Services Allowed by Home Instead Senior Care Givers in Charlotte County, Collier County, and Lee County areas. TYPE OF SERVICE BATHING -SKIN - -HAIR - -AL ARE- Givers can Assist with bathing when the client can bear his/her own weight in and out of a bathtub or shower. Provide bed baths when the client is confined to bed. Help with general skin care by washing the skin with soap and water. Rinse and dry the client s skin. Applying nonmedicated lotions to the client s skin. Applying medicated lotions to the client s skin as directed. Help with the maintenance and appearance of the client s hair. This could include washing, drying, combing (brushing) and styling. Assist with oral care. This can include denture care and brushing teeth when the client is conscious. Givers cannot Help with bathing, or providing a bed bath, when the client has special skin care needs, a wound or a dressing that requires skilled care, before, during or after the bath. Massage lotion on to skin. Assist with skin care when the client s skin has an open wound, including that is a result of a medical procedure or on a wound that is receiving medical treatment (for example, a bedsore). See also Small cuts or Abrasions and Wound Care. Cut hair Suction the client s mouth. Each HISC franchise is independently owned and operated. 1 of 5
SERVICE -NAIL - -SHAVING- INCONTINENCE INCONTINENCE -URINARY COLLECTION DEVICES- DRESSING FEEDING -GENERAL- Givers can Soak nails, push back cuticles without a utensil, and file nails for the client. Assist with shaving by using an electric or safety razor. (Most blade razors are considered safety razors.) Assist to and from the bathroom, provide assistance with bedpans, urinals, commodes, pericare, and changing protective undergarment or pads designed for incontinence care. Change or empty urinary collection devices, such as catheter bags. May also change or empty ostomy bags, and provide client-directed ostomy care, when the stoma site is healed. Assist with dressing. This includes helping apply support stockings that are available with or without a physician s prescription. Help the client to eat by feeding when he/she is able to sit upright and swallow independently. Help with ambulation by offering an arm to steady with client and to help prevent a fall. Help the client up from a seated position as long as the client can bear his/her own weight. Employ the use of gait belts, or similar devices, to provide additional security. Help with an adaptive device such as a walker, wheelchair or cane, as long as the client is familiar with its use. Givers cannot Trim/Cut fingernails or toenails. Assist shaving using a straight edge razor. Assist with enemas, anal stimulation or assistance with impacted bowels, including assistance with placing medication to relieve constipation or impacted bowels. Assist with skilled skin care around the stoma site if the skin is an open wound, there is a skin breakdown or there is a need for observation or reporting to a medical professional. Remove a wafer around a stoma to replace it. Assess or determine a client s need to use support stockings. Feed the client when there is a high risk that a client may choke. Feed the client when there is medication in the food. Lift a client who is unable to assist lifting/dead lifting. Each HISC franchise is independently owned and operated. 2 of 5
SERVICE -TRANSFERS- -TURNING & ROLLING- EXERCISE -PHYSICAL THERAPY- RUB MASSAGES RESPIRATY TRACHEOSTOMY Givers can Help transfer from one location to another when the client has sufficient strength to stand and pivot and assist with the transfer. Help transfer by using a mechanical (Hoyer) lift with proper and documented training. Help transfer using a slide transfer board if the client is able to assist. Help transfer by using a mechanical (Hoyer) lift with proper and documented training. Help transfer using a slide transfer board if the client is able to assist. Help a client turn and roll in bed. Assist the client with exercise by encouraging normal body movement to participate in an exercise routine prescribed by a licensed health care professional. Remind the client to do a physical therapy routine and record the activity. Assist by gently rubbing an area of the client s skin for circulation purpose or to apply lotion. Temporarily remove and replace an oxygen cannula or mask to feed or help the client to eat, and to shave, wash or provide oral care. Prepare supplies for a client performing self-tracheostomy care. Document in the Client Journal. Recognize, record and report any changes in the appearance of the tracheostomy. Givers cannot Assist with a transfer if the client is unable to stand and pivot unless approved for a mechanical (Hoyer) lift. Help turn and roll in bed if there are serious injuries or postsurgical complications that may be impacted. Touch client to move through a physical therapy exercise or routine. Complete a physical therapy routine on the client. Give a massage. Change oxygen tanks or regulate pressure. Assist with tracheostomy care which includes: cleaning, removing, suctioning or brushing. Each HISC franchise is independently owned and operated. 3 of 5
SERVICE SMALL CUTS ABRASIONS WOUND HEAT ICE BODY TEMPERATURE PULSE RESPIRATY RATE BLOOD PRESSURE Givers can Change an adhesive or bandaid on a small cut or abrasion, noting persistent redness or other signs of infection and reporting it to the office. Assisting by helping was the area with soap and water, applying ointment and an adhesive or bandaid. Assist the client by preparing the supplies for self-care. Reinforce dressing Recognize, record and report to the office any changes in the appearance of the wound and/or any additional symptoms or pain the client may be experiencing. Assist with prescribed ice cap or collar. Take body temperature in the mouth or ear using an oral or tympanic digital thermometer and record the results for the client. Take pulse and respiratory rates and record the results. Take a blood pressure reading and record the outcomes using one of the following devices: A digital blood pressure monitor or cuff; A sphygmomanometer with stethoscope. Givers cannot Assist with a small cut or abrasion that is receiving medical treatment. Change a sterile dressing on a wound that is a result of a medical procedure or on a wound that is receiving medical treatment (for example, a bedsore). Wound irrigation Apply heat by any method. without specific instructions. without specific instructions. without specific instruction. Each HISC franchise is independently owned and operated. 4 of 5
SERVICE GLUCOSE LEVELS BLOOD SUGAR INSULIN PILL BOX Givers can Assist with measuring glucose levels by preparing the supplies, reading the monitor, inserting strips in the monitor, discarding the strips and the sharps at the end of the procedure, and recording the readings. Help by steadying a client s hand in order to prick himself/herself. Help prepare supplies for client selfadministering insulin. Steady client s hand while selfadministering insulin. Validate a dosage the client has drawn. For example, client may ask the Giver if the dosage is at a 3 and Giver can validate by telling them yes or no. Hand a pill box to the client. Open a compartment of a pill box. Empty the compartment of a pill box into the client's hand. Recognize, record and report to the office any concerns regarding medication. Givers cannot Remove the sharp from the monitor. without specific instruction. Prick a client. This includes assisting with a clicker or pen device. Cant prepare syringes for injections Dose or administer insulin. Assist by placing medication in client's mouth. Fill the pill box or assist with filling the pill box. Crush or cut in half a pill/tablet Add or mix medications with food Feed the client when there is medication in the food. Dose liquid medications Interpret symptoms and suggest or make a decision for the client to take (or not take) medications. Each HISC franchise is independently owned and operated. 5 of 5