Continuous Care Services include a variety of services to help care for
the Elderly or Handicapped clients.
Homemaker Chore ●
Personal
Care ● Advance Personal Care
Basic Respite ●
Advanced Respite ● Nurse Respite ●
Authorized Nurse Visit |
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Homemaker Chore
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General household
activities provided by a trained homemaker to assist with housekeeping
activities that the client is unable to manage. HC services are generally
medically oriented household tasks and are designed to assist clients in
maintaining the home. May include combination of any of the following: |
- clean bathroom fixtures
- make beds and change sheets
- tidy and dust the home
- perform essential errands
- launder, iron and mend
clothing
- read/write essential
correspondence
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- wash dishes
- sweep, vacuum floors
- meal planning, prep, cleanup
- bag inside trash
- wash windows within reach
- instruct client in
self-sufficiency
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Personal Care
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Maintenance services
provided to a client in the home to assist with the activities of daily
living (ADLs). PC services are generally medically-oriented tasks, designed
to meet the physical and maintenance needs of clients with a chronic, stable
condition. Authorized services may include any combination of the
following: |
- Dietary
- Bathing/Personal Hygiene
- Mobility/Transfer
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- Dressing and Grooming
- Toileting/Continence
- Medications
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Advance Personal Care
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Maintenance services
provided in the home to assist individuals with ADLs when such assistance
requires devices or procedures related to altered body functions.
Caregivers performing these services have completed an additional 8 hours of
classroom training and received specific OJT training on any task performed
with the APC client. These services are supervised by an RN and each client
receives a monthly RN visit. APC clients usually have chronic, but stable
conditions. |
Basic Respite
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Maintenance and supervisory
services provided to a client in the individual's residence to provide temporary
relief to the usual caregivers. Respite care services shall include, at a
minimum, the following activities:
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Supervision - The
respite care worker will provide personal oversight of the client for
the duration of the service period. Personal oversight includes making
a reasonable effort to assure the safety of the client and to assist the
client in meeting his/her own essential human needs. Sleeping is
permitted when the client is asleep. The worker must be in close
proximity to the client during a sleeping period; and
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Companionship - The
worker will provide companionship during the client's waking hours and
attempt to make the client as comfortable as possible.
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The range of
activities the respite care worker provides is mutually determined by
the respite care worker and the client.
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Advance Respite
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Advanced respite is designed
to provide maintenance and supervisory care to clients who have care needs
similar to clients for whom respite care is appropriately authorized, but with a
higher level of oversight required. Service is authorized in blocks of time: 1
hour units making up no more than a 5 hour block of time; 6-8 hour blocks; and
24 hour blocks. This is a TXX service only.
Worker qualifications
specify that the employee shall be a current LPN, CNA or a competency tested
home health aide. In addition, a monthly RN visit is authorized for each
advanced respite care client for each month the care is authorized. The purpose
of the visit is to evaluate the adequacy of the service to meet the needs and
conditions of the client.
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Nurse Respite
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Nurse Respite is designed to
provide respite to a live-in caregiver which will meet the needs of the client
that only a nurse could supply. The client must have a skilled service need
that is normally met by the live-in caregiver. A unit of service is 4 hours.
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Advance Nurse Visit
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Maintenance or preventative
services provided by a Registered Nurse or Licensed Practical Nurse under the
supervision of an RN in the home. RN visits are provided to persons with
stable, chronic conditions and are not intended as a treatment for an acute
condition. |
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