Nursing Care for Older Adults: Summative Assessment

NUR09717 Promoting Excellence in Older Peoples Care

Task

Summative Assessment Detail

This module will be assessed based on the core module learning outcomes:

LO 1: Examine the relationship between the aging population and the health care priorities within nursing practice today.
L O 2: Evaluate evidence-base for the assessment, planning and evaluation of holistic and compassionate care for older adults and their families.
L O 3: Evaluate the concept of healthy ageing and the national and international strategies for health promotion.
L O 4: Critically explore the effectiveness of nursing theories and approaches to working with older people who have complex needs.

Summative assessment will be in the form of an essay that will examine the theoretical and legislative perspective of positive approaches to nursing care that support older people making use of the agreed case study to demonstrate the application of this knowledge, 2,500 words (LO 1,2,& 4). This assignment will also include a 1,000 word plan of care relating to the case study submitted as the formative element (LO 3).

Summative assessment is the final, marked assessment that contributes to 100% of your mark for this module. A summative assignment is required to be aligned to your module learning outcomes and marked in line with the success criteria which is available in this assessment handbook.

There are two main sections to this summative assessment and these are:

Essay: The essay is based on the case example you have used in your formative assignment and will be the base on which you demonstrate you understanding and application of theory to inform and guide practice included in the module: Ageing theory and nursing theory. The theories selected should promote positive approaches to working with older people.

The second part of this essay will be the completion of a care plan that demonstrates your awareness of applicable health assessment including the dimensions of health, planning of care and suggested interventions that will improve health outcomes.

Care plan template(do not use in Summative Assessment):

Nursing Care Plan for Madame X

Medical Diagnosis: Blind (macular degeneration), Early-stage dementia, post-op right total hip replacement following fractured neck of femur.

Assessment & Actual/ Potential Problem

Goals

(Measurable Outcome)

Intervention

Rationale

Date & Frequency of

Review

Daily/Weekly/Monthly

Falls risk

Assessments include:

Cognitive ability.

Post op mobility falls risk.

Identification of falls history.

Continence (Intake/output/wet chart).

Mobilising safely and independently

Listen to her and ensure she receives timely and regular verbal information re new surroundings, explain the purpose of any intervention and obtain verbal consent.

Identify yourself and address her by name at the beginning of each interaction.

Offer supervised gradual mobilisation appropriate to the surgical procedure and outcome.

Involve physiotherapy, OT teams and hospital pharmacist.

Monitor normal fluid input & elimination pattern to personalise regular offer of toileting.

Provide information re surroundings and how to ask for help.

Reduce risk of further falls¹. One year mortality following falls increased by up to 33% and can impact independent living².

The physiotherapist and OT can assist in planning her early mobilisation and help with the identification of factors that increase her risk of falling. The pharmacist can review medication that may affect her risk of falling, inform dose, timing of administration etc.

Her continence affects the frequency of times she needs to move.

She is blind but has some peripheral vision and may forget where she is, orientation to her new surroundings and how to call for assistance may give her confidence to mobilise safely.

Daily review initially

Fear and anxiety due to strange surroundings

Talk to her about the circumstances of her fall.

Ensure she is familiarised with her immediate surroundings and that colleagues introduce themselves.

Nursing Process: Assessment informs the identification of actual/potential problems and appropriate interventions.

Plan: Should include information and education of the patient and their carers

Case scenario:

Seah lives in a 3 room HDB in Serangoon. She is 82 years old and lives alone as her husband died a year ago. She fell and fractured her hip and following surgery was discharged home but is frightened to go out on her own after falling. She has a daughter who visits once a week as she is working and has two children. Seah has never smoked. She has blurred vision and getting forgetful after surgery. She sometimes forgets to eat. She like to shop for grocery but she stops grocery shopping after her episode of fall.

Get instant help from 5000+ experts for