Nursing Therapeutics and Aged Clients

Course code NURS2193Units 10Level 2000Faculty of Health and MedicineSchool of Nursing and Midwifery

The course examines a range of current and projected factors that impact the delivery of care to older persons in Australia. Beginning with the notion of healthy ageing, these factors are demographic, professional, social, political, economic, cultural, spiritual and ethico-legal in nature. A range of options for the care of the older person is explored, and the course addresses strategies directed towards the promotion of awareness of the needs of the older person, and the enhancement of evidence-based aged care nursing practice. Nursing therapeutic interventions to address a variety of health breakdown conditions more prevalent among older people are examined. A clinical placement with an older person focus is an integral part of the course.

This course is a Compulsory Program Component and students must pass in order to progress in the Bachelor of Nursing program

Not available in 2015

ObjectivesCompleting the learning activities for this course should enable students to:
1. Critically examine personal and societal attitudes to ageing and relate these to common myths of aging;
2. Identify the parameters of health aging;
3. Discuss aged care policy in Australia, including historical perspectives, current government priorities and initiatives in aged care;
4. Discuss strategies and services that maximise opportunities for people to remain in their homes;
5. Demonstrate an understanding of the structure of aged care services in Australia and the implications of this for policy and continuity of care;
6. Discuss the factors affecting continuity of care across contexts and strategies maximise continuity;
7. Identify and evaluate a range of factors affecting quality of care in aged care, and their ethical implications;
8. Demonstrate and understanding of the pathophysiology of cognitive impairment, dementia and other selected health breakdown situations commonly occurring among older people related illnesses;
9. Apply an evidence based approach to the assessment and management of common acute and chronic problems associated with nursing older people including oral care and nutrition, pain and symptom management, falls and falls prevention, polypharmacy, incontinence; end of life care, chronic wound management and unmet needs behaviours (including aggression, wandering and resistance);
10. Demonstrate an ability to plan and deliver care in a range of health breakdown situations including diabetes Type 2 and joint fracture replacement;
11. Discuss the concept of disability as it relates to older people;
12. Plan and implement care for older people that reflects understanding of the impact of health breakdown including psychosocial dimensions of the illness experience on the client and significant others;
13. Apply elements of the NSW Guardianship Act to aged care situations, particularly in relation to rights in general, the balancing of duty of care with the right to self-determination, and the limits and conditions governing restraint use;
14. Develop and demonstrate clinical reasoning skills;
15. Develop and demonstrate groupwork skills;and
16. Develop an understanding of the roles and responsibilities of the multi-professional team, and become an effective team member.
ContentHealth and positive ageing;
Myths, images, values and perceptions related to ageing;
Cultural perspectives on ageing;
Social, political and economic influences on ageing;
Aged care policy;
Ageing and disability;
Acute and sub-acute structures and support services (eg. care in the community, respite care, rehabilitation);
Continuity of care;
Population demographics and epidemiology related to ageing;
Pain and symptom management;
End of life care;
Mobility, falls and falls prevention;
Incontinence management strategies;
Diabetes Type 2;
Oral care and nutrition/hydration;
Chronic wound management;
Pain management;
Care and rehabilitation related to joint fracture and replacement;
Managing unmet need behaviours related to dementia (eg wandering, aggression, resistance);
NSW Guardianship Act;
Chemical and physical restraint;
Ethical issues in aged care
Evidence based aged care practice;
Clinical assessment of the older person;
Nature and manifestations of dementia, its impact on the person and their caregivers;and
Issues, challenges and processes related to the decision to place an older person in a residential aged care facility
Replacing Course(s)N/A
Industrial Experience0
Assumed KnowledgeAll 1000 level BN courses
Modes of DeliveryDistance Learning : IT Based
Flexible Delivery / Student Centred Learning
Internal Mode
Teaching MethodsClinical
Email Discussion Group
Problem Based Learning
Integrated Learning
Self Directed Learning
Assessment Items
Examination: Formal
Other: (please specify)Clinical portfolio. Satisfactory clinical performance and mastery of specified core skills are required to achive a pass or higher grade in this course.
Case Scenario/PBL exercisesPBL Exercises
Contact HoursClinical: for 64 hour(s) per Term for Full Term
Laboratory: for 14 hour(s) per Term for Full Term
Lecture: for 1 hour(s) per Week for Full Term
Tutorial: for 2 hour(s) per Week for 7 weeks
Compulsory Components
Requisite by EnrolmentBachelor of Nursing
Prior successful completion of NURS1291 & NURS1292
National Police Check,
Working with Children and Young People Declaration,
Current NSW Health Immunization record,
Patient Confidentiality Form,
Compulsory Course ComponentOHS-Criminal Record Check
Compulsory Course ComponentOHS-Prohibited Employment Declaration
Compulsory Program ComponentSatisfactory clinical performance and no unresolved, unsatisfactory clinical reports in NURS1291 Nursing Therapeutics and Health Breakdown and NURS1292 Nursing Therapeutics & Medications