Home Health Aide - Dementia Specialty
Competency-based
ONET: 31-1011.00
1
Years
71
Skills
147h
Related instructions
Classroom instruction topics
- Understanding and Working with Parkinson’s Clients
- Understanding and Working with Geriatric Clients
- Fall Prevention, Wandering, and Elopement
- Understanding and Working with Hospice Clients
- Understanding and Working with IDD Clients
- Understanding and Working with Diabetes Clients
- Understanding and Working with Behavioral Health Clients
- Proper Use of Equipment
- Personal Care Skills
- Understanding and Working with Parkinson's Clients
- Provide Assistance with Independence, Mobility, and Therapeutic Activities
- Home Health Aide Supplemental Skills
- Employee Wellness
- Caring for Cognitively Impaired Clients, including the following: Understanding Alzheimer's Disease and Dementia, Role of the HHA in Caring for Cognitively Impaired Clients, Demonstrate Effective Communication & Interaction with Cognitively Impaired Clien
- Psychoactive Medications and Side Effects
- Observation, Documentation, and Communication
- Role of the Home Health Aide
- Client Rights and Confidentiality
- Understanding Body Systems
- Disease and Condition Management
- Compliance and Safety; Recognize/Respond to Emergencies According to Emergency Procedures; and Infection Control
- Health Related Tasks
On-the-job training
- Role of the Home Health Aide
- Demonstrate HHA professionalism in appropriate dress, punctuality, and performance in accordance with agency policies and HHA roles
- Client Rights and Confidentiality
- Demonstrate ways of protecting client’s privacy
- Respect the confidentiality of client information and agency confidentiality guidelines
- Recognize causes and types of abuse, appropriate response and reporting requirements
- Communication
- Notify supervisor promptly in relation to client’s needs, concerns and/or problems encountered
- Provide report to designated staff according to procedure
- Personal Care Skills
- Assist clients with bathing according to client preference and plan of care
- Provide clients with bed baths according to proper procedure when indicated
- Shampoo clients’ hair in bed when indicated
- Assist clients with oral hygiene and care according to individual needs and plan of care
- Shave clients using proper procedure (facial hair only) with electric shaver
- Turn clients in bed according to proper procedure
- Assist clients with eating
- Assist clients with dressing
- Assist clients with the use of elastic support stockings
- Make an occupied and unoccupied bed
- Assist clients with toileting needs including demonstrating proper use of bedpan, urinals and/or commode (and use of adult diaper or incontinence products as needed)
- Provide pericare as indicated in plan of care
- Assist clients with use of condom catheters and daily catheter care
- Use proper technique and use of lift equipment (transfer technique)
- Clean and ensure appropriate function and care of non-medical appliances such as glasses, hearing aids, prostheses and assist with application as indicated by plan of care
- Health Related Tasks
- Observe, record, report and document client status/changes and care/services furnished and provide information to the supervisor according to policy
- Accurately measure and record temperature and blood pressure
- Collect routine urine and stool specimens according to proper procedures
- Prepare and assist clients with complex modified diets
- Assist clients with prescribed exercise programs, including walking, standing
- Assist with the use of prescribed medical equipment, supplies and devices
- Assist with special skin care to prevent ulcers; observe, record and report skin conditions including signs and symptoms of sepsis
- Assist clients with ileostomy, colostomy, gastrostomy and tracheostomy care by cleaning
- Assist with meal planning, food preparation and serving, food shopping, storage and handling
- Assist with the preparation of simple modified diets
- Assist clients with care of the home and personal belongings
- Assist clients with self-administration of medicine as allowed by law
- Recognize pain in client; report client pain to supervisor per policy
- Assist with nutrition and fluid intake, measure and record when indicated on plan of care
- Assist and encourage clients to consume nutritional supplements/snacks as indicated on plan of care
- Infection Control Procedures
- Use proper hand washing procedures
- Implement standard precautions as indicated
- Safety and Recognize/Respond to Emergencies According to Emergency Procedure
- Maintain clean, safe and healthy environment; assist with assessing home for possible hazards and fix
- Use proper body mechanics at all times and incorporate safe transfer techniques
- Assist in motion and positioning of client in transfer and ambulation
- Comply with plan of care procedures in case of emergencies in the home
- Assist in checking equipment before use and notify supervisor of any problems identified
- Understanding the Needs of Various Groups of Clients and Ways to Work with Them
- Follow the plan of care for the special needs of physically disabled clients and report any needed changes to the plan
- Follow the plan of care for the special needs of the aging clients and report any needed changes to the plan
- Follow the plan of care for the special needs of clients who are dying, assist their families, and report any needed changes to the plan
- Follow the plan of care for the special needs of clients who are cognitively impaired or mentally ill, and report any needed changes to the plan
- Proper Use of Equipment
- Properly assist client in and out of a wheelchair and properly open and close a wheelchair
- Properly transfer client using slide board
- Properly place gait belt around client to provide assistance when standing, walking, and transferring
- Provide stand by assistance for client when using a rollator
- Role of the HHA in Caring for Cognitively Impaired Clients
- Use care plan for interventions and report interventions and their result to the supervisor and family
- Monitor and document episodes of targeted behaviors and/or new behaviors
- Recognize signs of stress and strategies for coping within self, other caregivers, and family members
- Demonstrate Effective Communication & Interaction with Cognitively Impaired Clients and their Families
- Redirect a client
- Use validation therapy, communicating with people who have dementia in a way that acknowledges their words and actions with respect and empathy
- Verbalize and demonstrate various approaches for a client who is resisting personal care that will maintain dignity and respect
- Use appropriate interventions for client who is yelling or screaming
- Use ongoing communication with significant others
- Use coaching techniques to help other caregivers and family members cope with the dementia process
- Provide Assistance with Independence, Mobility, and Therapeutic Activities
- Assist with activities/exercises to maintain joint function for the cognitively impaired client
- Implement care strategies that encourage independence in Activities of Daily Living (ADL’s) while minimizing increasing client anxiety, respect the client’s dignity and desire for control
- Assist with activities appropriate for early, middle, and late states of dementia
- Use activities to de-escalate a client who is anxious
- Use Nutritional Interventions to Enhance Nutritional Well Being
- Adapt meal preparation to maximize nutritional intake (i.e., offering small servings, finger foods, introducing foods one at a time, frequency meals, snacks, and fluids that are acceptable to cognitively impaired clients)
- Explain modifications needed to maintain nutritional status to the client and supervisor
- Psychoactive Medications and Side Effects
- Describe basic features of psychoactive medications and their side effects to the client and supervisor
- Observe, record and report side effects
- Maintain a Safe Environment for Cognitively Impaired
- Maintain a safe environment for wandering clients
- Maintain safety from potential toxic substances that the confused client may attempt to ingest
- Implement interventions to minimize environmental stimuli that may increase a confused client’s agitation, (i.e., noise levels, large groups, television, and radio)
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