SEPT/90 PREVIOUS OUTLINE DATED:

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DOC. #94 SAULT COLLEGE OF APPLIED ARTS & TECHNOLOGY SAULT STE. MARIE, ONTARIO COURSE OUTLINE COURSE TITLE: UNIT 1 - THEORY CODE NO: HCA 101-3 1 SEMESTER: PROGRAMME: AUTHOR: HEALTH CARE AIDE GAYLE ALLINOTTE, BRENDA WARNOCK DATE: SEPT/90 PREVIOUS OUTLINE DATED: APPROVED: - --

- 2 - UNIT 1 - THEORY HCA 101-3 Course Name Code No. TOTAL CREDIT HOURS: 30 PREREQUISITE(S): Admission to Health Care Aide Programme I. PHILOSOPHY/GOALS: The goals of Unit 1 Theory include the introduction of the student to the role of the Health Care Aide in caring for the elderly within the Health Team. The physical, spiritual and psychosocial needs of the elderly are examined. Anatomy and Physiology of the Musculoskeletal, Upper Digestive and Integumentary Systems are studied. II. STUDENT PERFORMANCE OBJECTIVES: Upon successful completion of this course, the student will: 1) demonstrate knowledge of the 24-hour clock system. 2) describe the roles of the members of the Health Care Team. 3) describe the role, functions and responsibilities of the Health Care Aide as a member of the Health Team. 4) identify the physiological and psychosocial changing needs of the elderly. III. TOPICS TO BE COVERED: HOURS Orientation to the Health Care Aide Programme 2 1) 24-hour clock 1 2) Health Team 1 3) Qualities and Role of the Health Care Aide 1 4) Legal Aspects 1 5) Introduction to Aging 1 6) Needs of the Elderly 1 7) Patient Rights 1 8) Communications- Listening Skills & Body Language 1 9) Observation & Reporting 1 10) Safety 1.5 11) Medical Asepsis 1.5 12) A & P of Musculoskeletal System 1 13) Introduction to Body Mechanics 1

III. TOPICS -- TO BE COVERED CONTINUED 14) Positioning 15) Care of the Environment 16) Bedmaking 17) A & P of Digestive System 18) Nutrition 19) A & P of the Skin 20) Hygiene Unit Uni t I Test I Exam 3 HOURS 1 1.5 1.5 1 2 1 2 1 2 ---w- 1. Reads 24-hour clock system (8.01) Print-out in class a) records 24-hour clock system b) conversion of a.m./p.m. time 2. Describes the roles of the members of the Health Team. ( 1. 02 ) pp. 4-8 a) resident/family as members of the Health Team b) definition of physiotherapist, occupational therapist, nutritionist, social service worker, administrator, attending physician, registered nurse, registered nursing assistant 3. Describes the role, responsibilities of Aide as a member of ( 1. 02) functions and the Health Care the Health Team. a) qualities and characteristics b) personal health, hygiene and appearance c) working with others d) organizing care pp. Study Projects: 11-17 19-21 Ch. 2 1-5 10-16 20-22

- 4-4. Describe the ethical and legal aspects of working with clients. (1.03, 1.04) 5. Describe the physical, psychological, social, spiritual changes within the aging process (5.01, 6.01) a) factors affecting personality b) factors affecting social roles 6. Using Maslow's Basic Needs Theory describe the needs of the elderly. (2.03, 6.03, 2.04, 6.04, 6.05, 6.06, 6.07) a) definition of needs b) Maslow's Needs Theory c) cultural needs d) needs of the sick client e) description of in health care different patients facilities 7. Describe patient rights. 8. Identify principles of effective listening communication skills. a) definition of communication 9. Describe principles of accurate and complete observational and reporting skills. (2.02, 8.10, 8.12, 8.11, 8.02) pp. 17-19 Ch. 2 17-19 Print-outs in pp. Study Projects: class 397-405 Ch. 25 1-3 1-30 Print-outs in class pp. 41-46 Ch. 5 Study Project: 3 10-22 pp. 46-48 Ch. 5 Study Project: 1 1,26-27 Print-outs in class pp. 22-23 48-51 Study Project: Ch. 5 2 1,9 pp. 23-29 Ch. 3 Study Projects: 1-4 2-23 a) patient's record b) reporting and recording observations

- 5-10. Describe measures to ensure the safety of the client at all times. (3.03, 4.02, 4.04, 4.06) a) safe environment b) factors affecting client safety c) safety in the home d) safety in the Health Care Facility e) protective devices f) accidents caused by equipment g) reporting & recording accidents h) fire safety i) disasters 11. Describe principles of medical asepsis. (3.02, 4.01) a) microorganisms: types, requirements b) normal flora c) infection d) medical asepsis, aseptic practices e) principles of handwashing f) care of supplies and equipment g) disinfection, sterilization 12. Describe the basic structures and functions of the Musculoskeletal System. (1.05) a) bones, joints b) muscles 13. Describe the principles of body mechanics. (1.06, 9.07, 5.13) a) definition of body mechanics, posture, body alignment, base of support b) general rules of body mechanics c) principles of body mechanics when moving and transferring clients 14. Describe the basic principles for positioning the client. pp. Study Projects: Study Projects: 97-113 Ch. 8 1-3 1-15 17 pp. 115-12 1 Ch. 9 1-2 1-11 13 pp. 57-61 Ch. 6 Study Project: 1 8-13 pp. 123-148 Ch. 10 Study Projects: 1-3 1-21 25-27 pp. 148-152 Ch. 18 22-24 - -- ---

- 6-15. Describe basic principles of maintaining a comfortable environment for the client. (4.05, 3.01, 3.06, 3.07, 3.08) 16. Identify the basic principles of bedmaking. (5.02) a) different ways of making beds b) linens c) general rules of follow when making a bed 17. Describe the basis structures and functions of the Digestive System. ( 1.05 ) 18. Identify the basic components of nutrition according to Canada's Food Guide. (5.08, 9.04) a) basic nutrition, food groups, nutrients b) factors affecting eating and nutrition c) special diets d) fluid balance, intake and output e) feeding the client 19. Describe the basic structures and functions of the Integumentary System. ( 1. 05) pp. 153-160 Ch. 11 Study Projects: 1-3 1-16 pp. 161-177 Ch. 12 Study Projects: 1-2 1-13 pp. 72-73 Ch. 6 Study Project: 4 32-37 pp. 261-277 Ch. 16 Study Projects: 1-3 1-22 24,27 pp. 56-57 Ch. 6 1-7 -----

- 7-20. Identify the basis principles of hygiene and comfort. (5.03, 5.05, 5.06, 5.15, 4.07, 5.04, 5.07, 9.05, 9.06) pp. 178-220 Ch. 13 Study Projects: 1-4 1-26 a) daily care of the client b) oral hygiene c) skin care, cleansing, back massage, shampooing, shaving, nail care d) changing hospital gowns e) decubitus ulcers, causes and prevention Note: 1. Numbers in parenthesis refer to objectives from the Ministry of Education Health Care Aide Programme Guide and Performance Objectives. 2. Sequencing of objectives and content, subject to change based on the learning needs of the students. ----

- 8 - UNIT 1 - THEORY HCA 101-3 Course Name Code No. V. EVALUATION METHODS: (includes assignments, attendance requirements, etc.) Unit Unit A+ = A = B C = I Test I Exam 90-100 80-89 70-79 60-69 Pass is a "C" 20% 80% 100% VI. REQUIRED STUDENT RESOURCES: 1. Mosby's Textbook for Nursing Assistants, 2nd edition, Sorrentino, Sheila, R.N., B.S.N., M.A., Toronto, Ontario 2. Mosby's Workbook for Nursing Assistants, 2nd edition, Kelly, Relda Timmeney, R.N., B.S.N., Toronto VII. ADDITIONAL RESOURCE MATERIALS AVAILABLE IN THE COLLEGE LIBRARY BOOK SECTION: (title, publisher, edition, date, library call number if applicable) Periodical Section Nursing Homes Journals Audiovisual Section Perspectives on Aging: Myths and Realities, F.S. #66 Perspectives on Aging: Physical Changes & Implications, F.S. #67 Effective Communication - How to Listen More Effectively, F.S. # 249 Effective Communication - Effective Listening, F.S. #209 Effective Communication - Verbal Barriers to Communication, F.S. #210 Effective Communication - Non-Verbal Barriers to Communication, F.S. #211 - - - - - - --

- 9 - VII. ADDITIONAL RESOURCE MATERIALS AVAILABLE IN THE COLLEGE LIBRARY BOOK SECTION: (title, publisher, editio~ date, library call number if applicable) Audiovisual Section Continued. Working with the Frail Elderly, Len Falicano, 1/2" Cassettes, Health Sciences Dept. Safety: Patient Safety Part I, F.S. #136 Safety: Patient Safety Part II, F.S. #137 Skeletal and Muscular System, F.S. #79 & #80 Body Mechanics & Patient Position, F.S. #238 Body Mechanics Lifting & Moving the Patient Bedmaking, VHS Video Cassettes, Health Sciences Dept. Respiratory System/Digestive System, F.S. #79 Hygiene: Bed Bath Part I, F.S. #12 Hygiene: Bed Bath Part II, F.S. #13 Showers and Tub Baths, F.S. #30 Oral Hygiene, F.S. #31 Hygiene: Bed Bath Feeding the Patient Range of Motion VHS Video Cassettes, Health Sciences Dept. VIII. SPECIAL NOTES: Students will be required to complete readings as assigned. -