Module Details
Module Code: |
n/a |
Full Title:
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Contemporary Approaches to Care of Older Persons
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Valid From:: |
Semester 2 - 2022/23 ( January 2023 ) |
Language of Instruction: | English |
Module Owner:: |
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Myles Hackett
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Geraldine O'Connor
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Departments: |
Nursing Midwifery & Early Years
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Module Description: |
This programme aims to increase the knowledge, skills and competence of nurses caring for older people enabling them to recognise and respond to the deteriorating health and /or functional status of the person in a timely and proactive manner.
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Module Learning Outcome |
On successful completion of this module the learner will be able to: |
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Module Learning Outcome Description |
MLO1 |
Critically examine the physiological changes associated with the ageing process. |
MLO2 |
Critically evaluate the impact of these changes on the health, functional ability and wellbeing of the older person. |
MLO3 |
Critically evaluate and synthesise the signs and symptoms indicating a deterioration in the health and /or functional ability of the older person. |
MLO4 |
Demonstrate competence in performing an holistic physical health assessment of the older person. |
MLO5 |
Critically evaluate and synthesis the findings from clinical assessments to inform decision making and actions taken for appropriate patient outcomes. |
Pre-requisite learning |
Module Recommendations
This is prior learning (or a practical skill) that is strongly recommended before enrolment in this module. You may enrol in this module if you have not acquired the recommended learning but you will have considerable difficulty in passing (i.e. achieving the learning outcomes of) the module. While the prior learning is expressed as named DkIT module(s) it also allows for learning (in another module or modules) which is equivalent to the learning specified in the named module(s).
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No recommendations listed |
Module Indicative Content |
Physiology of ageing
Physiological process of ageing and age related physiological changes. The impact of these changes on the health and functional ability of the older person. Physiological changes of the following systems will include cardiac, respiratory, endocrine, neurological, renal and musculoskeletal.
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National Early Warning Score
Vital signs measurement, temperature, pulse, respiration, blood pressure, oxygen saturation and ACVPU. Identify deterioration of the older person and use the ISBAR communication tool to escalate care when necessary.
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Assessment of functional ability
Assessment of the musculoskeletal system, assessment of mobility using screening tools e.g. timed get up and go. Falls risk assessment. Assessment of the skin for pressures ulcers. Assessment of hydration and nutrition e.g. MUST. Assessment, and management of urinary and bowel function e.g. incontinence and constipation. Polypharmacy and review of medications.
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Assessment of cardiac and respiratory systems
Assessment of the cardiovascular and respiratory systems. Assessment of symptoms associated with acute and chronic cardiac and respiratory system e.g. congestive heart failure, chronic obstructive lung disease, respiratory tract infection. Evidence based management of dyspnoea and oxygen therapy.
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Cognition- Dementia and delirium
Assessment of cognition and delirium using appropriate cognitive assessment tools, such as MiniMental/ MOCA/ 4AT. Use recommended evidence based algorithims to assess and manage delirium ( HSE & National dementia office 2021 Version 2.1 )
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Pain
Review of pain in the older person, types and causes of pain. Assessment of pain in older people with cognitive impairment and in advanced dementia. Use of appropriate pain assessment tools. Pharmacological and non-pharmacological management of pain in older person.
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Communication, ethical and legal issues
Communication and interpersonal skills for professional nursing practice in relation to care of older people. Review ethical and legal concepts of advocacy, consent and assisted decision- making capacity Act (2015).
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Module Assessment
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Assessment Breakdown | % |
Course Work | 70.00% |
Practical | 30.00% |
Module Special Regulation |
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AssessmentsPart-time
Reassessment Requirement |
No repeat examination
Reassessment of this module will be offered solely on the basis of coursework and a repeat examination will not be offered.
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DKIT reserves the right to alter the nature and timings of assessment
Module Workload
This module has no Full-time workload. |
Workload: Part-time |
Workload Type |
Contact Type |
Workload Description |
Frequency |
Average Weekly Learner Workload |
Hours |
Practical |
Contact |
Face to Face sesions in the clinical skills lab |
Every Month |
2.00 |
8 |
Online (non-contact) |
Non Contact |
on - line |
Every Week |
3.00 |
3 |
Online (non-contact) |
Non Contact |
Directed Study |
Every Week |
5.00 |
5 |
Independent Study |
Non Contact |
Student responsibility to organize and manage own study space and time and commitment to supplement classroom input with additional reading and interpretative reflectio |
Every Week |
9.00 |
9 |
Total Weekly Learner Workload |
19.00 |
Total Weekly Contact Hours |
2.00 |
Module Resources
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Recommended Book Resources |
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Josephine Tetley, Nigel Cox ,Kirsten Jack, Gary Witham. (2018), Nursing Older People at a Glance, John Wiley & Sons, p.120, [ISBN: 978-1-119-04388-1].
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Buurman, B., Martin, F. & Conroy, S.. (2021), Silver-Book 11, Holistic-assessment-of-older-people, https://www.bgs.org.uk/resources/resource-series/silver-book-ii.
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Conroy, S.,Carpenter, C. & Banerjee, J.. Silver Book 11 Quality Care for Older People with Urgent Care Needs, online. https://www.bgs.org.uk/resources/resource-series/silver-book-ii.
| Recommended Article/Paper Resources |
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Jeppestol, K., Kirkevold, M., &
Bragstad, L. K.. (2022), Assessing acute functional decline in
older patients in home nursing care
settings using the modified early
warning score: A qualitative study of
nurse's and general practitioner's
experiences., Internal Journal of Older People
Nursing., Vol 17,
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Little, S., Rodgers, G. &
Fitzpatrick, J.M.. (2019), Managing deterioration in older adults
in care homes: a quality improvement
project to indroduce and early warning
score, British Journal of Community Nursing, 24 (2), p.5866,
| Other Resources |
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website, Health Service Executive and Royal
College of Physicians of Ireland. (2016), National Clinical Programme for Older
People, Resources and Documents incl.
Comprehensive Geriatric Assessment, Dublin Ireland, https://www.hse.ie/olderpeopleprogramme/,
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website., https://dementiapathways.ie/. Dementia Pathways for Health and Social
Care Professionals, Publications, guidance and guidelines on
dementia.,
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Website, British Geriatric Society. https://www.bgs.org.uk/resources.
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website, National Institute of Clinical
Excellence. (2015), Older people with social care needs and
multiple long term conditions, https://www.nice.org.uk/guidance/ng22,
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E-learning, HSE & RCPI. (2020), The National Frailty Education
Programme:- Fundamentals of frailty-, hseLand.ie,
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