Assessment Brief School of Nursing and Midwifery

 

Unit Code and Title: NUR1402: Older Adult Health

 

Ass. Item # Assessment Type Assessment Description Weighting Word count
2 Essay Promoting wellness 40 % 1400 words

 

Due date and submission information Submit on Canvas 1st of October 2024 08:00 am AWST.

 

Why am I doing this assessment?

 

 

This assignment will help you to understand and demonstrate the following unit learning outcomes (ULO):

ULO2: Describe approaches to promote the wellness and quality of life of older people.

ULO3: Discuss the complexities of providing inclusive, multicultural care within a nursing context to older adults.

ULO4: Describe a systematic approach to locating evidence for a specific clinical situation in the context of the older person.

 

 

By completing these ULOs, you are demonstrating that you are working towards the following course learning outcomes (CLOs) and therefore, the related professional standards:

  • Critically analyse, interpret, and conceptualise complex nursing
  • Anticipate and identify potential challenges and develop appropriate nursing strategies/
  • Access, evaluate and synthesise relevant information from multiple sources using digital technologies to inform nursing

 

Professional Registered Nurse Standards:

  • Thinks critically and analyses nursing
  • Develops a plan for nursing practice.
  • Evaluates outcomes to inform nursing practice.

 

Employability skills addressed:

 

EMPLOYABILITY SKILLS

Reflective practice Decision making Critical thinking Problem solving Communication Digital literacy Conflict resolution Time management Teamwork

Cultural competency

Leadership

PERSONAL ATTRIBUTES

Self-awareness Self-efficacy

Professional identity Resilience Interpersonal skills

Interprofessional coordination Emotional intelligence

Cross-cultural awareness

CAREER MANAGEMENT SKILLS

Self-awareness

Career decision making Opportunity awareness Transition learning Career planning Specialist skills (course

specific)

    Creativity and Innovation

 

Assessment Task Instructions

 

 

Aim of assessment

 

The purpose for this case study essay is to enable students to produce a nurse-led case discussion of an older adult, using evidence-based information relevant to nurses and up-to-date Australian statistics, for improving the health and quality of life for elderly persons who have multiple comorbidities and care needs. Content should include discussion on the questions provided in the case study using a holistic approach.

Case study

 

Carolina Bruno is an 86-year-old lady with a rich Italian background. She migrated to Australia when she was 47 years old and has lived and worked in Australia ever since. She is a widow who lives alone in her unit and has been independent with her activities of daily living. She has two daughters Bella and Gia who live nearby and are actively involved with the care of Carolina. Mrs. Bruno presented to ED via ambulance following a fall in her home. She had fractured her right NOF and has been to the operating theatre (OT) for a total hip replacement (THR). Mrs. Bruno is now day 4 post operatively.

Mrs. Bruno has a medical history of osteoarthritis and had a major stroke 6 years ago but managed to recover well after months of rehabilitation. She has moderate congestive heart failure, a mild cognitive impairment, NIDDM for ~ 20 yrs., and pain associated to neuropathy. She has had two recent transient ischaemic attacks (TIA’s) at home and recovered well after few days of bed rest.

Since her husband Bruno, passed away 3 years ago, she has frequent periods of depression if she forgets to take her antidepressants. She wears glasses for her vision impairment related to glaucoma, cataracts, and diabetic retinopathies. She also wears bilateral hearing aids.

 

During her stay in the acute care ward, the nurses documented in her progress notes that Mrs. Bruno was:

  • Underweight with a BMI of 12.
  • Very frail with multiple skin tears on her lower limbs and stage 1 pressure injury to her
  • Old scars to lower legs with possible history of healed venous/arterial
  • May have been on the ground for over 8 hours before a neighbour found
  • Denies pain but noticed to be grimacing and wincing during transfers and
  • No recollection or memory of her having used her bowels 5 days before she presented in emergency department.
  • Developed delirium post-surgery which resolved after treatment and

 

 

After ten days in the acute care ward and four weeks in the rehabilitation ward, Mrs. Bruno was not able to return home and care for herself. After a long discussion with the Multi-disciplinary Team (MDT), her daughters Bella and Gia reluctantly agreed to transfer Mrs. Bruno to an aged care facility where she would receive 24hrs care. Health education during discharge included: medication compliance, promoting hydration and nutrition, bowel management, skin care, prevention of skin tears as well as future advice on palliative care and end of life care.

Questions

 

  1. Using information from your weekly readings and wider research, discuss the impact of the ageing population on the health care system in Australia. (Approx 300 words)
  2. Discuss multicultural ageing in Australia, and in your discussion consider the case study of Mrs. Bruno and explain why nurses need to be culturally competent to care for older adults in Australia. (Approx. 250 words)
  3. Consider Mrs. Bruno’s chronic pain. What assessments would the nurse undertake, and outline what actions could be implemented to reduce/eliminate the pain. (Approx. 300 words)
  4. The occurrence of dementia, delirium and depression are common in older adults as seen in the case study of Mrs. Bruno. Explain in detail why the nurse needs to be able to distinguish between the three conditions. (Approx. 250 words)

 

Format and Structure

 

Important details about your assessment

 

  • This essay requires a standard introduction and
  • There is a word limit of 1400 words (+/- 10%) as per SNM Presentation and Assignment Guidelines).
  • Marks will be allocated as per SNM Assessment
  • Submission instructions and the link is accessible under the ‘assessments’ tab in
  • Students should refer to the SNM Presentation and Assignment Guide, ECU APA 7th Referencing Guide, and the SNM Marking Assessment Rubric.
  • Graphs, tables, and flow charts to support discussion will not be

 

Connecting your learning

 

 

Assessment tasks in this course are designed to give you opportunities to integrate what you learn into or from other units particularly into NUM2307: Mental Health and Wellbeing in Clinical Practice; NUM1101: Communication for Nurses and Midwives; and FCA2303 Chronic Conditions and Supportive Care.

 

Marking rubric

 

 

The marking rubric has been attached to the assessment in Canvas and at the end of this document.

 

Feedback and moderation

 

 

Your results and feedback will be released in 15 working days via Canvas.

All unit assessments are subject to a robust moderation process. Note that results are not final until they are officially released at the end of semester following ratification at the progression panel and are therefore subject to change.

 

Additional Resources

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