Adapting Care Competency
Plan, implement, and
evaluate care that is adapted to meet the individual functional,
physical, cognitive, psychological, social, and endurance capabilities of older adults.
A competency demonstration provides you with the opportunity
to demonstrate that you have developed one or more of the Competencies
for Working with Older Adults. Presentation:
Competencies for Working with Older Adults
Demonstrate your Adapting Care Competency by
writing an Adapting Care Case Report, using either Option A or Option B.
If you are using these Older Adult Focus materials for self-study,
completing a competency demonstration gives you an end product that you can
share with others for professional purposes, such as in a portfolio for
employment application or as a demonstration of meeting a professional goal for
an annual review. Once you have completed the competency demonstration, wait for at least 3 days
use the criteria to evaluate your own work. Alternatively, you could ask another
person to use the evaluation criteria and discuss your work with you.
If you are using these Older Adult Focus materials as part of an organized course or workshop,
consult your course leader regarding how to turn in your completed competency
||Adapting Care Case Report,
Using a case example from your work setting or personal life, write a
narrative case report that demonstrates how you assessed, planned, and
evaluated care for an older adult (a person aged 65 or older). Your case
report should demonstrate how your care was adapted to meet the
individualís capabilities (e.g., functional, physical, cognitive,
psychological, social, endurance).
The case report should address prevention
or management of one or two of the following geriatric syndromes:
- Pressure ulcers
- Urinary incontinence
- Sleep disturbance
- Problems with eating
Your case report should not be a comprehensive case report. It should focus
on one or two of the above areas.
Include the following in your case report:
- Discuss the focused assessments that you performed to identify
the geriatric syndromes you address and to assess the person's capabilities.
Include the reason for the assessment and the data collected in the
assessment. You may use an established multi-purpose assessment form from
your workplace or an assessment course and/or one or two established focused
assessment forms (e.g., a functional assessment form, a depression scale, a pain assessment form, and/or a
skin assessment form). You may attach the completed assessment data
forms at the end of your narrative.
sure that you omit ALL identifying patient information. If
you use an established form, be sure to remove any identifying information. Providing patient
identifiers will automatically result in you not passing this competency
- CONFIDENTIALITY ALERT !!!
- Describe at least three interventions for each of the
identified areas discussed above. Your interventions should be realistic and
directly applicable to the specific individual and/or situation. Use the
professional literature to assist in developing and adapting your
interventions. Your interventions may be simple or complex. The important
aspect is that your interventions are adapted to the capabilities of the specific
- Keeping in mind the family, setting, abilities, and
resources of the individual, describe how you adapted care to meet
the individual's capabilities in at least
three of the following areas:
- Discuss briefly with whom you collaborated in
formulating and implementing the plan.
- List the resources from the professional literature
that you used to develop and adapt your interventions. Attach your list as a
bibliography at the end of your narrative text.
- Discuss what worked, what did not work, and what you would
do differently next time.
- If you were unable to implement parts of the plan,
discuss briefly what you might expect to go well or not go well based on
this individual's situation.
Your case report should be a narrative (text)
rather than in chart form. Write no more than five double-spaced pages. Attached assessment forms and your
are in addition to the five pages of text.
- Write a maximum of five pages, double-spaced. (Assessment forms
and bibliography do not count in the five pages.)
- Use only one initial (e.g., Mrs. K.) in order to maintain
confidentiality. Do not include any HIPPA-designated patient
identifiers. Remove all patient identifiers from assessment forms. If
you provide patient
identifiers, your competency demonstration will automatically receive a grade
of no pass.
- Spell-check and proofread your written work.
For a grade of pass, your demonstration will meet these criteria:
- Assessment data support the identification of the
geriatric syndrome(s) addressed.
- Assessment data provide enough information about the
individual for the evaluator to ascertain that care was adapted
appropriately and feasibly.
- The materials do not convey patient
- Plan of care is adapted to meet the older adult's capabilities in at
least three of the following areas:
- Narrative provides evidence of collaboration with the older adult,
family/caregiver, and/or other members of the health care team.
- Interventions are supported by references from the
- Spelling, grammar, and punctuation are accurate.
Care Case Report,
If you do not have a real life case example, you may use one of the
following case studies to prepare your case report.
Case Study: George Griffin
Case Study: Rosa Martinez
Follow the instructions under Option A.
- For the Assessment portion,
use information from the case study and then add additional assessment data if
complete the assessment forms that you choose.
- Your interventions in the Plan section should be directed toward
geriatric syndromes that are evident from the case study as it is
- In the Evaluation portion,
discuss how you would evaluate the interventions as well as what you might
expect to go well or not go well, based on existing information in the case
The grading criteria are listed above under Option A.
Older Adult Focus ©2011