N282 – Nursing Care of Older People

Prerequisite: N280

Course Description:

Nursing care focusing on chronic conditions of older persons including rehabilitative, palliative, hospice, and end-of-life care. 

Course Objectives:

At the end of the course, students should be able to:

  1. Discuss the concepts and models on chronic care, ethical concerns, and practice settings.
  2. Analyze supportive care in terms of rehabilitative, palliative, hospice and end-of-life care.
  3. Demonstrate skill in performing comprehensive geriatric assessment
  4. Apply nursing process in the care of older persons with geriatric syndromes and chronic conditions.
  5. Demonstrate clinical decision-making skills using evidence-based information
  6. Plan with the patient and the family the support system needed to enhance care.
  7. Demonstrate dedication and compassion in providing nursing care.

Course Outline:

Module 1 –  Introduction to Chronic Care

  • Burden of chronic diseases
  • Chronic illness models • Practice settings
    • Hospital
    • Institution
    • Community
    • Home
  • Ethical concerns
    • Elder abuse
    • Allocation of resources

Module 2 – Nursing Care Process

  1. Comprehensive geriatric assessment
  2. Functional assessment
  3. Cognitive assessment
  4. Social assessment
  5. Frailty and Geriatric Syndromes
  6. Incontinence
  7. Instability
  8. Immobility
  9. Impaired cognition
  10. Insomnia
  11. Impaired skin integrity
  12. Impaired vision and hearing
  13. Imbalance nutrition
  14. Care of Older Clients with Chronic Conditions
  15. Cardiovascular problem
  16. Chronic obstructive pulmonary disease,
  17. Diabetes mellitus
  18. Cancer
  19. Neuro-degenerative diseases
  20. Polypharmacy
  21. Support system
  22. Care of the caregivers
  23. Health education
  24. Networking

Module 3 – Supportive Care

  1. Rehabilitative
  2. Palliative
  3. Hospice
  4. End of life

Clinical Practicum: 24 hours