Daily or Weekly Services Include:

Daily or Weekly Services Include:
Daily or Weekly Services Include:HHA/CNA: Personal Care Services: Planning, preparation, and clean up of meals, making beds, changing sheets with the client in or out of bed, as required, brushing, combing, and shampooing hair; giving bed baths and assisting with other baths; brushing teeth, cleaning dentures when the client is unable; cleaning and cutting fingernails, toenails of clients without contraindicating conditions; shaving with an electric or safety razor, an electric razor must be used for the diabetic client or client with contraindicating conditions; giving assistance to and from the bed to a wheelchair, walker, or chair when a client is weight bearing, assisting the client with ordinairly self-administered medications (open bottles, get water); shopping for groceries or household items specifically required for the health and maintenance of the client; applying non-prescription topical ointments/lotions to unbroken skin at the client''s direction.HHA/CNA: Advanced Personal Care Services: Routine personal care for persons with ostomies (including tracheotomies, gastrostomies, and colostomies with well-healed stoma) and external, indwelling, and suprapubic catheters which includes changing bags, and soap and water hygiene around ostomy or cathether site; remove external catheters, inspect skin and reapplication of same; administer prescribed bowel program including use of suppositories and sphincter stimulation, and enemas (pre-packaged only) with clients without contraindicating rectal or intestinal conditions; apply medicated (prescription) lotions or ointments, and dry, non-sterile dressings to unbroken skin; use lift or transfers; manually assist with oral medications which are set up by a registered nurse or licensed practical nurse; provide passive range of motion (non-resistive flexion of joint) delivered in accordance with the plan of care, unless contraindicated by underlying joint pathology; apply non-sterile dressings to superficial skin breaks or abrasions as directed by a registered or licensed practical nurse; use universal precautions as defined by the Center for Disease Control.HHA/CNA: Homemaker Servces: Planning, preparation, and clean-up of meals, tidying and dusting the home; cleaning kitchen counters, cupboards, and appliances, including oven, surface burners, and inside refrigerator; cleaning bathroom fixtures; laundering clothes and linens; ironing and mending clothes; washing dishes, pots, pans, and utensils; washing inside windows and cleaning venetian blinds that are within reach without climbing; sweeping, vacuuming, and mopping floors; bagging trash inside the home and putting it out for pick-up; shopping for essentials items, and performing essential errands.HHA/CNA: Chore Services: Shampooing rugs without moving furniture; air mattresses and bedding; spray for insects within home with over the counter supplies; provide rodent control; and bag outside trash.HHA/CNA: Respite Care Services: require supervision, companinonship, and direct client assistance.LPN/RN: Nurse Respite Care: tracheostomy care requiring removal, cleaning, and replacing of tube; ventilator care; administration of tube feeding; suctioning; administration of medication requiring skilled care; diabetic monitoring (including client on sliding insulin scale); treatment of pressure sores; sterile dressing changes; colostomy irrigation, and/or catheter changes of catheterization.LPN/RN: Advanced Respite Care Services: Are essentially bedfast, requiring turning and positioning and or transferring from bed to chair with assistive devices; require assistance with elimination (ambulation, urinal, bedpan, catheters, and/or ostomies); have behavior disoders or disruptive behavior which require close monitoring; have health problems requiring prompting for self-administered medication or manual assistance with oral medications; have special monitoring and assistance needs due to swallowing problems, and have care needs similiar to clients for whom basic respite is appropriately authorized but with higher level of oversight required.