NRS306 Health Optimisation 1: Gerontic Nursing Care

NRS306 Health Optimisation 1: Gerontic Nursing Care

Upon successful completion of this subject, students should:
1. be able to critically analyse the determinants of health and wellness and relate them to the social, political, cultural and environmental factors that impact on the older person.
2. be able to evaluate and synthesise theories of ageing eg. biological, sociological, psychological, and spiritual.
3. be able to critically analyse how social and carer attitudes affect the person as they grow older including the images of ageing and ageing stereotypes and their effect on nurses/nursing care.
4. be able to evaluate current policies and the global perspectives on ageing and care of the aged in a multicultural society and trends in the future of aged care.
5. be able to competently assess, plan, deliver and evaluate nursing care for people with chronic and complex health problems.
6. be able to demonstrate knowledge of the application of relevant Canadian Acts, Standards of conduct and ethical practice for aged care facilities and nurses, through their practice and in the application to case scenarios.
7. be able to apply and evaluate critical thinking and reflection in the context of nursing.
8. be able to apply and evaluate planning, problem solving and decision making in the context of nursing.
9. be able to apply and evaluate evidence for best practice in nursing.
Syllabus

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The subject will cover the following topics:
1. Theories of ageing and the well older adult in primary, secondary and tertiary health care and prevention:

(a) The social construction of ageing from a community, national and global perspectives
(b) Health promotion and health education strategies for the older person
(c) Aspects of ageing: physical, psychological, social, cultural and spiritual needs of the older person
(d) Family dynamics, carer support, stress and burnout, elderly abuse
(e) The effect of the ageing process on body systems and functioning to meet activities of daily living
(f) Needs of older Indigenous, multicultural and rural Canadians
2. Contemporary approaches to gerontic nursing care:

(a) Models of gerontic nursing care and transitions of the older person
(b) The well/independent aged person
(c) Health promotion and health education strategies for the older person
(d) Community based care
(e) High/low residential care
(f) Acute care
(g) Respite care
(h) Rehabilitation nursing and the inter-professional rehabilitation team
3. Nursing assessment, interventions and care of individuals with selected long term health challenges pertinent to older people:

(a) Patterns of health and illness in the ageing process and ageing populations
(b) Risk factors
(c) Sensory and motor impairments
(d) Delirium
(e) Dementia
(f) Effect of drugs on the older person eg. polypharmacy
(g) Confusional states
(h) Diabetes
(i) Osteoporosis
(j) Cataracts and other visual challenges
4. Government policies and legislation related to aged care provision:

(a) Standards of aged care
(b) Aged care sector code of conduct and ethical practice
(c) Implementing appropriate methods of documentation
(d) Discrimination legislation
(e) Aged care packages, advance care directives
(f) Nurses Act 1991
(g) Regulated Health Professionals Act
(h) Canadian Health Act
(i) Controlled Drugs and Substances Act
(j) Long Term Care Act 1994
(k) Health Care Consent Act
(l) Ontario Mental Health Act
(m) Patient Restraint Minimisation Act