There are many options to choose from to get the services of a home health care giver, depending upon the health status of the person and personal needs of service.
Non-certified Assistant Help:
Non-certified assistant looks after the safety aspects of an old person, who has some ambulatory disabilities. He is engaged as helpers for long-term personal care and support services. The duties of such helpers are not restricted for personal care they also help in housekeeping, cooking of meals besides companionship to the old person. There is lot of mix up of the duties.
These services are arranged privately and not eligible for reimbursement through Medicare and private health insurance irrespective of the fact that the non-certified helper is employed with a non-medical home care organization or is hired privately. Few long-term caring insurance plans are covering such services but it is required to check with the insurance service provider. Non-certified assistants is capable of providing common routine personal caring assistance, which are usually required for helping care for a near and dear at home.
These non-certified assistants also carry out light household work of laundry wash, general cleaning of house and washing of windows. Companions also require necessary training and are not permitted direct personal care, but can be helpful in providing comfort and companionship for persons not to be left alone and unlooked after.
Certified Nurse Assistant (CNA) / Home Health Aides (HHA)
Certified Nurse Aide or CNA and Home Health Aide (HHA) are vital component of Home Health care team, and as provided in their certification conditions work under the supervision of a Registered Nurse and Rehabilitation therapists depending upon the need of the individual. Both CNA and HHA have undergone training and certification processes, theoretical and practical examinations which vary from state to state and re-certification is required within 24 months to keep the validity continued. Some states prescribe additional training in homecare for HHA’s.
The CNA’s and HHA’s find employment with Home Healthcare and non-medical homecare organizations. The expenses on account of using CNA or HHA services are reimbursed subject to fulfillment of certain stipulated conditions like working under supervision of a licensed medical health professional besides the authorization support of the physician for undergoing these additional skilled services at home. Engaging privately paid CNA or HHA hiring is good option in situations not requiring skilled care.
CNAs and HHAs give assistance to patients requiring services of daily living activities (ADLs) which include personal caring, ambulatory support, nutrition caring, administration of medicines, toilet assistance; health issues like blood pressure measuring and record keeping and in few cases light housekeeping. The certified assistant must possess the skills of actual procedures and also keep a tab on patient’s health condition observing and communicating to supervising professionals.
CNAs and HHAs are CPR certified and depending on their level of training with state regulated variations, provide extra bedside care including wound / bedsore treating and dressing change, tube feedings, catheter insertions, and diabetes monitoring with the supervision of a Registered Nurse (RN) or Licensed Practical Nurse (LPN).
Licensed Practical Nurse:
A LPN or LVN they qualify specified curriculum and pass the National examination after completing college course for receiving their nursing license. They possess the training experiences and qualifications for performance of nursing skill procedures and are required to work under registered Nurse Supervision or a physician.
Registered Nurses (RN)
Registered Nurses (RNs) have undergone higher nursing courses and training in nursing education needed to become a Registered Nurse and pass national level examination after they finish college course for getting their nursing license. They have achieved competence for performing all facets of skilled nursing care besides supervision of other participants in the health services like LPNs/ LVNs, CNAs, and / or HHAs.
Roles of Physical Therapy/ Occupational Therapy / Speech Therapy:
These are therapies are provided by professionally qualified persons specialization in respect of caring for physical disabilities suffered by patients due to aging or disuse of the limbs during trauma treatment. Speech Therapists and Occupational Therapist use their specialized knowledge in identifying the problem and devise treatments for rehabilitating the patient so that they come back to near normal condition after exercises and practicing the treatment advised. The objective of the therapists is improvement in mobility, strengthening of weak senile muscles, maintaining proper balance and better communications in patients suffering with speech impediments.
Social Workers (SW) / Medical Social Workers (MSW)
Social Workers are members of the health team and do house visits in certain urban or rural areas and evaluate social, emotional and environmental factors, which affect the sick and disabled persons. They get the opportunity to carry out family or individual counseling for persons who are struck up and are not able to resolve their problems without the help of guided counseling to the family members as a whole instead of the individual person. Medical social workers are the appropriate persons having knowledge and ability to resolve domestic issues affecting the health of an otherwise healthy person. They identify and search for community resources to arrange their help to the affected family.