Module 11 Assignment: Reflection on your development
NUR2214: Nursing Care of the Older Adult
Analyze the increased complexity of care among older adults.
The care for the older adults is very complex compared to standard nursing. There are
factors that should be taken into consideration when addressing the care of the elderly. Nursing
practice requires geriatric competency such as knowledge, skills, and attitudes to safely manage
and care for older adult clients with multiple chronic diseases including mental health conditions.
Nurses must practice effective communication, human relation skills to ensure safe care
coordination. As well as promoting health and wellness, involving the clients and their families
as active participants of the care plan. Important issues associated with aging and older adults’
medical care are:
As individuals grow older, the aging process increases one’s risk of illness, poor health, and
functional abilities. Leading to an increase in sudden health events and co-morbidities that
require greater utilization of primary, acute, and long-term care.
Disease prevention strategies and education
Chronic disease management
Functionality and independence
Transitions of care
This refers to the age, gender, race, and socio economics status of the individuals. Today, older
adults are living longer because of the accessibility to medical care, technology, and initiatives
focused on health promotion and disease prevention.
Millions of older adults live below the poverty level. This negatively impacts health and lifestyle
behaviors. Gender, race, education, and literacy levels can significantly impact the older adult’s
health behaviors and compliance with medical treatment. Care is also shifting away from acute
care settings to community-based settings such as long-term facilities, home care, and
Shifts in health policy and funding have helped to shape geriatric nursing practice. Factors such
as Medicare/Medicaid, Affordable care, Healthcare cost containment and Value-based care play
important roles in nursing care for older adults (Rasmussen College, 2021, Module 01).
Compare care models for nursing practice specific to the older adult.
Geriatric care models are essential to the management and control of chronic diseases, healthcare
costs, and high utilization of healthcare services of older adults. Various programs and care
models have been implemented to save money on healthcare costs and monitor and promote
health while improving overall health outcomes of the older adult client.
o Hospital-based Models of Care
Acute Care for Elders (ACE) Model- designed to mitigate risks and
improve healthcare outcomes from clients who experience disease exacerbations and
various other illnesses and are admitted into the acute care setting.
o Improves health outcomes
o Improves costs
o Reduce hospital stay
o Improve medication reconciliation
o Minimize restraint use
o Interprofessional teams
Healthy Aging Brian Center (HABC)- Center-based memory care
clinics that improve care coordination in clients prone for Sundowners. It was also
designed for clients prone to dementia, post intensive care syndrome and delirium often
experienced in the acute care setting.
o Post-intensive care syndrome
MODULE 11 ASSIGNMENT- REFLECTION 5
o Transition Care Model- Used to ensure the coordination and continuity of healthcare as
patients transfer between different locations of different levels of care within the same location.
IMPACT (Improving Post-Acute Care Transitions)- Initiated to ensure ideal
transition in geriatric care.
Project RED (Re-Engineered Discharge)- Initiated to transition a unique set of
patients from the post-acute setting to the community
o Outpatient-based Models of Care
GERI-PACT (Geriatric Patient-Aligned Care Teams) care model- Is a
specialized patient care medical home model initiated by the Department of Veterans Affairs to
provide high quality coordinated care to older adults over 65 with more risk of negative health
and psychosocial outcomes similar to that of transition models.
Outpatient geriatric evaluation
Specialized medical home model Chronic disease
o Community Related Models of Care
Patient-Centered Medical Home Model- Developed to provide more
timely access, coordination, and patient-centered care in primary care settings. It is designed to
focus on older adults with multiple chronic conditions.
MODULE 11 ASSIGNMENT- REFLECTION 6
Home-based Primary Care Models- Used to promote value-based care for clients
receiving primary and social care in the home to avoid emergency room visits, acute
hospitalization, and institutionalizations. Provides quality, patient-centered care for
people underserved where the patient must travel to the provider.
Complex Care Model (C5-75) Case-Finding for Complex Chronic Conditions in
Seniors over 75 Model- A model aimed at identifying frailty and commonly associated
geriatric conditions among older adults and targeting interventions for identified
conditions using a feasible systematic, evidence-informed multi-disciplinary approach.
STRIDE (assisted early mobility for hospitalized older veterans) Model- Associated
with walking and musculoskeletal health. It is a walking program for hospitalized older
adults focused on maintaining musculoskeletal strength and mobility.
Telehealth Model- Used to improve access and quality of dementia care to patients and
their caregivers in rural areas.
Return to Community Initiative (RTCI) Model- Facilitates consumer choice in care
setting and to achieve cost savings for the consumer and the medication
program(Rasmussen College, 2021, Module 4).
Design plans for care specific to the older adult.
Geriatric nurses must utilize the nursing process and perform a complete head-to-toe assessment
on the older adult before designing a plan of care specific to their needs. They must gather both
objective and subjective data to formulate problems and the plan of care. The health assessment
will include the SPICES assessment a geriatric assessment and screening tool. This known as
sleep disorders, problems with eating and feeding, incontinence, confusion, evidence of falls, and
skin breakdown). It is a nurse’s duty to create appropriate nursing diagnosis and intervention
related to assessment findings (Rasmussen College, 2021, Module 5).
Identify local, state, and national resources which facilitate safe and effective transitions
of care for older adults.
Older adults often require various services and resources at the local, regional, and national
levels because they may not have the skills, knowledge, and attitudes to improve their health or
take preventive measures. The healthcare team must advocate for the client to ensure access to
safe and quality care and quality and safe care.
o Local- The nurse is the case manager at the local level and recognizes the essential health
needs of the client so that care can be individualized, and resources and interventions
o Regional- Nurses can influence change at the state department regarding policies specific to
older adults. Having a voice at the state level through various legislature meetings and hearings
is an ideal way to advocate for older adults.
o National- Actions are taken to change and better understand public policy. Nurses can
collaborate and speak to various civic groups and furthermore advocate and lobby for older adult
rights and best practices.
Community and Home Health Services/Homemaker Services
Adult Day Care Services
Telephone monitoring and personal emergency service (Rasmussen College, 2021,
Incorporate professional values, attitudes, and expectations regarding ageism when
caring for the older adult.
Nurses and other healthcare providers are in prime positions to advocate for older adults who are
victims of age discrimination. Reshaping the perceptions about aging is a necessary
improvement measure. It is important to assess the patient initially to determine their abilities
when providing care and treatment. It is also important for healthcare providers to provide
effective communication about medical decisions during their treatment and allow the client to
have autonomy for the type of care they receive. It is also important to not provide the same care
for older adults as everyone else. Healthcare providers must uphold the oath to implement equal
care for everyone regardless of their age, sex, nationality, religion, race(Rasmussen College,
2021, Module 9).
Outline the importance of advocating for older adults in management of their care.
When it comes to providing care, it’s much more than providing medical care. As a nurse you
play an important role as an advocate for the client. With aging, older adult’s health status often
leads to changes in living arrangements both in homes and institutions. These changes affect not
only the older adult, but also often their family and others who must see to their care and living
needs. Without enacting appropriate interventions and resources, this can lead to neglect,
deliberate abuse, or exploitation of older adults. As older adults’ abilities to manage their
personal affairs are compromised, the necessity of turning the management of certain activities
over to others may also lead to mistreatment. Nurses must be alert to recognize signs and
symptoms of abuse and caregiver stress, which can be in many forms. They must be advocates
for older adults who may not have a voice in the matter or are told they will be black mailed if
they report abuse. Any indication of abuse in an institutional setting must be reported as soon as
it is suspected so that appropriate action can be taken and the abusive person removed (Meiner,
n.d., p. 33) & (Rasmussen College, 2021, Module 10).
Throughout the course I was able to achieve each of these competencies in various ways.
I was able to apply the knowledge learned to virtual scenarios during clinicals. I also took the
information provided during lecture and incorporated it into many assignments, and additionally,
a course project about hypertension in older adults. The knowledge gained enabled me to
critically think during the lab simulations with case studies on specific scenarios for older adults.
This course material will impact my nursing practice in a positive way to care for and treat older
adults professionally and specifically to their individual needs. I will not show ageism towards
older adults and respect them and care for them as equally as I would any other patient I
Meiner, S. E. Gerontologic Nursing, 6th Edition [VitalSource Bookshelf version]. Retrieved
Rasmussen College. (2021). Module 01: Trends and Issues. In NUR2214: Nursing Care of the
Older Adult[Lesson]. Retrieved from
Rasmussen College. (2021). Module 04: Geriatric Care Models. In NUR2214: Nursing Care of
the Older Adult[Lesson]. Retrieved from
Rasmussen College. (2021). Module 05: Geriatric Assessment and Screening. In NUR2214:
Nursing Care of the Older Adult [Lesson]. Retrieved from
Rasmussen College. (2021). Module 08: Health Resources and Prevention Initiatives. In
NUR2214: Nursing Care of the Older Adult [Lesson]. Retrieved from
Rasmussen College. (2021). Module 09: Values and Attitudes Regarding Aging. In NUR2214:
Nursing Care of the Older Adult [Lesson]. Retrieved from
Rasmussen College. (2021). Module 10: Legal and Ethical Standards. In NUR2214: Nursing
Care of the Older Adult [Lesson]. Retrieved from http://rasmussen.learntoday.info/default.asp