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NRS377 Health Optimisation 3: Chronic and Complex Nursing Care (8)

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 children, adolescents, adults 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 people.

+ Subject Availability Modes and Location

Session 1
Distance*Bathurst Campus
Session 2
InternalAlbury-Wodonga Campus
InternalBathurst Campus
InternalDubbo Campus
InternalWagga Wagga Campus
Distance*Bathurst Campus
*This subject offering contains a residential school. Please view following information for further details.
Continuing students should consult the SAL for current offering details: NRS377
Where differences exist between the Handbook and the SAL, the SAL should be taken as containing the correct subject offering details.

Subject information

Duration Grading System School:
One sessionHD/FLSchool of Nursing, Midwifery and Indigenous Health

Enrolment restrictions

Bachelor of Nursing
Prerequisite(s)Incompatible subject(s)
(NRS291 and NRS293) or NRS240NRS352 NRS387

Learning Outcomes

Upon successful completion of this subject, students should:

1. be able to competently assess the child, adolescent and adult with a chronic condition.
2. be able to identify, evaluate and implement care needs specific to the child, adolescent and adult in a range of health care settings.
3. be able to critically analyse nursing strategies used in the management of children, adolescents, adults and families 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 children, adolescents, adults and families 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 children, adolescents, adults and families.
7. be able to apply and evaluate evidence for best practice in nursing for children, adolescents, adults and families.
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 for children, adolescents, adults and families 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 Australian 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 (eg. Indigenous) and context (eg. rural)
(d) Common symptoms and nursing interventions in chronic conditions and palliative care for children, adolescents, adults and families
(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: children, adolescents, adults and families with chronic conditions, and/ or acquired or congenital disabilities.

3. Principles that underpin care for children, adolescents, adults and families that require tertiary health care:
(a) Empowerment and self-care
(b) Social role
(c) Normalisation, 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 non-professional organisations
(b) Ensuring standards (legislation, carers, service accreditation, resident's rights)
(c) Funding the provision of services

5. Nursing care of children, adolescents, adults and families with chronic conditions, terminal illness, disabilities:
(a) Common aspects of: chronic conditions; 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 1 day residential school. Relevant lectures, tutorials, practical classes and/or assessment activities.

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The information contained in the 2015 CSU Handbook was accurate at the date of publication: 01 October 2015. The University reserves the right to vary the information at any time without notice.