NUR4043 Module 10 Reflection: Reflection on Cultural and Geriatric Competencies

Complete your Module 10 Assignment by the end of Week 10.

In this assignment, students review and reflect on two sets of baccalaureate nursing competencies – cultural competencies and geriatric competencies.

Step 1. Review
Review the five cultural competencies and 19 geriatric competencies.

Cultural Competency Statements

These five competencies identify the key elements considered essential for baccalaureate nursing graduates to provide culturally competent care.

Competency 1: Apply knowledge of social and cultural factors that affect nursing and health care across multiple contexts.
Competency 2: Use relevant data sources and best evidence in providing culturally competent care.
Competency 3: Promote achievement of safe and quality outcomes of care for diverse populations.
Competency 4: Advocate for social justice, including commitment to the health of vulnerable populations and the elimination of health disparities.
Competency 5: Participate in continuous cultural competence development.

Geriatric Competency Statements

1. Incorporate professional attitudes, values, and expectations about physical and mental aging in the provision of patient-centered care for older adults and their families. Corresponding to Essential VIII
2. Assess barriers for older adults in receiving, understanding, and giving of information. Corresponding to Essentials IV & IX
3. Use valid and reliable assessment tools to guide nursing practice for older adults. Corresponding to Essentials IX
4. Assess the living environment as it relates to functional, physical, cognitive, psychological, and social needs of older adults. Corresponding to Essential IX
5. Intervene to assist older adults and their support network to achieve personal goals, based on the analysis of the living environment and availability of community resources. Corresponding to Essential VII
6. Identify actual or potential mistreatment (physical, mental or financial abuse, and/or self-neglect) in older adults and refer appropriately. Corresponding to Essential V
7. Implement strategies and use online guidelines to prevent and/or identify and manage geriatric syndromes. Corresponding to Essentials IV & IX
8. Recognize and respect the variations of care, the increased complexity, and the increased use of healthcare resources inherent in caring for older adults. Corresponding to Essentials IV & IX
9. Recognize the complex interaction of acute and chronic co-morbid physical and mental conditions and associated treatments common to older adults. Corresponding to Essential IX
10. Compare models of care that promote safe, quality physical and mental health care for older adults such as PACE, NICHE, Guided Care, Culture Change, and Transitional Care Models. Corresponding to Essential II
11. Facilitate ethical, non-coercive decision making by older adults and/or families/caregivers for maintaining everyday living, receiving treatment, initiating advance directives, and implementing end-of-life care.
12. Promote adherence to the evidence-based practice of providing restraint-free care (both physical and chemical restraints). Corresponding to Essential II
13. Integrate leadership and communication techniques that foster discussion and reflection on the extent to which diversity (among nurses, nurse assistive personnel, therapists, physicians, and patients) has the potential to impact the care of older adults. Corresponding to Essential VI
14. Facilitate safe and effective transitions across levels of care, including acute, community-based, and long-term care (e.g., home, assisted living, hospice, nursing homes) for older adults and their families. Corresponding to Essentials IV & IX
15. Plan patient-centered care with consideration for mental and physical health and well-being of informal and formal caregivers of older adults. Corresponding to Essential IX
16. Advocate for timely and appropriate palliative and hospice care for older adults with physical and cognitive impairments. Corresponding to Essentials IX
17. Implement and monitor strategies to prevent risk and promote quality and safety (e.g., falls, medication mismanagement, pressure ulcers) in the nursing care of older adults with physical and cognitive needs. Corresponding to Essentials II & IV
18. Utilize resources/programs to promote functional, physical, and mental wellness in older adults. Corresponding to Essential VII
19. Integrate relevant theories and concepts included in a liberal education into the delivery of patient-centered care for older adults

Step 2. Group
Categorize competency statements in groups of no more than 3. Create a subheading for each group.

Step 3. Summarize and Reflect
In a paper, summarize each set of competencies and reflect on how you have made progress toward their attainment by providing examples of assessments and application to practice.