Training Modules


MODULE I

 

  • Elderly people newly diagnosed with chronic illness or disabled feel more comfortable at home. Home care provides opportunity for them to remain in familiar surroundings.

  • Care plans will be completed by an R.N. and reviewed with the HHA who will follow it. R.N. will visit during the first 3 days, if the care plan is not in the  house provide basic personal care to the patient and call the coordinator for further instructions.

  • Always report any changes observed in physical, mental or medical states of  the patient so the nurse can update the care plan. Document every observation and procedure and change

  • Pt is a priority in care; his comfort and hygiene have to be maintained. Skin is very fragile, increases the risk of injury and breakdown.

  • Patient will participate in his care and make decisions as much as possible to show respect and encourage independence.

  • People with terminal illnesses will be provided hospice care, which assigned for people who have 6 months or less to live.

 

  

 

  • Integument (pg. 435)

  • Osteoporosis   (pg. 438)

  • Psychological (pg. 440)

  • Atrophy (pg. 428)

  • Pressure ulcer (pg. 440)

 

 

 

 

 

 MODULE II

 

 

  • HHA will work with the client to meet his/her basic physical and psychosocial needs.

  • Basic physical needs: Food, water, shelter and sleep.

·Psychosocial needs:

  • Acceptance by the society and family. Giving choices to show respect

and encourage independence

  • Every client will have different spiritual needs and beliefs they have to be respected and given a chance to continue it. Family dynamics have to be respected.

  • Verbal communication involves the use of words or sounds, spoken or written

  • Non-verbal communication is the way we communicate without using words

(body movements)

  • Always document care provided immediately after it has been completed. If it is not documented, it has not been done.

·Do not record care before completing it.  Incident reports done by HHA, if client falls client breaks or damages something mistake in care was done.

 

 

WORDS TO LOOK UP IN GLOSSARY AND STUDY:

  • Verbal communication (pg. 444)

  • Non-verbal communication (pg. 437)

  • Objective information (pg. 437)

  • Subjective information (pg. 442)

 

 

 

 

 

 DONT’S FOR HHA AND PCA’S

 

  1. Administer any medications.

  2. Assist, handle, or change any sterile dressing.

  3. Assist or help give an Enema

  4. Assist or touch colostomy irrigation.

  5. Assist or touch gastric lavage or gavage.

  6. Apply heat/cold in any form, i.e. heating pads, compresses, Ice Packs, Etc.

  7. Care for or touch tracheostomy tube.

  8. Assist with or help with vaginal irritation.

  9. Give any time of injections

  10. Make judgments or give advice on medical or nursing problems.

  11. Perform any personal care not included by the nurse in the plan of care.

  12. Witness a will or any other legal documents.

  13. Administer or help give oxygen

  14. Cut toe or finger nails

  15. Massage legs.

  16. Perform Foley irrigation.

  17. Handle a respirator

  18. Transport or drive patient in your car or drive patient in any other vehicle.

  19. Use the client’s credit card.

  20. Do any financial transactions for the client, i.e. Writing/Signing checks, make deposits or withdrawals?

  21. Do not enter the clients home when the client is not there. (Even if family is present).

  22. If a patient falls DO NOT pick the patient up or help the patient up after he/she sustains a fall.

  23. If you arrive at your client’s home and you receive no answer, DO NOT go home. Call the agency and wait for instructions.

  24. DO NOT purchase any type of tobacco or alcoholic beverages for the client.

 

REMEMBER YOU ARE NOT PERMITTED TO DO ANY OF THE ABOVE FOR YOUR PATIENT. WHEN IN DOUBT, CALL THE NURSING DEPARTMENT AT PERSONAL-TOUCH HOME CARE OR YOUR COORDINATOR!

 

 

 

 

 


MODULE III

 

Aging causes many changes, normal changes of aging do not mean an older person will become dependent, ill or inactive.

Normal changes include:

  • Skin is thinner, drier more fragile and less elastic, less fatty tissue makes them prone to skin breakdown and they feel cold more easily and frequently.

  • Muscles weaken and lose tone, pt’s need exercise. They are at higher risk of atrophy, contractures or osteoporosis (please see the glossary)

  • Bones lose density and become more brittle. HHA  needs  to  prevent falls .Responses and reflexes slow; they need more time for movement and to make decisions.

  • Short term memory loss occurs, do not forget basic information

(children’s names).

  • Senses of vision, hearing, taste, touch and smell weaken.

  • Make sure glasses are clean and within reach. Use hearing aids. Use imaginary clock to explain the placement of objects. Talk clearly, nothing in the mouth in front of the client in good lighting.

  • Blood  circulation slows down.   Blood brings less oxygen to the cells. Extremities feel cold faster, and more prone for breakdown.

oNeed warm socks and shoes

  • Heart beat slows down and not as strong.

  • Appetite decreases – provide small frequent meals.

  • Thirst decreases – offer water frequently.

  • Food digestion slows down – more prone to constipation- offer high

fiber food and water.

  • Levels of hormones decreases (diabetes)

  • Immunity weakens- more risks for infections that can be fatal, prevent exposure.

 

ANY ABNORMAL OBSERVATIONS HAVE TO BE REPORTED;

  • Depression,

  • Suicidal thoughts

  • loss of ability to think logically

  • disorientation

  • Confusion

  • Incontinence

  • Change in physical ability.

 

Alzheimer’s disease - AD (pg. 427)

To communicate with AD clients:

  • Always approach from the front, do not startle the client.

  • Determine how close the client wants you to be.

  • Communicate in a calm place with little background noise

  • Always use clients name frequently

  • Speak slowly and calmly

  • Repeat yourself using the same words

  • Use signs and pictures or written words to help communicate.

  • Break complex tasks into smaller simpler steps , give simple step by step instructions

  • If the client is anxious;

  • Keep the patient calm speak slowly in a calm voice.

  • Try to see and hear yourself as they might.

  • Use simple words and short sentences, list steps one at a time.

  • Always describe what you are going to do.

  • Check your body language; make sure you are not tense or hurried.

 

WORDS TO LOOK UP IN GLOSSARY AND STUDY:

  • Integument    (pg. 435)

  • Osteoporosis   (pg. 438)

  • Psychological   (pg. 440)

  • Atrophy (pg. 428)

  • Pressure ulcer (pg. 440)

  • Alzheimer’s disease (pg. 427)