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Elder

106: Delirium, Dementia and Depression

106B: Delirium, Dementia and Depression  

300: Elder Living Alone

301: Overwhelmed Caregiver of Elderly Woman


302: Financial Abuse by Adult Child


303: Abandonment Anxiety


304: Aging and Sexuality

610: Recent Widower: In-Home Care

106: Delirium, Dementia and Depression                          

This simulation was developed from a grant for the Collaborative Nursing program at Ryerson University, George Brown College and Centennial College

This older woman is currently recovering from knee surgery with a short term stay in a long term care facility as her usual family care providers are currently out of the country. While in care, there is a request to determine if Agnes is still capable of living in her own home and caring for herself.

LEARNING OBJECTIVES: listening skills, developing trust, demonstrating empathy, assessing needs - learners will be challenged to assess for all the possibilities – dementia, delirium or depression

SIMULATOR ROLE:         Agnes Morrow (about 75 years old)

LEARNER ROLE:            Nurse or Social Worker 

SETTING:                     A long term care facility

INFORMATION FOR LEARNERS: Although Agnes wants to remain at home there is some evidence that she may no longer be fully able to take care of herself.  The learner is part of a team being asked to determine whether Agnes will be able to return to her home and manage with some support.   

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106B: Delirium, Dementia and Depression         

This simulation was developed from a grant for the Collaborative Nursing program at Ryerson University, George Brown College and Centennial College

This older man is currently recovering from knee surgery with a short term stay in a long term care facility as his usual family care providers are currently out of the country. While in care, there is a request to determine if Albert is still capable of living in his own home and caring for himself.

LEARNING OBJECTIVES: listening skills, developing trust, demonstrating empathy, assessing needs - learners will be challenged to assess for all the possibilities – dementia, delirium or depression

SIMULATOR ROLE:         Albert Morrow (about 75 years old)

LEARNER ROLE:             Nurse or Social Worker 

SETTING:                      A long term care facility

INFORMATION FOR LEARNERS: Although Albert wants to remain at home there is some evidence that he may no longer be fully able to take care of himself.  The learner is part of a team being asked to determine whether Albert will be able to return to his home and manage with some support.   

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300: Elder Living Alone

An elderly woman doesn’t want to lose her independence or her home.  Her daughter wonders if she’s really capable of looking after herself anymore.

LEARNING OBJECTIVES:   demonstrating empathy, identifying strengths, assessing needs, finding collaborative solutions, defining next steps

SIMULATOR ROLES: Judith McClaren (68+) OR Norman McClaren (68+)

LEARNER ROLE: Social worker OR Nurse at community centre

SETTING: Senior’s day care centre at community centre

INFORMATION FOR LEARNERS:  Carolyn, Judith’s daughter has dropped her/her off at the community centre for an assessment. She is concerned about her mother’s ability to live on her own. Carolyn worries about her mother’s health and safety and would like a professional’s opinion of her mother’s fitness.

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301: Overwhelmed Caregiver of Elderly Woman

A caring daughter feels her life is being overtaken by a demanding mother.  A widowed mother feels she deserves all the attention she is asking for.  They need help before things escalate into total frustration.

LEARNING OBJECTIVES:  identifying issues, respecting diverse viewpoints, responding to non-verbal cues, developing collaborative solutions

SIMULATOR ROLES: Susan Graham (70), Tracy Graham-Stuart (45)                                 

LEARNER ROLE: Counsellor / Social Worker at a senior’s day centre

SETTING: Senior’s day care centre at community centre

INFORMATION FOR LEARNERS:  Tracy has scheduled this appointment to get some support in dealing with her mother. She is too busy to deal with the “constant demands” her mother makes.

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302: Financial Abuse by Adult Child

This 69 year old woman is being assessed by a home care worker for support services. She is a widow who lives on her own. Her 45 year old daughter has Power of Attorney and looks after all of her mother’s financial affairs.

LEARNING OBJECTIVES:  uncovering hidden agendas, asking direct questions, mediating, identifying issues and strengths

SIMULATOR ROLES: Mrs. Letterman (69), Peggy Letterman (daughter, 45)

LEARNER ROLE: Social Worker/Counsellor in a home care agency.

SETTING: Mrs. Letterman’s apartment

INFORMATION FOR LEARNERS:  The home care case manager is visiting Mrs. Letterman’s apartment at the request of the family doctor. Her daughter has been asked to attend the meeting in order to discuss the recommendation to provide Mrs. Letterman with some support services. Her doctor asked for an assessment because she has been concerned about Mrs. Letterman’s increasing forgetfulness over the past six months.

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303: Abandonment Anxiety

This woman is frightened and hurt by things she’s heard her son say about moving her into a home.  Right now she appears flustered and troubled and would like to get more information about her rights. She is afraid of being abandoned by her son and his family if they move to Asia.

LEARNING OBJECTIVES:  Uncovering hidden agendas, asking direct questions mediating, identifying issues and strengths

SIMULATOR ROLE: Elsie Clarke (70ish)

LEARNER ROLE: Social Worker / Dietitian / Nurse

SETTING: Community Health Centre                                 

INFORMATION FOR LEARNERS:  Elsie has come to the centre of her own volition.  She needs some advice about her options should her son and his family move to Asia. She is concerned about her ability to live alone.       

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304: Aging and Sexuality

Development of this simulation was supported by a grant from the J.W. McConnell Family Foundation.

An aging woman rediscovers her sexuality with a new partner and has to resolve the conflict between her traditional upbringing and the new directions her life is taking.

LEARNING OBJECTIVES:  establishing rapport, developing trust, conveying understanding, maintaining objectivity, awareness of personal bias

SIMULATOR ROLE: Irene Beckett (60+)

LEARNER ROLE: Counselor/social worker, nurse, gerontologist, nutritionist

SETTING:  Community Health Centre

INFORMATION FOR LEARNERS:  Irene Beckett has been attending a support group for women who are dealing with issues of aging and sexuality.  She has requested a one-on-one meeting with a professional to discuss some things that she is currently struggling with.

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610: Recent Widower - In-Home Care                                   

This simulation was developed in collaboration with Angela Cuddy and the Department of Nutrition at Ryerson University.

Please Note:  This simulation was originally structured as a demonstration. This structure was to allow students to listen to the client ‘s story and then observe an effective assessment  exposing them to a client they may well encounter in their practice.

Raymond is a patient with chronic renal failure who is without full-time care. He needs to improve his health and nutrition or he will require hospital admission.

LEARNING OBJECTIVES:  listening skills, conducting an assessment, demonstrating empathy,

considering options, developing collaborative solutions

SIMULATOR ROLES: Raymond Zetner (60+)

LEARNER ROLE: Registered Dietician                 

SETTING:  Hospital Office of Registered Dietitian after Raymond’s dialysis

INFORMATION FOR LEARNERS:  Raymond, with long standing renal failure and now recently widowed, has no knowledge of cooking or nutrition. However he needs to meet his severe dietary restrictions if he wishes to remain living at home.

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