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NRS425 Health Optimisation 3: Chronic and Complex Nursing Care (8)

CSU Discipline Area: Nursing, Midwifery and Indigenous Health (NRMIH)

Duration: One sesssion

Abstract:

This subject will examine the complexity of chronic conditions, rehabilitation, disability, and palliative care. Integrating student learning, it will focus on the development of a holistic approach in the provision of safe and compassionate care to individuals and families across the lifespan who are living with a range of chronic conditions. Using a variety of case studies to situate the care, the student will be guided through the various aspects of caring for these patients.

+ Subject Availability Modes and Locations

No offerings have been identified for this subject in 2013.Continuing students should consult the SAL for current offering details prior to contacting their course coordinator: NRS425

Where differences exist between the handbook and the SAL, the SAL should be taken as containing the correct subject offering details.

Assumed Knowledge:

NRS303 and NRS304

Enrolment restrictions:

Enrolment in the Bachelor of Science in Nursing

Objectives:

Upon successful completion of this subject, students should:

1.         be able to competently assess the patient/client with a chronic condition.

2.         be able to identify, evaluate and implement care needs specific to the older adult in a range of health care settings.

3.         be able to critically analyse nursing strategies used in the management of individuals experiencing a range of chronic conditions and those living with terminal illness.

4.         be able to apply and evaluate rehabilitation principles to prevent complications, maintain and restore function for those individuals experiencing chronic conditions and disabilities.

5.         be able to apply and evaluate critical-thinking and reflection in the context of nursing.

6.         be able to apply and evaluate planning, problem-solving and decision-making in the context of nursing.

7.         be able to apply and evaluate evidence for best practice in nursing.

8.         be able to work collaboratively in a nursing and inter-professional health care team in a variety of settings.

9.         be able to apply, with minimal direction, interpersonal and therapeutic communication skills in a variety of health care settings.

10.        be able to apply the principles of effective oral presentation skills in a variety of formal group settings.

11.        be able to safely complete, with minimal supervision, the nursing documentation required in a variety of health care settings.

12.        be able to demonstrate consistent application of formal writing skills and evidence of critical thinking, in a variety of genres.

13.        be able to use technology expertly to aid research and present information in a professional manner, consistent with organisational requirements.

Syllabus:

The subject will cover the following topics:

1.       Definitions, demographics and politics – the impact of chronic illness on the Canadian health care system and the impact of the health care system on the chronically ill.

2.       The following concepts will be addressed:

(a)      Chronic illness as a trajectory
(b)      Psychosocial, spiritual and pathophysiological aspects of chronic conditions

(c)      Rehabilitation, health promotion, health education and quality of life considerations in chronic conditions across both culture and context (eg. rural)

          (d)      Common symptoms and nursing interventions in chronic conditions and palliative care
(e)      Legal and ethical issues in palliative care and end-of-life decision-making

          (f)      Tertiary health care and its relationship to primary and secondary health care for people with chronic conditions, ageing people; and people with acquired or congenital disabilities. 

3.       Principles that underpin care for people that require tertiary health care:

          (a)      Empowerment and self-care
(b)      Social role
(c)      Normalisation (includes ageing well), personhood, spirituality and sexuality
(d)      Rehabilitation
(e)      Habilitation
(f)       Palliation
(g)      Quality of life, coping, loss and adjustment.

4.       Tertiary health care service provision:

(a)     Coordinated and integrated: community/hospital-in-the-home, residential (high and low), palliative/hospice, acute care settings and other organisations

          (b)     Ensuring standards (legislation, carers, service accreditation, residents' rights)
(c)      Funding the provision of services

5.       Nursing care of people with chronic conditions, terminal illness, and people with disabilities:

          (a)      Common aspects of: chronic conditions; healthy ageing, ageing, disabilities
(b)      Nursing assessment and planning
(c)      Nursing interventions (eg. chronic pain management)
(d)      Investigations
(e)      Multidisciplinary health care (eg. counselling)
(f)       Tertiary prevention - education for health optimisation
(g)      End-of-life care

Residential School

This subject contains a compulsory 2 day residential school.

For students studying by distance education there is a two day compulsory residential school

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The information contained in the 2013 CSU Handbook was accurate at the date of publication: 24 April 2013. The University reserves the right to vary the information at any time without notice.