Module Details

HS867-7-LV-CO: Care Of The Person Who Lacks Capacity

Note: This module is inactive. Visit the Module Directory to view modules and variants offered during the current academic year.

Year: 2017/18
Department: Health and Human Sciences
Essex credit: 15
ECTS credit: 7.5
Available to Study Abroad / Exchange Students: No
Full Year Module Available to Study Abroad / Exchange Students for a Single Term: No
Outside Option: No

Supervisor: Mr Steve Wood
Teaching Staff: Cathy Constable, Kath Burke, Annette Colman
Contact details: Ian Mountenay 01206 874488

Module is taught during the following terms
Autumn Spring Summer

Module Description

This module aims to introduce the students to the need to working alongside patients who have limited capacity. The aim is to address the process of achieving patient centred care in situations in which the client may have needs that cannot be easily articulated or addressed. Clarification, non verbal assessment, clinical decision making, cognitive and physical intervention and the maintenance of personhood will be explored. Collaborative provision through the use of a strength based network of formal and informal care will also be addressed. Students will be introduced to major problems associated with the loss of mental and physical capacity in clients and nursing approaches to address these problem areas. Legal and ethical issues related to mental capacity will also be explored recognising changes in care approaches related to contemporary legislative change.

Learning and Teaching Methods

The module will combine a number of different teaching approaches. Person centred care skills will be developed through seminar and case study presentations; participation in groups; discussion of client needs and experiences with carers and professional colleagues. There will be skills focussed practical sessions; including the use of simulated practice and skill enhancement sessions. In addition, lectures will introduce key concepts. Problem based learning will enable the student to assimilate and critique the use of person centred concepts with different client groups.

Individual tutorials, as negotiated between student and academic supervisors and experiential learning in practice based placements with experienced health practitioners, working with patients who lack capacity, will further support teaching and learning.

Learning will be enhanced by developing the ability to locate, assemble and appraise material from a variety of sources for the assessment and through the use of academic skills such as, the interpretation and integration of clinical experience with theoretical knowledge.

It is expected that you will meet with your personal tutor at least once during the module.

Assignment workshops and group tutorials have been scheduled as part of the module.


100 per cent Coursework Mark

Other information

A care study (2000 words) that reflects upon the actual nursing implementation strategies used during the delivery of a planned multidisciplinary client centred care package. The essay should demonstrate a critical understanding of the implementation of interventions selected for this particular patient at this particular point in their care delivery. Rational for the approach taken and evaluation of its outcome in practice should be the focus of the written material presented in the care study. The essay should also demonstrate a reflexive approach on the part of the student in response to the reduced capacity on the potential for social, psychology and biological recovery. Weighting 70%

Objective Structured Clinical Examination (20 minutes) based on a conversation in which information is being shared with a patient's relative. Weighting 30%

Placement pass. Demonstration of core professional values for the associated clinical placement. (Compulsory pass but no weighting).


  • Essential
  • Peate I (2010) Nursing care and the activities of living. Wiley Blackwell. Chichester.
  • Recommended
  • Adams T and Manthrope J (2003) Dementia Care. Arnold. London.
  • Barnes M P, Dobkin B H and Bogousslavsky J (2010) Recovery after stroke. CUP. Cambridge.
  • Brogden M and Nijhar P (2000) Crime, abuse and the elderly. Devon: Willan.
  • Bartlett P, Lewis O and Thorold O (2007) Mental disability and the European Convention on Human Rights. Martinus Nijhoff. Leiden.
  • Emerson E (2001) 3rd Ed. Challenging behaviour: analysis and intervention in people with severe intellectual disabilities. CUP. Cambridge
  • Friedman J H (2008) Making the connection between brain and behaviour: coping with Parkinson's disease. Demos health. New York.
  • Goldsmith M (1996) Hearing voices of people with dementia. Jessica Kingley. London.
  • Johnson C (2010) 2nd Ed. Medical treatment: Decision and the law: the mental capacity act in action. Bloomsbury professional. Haywards Heath.
  • Kennedy M R (2006) Exploring the education and training needs of mental health nursing caring for client with urinary incontinence: an action research study. Dissertation. University of Essex.
  • Kitwood T (1997) Dementia Reconsidered: The person comes first. Open University Press. Milton Keynes
  • Norman I and Redfern S (2003) Mental health care for elderly people. Churchill Livingstone London.
  • Mandelstam M (2009) Safeguarding vulnerable adults and the law. Jessica Kingsley. London.
  • Miller F G and Wertheimer A (2010) The ethics of consent: theory and practice. Oxford University Press. New York.
  • Mitchell D (2006) Exploring experience of advocacy by people with learning disabilities. Testimonies of resistance. Jessica Kingsley Philadelphia.
  • MacIntyre G (2008) Learning disability and social inclusion: a review of current policy and practice. Dunedin. Edinburgh.
  • O'Connor D and Purves B (2009) Decision making, personhood and dementia: exploring the interface. Jessica Kingsley. Philadelphia.
  • Pritchard J (2007) Working with adult abuse: a training manual for people working with vulnerable adults. Jessica Kingsley. London.
  • Redfern S and Ross F (1999) 3rd Ed. Nursing the older person. Churchill Livingstone.
  • Townsend M C (2008) Essentials of psychiatric mental health nursing: concepts of care in evidence-based practice. F A Davis Co. Philadelphia
  • Wilson B (2009) Neuropsychological rehabilitation: theory, models, therapy and outcome. CUP. Cambridge.
  • Wrycraft N (ed) (2012) Mental health nursing case book. OU press
  • Selected internet sources
  • Department of Health:
  • NICE Guidance:
  • Key documents including the NSF for the Older People:
  • Age concern:
  • Parkinsons UK:
  • Stroke Association:
  • Alzheimer's Society:
  • Diabetes UK:
  • Foundation for people with learning disabilities:
  • Young Minds:
  • NSPCC:
  • Human Rights Act (1998)
  • Mental Capacity Act (2005)
  • Safeguarding Vulnerable Groups Act (2006)
  • Journal Sources
  • Journal of lower genital tract disease
  • International journal of nursing practice
  • Journal of evaluation in clinical practice
  • Journal of general internal medicine
  • Journal of gerontological nursing
  • Journal of human nutrition and dietetics
  • Journal of Aging and Physical Activity
  • Journal of Psychiatric and Mental Health Nursing
  • Ageing and society

Further information