations in renal function

Oncological disorders

Palliative care

Community services for the older person:

Advocacy services

Meals on wheels

Home help

Hospice care

Respite services

Support groups and information (e.g. Council on the Ageing, Alzheimers Australia)

Strategies to respond to challenging behaviours include:

Distraction, for example reminiscences, walking and music

Behaviour modification

Addressing physical triggers to behaviour including pain

Complementary therapies

Ensuring safety and comfort of aged person while addressing the risks associated with:

Ability to find their own way

Wandering or other behaviours relating to agitation

Behaviours relating to psychotic experiences or mood disorders

Ability to recognise dangers in their environment

Environmental strategies may include:

Orientation to day, date, time of day, place, person, carer, family relationships, weather

Adequate lighting to decrease risk of misinterpreting their environment

Manipulate stimuli such as activity, noise, music, lighting, decor

Provision of safe space (to pace, wander)

Security

Validation strategies to relieve distress and agitation in clients may include:

Acknowledgment

Allowing expressions of distress

Providing verbal and/or physical reassurance

Use reminiscences routinely to connect with clients

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
Work within the scope of practice for the Enrolled/Division 2 nurse with the aged care client within any health care setting 
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 person 
Allow for the fact that drugs and medicines have different effects in the older person 
Reflect an understanding of common medical conditions and how they may affect older persons and their family 
Communicate effectively with older person experiencing sensory loss 
Perform preventive health checks in consultation/collaboration with a registered nurse 
Assist the older person to maintain health lifestyle practices 
Work with an awareness of own values, attitudes and beliefs towards ageing and the aged person 
Work with an awareness of common stereotypes associated with ageing and the influences they can have on the care of the older adult 
In caring for the older person, use work practices that reflect an understanding of theories of ageing 
Promote health maintenance for older person and their family 
Take action to manage factors which may tend to segregate and disadvantage the older adult 
Assess the older client to determine their health status in consultation/collaboration with registered nurse 
Complete appropriate health assessment tools used specifically in the aged care environment 
Assist the older client to identify self-care abilities and disabilities 
Implement the nursing care plan within the context of the health care setting using organisation policies and procedures 
Ensure client, family and/or significant other understand the implications of their admission to the health care setting 
Discuss with older client or their family representative psychological, social and/or physical needs 
Share information regarding older person's health status with other members of health care team 
Implement care as per nursing care plan and monitor work allocated to others 
Provide support, comfort for grieving family/client 
Take into account the impact of complex issues involved in aged care on carer(s) 
Document responses of older client to nursing actions 
Report changes in older client response to nursing actions to registered nurse 
Convey information clearly and accurately to appropriate staff member 
Take into account complex and dual diagnosis issues in addressing aged care 
Provide information on community services available to older person and their family 
Work with an awareness of dementia as a neurological condition 
Provide activities appropriate for gender, culture and age reflecting likes and dislikes of the individual 
Design activities that provide the client with opportunities for autonomy and risk-taking where they can maintain safety, dignity and comfort 
Use a range of validation strategies to relieve distress and agitation in clients 
Observe and document behaviours to determine triggers which may be related to: physical and emotional health; environment; tasks and communication 
Consider the potential impact of the behaviours on the person or other persons in determining an appropriate response 
Consider a range of options when developing effective responses for inclusion in the person's care plan 
Implement best practice strategies which minimise the impact of behaviours 
Regularly review strategies that are implemented to ensure maximum effectiveness 

Forms

Assessment Cover Sheet

HLTEN414B - Deliver basic nursing care to older clients
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:

Assessment Record Sheet

HLTEN414B - Deliver basic nursing care to older clients

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: