NMHS43210 Chronic & Acute ill to aging

Academic Year 2021/2022

This module will enable the student to:
1. examine patterns of illness in older age groups.
2. explore the concept of frailty.
3. examine the implication of co-morbidity in older age groups.
4. review common chronic illness related to ageing (geriatric syndromes).
5. understand acute illness in old age.
6. discriminate assessment of older people with chronic illness and acute episodes.
7. present appropriate, person centred-care pathways in care provision.
8. explore the principles and practice of rehabilitation of older people
9. identify methods of promoting health in later life through person-centred approaches.
10. understand the principles of palliative and end of life care using person centred-care approaches.

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Curricular information is subject to change

Learning Outcomes:

On completion the candidate will be able to critically demonstrate:

• an understanding chronic illness and acute episodes for older people.
• the application of principles of assessment in chronic and acute illness presentations of older people using person-centred care approaches.
• an articulation of appropriate person-centred care pathways in acute and chronic illness of older people.
• the ability to articulate methods of promoting the health of older people through person-centred care approaches.
• how person centred-care principles are applied to palliative and end of life care.

Indicative Module Content:

Age related changes in older people and patterns of illness and co-morbidity
Musculoskeletal disorders
Neurological and endocrine disorders
Falls and Bone health
Wound and skin care
Sexuality & Older People
Poly pharmacy in older people
Gastro-intestinal Disorders in older people
Urinary Continence management in older people: Acute and chronic care management
Nutrition and Hydration of Older People
Spirituality
Frailty
Palliative care in chronic illness
Chronic Illness: Cardiac
Chronic Illness: Respiratory
Pain management in Chronic Illness

Student Effort Hours: 
Student Effort Type Hours
Lectures

33
Autonomous Student Learning

155
Total

188
Approaches to Teaching and Learning:
Students are presented with topics within lectures. Their active input based on experience is required. They use case based learning embedded in reflective practice, applying evidence based knowledge to practice. This improves skills and competencies. 
Requirements, Exclusions and Recommendations
Learning Requirements:

Level 8 or equivalent or APEL


Module Requisites and Incompatibles
Equivalents:
Chronic & Acute ill to aging (NMHS41960)


 
Assessment Strategy  
Description Timing Open Book Exam Component Scale Must Pass Component % of Final Grade
Multiple Choice Questionnaire: Based on lectures up to week 9 Week 9 n/a Graded No

20
Assignment: Case based study-reflective practice Coursework (End of Trimester) n/a Graded No

80

Carry forward of passed components
Yes
 
Resit In Terminal Exam
Spring No
Please see Student Jargon Buster for more information about remediation types and timing. 
Feedback Strategy/Strategies

• Feedback individually to students, post-assessment

How will my Feedback be Delivered?

Students receive general feedback on the MCQ after two weeks. Individual meetings with the student are facilitated to discuss the individual grade. For the assignment, this is end of term. Students will access the grad via the provisional exam grades, but will be offered a meeting to discuss grades. All students who fail any competent will be offered additional meetings

Boltz, M., Capezuti,E., Fulmer, T., and Zwicker, D. ( 2012) Evidenced based Geriatric Nursing Protocols for Best Practice. Springer Publications, New York.

Central Statistics Office (2016) Population and Labour Force Projections 2016-2046. Central Statistics Office. Dublin, Ireland

Department of Health (2016) Health in Ireland: Key Trends 2016. Dublin: The Stationery Office.

Ellis, G. et al. ( 2011) Comprehensive Geriatric Assessment for older adults admitted to hospital . The Cochrane database of systematic reviews (7): p.CD006211

Hallberg, I. R. (2006) 'Palliative care as a framework for older peoples’ long-term care', International Journal of Palliative Nursing, 12(5), pp. 224-229.

Heath, H. (2010) The role and contribution of the registered nurse in residential care settings for older people in Ireland: A national study, Cork: The All Ireland Gerontological Nurses Association.

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Mc Gill, P. (2010) Illustrating ageing in Ireland North and South: Key facts and figures, Belfast: Centre for ageing research and Development in Ireland.

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Morley,J.E.et al., (2013) Frailty Consensus: A call to Action . Journal of the American Medical Directors Association., 14 (6)392-97.

National Clinical Programme for Older People (2016) Specialist Geriatric Team Guidance on Comprehensive Geriatric Assessment. Clinical Strategy and Programme Division. HSE, Ireland.

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TILDA (2011) Fifty plus in Ireland. The Longitudinal study on Ageing. Trinity College Dublin , Ireland.

United Nations (2007) Developing in an Ageing World. World Economic and Social Survey, New York: United Nations.
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World Health Organisation (2015) Report on Ageing and Health. Geneva: WHO.

Zubair, M. et al. (2017) Using Comprehensive geriatric assessment for quality improvements in healthcare of older people in UK care homes : protocol for realist review within proactive healthcare of Older People in Care homes ( PEACH ) study. .BMJ Open : 7 : e017270.doi:10.1136/bmjopen-2017-017270.

Name Role
Ms Orla Daly Lecturer / Co-Lecturer
Ms Una Molloy Lecturer / Co-Lecturer