Home Care Curriculum - New York State Department Of Health

HOME CARECURRICULUMNEW YORK STATE DEPARTMENT OF HEALTH161 Delaware AvenueDelmar, New York 12054Office of Health Systems ManagementDivision of Home and Community Based ServicesBureau of Home Care and Hospice Surveillance and QualityIndicators/EvaluationApril 2006; January 2007

ACKNOWLEDGEMENTSWe wish to express our gratitude and appreciation to all the people who helped in thedevelopment of this revision of the Home Care Health Related Tasks Curriculum.Staff from the New York State Department of Health (NYSDOH): Marjorie Brier-Lynch, RN, BSNSuzanne Broderick, RN, Ph.DMaureen Duffy, RN, MAPriscilla Ferry, RN, BSRebecca Fuller Gray, RN, MBAMary G. Graziano, RN, BSKathleen SherryFrances StevensMargaret Willard, MSJanice Zautner, RNElaine Zervos, MS, RD, CDNRepresentatives from Licensed Home Care Service Agencies (LHCSA): Roberta Chapman, RN, BSN, CaregiversJoyce Donohue, RN, BSN, MSP, Gentiva Health ServicesCaroline Kenny, RN, BSN and Joyce Traina, RN, BS,Metropolitan NY Coordinating Council on Jewish PovertySusan Trocchia, RN, People CareElizabeth Jaiswal, RN, BSN, Partner’s in CareRepresentatives from Certified Home Health Agencies (CHHA): Kathleen Marcais, RN, BS, Community Health CenterMolly Williams, Director of Public Policy, New York State Association of Health CareProviders, Inc.Melodie Bell-Cavallino, MS, RD, CDN, FADA; Chair, Nutrition Science Department;Associate Professor; Director Dietetic Internship; Sage Graduate School; The SageColleges2

INTRODUCTION TO HOME CARECURRICULUM OUTLINEThe Home Care Curriculum is a revision of the Home Care Core Curriculum that wasoriginally developed by the State University of New York at Buffalo under contract withthe New York State Department of Social Services in 1992. This curriculum revision isdesigned to replace outdated content with current standards.The revised curriculum contains the Basic Caregiver Core Curriculum Outline [BASICCORE]. This basic core was developed in 2002 by a workgroup composed of staffmembers of the New York State Department of Health, New York State EducationDepartment, county health departments, home care providers, home care providerassociations and representatives of various labor organizations.The 16-hour Basic Core Curriculum provides the basis for all of the paraprofessionalcurricula: Personal Care Aides, Personal Care Staff (Adult Care Facilities), Home HealthAides and Certified Nurses Aides. It has been integrated into the modules of the revisedcurriculum and identified in the applicable objective sections. The Home Care Curriculumcontains standard written tests that must be used in combination with Performancechecklists to determine the worker’s successful completion of each Module. A PersonalCare Aide certificate will be issued to the student upon successful completion of the 40hour training program.The original Home Care Core Curriculum may be used as an adjunct to the informationcontained in the revised objectives and outline. Other resources may be used at thediscretion of the Registered Professional Nurses supervising the approved Personal CareAide/Home Health Aide Training Programs.Infection ControlThe Center for Disease Control (CDC) standard precaution guidelines, especiallyhandwashing and personal protective equipment must be strictly adhered to and isincluded throughout all Modules3

MANUAL USEThis manual has been developed in an outline format. Each Module covers a specificsubject and contains: Objective section including a Module title, description of each unit, minimum timerequired to complete objectives, objectives, some measurable performance criteriaand suggested teaching and evaluation methodologiesOutline sectionEvaluation section consisting of test questions with an answer key.The Appendix includes all Procedures. These procedures are to be taught anddemonstrated to the student. The minimum time required includes time it takes to instructand demonstrate the required skills.Required and Optional Procedures:Each of the procedures in Module XII has a companion checklist for evaluationpurposes. As a practical matter it may not be possible to evaluate the trainee on everyprocedure. However, there are certain basic procedures the trainee should be required todemonstrate. It is recommended that the trainee pass twelve required procedures plus atleast two other optional procedures of the trainers choosing. These optional proceduresshould be related to the typical caseload or other needs of the agency. Asterisks on thesummary chart and on the individual procedures indicate the twelve required procedures.The major modules of the Home Care Curriculum are derived from the Level I and II,Personal Care Aide, Scope of Functions and Tasks, developed by the New York StateDepartment of Social Services and last amended on 12/1/94.The revised objectives and outline must be followed and all material must becovered.4

TABLE OF CONTENTSPAGESAcknowledgements2Introduction to Home Care Curriculum3Manual Use4Table of Contents5Appendix9Core Value Statement10Module I.11Introduction to Home CareUnit A. Home Care, the Home Care Worker and the ClientUnit B. What is a Home Care Worker?Unit C. Providing Home CareModule II.Unit A.Unit B.Unit C.Unit D.Unit E.Module III.Working Effectively with Home Care Clients15Theories of Basic Human NeedsDiversityCommunication and Interpersonal SkillsCaregiver Observation, Recording and ReportingConfidentialityWorking with the Elderly24Unit A. What is AgingUnit B. Aging and the Body/Body SystemsUnit C. Aging and the MindModule IV.Unit A.Unit B.Unit C.Unit D.Working with Children27Family Situations in which children may need home care workersHow children develop and how to work with themProblems that affect the family and how children react to stressHow you can help strengthen families through work with parentsor caregivers5

Module V.Working with People who are Mentally Ill30Unit A. What is Mental Health?Unit B. What is Mental Illness?Unit C. Mental Health, Mental Illness, and the Home Care WorkerModule VI.Working with People with Developmental Disabilities33Unit A. Understanding Developmental DisabilitiesUnit B. Developmental Disabilities and Home CareModule VII.Working with People with Physical Disabilities36Unit A. What is physical disability?Unit B. How the Home Care Worker can help the physically disabled.Module VIII.Unit A.Unit B.Unit C.Unit D.Unit E.Module IX.Food Nutrition and Meal Preparation38The Major NutrientsMeal PlanningFood Preparation and ServingFood Shopping, Storage and Handling Food SafelyModified DietsFamily Spending and Budgeting50Unit A. The role of the Home Care Worker in family spending and budgetingUnit B. Ways to make the most effective use of the families financesModule X.Unit A.Unit B.Unit C.Unit D.Module XI.Care of the Home and Personal Belongings52Importance of Housekeeping in Home CarePerforming housekeeping in the HomeWays to be safe and save energy and time.How to get the job done.Safety and Injury Prevention56Unit A. InjuriesUnit B. Injury PreventionUnit C. What to do when injuries and emergencies happenModule XII.Personal CareUnit A. Defining Personal Care616

Unit B. Personal Care SkillsA)Handwashing62B)Infection Control63Lesson 1.Lesson 2.Lesson 3.Lesson 4.C)Process of InfectionStandard PrecautionsBloodborne PathogensExposure IncidentsFreedom from Pain65Lesson 1. Pain ManagementLesson 2. Recognizing and Reporting PainD)Urinary SystemLesson 1.Lesson 2.Lesson 3.E)Lesson 3.73Nutrition and a Balanced Diet (see Module VIII)Assisting with Eating and Hydrationa) Proper Feeding Techniques1) Positioning2) Assistance for Independent Eaters3) Partial Assistance with EatingMeasuring and Recording WeightIntegumentary SystemLesson 1.G)Assisting with Bedpan/Urinal/Fracture PanBedside Commode/ToiletIncontinenceDigestive SystemsLesson 1.Lesson 2.F)6778Skin Care and Alterations in Skina) Healthy SkinMusculoskeletal SystemLesson 1.Lesson 2.Lesson 3.Transfers, positioning and turninga) Body mechanicsb) Turning and positioning in bed and chairc) Transfer with one assistAmbulationa) one assistantb) Assistive devices (canes, walkers, etc,)c) safety principlesRange of Motion783

H)BathingLesson 1.I)Lesson 2.Lesson 3.Lesson 4.Lesson 5.97Haircarea) Shampooingb) Brushing/CombingMouthcarea) Conscious resident/client patient1) partial assistance2) total assistanceb) Denturesc) EdentulousShavingHand and nail careFootcareDressingLesson 1Lesson 2.K)Processesa) Partial/Sponge bathb) AM/PM carec) Showerd) TubGroomingLesson 1.J)94111Assisting the clienta) Dependentb) Needing assistanceAdaptive Equipmenta) Glassesb) ProsthesisThe Clients’ EnvironmentLesson 1.Lesson 2.Lesson 3.115Components and care of the environment drawers, closets and immediate environment(see Module X)Unoccupied bedOccupied bedUnit C. Personal Care for the Well Baby119Unit D. Special Equipment use by Home Care Clients121Unit E. Assisting with the Self-Administration of Medications124Appendix1268

APPENDIXPROCEDURE CHECKLIST:* XII-1,Proper HandwashingXII-2, Proper Body MechanicsXII-3, Tub or Shower BathXII-4, Turning the Client in Bed* XII-5, Bed BathXII-6, Shampoo in BedXII-7, Back RubXII-8, Nail CareXII-9, Shaving the Client* XII-10, Mouth Hygiene and CareXII-11, Assisting with EatingXII-12, Assisting With DressingXII-13, Assisting with the Use of Elastic Support Stockings* XII-14, Helping the Client to WalkXII-15, Making an Unoccupied Bed* XII-16, Making an Occupied Bed* XII-17, Use of a BedpanXII-18, Use of UrinalXII-19, Assisting with the Use of the Condom CatheterXII-20, Assisting with Cleaning the Skin and Catheter TubingXII-21, Assisting with the Emptying of the Urinary Drainage BagXII-22, Positioning the Client in BedXII-23, Transfer to the Sitting PositionXII-24, Helping the Client to Sit at the Side of the BedXII-25, Helping a Client to Stand* XII-26, Transfer to Wheelchair, Chair or CommodeXII-27, Positioning Client in Chair or WheelchairXII-28, Transfer from Wheelchair to ToiletXII-29, Transfer from Wheelchair to Shower and Assisting with ShowerXII-30, Transfer from Wheelchair to Stool or Chair in TubXII-31, Weighing a ClientXII-32, Measuring IntakeXII-33, Measuring Urinary OutputXII-34, Assisting with Changing a Clean DressingXII-35, Handling the InfantXII-36, Infant BathXII-37, Assisting with the Use of the Hydraulic LiftXII-38, Slide Board Transfer* XII-39, Checking the Right Person* XII-40, Checking the Right Medication* XII-41, Checking the Right Dose* XII-42, Checking the Right Time* XII-43, Checking the Right Route required 4262728293031323334353637383940424344454647

CORE VALUE STATEMENTAll care given must demonstrate core values. Core values underlie all aspects ofcare, in all care settings and profoundly influence effectiveness and satisfactionacross the full range of performance.All students/candidates must incorporate and demonstrate in their skills and knowledgethe understanding and integration of the following core values:(1) the dignity and worth of each resident/client/patient as an individual;(2) respect for the range of diversity of individuals;(3) a demonstration of a therapeutic relationship (i.e.,) the value of autonomy andcontrol, adapting to resident/client/patient’s preferences and routines and limits,maintaining privacy and confidentiality, providing care in a caring compassionatemanner and encouraging individuals to be as independent as possible).In addition, the impact of the actual setting/environment on the care recipient andthe care recipient’s adjustment to care must be understood and responded tothroughout the program.10