The ACES Unfolding Cases (Advancing Care Excellence for Seniors) are designed to advance the care of older adults through simulation experiences specifically developed to help learners understand their complex needs. There are four unfolding cases, each containing a combination of simulation scenarios and standardized patient scenarios. A unique feature of the ACES cases is the unfolding case concept, where an introductory monologue and 3 scenarios present the same patient at 4 different points in time. The case evolves over time in a way that is unpredictable to the student, thereby emphasizing individualized aging, complexity of care and vulnerability during transitions and helping students to understand the importance of continuity in care. There are a total of 4 unfolding cases with the set. While each of the scenarios within each case can be purchased individually, students will learn much more if they work through the entire case.
Each case includes an introductory monologue where the patient presents his or her current life situation, toolkits to assist faculty with ideas for using the monologues and for suggestions on implementing the simulations, and a “Finish the Story” exercise where students, having seen a patient at three different points on the continuum of care, are asked to consider what they expect the patients’ condition to be about three months later. As support for the instructor, the scenarios also contain guided refection questions for use during debriefing. The questions have been developed to address both The ACES Essential Nursing Actions and QSEN competencies.
The ACES Unfolding Cases also contain features that will help faculty integrate the cases into curricula. The cases are mapped to the NCLEX 2013 Test Plan Categories, and activities in the simulations are mapped to the QSEN competencies, and are divided into activities related to the QSEN knowledge, skills and attitudes (KSAs). In addition, the cases contain suggestions for how the scenarios may be adapted for use in interprofessional education programs.
Seven ACES cases are made for use with a range of Laerdal simulators, controlled by LLEAP or SimPad, and five are made for use with standardized patients in combination with LLEAP or SimPad.
There are 3 purchase options: a complete set of 12 scenarios (all four cases, each with 3 scenarios); one case (containing 3 scenarios); and individual scenarios.