TAGUM DOCTORS COLLEGE, INC.

Nursing Program

NCM 114 Care of Older Adults

Getting to Know the Course Instructor

Before we begin, allow me to introduce myself. I am Sir

Brets, I earned my degree of BS in NURSING at Cotabato
Medical Foundation College Inc. . I currently have an ongoing
Masters degree at Davao Doctors College for Masters of Arts
in Nursing Major in Clinical Management. I have commenced
my Nursing Profession as a Clinical Instructor at the Cotabato
Medical Foundation College Inc in Midsayap North Cotabato
for 2 years. Most of my nursing Experience was spent
outside the Country.
I worked at the Armed Forces Hospitals Southern Region in
Khamis Mushayt Kingdom of Saudi Arabia(KSA) for 9 years as
an Infection Control Nurse. Made a great contribution in the
Hospitals Accreditation for Joint Commission International and
CBAHI (Local Accreditation Team). Awards of Commendation had been obtained such Best
Nurse of the Year and Employee of the Year. I also had presented a Hand Hygiene Project
(Quality Improvement Project) of our Hospital to Paris France. I went back here in the
Philippines in 2017. I also have experienced working at Southern Philippine Medical Center
Davao City for a year in OB Ward. Year after I went back working overseas in Jeddah KSA as an
Infection Control Practitioner in Central Security Hospital for a year. I also had the chance to
work with University of Mindanao – Davao City for 2 Semesters last year as a Educator. This
year onwards, by Gods Grace, was given an opportunity to be with Tagum Doctors College as
an Educators for Nursing and Im glad to be a part of the team.

For this Rotation, I will be your Virtual/Online Clinical Instructor. I am looking forward to guiding
you in learning this rotation well. If you want to reach me for any RLE concerns, you can reach
me through the following:

For this week, we will be learning about NCM 114 Care of Older Adults. I am looking forward
to guiding you in learning this course well. If you want to reach me for any RLE-related
concerns, you can reach me through the following:

Contact No: Available upon request

Facebook/Messenger account: Rob Brets
E-mail address: agravantenursingtdci@gmail.com
Consultation hours: THU: 8:00AM – 12:00NOON
 TAGUM DOCTORS COLLEGE, INC.
Nursing Program

Introduction to the Course

The course NCM 114 Care of Older Adults: This is the learning experiences of nursing
students on how to appropriately render care or nursing care management and best application
of theories to chronically ill and older clienteles.The learners are expected to provide safe,
appropriate, and holistic nursing care to elderly utilizing the nursing process. Presented below
are the specific details of this course:

Course NCM 114

Number:
Course Credits 2 Units Lecture (36 hours); 1 Unit RLE (51 hrs)
Placement: Third Year, First Semester

Prerequisite:

MTW
Schedule:

Classroom: Google Classroom Code: TBA

Requirements in Completing the RLE Activities

Since most of our sessions for this semester will be delivered through distance learning
activities, the submissions will also be primarily done online. To do this, you need to have
access to the following applications:

1. Microsoft Office/Google Docs

2. Microsoft PowerPoint/Google Slides
3. Google Classroom or Quipper (Will depend on the instructor in-charge)
4. Google Meet (or any other teleconferencing app, duly agreed by the whole group)
5. Internet connectivity

Please expect that you might need to print some parts of the worksheets in this module (i.e.,
documentation and transcribing parts). If any difficulties in participating in synchronous classes
are encountered, inform your instructor right away! For absences, secure an excuse slip from
your RLE supervisor.
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Nursing Program

Submissions must be submitted through the Learning Management System (LMS) so that it
will be traced and secured easily.

Daily Activities
Every week, you are expected to follow through the following deliverables:

Day 1 (Monday) Day 2 (Tuesday) Day 3 (Wednesday)

September 27, 2021
SYNCHRONOUS
Virtual Circle: 0630HRS
1.Initial Meeting with the
students. Distribution of RLE
Modules for the week
2. Deployment of
Instructions in the
Googleclassroom. Clincal
Instructors will be on
monitoring mode
3. Completion of RLE Module
with different task.
September 28, 2021 September 29, 2021
ASYNCHRONOUS ASYNCHRONOUS
1. Checking of Attendance via Submission of Output via
google forms Video Presentation
2. Video/Film Viewing and (Prerecorded)
listening to Podcast
The Elderly Nursing Weekly Quiz
- Assessment of Elderly Clients Orientation of Next Week’s
4.) Preparation of Creative Activity
Video Journaling

Now that you are done acquainting yourself with the instructor and the course itself, please
proceed to Module 1: Assessment of an Elderly Client

Term: First Semester S.Y. 2021-2022

Dates: Week 1 – September 27-29, 2021
Class Schedule: MTW : 7:00AM – 3:00PM
No. of Hours: 8 HRS/DAY

MODULE 1:
 TAGUM DOCTORS COLLEGE, INC.
Nursing Program

Assessment of an Elderly Client

Instructions:

All output for this weeks RLE Activity must be handwritten, scanned and submitted to
corresponding emails of your Clinical Instructor
Learning Outcomes
At the end of this module, you are expected to:
1. Utilize the nursing process in the care of chronic illness and care of the older person.
2. Discuss special concerns issues and trends in caring for the chronically ill and the older
person.

As you start with this module, you are free to consult and coordinate with your assigned clinical
instructor. Be sure to get his/her email address and contact number for collaboration and
assistance. Just keep going, you can do it!

Task 1 (Print and Answer)

Pre- Assessment Test on Concept

Read the Questions carefully and select the correct answer based on your
assessment. ( Will be deployed via Google Classroom)
 TAGUM DOCTORS COLLEGE, INC.
Nursing Program

Task 2. Case Scenario : Individual

Task Comprehensive Assessment of an Elderly Client

Case Scenario

Mrs. D, a 68-year-old female with early stage Alzheimer disease, presents to the subacute
rehabilitation unit of a long-term care institution for short-term rehabilitation. She is 3 days
postoperative for an open reduction internal fixation (ORIF) of a left head of femur fracture
sustained after she fell down a flight of stairs.. Her daughter is at her bedside during the
clinician’s admission assessment and serves as the primary historian. The daughter states that “
Lisdan pa gyud siya maglihok lihok tungod sa operasyon”. Her medical and surgical histories are
significant for psoriasis, “a touch of” emphysema, Cesarean section, and depression, a History of
Transient ischemic attack with Hypertension as one of her co-mordities.
Mrs. D, a widow and only child, lives in a “mother-daughter” home in a first-floor, 1-bedroom
apartment. She is financially “well-off”. Her daughter, her only child, lives in the second floor, 3-
bedroom apartment with her husband and 3 children all under the age of 12. Mrs. D attends a
social adult day care program 3 days a week and is able to prepare light cold meals, such as
cereal for breakfast or yogurt for a snack. She has dinner every night with her daughter’s family.
Prior to her diagnosis of Alzheimer’s approximately 2 years prior to this admission, she drank
approximately 4 glasses of wine a day. Since diagnosis she has only had glasses of non-alcoholic
wine to maintain a social appearance at family functions. Her daughter reports that she was a
pack-and-a-half per day smoker for over 40 years. Since her fall she has not asked for a
cigarette. She attends Catholic mass weekly. She was able to walk several blocks without
fatigue. Her father died of an unknown cancer and had rheumatoid arthritis, and her mother
died of a hemorrhagic stroke. At present Mrs. D is resting comfortably in bed, denies pain, and
is unable to provide a number on a pain scale of 1–10 due to incomprehension (She stated, “no
hurt.”). Her medications
include donepezil (Aricept®), 5mg daily; multivitamin daily; sertraline (Zoloft®), 25 mg daily;
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Nursing Program

and topical steroid creams for psoriasis. She is allergic to penicillin. She also takes, Mefenamic
Acid 500mgs q 4-6 hours when in pain.

Mrs. D is lying in bed; she is awake, alert, and oriented to person but not to place or time. Her
Mini-Mental State Exam (MMSE) is 22/30 with errors in place, year, calculation, recall, and
naming. Her BMI is 28, and vital signs are 128/74, 84, and 22. Oxygen saturation is 89% on
room air
(base line is 88%–91%). Her temperature is 98.4 F orally. Neurological exam reveals no focal
deficits. Her head is normocephalic. PERRLA. Tympanic membranes are pearly grey. Breath
sounds are diminished throughout with poor inspiratory effort; no adventitious sounds are
noted. Heart rate is regular with S1 and S2. Bowel sounds are auscultated in all 4 quadrants;
and her abdomen is soft, nontender, and without suprapubic tenderness. There is a vertical
surgical incision scar on her abdomen. An indwelling urinary catheter is in place draining clear,
yellow urine into a bedside drainage bag. Extremities are without edema, and distal pulses are
2+ palpable. Left hip surgical incision is clean and dry; staples are intact with mild erythema, no
warmth or swelling. Otherwise the skin is intact without evidence of tissue damage
from pressure. Silvery scales (psoriasis) noted on elbows and lower legs. The indwelling urinary
catheter is removed at midnight. The next afternoon the daughter asks the clinician why her
mother is wearing a “diaper” since her mother did not have trouble getting to the bathroom
prior to the fall and subsequent hospitalization. The clinician assesses and learns that, after the
urinary catheter was removed, Mrs. D did not call for assistance. The nursing assistant found
her during 4 a.m. rounds trying to get out of bed, and her bed linens were wet with urine. At
that time, the nursing assistant cleaned Mrs. D and applied an absorbent brief. Thereafter, the
day nursing assistant performed morning care and, again, placed an absorbent brief on Mrs. D.

List of Other Medicines during her Hospital Stay:

1.) Cefuroxime 750mg IV ANST (-) one dose 30 minutes prior to OR

2.) Metoclopramide 10 mg IVTT q8h PRN for vomiting
3.) Ranitidine 50mg IVTT q8h once on NPO;d/c once on DAT.
4.) Pencillin 1gm IVTT ANST (+ ) prio to OR; Hold and Shift to Cefuroxime.
5.) Elica cream apply to affected area BID.
6.) Hydrocortisone 125mgs IVTT q6h x 4 doses
7.) Aspirin 81 mgs 1 tab PO OD
8.) Clopidogrel 75mg 1 tab PO OD
9.) Feboxustat 20mg 1 tab PO OD
10.) Buscopan 10mg 1 tab PO OD
11.) Butamirate citrate 50mg/tab q8hrs 1 tab PO
12.) Ambroxol Hydrochloride 30 mg TID 1 tab PO
13.) Ibrupofen 200mg/cap 1 cap TID PO prn for pain

Task 3 : Video Link to watch:

 https://youtu.be/BVDLlWOaqkM - Geriatric Nursing Study Tips: How to for

the care of Older adult.
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Nursing Program

 https://youtu.be/ka8FDPjwLDo -Common Challenges in Home Health Care

 https://youtu.be/QWGU5iK5c8Q - Preparing the Care for Aging Patients
 https://youtu.be/Z7f5xkucTA0 - WHat is life in a Nursing Home
 https://youtu.be/oisUsBxvtcc _ Geriatric Assessment

Task 4: Make 1 Actual Priority Nursing Care Plan for the Case Scenario of Mrs D.

(See and download attached copy of NCP Form in the Google Classroom)

Task 5: Make 1 Drug Study – (Refer to the List of Medications of the Case Scenario
given. The Clinical Instructor will assign the specific drug)

(See and download attached copy of Drug Study Form in the Google Classroom)

Task 6: Make a creative Video Journaling(2 mins) on what are your Perceptions on
Care of the Adults, Expectations and Forseeable Learnings in this rotation.
(Upload your Video file in your Google drive. Link only will be submitted in my
email: agravantenursingtdci@gmail.com )

Deadlines of submission will be the following:

Task 2 – Individual Task: October 4, 2021 0800HRS

Task 4 & 5 - Individual Task: October 4, 2021 0800HRS
Task 6 - Individual Task: October 4, 2021 0800HRS

References:

 Jennifer Kim and Sally Miller (2017). Geriatric Syndromes. Journal American Geriatric
Society.
 Maree, Bernoth (2016). Healthy Ageing and Aged Care

Reviewed by:

Nolie Roy E. Biclar RN MN

RLE Coordinator

Approved by:

Willyn B. Adrias RN MN
Dean of Nursing