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Evidence Guide: HLTENN013 - Implement and monitor care of the older person

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTENN013 - Implement and monitor care of the older person

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Respond to the health requirements of an older person.

  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.
  2. Identify possible age-related effects of drugs and medications on the person and make adjustments as required in consultation with registered nurse.
  3. Identify age-related pathophysiological disorders and how they may affect the person and their family or carer.
  4. Communicate effectively and appropriately with the person, including making adjustments for people who have sensory impairments.
  5. Perform preventive health assessment of the person to identify their needs in providing preventive care, in consultation and collaboration with a registered nurse.
  6. Adapt work practices to reflect knowledge of theories of ageing and apply best practice care guidelines for older people.
  7. Develop and implement strategies to ensure companionship and social inclusion in consultation with the person.
  8. Recognise signs that indicate the person has, or may develop, an oral health problem.
  9. Identify and respond to signs of distress or behaviours of concern, especially in a person unable to communicate their symptoms or concerns.
Apply knowledge in own practice of age-related physical changes and transitions and the psychosocial needs of the person and their family or carer.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify possible age-related effects of drugs and medications on the person and make adjustments as required in consultation with registered nurse.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify age-related pathophysiological disorders and how they may affect the person and their family or carer.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Communicate effectively and appropriately with the person, including making adjustments for people who have sensory impairments.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform preventive health assessment of the person to identify their needs in providing preventive care, in consultation and collaboration with a registered nurse.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Adapt work practices to reflect knowledge of theories of ageing and apply best practice care guidelines for older people.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Develop and implement strategies to ensure companionship and social inclusion in consultation with the person.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Recognise signs that indicate the person has, or may develop, an oral health problem.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify and respond to signs of distress or behaviours of concern, especially in a person unable to communicate their symptoms or concerns.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to the care plan for an older person.

  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. Document and report health findings according to organisation procedures.
  3. Assist the person to identify their abilities and limitations in capacity for self-care.
  4. Contribute to development of the person’s nursing care plan within the context of the health care setting and organisation policy and procedures.
  5. Ensure the person, and the family or carer as appropriate, understand the implications of the person’s admission into the health care facility.
  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.
  7. Document responses to nursing interventions, and report changes and concerns to a registered nurse.
Assess the person’s health status in consultation and collaboration with registered nurse and using assessment tools specific to the aged care environment.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Document and report health findings according to organisation procedures.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist the person to identify their abilities and limitations in capacity for self-care.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Contribute to development of the person’s nursing care plan within the context of the health care setting and organisation policy and procedures.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Ensure the person, and the family or carer as appropriate, understand the implications of the person’s admission into the health care facility.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Document responses to nursing interventions, and report changes and concerns to a registered nurse.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Apply nursing practice in the aged care environment.

  1. Identify external factors and common stereotypes associated with ageing and how these can adversely impact the older person.
  2. Consider in own practice the impact of complex issues involved in aged care, including impacts on family or carer.
  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.
  4. Promote health maintenance with the older person and provide relevant information on available community services for the person, family or carer.
Identify external factors and common stereotypes associated with ageing and how these can adversely impact the older person.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Consider in own practice the impact of complex issues involved in aged care, including impacts on family or carer.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Promote health maintenance with the older person and provide relevant information on available community services for the person, family or carer.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Identify requirements and address issues in aged care nursing practice.

  1. Identify legal requirements and possible ethical issues and other issues of concern in aged care practice, including possible signs of elder abuse.
  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.
  3. Advocate for the person, their family or carer as required within own role parameters and organisation policies and procedures.
  4. Observe and respond appropriately to physical, emotional and mental signs of stress in the person.
  5. Provide care for the deceased person using standard precautions and in accordance with organisation policy and procedures.
  6. Provide support and comfort for grieving family or carer within own role parameters.
Identify legal requirements and possible ethical issues and other issues of concern in aged care practice, including possible signs of elder abuse.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Advocate for the person, their family or carer as required within own role parameters and organisation policies and procedures.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Observe and respond appropriately to physical, emotional and mental signs of stress in the person.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide care for the deceased person using standard precautions and in accordance with organisation policy and procedures.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide support and comfort for grieving family or carer within own role parameters.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

  1. Identify the nature of dementia and use appropriate treatments and nursing interventions when working with the person with dementia.
  2. Provide activities appropriate to the gender, culture and age of the person with dementia, reflecting their individual likes and dislikes.
  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.
Identify the nature of dementia and use appropriate treatments and nursing interventions when working with the person with dementia.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide activities appropriate to the gender, culture and age of the person with dementia, reflecting their individual likes and dislikes.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Use a range of strategies, such as validation strategies, instructed activities and reorientating therapy to relieve distress and agitation in the person with dementia.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Develop and implement strategies to minimise impact of challenging behaviours.

  1. Observe the person and document their behaviours and relevant environmental factors to assist in determining triggers contributing to challenging behaviour.
  2. Consider potential impact the behaviours may have on the person and others in determining an appropriate response.
  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.
Observe the person and document their behaviours and relevant environmental factors to assist in determining triggers contributing to challenging behaviour.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Consider potential impact the behaviours may have on the person and others in determining an appropriate response.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement best practice strategies that minimise the impact of behaviours, in consultation with the registered nurse and in accordance with organisation policies and procedures.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

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

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 reorientating 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.

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

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

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 reorientating 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.

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 to reach an accurate conclusion on possible nursing interventions related to their care, in consultation with a registered nurse

performed nursing interventions and monitored nursing care for 1 older person with dementia and 1 older person with a physical disability.

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:

the potential impacts of dual or multiple diagnoses on identification and prioritisation of the older person’s needs

chronic age-related health problems

continence care

how to care for a deceased person

oral hygiene for a partial or fully edentulous person including:

care of dental prosthetics

screening for oral health conditions

soft tissue care

counselling and support services and resources in the aged care environment and wider community

difference between end-of-life care and palliative care

functional assessment tools for assessing older people

limitations and legal ramifications of physical, chemical and psychological restraint

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)

nature of dementia as a progressive neurological condition, and strategies and nursing interventions that can be used with people with dementia

primary health care and services for the older person

stereotypes and influences on ageing

strategies to respond to challenging behaviour including:

distraction such as reminiscing, walking and listening to music

behaviour modification

physical triggers for behaviour including pain and not wearing the prescribed hearing aids or alternative listening devices

complementary therapies

the importance of a safe, physical, social and emotional environment for all older people, and particularly for people with dementia

theories of ageing including:

biological theories

psychosocial theory

disengagement theory

social exchange theory

wear and tear theory

activity theory

physiology of the ageing process as it relates to disease processes including in relation to:

sensory function

cardiac function

respiratory function

neurological function

musculoskeletal function

genitourinary function

endocrine function

renal function

sensory function

oncological disorders

skin integrity.