Unit rationale, description and aim

Occupational Therapists play a key role in maintaining older adults’ ability to actively engage in meaningful occupations to enhance participation, health and wellbeing. 

The overall aim of this unit is for students to apply knowledge about healthy ageing and wellbeing on occupational performance, roles and participation and to implement culturally appropriate, evidence-based occupational therapy interventions. Students will draw upon occupational therapy theories, principles and practices as applied to older adults. Consistent with World Health Organisation guidelines, Aged Care legislation in Australia requires services to implement a collaborative rights-based approach which is reflected in learning opportunities in this unit.

 This unit contains one learning outcome from the Aboriginal and Torres Strait Islander Health Curriculum Framework (HCF, 2014) specifically addressing the HCF cultural capability Respect.

2026 10

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Prerequisites

OTHY204 Occupational Participation and Disability AND (OTHY208 Clinical Counselling and Group Work OR OTHY212 Therapeutic communication and groupwork in Occupational Therapy OR OTHY306 Clinical Counselling and Group Work ) AND OTHY300 Neurological Rehabilitation 1 AND OTHY301 Mental Health Recovery in Occupational Therapy 2

Learning outcomes

To successfully complete this unit you will be able to demonstrate you have achieved the learning outcomes (LO) detailed in the below table.

Each outcome is informed by a number of graduate capabilities (GC) to ensure your work in this, and every unit, is part of a larger goal of graduating from ACU with the attributes of insight, empathy, imagination and impact.

Explore the graduate capabilities.

Analyse the influence of environmental factors on ...

Learning Outcome 01

Analyse the influence of environmental factors on the health, wellbeing and participation of older adults.
Relevant Graduate Capabilities: GC1, GC2, GC5, GC7, GC9, GC11, GC12

Evaluate the influence of intrinsic and extrinsic ...

Learning Outcome 02

Evaluate the influence of intrinsic and extrinsic factors associated with ageing in the promotion of people’s ongoing health, well-being and participation.
Relevant Graduate Capabilities: GC1, GC2, GC3, GC7, GC11, GC12

Collaborate with older adults to design interventi...

Learning Outcome 03

Collaborate with older adults to design interventions to support their health, wellbeing and occupational participation.
Relevant Graduate Capabilities: GC1, GC2, GC3, GC4, GC6, GC7, GC8, GC11, GC12

HCF 3.3 Design strategies for delivering culturall...

Learning Outcome 04

HCF 3.3 Design strategies for delivering culturally safe health care with respect to individual, cultural and linguistic diversity (ETP)
Relevant Graduate Capabilities: GC2, GC5, GC6, GC11, GC12

Content

Topics will include:

 

Ageing:

·      Health promotion, participation and wellbeing in older age

·      Theories of ageing

·      Consumer experiences and impact of ageing

·      Cultural perspectives of ageing

·      First People’s perspectives of ageing

·      Pathophysiological and psychosocial aspects of ageing

·      Ethical and medico-legal considerations

 

Legislative and Policy context:


·      World Health Organisation Guidelines and Frameworks

·      Australian Aged Care Act 2025

·      Australian Government Policies

 

Occupational therapy with older people in diverse contexts:

 

·      Mental health and cognition: dementia, delirium and depression

·      Falls: prevention and management

·      Home modifications and enabling environments

·      Advance care planning and end of life care

·      Assistive technologies

·      Driving, transportation and community access

·      Caregiving responsibilities and caring for older adults

·      Sexuality, intimacy and relationships in older age

·      Ageing in the workforce and transition to retirement

·      Residential aged care

Assessment strategy and rationale

OTHY400 consists of three authentic assessment tasks with real-world application for occupational therapists, encompassing the development of a group intervention program, client initial interview and reflection. The foundation of the assessments is the WHO Healthy Ageing Framework, utilising a strengths-based, age positive, collaborative approach to learning. 

Assessment 1 (Intervention proposal and group supervision) and Assessment 2 (Group Presentation) are linked.

Assessment 1 requires students to design an evidence based, innovative intervention in collaboration with consumer educators to promote healthy ageing.

Assessment 2 requires students to integrate feedback from Assessment 1 with key principles of age positivity, inclusion and cultural safety into an intervention program plan.

In Assessment 3, students interview an older person and reflect on the person’s life journey, experiences of ageing and the student’s own perceptions of healthy ageing and ageism. 

In order to pass this unit students must:

  • Demonstrate achievement of every learning outcome,
  • Attempt and submit each assessment task,
  • Obtain a minimum mark of 50% for the unit.

Overview of assessments

Assessment Task 1: Intervention design proposal ...

Assessment Task 1: Intervention design proposal and group supervision

Building upon knowledge and skills developed in ALHT211 Research and Evidence informed practice, students will examine the evidence and design an innovative intervention proposal to promote healthy ageing. Students will attend a group supervision session with consumer educators to reflect upon their intervention design. This Assessment will provide the foundation for Assessment 2 Group Presentation

Weighting

20%

Learning Outcomes LO1, LO2, LO3, LO4
Graduate Capabilities GC1, GC2, GC3, GC5, GC6, GC7, GC9, GC12

Assessment Task 2 : Group Presentation Students w...

Assessment Task 2: Group Presentation

Students will integrate their feedback and reflection from the Assessment 1 Intervention Design Proposal to plan an intervention program to present to the class. Students will use a strengths-based approach to support healthy ageing, and embed the principles of age positivity, inclusion, cultural responsivity and safety within their program.

Weighting

30%

Learning Outcomes LO1, LO2, LO3, LO4
Graduate Capabilities GC1, GC2, GC3, GC5, GC6, GC7, GC9, GC12

Assessment Task 3: Individual Written Assignment...

Assessment Task 3: Individual Written Assignment with Oral Reflection

An individual assessment requiring students to interview an older person and reflect on the older person’s life journey and experiences of ageing, and reflect on their own perceptions of healthy ageing and ageism.

Weighting

50%

Learning Outcomes LO1, LO2, LO3, LO4
Graduate Capabilities GC1, GC2, GC3, GC5, GC6, GC7, GC9, GC12

Learning and teaching strategy and rationale

This unit utilises a blended approach to learning. Lectures will be used to provide essential knowledge that will be applied in tutorials. Self-directed online learning will complement these approaches. Adopting a blended learning strategy supports students to meet the learning requirements, including completion of assessment tasks, in this intensive block-taught unit.

Learning is guided by real-world scenarios presented to students reflecting various contexts an occupational therapist may encounter with older people. Students engage in five (5) hours of professional practice in relation to Assessment 3. This involves students interviewing an older person about their experience of ageing, providing a person-centred understanding of ageing in Australian society. Students draw on their professional reasoning skills to identify ways to support an older person’s occupational participation, health and wellbeing. Learning and Teaching approaches included in this unit were developed in collaboration with First Peoples’ cultural advisors.

Australian Occupational Therapy Competency Standards (AOTCS) 2018

In connection to the learning outcomes, Australian occupational therapy competency standards (AOTCS) 2018 developed within this unit are:

  • Relating to

    Professionalism

    An occupational therapist practises in an ethical, safe, lawful and accountable manner, supporting client health and wellbeing through occupation and consideration of the person and their environment.

    An occupational therapist:

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Complies with the Occupational Therapy Board of Australia’s standards, guidelines and Code of conduct

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Adheres to legislation relevant to practice

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Maintains professional boundaries in all client and professional relationships

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Recognises and manages conflicts of interest in all client and professional relationships

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Incorporates and responds to historical, political, cultural, societal, environmental and economic factors influencing health, wellbeing and occupations of Aboriginal and Torres Strait Islander Peoples

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Collaborates and consults ethically and responsibly for effective client-centred and interprofessional practice

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Identifies and manages the influence of her/his values and culture on practice

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Practises within limits of her/his own level of competence and expertise

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Maintains professional competence and adapts to change in practice contexts

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Identifies and uses relevant professional and operational support and supervision

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Addresses issues of occupational justice in practice

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Recognises and manages any inherent power imbalance in relationships with clients.

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Knowledge and learning

    An occupational therapist’s knowledge, skills and behaviours in practice are informed by relevant and contemporary theory, practice knowledge and evidence, and are maintained and developed by ongoing professional development and learning.

    An occupational therapist:

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Applies current and evidence-informed knowledge of occupational therapy and other appropriate and relevant theory in practice 

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Applies theory and frameworks of occupation to professional practice and decision-making

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Maintains and improves currency of knowledge, skills and new evidence for practice by adhering to the requirements for continuing professional development

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Implements a specific learning and development plan when moving to a new area of practice or returning to practice

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Maintains knowledge of relevant resources and technologies, and

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Occupational therapy process and practice

    An occupational therapist’s practice acknowledges the relationship between health, wellbeing and human occupation, and their practice is client-centred for individuals, groups, communities and populations.

    An occupational therapist:

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Addresses occupational performance and participation of clients, identifying the enablers and barriers to engagement

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Performs appropriate information gathering and assessment when identifying a client’s status and functioning, strengths, occupational performance and goals

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Collaborates with the client and relevant others to determine the priorities and occupational therapy goals

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Develops a plan with the client and relevant others to meet identified occupational therapy goals

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Selects and implements culturally responsive and safe practice strategies to suit the occupational therapy goals and environment of the client 

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Seeks to understand and incorporate Aboriginal and Torres Strait Islander Peoples’ experiences of health, wellbeing and occupations encompassing cultural connections

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Reflects on practice to inform and communicate professional reasoning and decision-making

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Identifies and uses practice guidelines and protocols suitable to the practice setting or work environment

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Implements an effective and accountable process for delegation, referral and handover 

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Reviews, evaluates and modifies plans, goals and interventions with the client and relevant others to enhance or achieve client outcomes 

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Evaluates client and service outcomes to inform future practice

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Uses effective collaborative, multidisciplinary and interprofessional approaches for decision-making and planning

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Uses appropriate assistive technology, devices and/or environmental modifications to achieve client occupational performance outcomes, and

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Contributes to quality improvement and service development.

    Relevant Learning OutcomeLO1, LO2, LO3, LO4

  • Relating to

    Communication

    Occupational therapists practise with open, responsive and appropriate communication to maximise the occupational performance and engagement of clients and relevant others.

    An occupational therapist:

    Relevant Learning OutcomeLO1, LO2, LO4

  • Relating to

    Communicates openly, respectfully and effectively

    Relevant Learning OutcomeLO1, LO2, LO4

  • Relating to

    Adapts written, verbal and non-verbal communication appropriate to the client and practice context

    Relevant Learning OutcomeLO1, LO2, LO4

  • Relating to

    Uses culturally responsive, safe and relevant communication tools and strategies 

    Relevant Learning OutcomeLO1, LO2, LO4

  • Relating to

    Complies with legal and procedural requirements for the responsible and accurate documentation, sharing and storage of professional information and records of practice 

    Relevant Learning OutcomeLO1, LO2, LO4

  • Relating to

    Maintains contemporaneous, accurate and complete records of practice

    Relevant Learning OutcomeLO1, LO2, LO4

  • Relating to

    Obtains informed consent for practice and information-sharing from the client or legal guardian

    Relevant Learning OutcomeLO1, LO2, LO4

  • Relating to

    Maintains collaborative professional relationships with clients, health professionals and relevant others

    Relevant Learning OutcomeLO1, LO2, LO4

  • Relating to

    Uses effective communication skills to initiate and end relationships with clients and relevant others

    Relevant Learning OutcomeLO1, LO2, LO4

  • Relating to

    Seeks and responds to feedback, modifying communication and/or practice accordingly, and

    Relevant Learning OutcomeLO1, LO2, LO4

  • Relating to

    Identifies and articulates the rationale for practice to clients and relevant others.

    Relevant Learning OutcomeLO1, LO2, LO4

Representative texts and references

Representative texts and references

Australian Government. (2024). Aged Care Act 2024 (Cth). Federal Register of Legislation. https://www.legislation.gov.au/C2024A00104

Biggs, J & Tang, C. (2011). Teaching or quality learning at university. (4th ed). New York: Open University Press

Bonder, B., & Bello-Haas, V. (2018). Functional performance in older adults (4th ed.).F.A. Davis Company.

Cousins, W., & McKenna, K. (2019). Occupational therapy and the language of healthy ageing. Australian Occupational Therapy Journal, 66(5), 394–396. https://doi.org/10.1111/1440-1630.12745onlinelibrary.wiley.com

Hill, S. (2020). Healthy ageing through participation in community-situated activities: A scoping review. Australian Occupational Therapy Journal, 67(4), 306–318. https://doi.org/10.1111/1440-1630.12802onlinelibrary.wiley.com+1research.monash.edu+1

Meechan, E., Geia, L., Taylor, M., Murray, D., Stothers, K., Gibson, P., Devine, S., & Barker, R. (2024). Culturally responsive occupational therapy practice with First Nations Peoples—A scoping review. Australian Journal of Rural Health, 32(4), 617–671. https://doi.org/10.1111/ajr.13143

Mukhalalati, B. A., & Taylor, A. (2019). Adult learning theories in context: A quick guide for healthcare professional educators. Journal of Medical Education and Curricular Development, 6, https://doi.org/10.1177/2382120519840332

Pozzi, C., Lanzoni, A., Graff, M.J.L., Morandi, A. (Eds.) (2020). Occupational therapy for older people. Springer International Publishing

Scaffa, M. E., & Reitz, S. M. (2020). Occupational therapy in community and population health practice (3rd ed.). F.A. Davis Company.

World Health Organization (2021). Decade of Healthy Ageing: Baseline Report. https://www.who.int/publications/i/item/9789240017900

World Health Organization (2017). Integrated care for older people: Guidelines on community-level interventions to manage declines in intrinsic capacity. https://apps.who.int/iris/handle/10665/258981.

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