Client Care Work Sheet Companion Care Aide Personal Care Aide Home Health Aide
Assist with personal care i.e. bathing, dressing, grooming and hygiene, companionship and medication reminders. No hands on care can be permitted with a caregiver. PCA’s and HHA’s Only. X X X
Linen Change and laundry including sheets, towels and clothing X X X
Meal preparation including special diets followed by dishes and kitchen clean up. X X X
Grocery shopping, pharmacy pick up and other errands Such as Transportation or accompaniment to the bank, salon, religious services, airport, medical and other appointments. X X X
Maintenance of an already clean home including vacuuming, dusting, mopping, counter tops, sweeping house, patio, bathroom, kitchen care, and taking out the garbage. X X X
Provides a supportive environment and ongoing reality orientation to confused patients using appropriate interpersonal behavioral techniques. X X X
Feed pets and water plants. X X X
Special projects at the client’s direction such as cleaning closets. X X X
Maintain Calendar and organize mail. X X X
Engage in activities such as board games and memory books and reading. X X X
Record daily notes and report any change in patient’s mental and physical condition or situation to the nurse. X X X
Preparing and serving normal diets. Assisting patient with eating monitors intake. X X X
Assisting with care of teeth and mouth. Stand by X X
Assistance with exercise programs and range of motion as directed by a medical professional. X X
Assisting patient with self-administered, oral medications that have been ordered by the Doctor. X X
Use of special equipment i.e. hoyer lift. X X
Assisting patient on and off bedpan, commode and toilet. X X
Assistance with exercises programs and range of motion as directed by a medical professional. X X
Administer special skin care as directed. X X
Collect stool, sputum and urine specimens using appropriate techniques. X X
Reinforce dressing and change simple non-sterile dressing.** X X
Assist with the use of devices geared to disability to aid in daily living.** X X
Assist patient with prescribed exercises which the Home Health Aide has been taught by the appropriate professional personnel. ** X X
Apply prescribed ice cap or ice collar. ** X X
Take and record Temperature, pulse and respiration as directed. X
Measure and record intake and output. X
Reinforce Sterile dressing. X
Empty Urinary or Ostomy Bag, and changes to a Colostomy bag. X
Cleanse Catheter Insertion Site. X
Assisting patient in transferring from bed to chair, to wheelchair and in walking with or without devices. X
ADDITIONAL SERVICES: Bath Visits: *$50 per person not to exceed 1 hour of care. Add $25. additional per half over or part thereof. Rise and Shine Visit: *$50 per person not to exceed 1 hour of care. Add $25. additional per half over or part thereof. Fluff and Tuck: *$50 per person not to exceed 1 hour of care. Add $25. additional per half over or part thereof. Interview Representative: *$75 To assist and accompany family during the interview process in the clients home if needed. * All additional services are based on availability and care for 1 person.

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