HLTENN045Implement and monitor care of the older person

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What an assessment for HLTENN045 must cover

56 assessable components: 6 elements (30 performance criteria), 3 performance evidence and 23 knowledge evidence requirements. An audit-defensible tool maps every question and task back to these — that mapping is the coverage matrix Auditori generates alongside the assessment.

Elements & performance criteria

1 Respond to health requirements of an older person.

  • 1.1Apply requirements of age-related physical changes and transitions and the psychosocial needs of the person, families and carers to own practice.
  • 1.2Identify age-related pathophysiological disorders and how they may affect the person, families and carers.
  • 1.3Adjust communication for people who have sensory impairments.
  • 1.4Apply interventions to ameliorate care.
  • 1.5Develop and implement strategies to ensure social inclusiveness and cultural diversity.
  • 1.6Identify and respond to signs of distress and behaviours of concern.

2 Contribute to the plan of care for an older person.

  • 2.1Assess older person’s health using aged care assessment tools.
  • 2.2Identify possible age-related effects of polypharmacy.
  • 2.3Document and report health findings according to organisational policies and procedures.
  • 2.4Contribute to development of nursing plan of care within the context of the health care setting and organisational policies and procedures.
  • 2.5Recognise signs and symptoms to be applied to the plan of care including wellbeing and oral health problems.
  • 2.6Identify reablement abilities and limitations to promote capacity for self-care.
  • 2.7Discuss possible impacts of age-related pathophysiological disorders including impact capacity to perform daily living activities.
  • 2.8Document responses to nursing interventions and report changes.

3 Apply nursing practice in the aged care environment.

  • 3.1Identify factors and common stereotypes associated with ageing and how these can adversely impact the older person.
  • 3.2Apply best practices to impact issues involved in aged care including impacts on families and carers.
  • 3.3Consider own values, attitudes and beliefs to ensure interventions are conducted within scope of practice of the enrolled nurse.
  • 3.4Promote health maintenance with the older person and provide information on available community services for the person, families and carers.
  • 3.5Apply work practices reflecting theories of ageing and apply best practice care guidelines for older people.

4 Identify requirements and address issues in aged care nursing practice.

  • 4.1Identify legal requirements and possible ethical and other issues of concern in an aged care practice.
  • 4.2Ensure own work practice accords with legal requirements, is ethical and supports the rights and dignity of the older person, families and carers.
  • 4.3Advocate for the person, families and carers as required within own role parameters and organisational policies and procedures.
  • 4.4Observe and respond to physical, emotional and mental signs of stress.
  • 4.5Provide care for the deceased using standard precautions and in accordance with organisational policies and procedures and guidelines.

5 Use strategies related to the progressive and variable nature of cognitive impairment.

  • 5.1Identify the nature of cognitive changes and use treatments and nursing interventions.
  • 5.2Provide activities suitable for people with cognitive changes reflecting their individual likes and dislikes.
  • 5.3Communicate and apply strategies to relieve distress and agitation.

6 Develop and implement strategies to minimise impact of responsive behaviours.

  • 6.1Observe and document behaviours and environmental factors to assist in determining triggers contributing to responsive behaviours.
  • 6.2Identify potential impacts responsive behaviours have in determining a response.
  • 6.3Implement best practice strategies to minimise impact of responsive behaviours.

Performance evidence

  • analyse health information and clinical presentation of two older people to reach a conclusion on possible nursing interventions related to their care in consultation with a registered nurse
  • perform nursing interventions for one older person in the workplace with cognitive change or impaired cognition and one older person with the condition of frailty
  • The tasks must be undertaken in accordance with the Nursing and Midwifery Board of Australia (NMBA) professional practice standards, codes and guidelines.

Knowledge evidence

  • role of aged care regulators.
  • the potential impacts of dual and multiple diagnoses on identification and prioritisation of the older person’s needs
  • chronic psychological and age-related health problems
  • sexuality and the older person
  • personal hygiene: activities of daily living (ADLs)
  • continence management
  • oral care
  • counselling and support services and resources in the aged care environment and wider community
  • support and comfort required for grieving families and carers within own role parameters
  • difference between end-of-life care and palliative care of dying and after death care in consultation with registered nurse
  • functional assessment tools for assessing older people, including recognition of cognitive impairment including delirium and depression
  • nature of cognitive change related to progressive neurological condition and strategies and nursing interventions that can be used
  • diagnoses of dementia and how it presents
  • mini mental and psychogeriatric assessment scale using a developed and recognised standard assessment scale
  • the importance of a safe, physical, social and emotional environment for older people, and particularly for people with cognitive impairment
  • legal and professional obligations relating to physical, chemical and psychological restraint
  • legal and ethical issues and considerations, and assessment tools relevant to the older person: advance care directives, Aged Care Act, Aged Care Funding instruments, Aged Care Quality Standards, carers recognition legislation, NMBA code of ethics and code of conduct for nurses
  • primary health care and services for the older person
  • stereotypes and influences on ageing
  • physical triggers and strategies to respond to responsive behaviour: distraction including reminiscing, walking and listening to music, behaviour modification, pain management, use of prescribed hearing aids and alternative listening devices, integration of complementary therapies into practice settings
  • elder abuse
  • nursing assessments of the older person: nutritional assessment, skin assessment, continence assessment
  • physiology of the ageing process as it relates to disease processes: sensory function, cardiac function, respiratory function, neurological function, musculoskeletal function, genitourinary function, endocrine function, renal function, oncological disorders, integumentary functions.

Unit content sourced from training.gov.au — © Commonwealth of Australia, licensed under CC BY 4.0. Auditori is not affiliated with the Department of Employment and Workplace Relations.

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Questions about assessing HLTENN045

What does an assessment tool for HLTENN045 need to cover?

To satisfy the Principles of Assessment and Rules of Evidence, an assessment for HLTENN045 needs to address all 56 unit components: 6 elements with 30 performance criteria, 3 performance evidence requirements, 23 knowledge evidence requirements, and the foundation skills. A coverage matrix mapping each question and task to these components is what an auditor looks for.

How does Auditori generate an assessment tool for HLTENN045?

Auditori pulls the current release of HLTENN045 from training.gov.au and generates a complete package: candidate assessment, assessor guide with model answers and observation criteria, and a coverage matrix mapping every component. A suitably qualified person then reviews and approves the draft in a built-in workflow — consistent with ASQA's guidance on AI use in VET — before export as branded PDF and editable Word.

Is the first assessment tool really free?

Yes. Every new account includes one free credit — enough to generate the complete assessment tool for HLTENN045 — with no card and no subscription required. After that it's pay-as-you-go per unit.

Can I check my existing HLTENN045 assessment instead of generating a new one?

Yes — upload your existing assessment or learner guide and Auditori maps it against every element, performance criterion, PE and KE of HLTENN045, showing exactly what's covered and what's missing. Mapping costs a quarter of a credit.

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