Western Mindanao State University

Zamboanga City
Department of Nursing

CLINICAL TEACHING PLAN ON GERONTOLOGY

Description: This clinical teaching plan will serve as a guide for the faculty/clinical instructor and students in developing the core competencies required of during the care
of Geriatric client.

Area of Exposure: Medical-Surgical Ward, Obstetric-Gynecologic Ward, Operating-Delivery Room, Pediatric Ward and Emergency Room, Special Institutions for Geriatrics

Duration: 24 Hrs.

Entry Competencies:
Knowledge on the concept of Gerontology, its history and Evolution, Anatomy and Physiology, Nursing Process, Pharmacology, Principles of Bio-Ethics

Skills in doing Nursing Plan especially in the care and management of older population
Identify the demographic profile of the older population
Identify the different theories of aging
Assess geriatric clients according to the theory developed by the different theorists
Identify factors that have influence on health and illness
Skills in rendering effective management in the care of geriatric clients
Identify legal and ethical issues pertaining to the care of older population
Renders pharmacologic intervention
Decision making skills/critical thinking skills
Desirable attitude of patience, empathy, accuracy, and gentleness in dealing/caring of geriatric clients

Orientation Activities for Clinical Instructors:

Must have been completed prior to student’s exposure in coordination with the affiliating training hospital officer or hospital chief nurse for 1 week depending
on hospital protocol.
Orientation Activities for Students:

Must be accomplished before the actual exposure of the students or on the first day of the clinical exposure.

Orientation on the following:

1. Personnel/Organizational chart of the area of exposure.
2. Area set-up, supplies, instruments, and other equipments.
3. Area protocols, policies and guidelines.
4. Records and forms for documentation and requisitions.
5. Practice skills:
a. Use of therapeutic communication
b. Application of measures in the management of care
c. Assess biologic and physiologic changes, the developmental tasks
d. Formulate plan of care for elderly using the nursing process
6. Grading system and requirements:
a. Attendance
b. NCPs
c. Drug studies
d. Journal reports
e. Case study
7. Bedside discussion about Geriatric clients and management of the identified problems

Daily Protocol after Orientation:

 Pre-conference
 Actual clinical exposure/ experience
 Post-conference

Last day of Experience:

Last day evaluation of student’s performance through comprehensive examination and skills inventory using the Evaluation Performance Checklist.
 Clinical Activities
Intermediate Competencies Method of Evaluation
Faculty Students

1. Safe and Quality Nursing Care

Utilizes the nursing process in caring for
geriatric clients
a. Perform comprehensive and Assigns a student to geriatric client Handles specific geriatric client in the Evaluation of Assessment Record
systematic nursing assessment. ward Performance Evaluation Checklist
Quizzes
Supervises the students in the Performs comprehensive assessment on
assessment of client older client using the different assessment
tools for geriatric clients.

b. Formulates plan of care Performs complete physical assessment

Takes the vital signs
c. Implements planned nursing care to Interpret data using the different
achieve identified outcomes Assessment Tools
Assists the student in validating the Develops nursing care plans
completeness and the accuracy of the
assessment data. Performs appropriate interventions based
on the identified problems

Checks nursing care plans Maintain clients trust and establish rapport
d. Promote safety and comfort of client
Supervises students as they perform
nursing interventions safely
 Raise the side rails of the bed
Gives appropriate feedback as necessary. Lower the bed to a height most
e. Administers medications and other comfortable to the client
health therapeutics safely Assists/supervises the students in carrying Place the client in an environment
out doctor’s orders. conducive for rest.

Before giving medications:

 Make use of the ten rights of
f. Evaluates progress towards expected Explains the results of the evaluation with giving medications
outcomes the students  Wash hands before and after
Reviews data before final recording  Provide health teachings

Records :
 Pertinent observations and
findings
 Outcomes of the medications
given and nursing care rendered.
Reports any signs of deviation from
normal.
II. Management of Resources, Environment
and Equipment Reviews with the students the importance Performance Evaluation Checklist
of the management of resources and the
Organizes work load to facilitate client care environment in accordance with the
guidelines. Prepares the supplies needed:
 Medicine tray with lining,
medicines glasses, medicine
cards, syringes, alcohol, container
Assists the students in prioritizing activities of cotton balls with alcohol,
in order to finish the works on time.
 container for soiled cotton balls,
Explains to the students to make use of etc.
the available supplies wisely Prioritizes plan of care and finishes the
Utilizes adequate and appropriate resources to task/activities on time.
support client care Familiarizes the students with the different
equipments, supplies and instruments in Uses supplies wisely and diligently to
the area. maintain adequacy of supplies.
Ensure functioning of resources Instructs the students to discard the
sharps and other infectious materials on Ensures the application of sterile
their proper disposals. techniques in all the procedure given to the
Maintain a safe environment in the area. client.

Utilizes the labelled trash cans in the

disposal of hospital wastes and the proper
disposal of sharps and other infectious Evaluation of Teaching Plan
materials.

III. Health Education

Implements appropriate health education activities Reviews the teaching plan of the students.
to clients based on the assessment of needs. Supervises the students in the actual Provides instructions on the factors that
provision of health education to the client will maintain level of functioning of the
older population
Evaluates the activity and gives feedback Instruct the client on simple management
as necessary. of self and environment
Provide instructrions on take home
medicines.
Provides list of contact persons and
numbers in case of emergencies
 ,
Evaluates the effectiveness of the
teachings by asking the client or significant
others to repeat what have said
Reinforce teachings based on the
outcome.

IV. Legal Responsibility Accuracy and Completeness of records and

Assists the student in identifying the ten Checks for the ten basic rights before documentation
basic rights of giving medication giving medications.
Adheres to practices in accordance with the Assists the student in preparing and giving Gives/administers medications after
nursing law and other relevant legislation including of medications. thorough checking.
contracts, informed consent.
Assists the student in securing informed Ensures that informed consent is properly
Adheres to organizational policies and consent in all procedures needing signed by the client and/or if not capable, a
procedures, local and national. consent. thumb mark or the significant other
responsible for the client signs.
Documents care rendered to clients. Validates with the student the accuracy of
the procedure performed Documents accurately and legibly all
Checks for the validity and accuracy of the pertinent data.
documentation. Report and refer any findings deviated
from normal.

V. Ethico-Moral Responsibility
Actual Observation of the Student’s Behavior
Respect the rights of the individual/family/groups Emphasizes with the students that every Recognizes that every
individual, family, group has the right to be individual/family/group has the right to be
healthy irrespective of race, religion, healthy.
culture, and ethnic background.
Accepts responsibility and accountability for own Maintains the secrecy, privacy and
decisions and actions. Discusses with the students the confidentiality of the medical finding and
significance of ethico-moral diagnosis of the client.
responsibilities.

Serves as a role model for the students in

Adheres to the national and international code of displaying professional attitudes and
ethics for nurses values of a good and moral nurse.

Actual Observation of Student’s Behavior

VI. Personal and Professional Development Encourages the student to project self as Updates oneself to the latest trends and
a beginning professional. innovations in the management of client on
Projects beginning professionalism promotion of growth and development
Assists students to accept criticisms and
recommendations, whether good or bad, Projects a professional image at all times.
as constructive ones and take these
positively for improvement. Accepts criticisms and recommendations
positively.
Encourages the student to uphold the
highest standards of practice. Performs functions according to standards.
 Supervises the student in gathering data Nursing Audit Report
VII. Quality Improvement and assists in the detection of variation
in specific parameter.
Gather s data for quality improvement Identifies deviation of practice from the
Explains to student the importance of standards
prompt reporting of the significant changes
Participates in nursing audit and rounds. or variances in client’s
condition/environment and facilitates Participates in nursing round and audit in
discussion of ward audit during the post the ward.
Identifies and reports variances. conference.
Identify corrective and preventive
Assists the student to coordinate with measures and recommend to the clinical
Recommends solutions to the identified problems proper authority regarding the validated instructor for the identified deviation.
report of variances.

VIII. Research
Journal Reports
Disseminates results of pain related research Identifies researchable problems related to
findings to the clinical group ( other students and Facilitates analytical discussion of journal specific problem of the older adults ands Case Study Reports
other members of the health team) and researches presented by the management
students.
Initiates a research study on an identified
researchable problem.
Discusses with students current trends
and innovations about older population As a member of a research team,
participates in the conduction of research.

Utilizes research study findings in caring of

 Aging client

IX. Records Management

Documentation of the client care
Maintains accurate and up-dated documentation
of client care. Assists the student in utilizing the Completes and updates the KARDEX and
KARDEX or the Hospital Information make it readily accessible to facilitate client Up-dating of KARDEX
Records outcome of client care. System (HIS) for future decision and care.
policy making activities.
Observes legal imperatives in record keeping.
Discusses the relevance of a complete up- Observes the privacy and confidentiality of
dated, legible, accurate record of client the client’s record.
care based on the principle of record
management
Follows institutional protocol in releasing
Explains to student the importance of information and client’s record.
maintaining the integrity, safety and
security of the client’s record.

X. Communication

Establishes rapport with client, significant others

and members of the health team. Assists student in communicating Utilizes the protocol of communication
effectively with the client, significant others channel.
Listens attentively to client’s queries and requests. and other members of the health team.
Establishes rapport with the client,
Uses appropriate information mechanisms to Explains to the student the utilization of significant others and other member of the
facilitate communication. communication channels. health team.
 Identifies verbal and non-verbal cues. Supervises students during endorsement. Being sensitive not only to the verbal cues
but especially to the non-verbal cues
Assist the students in identifying verbal manifested by an older client.
and non-verbal cues manifested by the
XI. Collaboration and Teamwork older client
Actual Observation
Establishes collaborative relationship with
colleagues and other member of the health team. Functions effectively as a member of the Performance Evaluation Checklist
health team.
Collaborates plan of care with other members of Facilitates collaborative relationship with Communicates findings of assessment to
the health team. the members of the health team. all concerned.
Establishes a collaborative relationship
with the members of the health team and
the family of the older client

Requirements:

 Nursing care plan

 Journal reports
 Case study
 Quizzes and Clinical Performance Evaluation
 Attendance and Decorum