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

HLTENN029 Mapping and Delivery Guide
Apply nursing practice in the contemporary aged care setting

Version 1.0
Issue Date: April 2024


Qualification -
Unit of Competency HLTENN029 - Apply nursing practice in the contemporary aged care setting
Description
Employability Skills
Learning Outcomes and Application This unit describes the skills and knowledge required to work effectively in the contemporary aged care environment providing specialised health care to support the continued independence of older people. It applies to care provided for older people in their own home, in community or day care centres, in acute or sub-acute hospital settings, and in residential high care or low care settings in aged care environments.Enrolled nurses working in aged care nursing need to hold and apply specialised in-depth knowledge, effectively integrate theory and practice, and make reliable clinical assessments and judgements.This unit applies to enrolled nurses, registered with the Nursing and Midwifery Board of Australia, seeking specialisation in enrolled nurse work that is carried out in consultation and collaboration with registered nurses, and under direct or indirect supervisory arrangements aligned to the Nursing and Midwifery Board of Australia regulatory authority legislative requirements.The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards and industry codes of practice.
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.

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:

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

progressive notes of a de-identified person’s medical history

advance care directives

organisation policy and procedures on which the candidate bases the planning

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 Nursing and Midwifery Board of Australia.
Prerequisites/co-requisites
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: Elements define the essential outcomes
       
Element: Address the health care needs of an older person in contemporary aged care settings
  • Identify physical and psychological effects of ageing on the human body and apply insights when providing information and support to the older person
  • Recognise the significance of physical and psychosocial assessment when evaluating health of older people and maintain currency of own related knowledge
  • Identify funding arrangements and associated documentation requirements that impact aged care provision, and ensure funding and documentation requirements are met as applicable
  • Recognise crisis situations involving the older person and implement emergency management as required
  • Adjust communication strategies appropriately when communicating with an older person who has sensory loss
       
Element: Manage an older person’s care using a person-centred approach to support continued independence
  • Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition
  • Manage nursing workload according to a person’s needs and re-prioritise care activities for the person rapidly when circumstances change
  • Monitor own nursing interventions to ensure they support independence and person-centred care in collaboration with interdisciplinary health care team and the person
  • Undertake appropriate pre-, intra- and post-diagnostic procedures for the person in line with organisation policy and procedures
  • Identify and interpret rehabilitation principles that underpin appropriate nursing interventions for the older person and apply to nursing care as required
  • Identify the person’s understanding of their condition and current therapies and review their ability for self-management
  • Confirm the person’s condition, therapies and capacity for self-management with the family or carer where appropriate
  • Identify when the acuity of the older person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team members
       
Element: Assess and respond to the needs of a person experiencing loss and grief
  • Identify the effects that experiencing grief and loss can have on a person’s physical, emotional, cognitive, behavioural, social and spiritual domains
  • Identify factors impacting or potentially impacting the person, family or carer’s experience of grief and loss
  • Encourage the person, family or carer experiencing loss or a complex grief reaction to verbalise their feelings, and provide support to them in that process
  • Facilitate and assist the interdisciplinary health care team to appropriately communicate adverse news to an older person, family or carer in line with organisation policies and procedures
       
Element: Actively promote improvement and advancement of aged care nursing
  • Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team
  • Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in aged care nursing
  • Recognise and monitor the symptoms of stress and professional carer burnout in self, peers and colleagues, and refer to appropriate services within organisation policies and procedures and scope of practice
  • Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues
       
Element: Manage an older person’s care using a person-centred approach to support continued independence
  • Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition
  • Manage nursing workload according to a person’s needs and re-prioritise care activities for the person rapidly when circumstances change
  • Monitor own nursing interventions to ensure they support independence and person-centred care in collaboration with interdisciplinary health care team and the person
  • Undertake appropriate pre-, intra- and post-diagnostic procedures for the person in line with organisation policy and procedures
  • Identify and interpret rehabilitation principles that underpin appropriate nursing interventions for the older person and apply to nursing care as required
  • Identify the person’s understanding of their condition and current therapies and review their ability for self-management
  • Confirm the person’s condition, therapies and capacity for self-management with the family or carer where appropriate
  • Identify when the acuity of the older person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team members
       


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.

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Address the health care needs of an older person in contemporary aged care settings

1.1 Identify physical and psychological effects of ageing on the human body and apply insights when providing information and support to the older person

1.2 Recognise the significance of physical and psychosocial assessment when evaluating health of older people and maintain currency of own related knowledge

1.3 Identify funding arrangements and associated documentation requirements that impact aged care provision, and ensure funding and documentation requirements are met as applicable

1.4 Recognise crisis situations involving the older person and implement emergency management as required

1.5 Adjust communication strategies appropriately when communicating with an older person who has sensory loss

2. Manage an older person’s care using a person-centred approach to support continued independence

2.1 Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition

2.2 Manage nursing workload according to a person’s needs and re-prioritise care activities for the person rapidly when circumstances change

2.3 Monitor own nursing interventions to ensure they support independence and person-centred care in collaboration with interdisciplinary health care team and the person

2.4 Undertake appropriate pre-, intra- and post-diagnostic procedures for the person in line with organisation policy and procedures

2.5 Identify and interpret rehabilitation principles that underpin appropriate nursing interventions for the older person and apply to nursing care as required

2.6 Identify the person’s understanding of their condition and current therapies and review their ability for self-management

2.7 Confirm the person’s condition, therapies and capacity for self-management with the family or carer where appropriate

2.8 Identify when the acuity of the older person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team members

3. Assess and respond to the needs of a person experiencing loss and grief

3.1 Identify the effects that experiencing grief and loss can have on a person’s physical, emotional, cognitive, behavioural, social and spiritual domains

3.2 Identify factors impacting or potentially impacting the person, family or carer’s experience of grief and loss

3.3 Encourage the person, family or carer experiencing loss or a complex grief reaction to verbalise their feelings, and provide support to them in that process

3.4 Facilitate and assist the interdisciplinary health care team to appropriately communicate adverse news to an older person, family or carer in line with organisation policies and procedures

4. Actively promote improvement and advancement of aged care nursing

4.1 Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team

4.2 Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in aged care nursing

4.3 Recognise and monitor the symptoms of stress and professional carer burnout in self, peers and colleagues, and refer to appropriate services within organisation policies and procedures and scope of practice

4.4 Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues

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:

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

analysed health information and the clinical presentation of 2 older people in the workplace, to reach a substantiated conclusion about possible nursing interventions to support continued independence and specialised health care in consultation with a registered nurse, including:

monitoring and providing effective symptom management of pain, hydration and nutritional needs, oral health issues and elimination needs

applying person-centred care and principles of rehabilitation in nursing interventions

supporting self-management strategies including use of appropriate devices or aids.

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:

aged care system in Australia

protocols for admission and transfer of older person to acute care environments

aged care assessment and funding arrangements and associated documentation

age-related adjustments and transitions for the older person

evidence-based practice in aged care environment

health illness continuum model

philosophy of loss and grief, and how to deal with others experiencing loss or complex grief reactions

philosophy underpinning aged care and extended care management

legal and ethical issues and considerations, and assessment tools relevant to the older person, including but not limited to:

advance care directives

Aged Care Act 1997 (Cwlth)

Aged Care Funding Instrument (ACFI)

carers recognition legislation

aged care risk classification system

Code of ethics for nurses in Australia’ and the ‘Code of professional conduct for nurses’ (Nursing and Midwifery Board of Australia)

Residential Care Quality Assessment (ResCareQA)

legal requirements associated with abuse of the older person.

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.

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Address the health care needs of an older person in contemporary aged care settings

1.1 Identify physical and psychological effects of ageing on the human body and apply insights when providing information and support to the older person

1.2 Recognise the significance of physical and psychosocial assessment when evaluating health of older people and maintain currency of own related knowledge

1.3 Identify funding arrangements and associated documentation requirements that impact aged care provision, and ensure funding and documentation requirements are met as applicable

1.4 Recognise crisis situations involving the older person and implement emergency management as required

1.5 Adjust communication strategies appropriately when communicating with an older person who has sensory loss

2. Manage an older person’s care using a person-centred approach to support continued independence

2.1 Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition

2.2 Manage nursing workload according to a person’s needs and re-prioritise care activities for the person rapidly when circumstances change

2.3 Monitor own nursing interventions to ensure they support independence and person-centred care in collaboration with interdisciplinary health care team and the person

2.4 Undertake appropriate pre-, intra- and post-diagnostic procedures for the person in line with organisation policy and procedures

2.5 Identify and interpret rehabilitation principles that underpin appropriate nursing interventions for the older person and apply to nursing care as required

2.6 Identify the person’s understanding of their condition and current therapies and review their ability for self-management

2.7 Confirm the person’s condition, therapies and capacity for self-management with the family or carer where appropriate

2.8 Identify when the acuity of the older person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team members

3. Assess and respond to the needs of a person experiencing loss and grief

3.1 Identify the effects that experiencing grief and loss can have on a person’s physical, emotional, cognitive, behavioural, social and spiritual domains

3.2 Identify factors impacting or potentially impacting the person, family or carer’s experience of grief and loss

3.3 Encourage the person, family or carer experiencing loss or a complex grief reaction to verbalise their feelings, and provide support to them in that process

3.4 Facilitate and assist the interdisciplinary health care team to appropriately communicate adverse news to an older person, family or carer in line with organisation policies and procedures

4. Actively promote improvement and advancement of aged care nursing

4.1 Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team

4.2 Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in aged care nursing

4.3 Recognise and monitor the symptoms of stress and professional carer burnout in self, peers and colleagues, and refer to appropriate services within organisation policies and procedures and scope of practice

4.4 Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues

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
 
Identify physical and psychological effects of ageing on the human body and apply insights when providing information and support to the older person 
Recognise the significance of physical and psychosocial assessment when evaluating health of older people and maintain currency of own related knowledge 
Identify funding arrangements and associated documentation requirements that impact aged care provision, and ensure funding and documentation requirements are met as applicable 
Recognise crisis situations involving the older person and implement emergency management as required 
Adjust communication strategies appropriately when communicating with an older person who has sensory loss 
Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition 
Manage nursing workload according to a person’s needs and re-prioritise care activities for the person rapidly when circumstances change 
Monitor own nursing interventions to ensure they support independence and person-centred care in collaboration with interdisciplinary health care team and the person 
Undertake appropriate pre-, intra- and post-diagnostic procedures for the person in line with organisation policy and procedures 
Identify and interpret rehabilitation principles that underpin appropriate nursing interventions for the older person and apply to nursing care as required 
Identify the person’s understanding of their condition and current therapies and review their ability for self-management 
Confirm the person’s condition, therapies and capacity for self-management with the family or carer where appropriate 
Identify when the acuity of the older person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team members 
Identify the effects that experiencing grief and loss can have on a person’s physical, emotional, cognitive, behavioural, social and spiritual domains 
Identify factors impacting or potentially impacting the person, family or carer’s experience of grief and loss 
Encourage the person, family or carer experiencing loss or a complex grief reaction to verbalise their feelings, and provide support to them in that process 
Facilitate and assist the interdisciplinary health care team to appropriately communicate adverse news to an older person, family or carer in line with organisation policies and procedures 
Communicate outcomes and proposed actions to the registered nurse and use a collaborative approach for follow up with interdisciplinary team 
Evaluate nursing interventions provided and consider identified outcomes against evidence-based best practice in aged care nursing 
Recognise and monitor the symptoms of stress and professional carer burnout in self, peers and colleagues, and refer to appropriate services within organisation policies and procedures and scope of practice 
Seek out opportunities and participate in professional development, acquiring knowledge to guide own practice and acting as a resource for colleagues 
Use critical thinking and problem-solving approaches to prioritise and adapt nursing interventions to reflect changes in the person’s condition 
Manage nursing workload according to a person’s needs and re-prioritise care activities for the person rapidly when circumstances change 
Monitor own nursing interventions to ensure they support independence and person-centred care in collaboration with interdisciplinary health care team and the person 
Undertake appropriate pre-, intra- and post-diagnostic procedures for the person in line with organisation policy and procedures 
Identify and interpret rehabilitation principles that underpin appropriate nursing interventions for the older person and apply to nursing care as required 
Identify the person’s understanding of their condition and current therapies and review their ability for self-management 
Confirm the person’s condition, therapies and capacity for self-management with the family or carer where appropriate 
Identify when the acuity of the older person is beyond own skills and knowledge and promptly consult with registered nurse and relevant interdisciplinary health care team members 

Forms

Assessment Cover Sheet

HLTENN029 - Apply nursing practice in the contemporary aged care setting
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

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Assessor name:

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Assessment Record Sheet

HLTENN029 - Apply nursing practice in the contemporary aged care setting

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:

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