COURSE KIT

NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC AND PALLIATIVE CARE

SEMESTER MAY 2023

FACULTY OF TECHNOLOGY & APPLIED SCIENCES

BACHELOR OF MEDICAL AND HEALTH SCIENCES WITH HONOURS

NBCP 3812
CLINICAL PRACTICE
REHABILITATION GERIATRIC AND PALLIATIVE CARE
(ELECTIVE)

COURSE KIT

SEMESTER MAY 2023

 COURSE KIT
NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC AND PALLIATIVE CARE
SEMESTER MAY 2023

INTRODUCTION

NBCP 3812 Clinical Practice Rehabilitation Geriatric and Palliative Care is an Elective
Practicum focusing on clinical Rehabilitation Geriatric and Palliative Care that is
implemented in the student’s own ward or area of practice. You will continue to work in
your organization and your official working hours will be considered as practicum hours to
fulfill the required 2 credits. You have to record your attendance and provide evidence of
presence at the work place for you to gather information and data that supports your writing
of Reflective Journal. Your learning will take place as you work because you need to apply
the theory that you have learned into your work tasks. Thus, you may find it beneficial to
revisit and review the learning kit NBMH 3812 Practice Rehabilitation Geriatric and
Palliative Care to guide you in writing your Reflective Journal.

Additionally, you are encouraged to apply all the knowledge and skills gained from your
current learning, particularly relating to NBMH 3812 Practice Rehabilitation Geriatric and
Palliative Care

SYNOPSIS

This is the elective practicum component and prepares the students to integrate, organize
and apply knowledge and skills related to the rehabilitation geriatric and palliative care in
delivery of holistic care to patients in their workplace. The Reflective Journal expected at the
end of the placement is evidenced of your progressive application of knowledge achieved in
communication, safe care and critical thinking.

COURSE OBJECTIVES

At the end of this course students will be able to apply their knowledge and skills in upholding
the quality of care in rehabilitation geriatric and palliative of Assistant Medical Officers
profession at their workplace.

LEARNING OUTCOMES

At the end of this course, students will be able to:

1. Analyse evidence-based knowledge, use patient care technologies, and practice

reflective analysis in planning, implementing, and evaluating outcomes of care (C4,
PLO 2)

2. Document patient record systematically and manage time effectively for assessment,
treatment and documentation (P3, PLO 10)

Demonstrate a caring attitude, teamwork, and professionalism and effectively

communicate with patients, carers, and colleagues. (A3, PLO 5)

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NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC AND PALLIATIVE CARE
SEMESTER MAY 2023

CLINICAL PLACEMENT / PRACTICUM HOURS

 You need to be SELF-DIRECTED in implementing your learning activities.

 There is NO Local Preceptor to supervise and guide you.

 This practicum takes place in your respective area of practice, and your official working
hours are considered as the practicum hour.

 You must carry on with your normal tasks and responsibilities at your respective working
place.

 In order to achieve the objectives of this clinical component, you are expected to apply
or practice all skills that you have learned from the specific practicum wherever possible.

 You should be able to organized your activities and perform your roles effectively in
areas relating to patient management, assessment, communication, and clinical decision
making.

 By the end of the day, you MUST record your attendance as an evidence for your clinical
experience in general practicum. Make sure that you have achieved a minimum of 80
hours. Please refer to Table 1.

Table 1: Estimation of Time Accumulation of Clinical Placement and Practicum Duration

Clinical Placement Practicum Duration

Elective Practicum (2 Credits): 80 Notional Hours

 Practicum takes place in specific respective area Recommended practicum
of practice. Your official working duty or shift is hours:
considered as the practicum hour;
 5.7 hours per day in 14
 You are self-directed in implementing your days in a time frame of 12
learning activities. You are expected to apply or weeks or per semester; or
practise skills that you have learnt from the
specific practicum whenever possible; and  At least 8 hours per day
and 10 days for 2 weeks or
 There is NO clinical preceptor will be assigned to any days in this semester.
you.

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NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC AND PALLIATIVE CARE
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ASSESSMENT METHODS

The assessment will be based on your performance in the following subdivision of NBCP
3812 Clinical Practice Rehabilitation Geriatric and Palliative Care. Please refer to the
detail information and instructions in the respective sections.

ALLOCATION
SN ASSESSMENT METHOD REMARKS
OF MARKS
2500- 3000 words (to be
1 Reflective Journal 50%
submitted to e- tutor’s email)
2 Clinical Procedural 40% As stipulated in page 5 & 6
Provide evidence such as punch
3 Attendance Record 10% card (photocopied) and verified by
the Superior
TOTAL 100%

1. REFLECTIVE JOURNAL – 50%

A reflective journal often called a learning journal is a steadily growing document that
you (student) personally write, to record your learning experiences and the progress of
your learning. It is a space where students can record and reflect upon their
observations and responses to situations, which can then be used to explore and
analyze ways of thinking.

The ability to reflect on one’s learning is a fundamental and vital skill for lifelong
learning. Therefore, developing students’ capacity to engage in reflective practices has
been recognized as an essential goal in higher education and especially for preparing
students effectively for their personal and professional development. (Alt &
Raichel,2021)

It is designed to help you think deeply about your learning, especially on issues such
as: your progress in learning, the difficulties you encountered in the process of
learning, the strategies you have taken to get around those difficulties, and your
evaluation of your own performance.

Therefore, the task of submitting reflective journal writing is given to students because
of the established link between reflection and deeper learning. As well as facilitating
learning, the intention of the task of reflective journal writing is for students to acquire a
habit of reflection, achieve high levels of self-awareness and grow in the profession of
nursing.

Requirement:

You are required to write a Reflective Journal to reflect and record your learning
experiences during the tenure of this practicum based on your area of practice as
stipulated in the suggested learning activities that you think significant to your learning
and professional development. (You are required to select any of your learning

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NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC AND PALLIATIVE CARE
SEMESTER MAY 2023

experience at your own clinical area related to your current clinical

specialisation).
Reflective Journal Writing Guidelines
The following may provide you with a framework upon which to build each journal
entry.  You are not required to set up your journal entries this way; however, it may
be helpful if you are feeling a little tangled or stumped

Item 1: Title:
"What are the most significant contemporary issues in rehabilitation, geriatric,
and palliative care, and how can they be addressed to improve the quality of
care for older adults with complex medical needs in your community?”

Item 2: Introduction
Brief introduction: 3 – 4 paragraphs that introduce the particular situation from
your clinical experience that you will be writing about.  The introduction should
set the context for the reflective entry.  The introduction must also include
other key concepts that will be discussed in the entry.

Item 3: Trigger Event

The trigger event is a positive or negative impression evoked by physiological
and psychological safety, behaviours, ideas related to health care
management, that intrigue you. This section should be 3 - 4 sentences that tell
the reader why you have chosen to write about this particular situation or
about an incident from your clinical experience.

Item 4: Appraisal
This section offers you the opportunity to identify and clarify a concern and
engage in self-examination.  Perhaps begin with those who face a similar
contradiction.

This section needs to be 1 – 2 paragraphs in length.  In this section, you return
to the situation and ask: “What is generally known about this issue?”, “What
does the literature say about it?”  There is a requirement to use the literature
(scholarly writing in textbooks and professional journals) to support your
thoughts and ideas.

Item 5: Exploration
This section provides you with the opportunity to take the time and begin
searching for new ways of explaining discrepancies in your understanding or
new ways to live with them.  Test options and search for new meanings –
develop alternative perspectives: come to a way of thinking and acting that
you feel make sense of a situation – it is a transition stage.

Leaving behind a familiar but inappropriate assumption can be a wrenching

experience.  A common tendency is to hand onto the assumption or
behaviour. Try to modify it to fit the situation more closely.

Include 2 - 3 paragraphs describing how this process has affected your

understanding, your sense-making of what you wrote in the initial paragraphs.
Are there other ways to look at the situation?  What did you read in the
literature that led you to think differently about the experience?

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NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC AND PALLIATIVE CARE
SEMESTER MAY 2023

Item 6: Integration
This section should be 1 – 2 paragraphs in length.  You may begin by asking
yourself, “Have I learned something that I think will inform / further my
professional development? Something I had not thought of before?”  Line what
you knew before to what you know now and to how this might affect your
thinking and/or your responses (language and/or actions) in the future

Item 7: Conclusion
The conclusion should be concisely and precisely written that builds new
knowledge and draws out personal learning and professional development.

Item 8: References
Should be in the APA Version 7.0 format

The Writing Format

 Word count: 3000

 Font: Times New Roman / Arial, Size 12
 Spacing: 1.5
 Binding: combed

Additional Instruction:
 You can write your Reflective Journal either in English or Malay
 You are encouraged to observe the Reflective Journal Writing Guidelines
provided above
 The evaluation of this Reflective Journal writing is using the Rubric as illustrated
in Appendix 1
 Submit your work directly to e- Tutor to his/her OUM Gmail.
 Plagiarism will not be tolerated. Marks will be deducted.
 Date of submission is on 15th AUGUST 2023 (11.59PM)

....................................................................................................................................................

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NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC AND PALLIATIVE CARE
SEMESTER MAY 2023

2. CLINICAL ACTIVITIES - 40%

This is SELF-DIRECTED learning. Hence, you are required to plan your learning
activities to fulfill the objectives of your general practicum.

Below is a list of suggested Learning Activities which you should perform at least
FIVE of them and document / summarize as per format provided. The summary of
each activity should be written in not less than one page (approximately 200 words;
with 1.5 spacing); and MUST be verified by your Superior.

You may add any other relevant learning activities that positively ameliorate your
learning and professional development.

2.1 Rehabilitation Geriatric and Palliative Care Management:

Perform clinical care in rehabilitation geriatric or palliative care in your setting.

2.2 Communication Skills:

Apply effective communication skills with patient, team members and family using
standard practices.

2.3 Team Building / Collaboration:

Participate with team members and/or collaborate with other healthcare

professional in delivery of care / services.

2.4 Psychosocial Care:

Deliver independently and/or participate with team members in provision of

psychosocial care for patients and healthcare professional.

2.5 Management and Leadership skills:

Engage in any form / level of management process and/or leadership capability

in geriatric and palliative care.

2.6 Clinical Decision Making:

Play a substantial role in clinical decision making to achieve positive safety and
health outcomes.

2.7 Research Activities and Evidence-based Practices:

Involve any form / level of research activities and evidence-based practices.

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SEMESTER MAY 2023

The Format for Documenting Learning Activities:

Date / Time: ……………………………………………………………………..............

Workplace / Unit: …………………………………………………………………………
Title of Learning Activity / Task: ………………………………………………………...
Summary: …………………………………………………………………………………

Verified by: (Name / Post & Signature) …………………………………………………

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NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC AND PALLIATIVE CARE
SEMESTER MAY 2023

3. ATTENDANCE RECORD – 10%

RECORD OF ATTENDANCE FOR CLINICAL PRACTICE HOURS

Please record your Attendance for Clinical Practice Hours in the table below. Make sure that
you have achieved a minimum of 80 hours of clinical practice hours at your own workplace
and be verified by your superior. This is MANDATORY.

Attach the verified photocopies of your Records of Working Hours (e.g. Punch Card) to
substantiate the total number of your Clinical Practice hours.

No. Date & Time Total Hours Superior’s Signature

1 3/7/2023 8

2 5/7/2023 8

3 6/7/2023 8

4 7/8/2023 8

5 8/7/2023 8

6 11/7/2023 8

7 12/7/2023 8

8 17/7/2023 8

9 18/7/2023 8

10 19/7/2023 8

11 20/7/2023 8

12 21/7/2023 8

13 24/7/2023 8

14 25/7/2023 8

TOTAL HOURS 112

IMPORTANT INSTRUCTION TO STUDENT.

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NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC AND PALLIATIVE CARE
SEMESTER MAY 2023

The Reflective Journal should be compiled separately from the rest of the documents for
submission. Thus, section 2, 3, & 4 should be compiled in one. Please use the checklist
provided below to organize your work appropriately.

Checklist of Items for Submission

SECTION ITEMS YES NO

1 Reflective Journal – email to your e-tutor

2 Learning Activities – all activities are summarized and verified by

superior.

Attendance Record:
3
 Clinical practice hours (min 80 hours) – verified by superior
4 Student’s Evaluation of Clinical Practice 1

Please take note that the Cover Page of your Reflective Journal and compilation of other
parts of your work / documents (Section 2, 3 & 4) MUST use the format for Front Page as
provided in Appendix 3

Appendix 1
RUBRICS FOR REFLECTIVE JOURNAL

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NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC AND PALLIATIVE CARE
SEMESTER MAY 2023

COURSE CODE: NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC

AND PALLIATIVE CARE

Criteria Weight Excellent Above Average Fair Low Score

-age (4) (3) (2) (1) (0)

1. 1 The The introduction The The Does not clear 4

Title & introduction is is good; areas to introduction is introduction is explanations on
Introduction excellent; be discussed are fair; areas to be poor; areas to introduction
states the relatively clear discussed are be discussed are
particular and organized vague and very vague and
situation of but disorganized disorganized
the clinical inadequately
experiences explained
involved. The
context and
concepts that
will be
discussed in
the reflective
entry are
explicitly
explained

2. 4.5 Demonstrates Illustrates Includes Merely includes Does not 18

Reflections: an ability to satisfactory description of descriptions of demonstrate
Ability to proficiently ability to relate events, and a theoretical reflection
integrate reveal acquired little further knowledge; no
learning into reflection and knowledge to consideration reflection is
real-world deep thinking previous behind the demonstrated
experiences of acquired experiences; events using a beyond the
and analyze knowledge demonstrates relatively descriptions
issues with a and concepts, attempt to descriptive style
critical attitude and integrate analyze the of language; no
them into issues from a evidence of
different number of using multiple
issues from different perspectives in
wide range of perspectives analyzing the
perspectives issues
(e.g. different
contexts,
cultures,
disciplines
etc.); creative
solutions and
critical
thinking skills
demonstrated
in the writing

3. 2.5 Demonstrates Demonstrates Demonstrates Does not show Demonstrates a 10

Presentation: a well-focused clear arguments vague any original very bad entry;
Articulation writing; or perspectives; arguments or thinking or the work is

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NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC AND PALLIATIVE CARE
SEMESTER MAY 2023

and arguments or organized flow perspectives; perspectives; completely not

organization of perspectives in writing but the writing chaotic in original
ideas and are precisely not deep lacked an organization
perspectives defined and enough to be organized flow and
explained; very insightful and the ideas presentation of
demonstrates were hard to ideas
coherent flow follow
in developing
an insightful
idea

4. 2.5 Demonstrates Demonstrates Demonstrates Demonstrates Does not 10

Completeness: concrete journal entries weak no connections demonstrate
Incorporation connections that is generally connections between journal any feature of
of the journal between connected; still between journal entries. The journal entry
entries into a journal entries able to observe entries; entries are
whole, into a whole; how the student development mere
demonstration signifying develops during gained from the descriptions of
of the learning clear steps in the learning learning process events rather
process the process is hardly than showing a
developmenta observed sequence of
l learning learning steps
process

An excellent
5. 1 conclusion A good A fair A poor No conclusion 4
Conclusion which is conclusion conclusion conclusion
concisely and which indicates which indicates which does not
precisely considerable reasonable indicate an
written. It analysis and analysis and attempt to
provides synthesis of synthesis of synthesize the
concluding ideas ideas content of the
remarks that reflective
builds new journal
knowledge
and draws out
personal
learning and
professional
development

6. 1 All citations Most citations Some citations Citations for No reference or 4

References are included in are included in for statements statements citation
and Citations the journal the journal and included in the included in the
and references most references journal or journal are not
match the match with the references present, or
citations citations which are references
according to according to the included are not which are
the APA APA format found in the included are not
format text found in the
text

TOTAL SCORE 50

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NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC AND PALLIATIVE CARE
SEMESTER MAY 2023

Appendix 2

STUDENT’S EVALUATION OF CLINICAL PRACTICE 1

NBCP3812 CLINICAL PRACTICE REHABILITATION GERIATRIC & PALLIATIVE CARE

Name: ........................................................................... Matrix No: ....................................

Year: .............................................................................Semester: ....................................

Area of Practice/Discipline: ...................................... Course Code: ..............................

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NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC AND PALLIATIVE CARE
SEMESTER MAY 2023

INSTRUCTION

Tick (√) your level of agreement for each statements based on the scale. You may give your
opinion or suggestions in the comments section.

Your evaluation is important for continuous improvement of our programme and to enable us
to provide the best for you.

Scale: 1=strongly disagree 2= disagree 3= indifferent 4= agree 5= strongly agree

No Statement 1 2 3 4 5
I have adequate opportunities to enhance my clinical skills
1.
and knowledge
I have adequate opportunities to apply the theory that I have
2.
learned into your work tasks
I have adequate opportunities to perform the required
3.
learning activities
I have adequate opportunities to achieve my learning
4.
outcomes
5. The length of clinical placement was adequate
My Superior was supportive of my learning needs and
6.
activities
The faculty was able to address my concerns / problems /
7.
questions as regard to my learning needs

Comments:

__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Appendix 3

FACULTY OF TECHNOLOGY & APPLIED SCIENCES

BACHELOR OF MEDICAL AND HEALTH SCIENCES (HONS)

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NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC AND PALLIATIVE CARE
SEMESTER MAY 2023

CLINICAL PRACTICE RECORD

NBCP 3812 CLINICAL PRACTICE REHABILITATION GERIATRIC & PALLIATIVE CARE

STUDENT’S PARTICULARS

Name : MOHAN RAJ A/L MUNIANDY

Matrix No. : 840704145227001

Semester & Year : MAY & 2023

Ward / Area of Practice : EMERGENCY DEPARTMENT HOSPITAL KUALA LUMPUR

Name of Institution : OUM PETALING JAYA

e-Tutor : DR.JOHARI DAUD MAKAJIL

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