Home Health Aide (Dementia)

Hybrid-based
ONET: 31-1011.00

1

Years

20

Skills

700h

On-the-job training
Classroom instruction topics
  • Alzheimer’s disease and related Dementia’s; stages, early signs, treatments, physical changes
  • Psychoactive medications in dementia and cognitively impaired adults
  • Developing a therapeutic environment for the cognitively impaired client
  • Support and resources for family and caregivers
  • Role of the HHA Dementia Specialist with family caregivers and the health care team
On-the-job training
  • Role of the HHA in caring for cognitively impaired clients
    • Use care plan for interventions and report successful interventions to 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 and their families
    • Demonstrate redirecting a client
    • Demonstrate use of validation therapy
    • Verbalize and demonstrate various approaches for a client who is resisting personal care that will maintain dignity and respect
    • Demonstrate appropriate interventions for client who is yelling or screaming
    • Demonstrate therapeutic communication with significant others
    • Demonstrate coaching techniques to help other caregivers and family members cope with the Dementia process
  • Provide assistance with independence, mobility, and therapeutic activities
    • Demonstrate use of therapeutic activities/exercises to maintain joint function for the cognitively impaired client
    • Implement care strategies that encourage independence in activities of daily living without increasing client anxiety, respect the clients dignity and desire for control
    • Implement therapeutic activities appropriate for early, middle, and late states of Dementia
    • Demonstrate use of therapeutic activities to de-escalate a client who is anxious
  • Uses nutritional interventions to enhance nutritional well being
    • Demonstrate adapting 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
  • Psychoactive medications and side effects
    • Describe basic features of psychoactive medications and their side effects
    • Demonstrate ability to 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
    • Is able to 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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