Scope of Care
True or false: A bedbound client must be repositioned at least every two hours.
What is True?
Bedbound or bedridden clients need to be repositioned at least every two hours.
You want to ask a client with Alzheimer's what they would like to eat: Which of the following questions would be more appropriate?
1) What would you like to eat?
2) Would you like pasta or a sandwich?
What is, Option 2? For clients with Alzheimer's disease, open ended questions can sometimes lead to more confusion and agitation. Using a close ended approach can lead to more effective communication between client and care pro.
A Care Pro is required to leave a _____ _______ at the end of every shift.
What is, General comment?
If your shift starts at 9:00am and you pull up in the client's driveway at 9:00, are you on time for your shift?
What is, No? The Care Pro is expected to be working by the start time of the shift.
True or False: You are on shift with a client on Long Term Care (LTC). You help the client pick their clothes for the day and stand outside of the room to give them privacy. The client dresses themselves. In Wellsky, you would mark the task labeled "Assist with Dressing" as "not completed" since you did not physically help the client change.
What is, False? The "Assist with Dressing" task would be marked as "completed" because the Care Pro assisted with dressing by helping the client pick the appropriate clothes for the day.
A client asks you to trim their toenails. How should a care pro respond?
What is, Respectfully stating that trimming or cutting fingernails or toenails is outside of our scope of care?
A term used to describe a set of symptoms that can occur in people with dementia or delirium in the late afternoon and evening:
What is, Sundowning or Sundowner's Syndrome?
The number to Telephony can be found on this item.
What is, Name badge?
You are the eyes and ears for us with clients. When you start noticing a decline in a clients ability to do something, what should you do?
What is, Report it to the office?
Which of the following is not considered as an Activity of Daily Living (ADLs) by the VA?
Supervision, Dressing, Companionship, Toileting, Ambulation
What is, Companionship?
Hours are not allocated for companionship alone. ADL support is the primary focus for the VA.
True or False: A Care Pro can fill pill boxes for a client.
What is, No?
Family or pharmacy can fill the client's pill boxes.
True or False: If a client has dementia, the best way to communicate with them is through reason, facts and logic.
What is, False? Cognitive decline can affect a person's ability to think critically. It is best to approach interactions with patience and understanding.
How would you fix this general comment?
Greeted the client upon arrival and assisted the client with a shower, dressing and meal prep. I am very glad she had a shower today because she smells bad and never wants to shower. Visually ensured medications were taken and dusted/mopped floors. No change in care.
What is, Leaving out personal remarks?
Clients, family members, and members of the client's care team can read our general comments. Leave personal comments out of general comments.
When working a shift with a client in a facility, a Care Pro needs to wear...
True or False: According to the VA rules, pet care is an unauthorized task for Care Pros.
What is, True?
HHHA Services are not intended to provide pet care. Family members, friends, or the Veteran should provide care for any pets.
True or False: During a shift, you notice a client's internal catheter tube has fallen out. A Care Pro must make an immediate call to a medical professional or take the client to visit a local emergency department.
What is, True? An internal catheter tube falling out is a medical emergency.
True or False: When working with a client with cognitive impairment, using phrases like "do you remember" or "don't you remember" is an effective way to jog a client's memory.
What is, False?
Instead of posing it as a question, try leading with "I remember when…" That way, the client can search their memory calmly without feeling embarrassed, then join the conversation if they would like.
What is, False?
Even if Wellsky allows you to clock-in outside of the client's home, a care pro should clock in once they are in the client's home.
True or False: A client says that they had a fall a few hours before your shift started. You see no signs of injury. Since the fall did not happen on your shift, there is no need to fill out an incident report.
What is, False? Even if the fall did not happen on a Care Pro's shift, they are still required to report any changes in a client's condition.
Under Long Term Care rules, the task - "Assist with ambulation/transfer" can be marked as complete, if you remind a client to use their walker or cane.
What is, True?
Reminders to use a walker or cane is considered as assisting with ambulation.
True or False: If the exercise routine is prescribed by a licensed healthcare professional, a Care Pro can assist a client with passive range of motion.
What is, False? Passive range of motion is not within the scope of services provided by Home Instead.
A client with moderate dementia tells you that he is late for work and needs to get going. Instead of arguing with the client, you tell him, "let me help you get ready." You then help the client get dressed, and drive him around town to see Christmas lights.
This is an example of gentle ________.
What is, Deception?
Gentle deception is a term that can refer to a person-centered approach to using deception to achieve a positive outcome.
During a shift, you are unable to access the Wellsky app and need to look through your client's care plan. A client's care plan can be found where?
What is, Client Journal?
What do you do when a client or their family member wants to drive you somewhere?
What is, Decline? Care Pros cannot be in a car that a client/family member is driving. For transportation, the Care Pro should drive the client(s).
Scenario: You are on shift with a VA client. The client asks if you can drive a few miles to the post office to drop something off. The client wants to stay home so you complete the errand for them in your personal vehicle.
What are the two issues with this scenario?
What is,
1) A care pro must stay with a VA client for the entire shift?
2) VA does not pay for mileage (in personal vehicle)?