Non-Medical Home Care Services

Brainz provides non-medical home care services for “private duty” clients. These services are client centered based on the clients choices and need with the overall goal to support independence and maintain dignity. Non-Medical home care services are designed to assist older people to live independently in their own home by helping them with the tasks of everyday living. These services are non-medical in nature and are delivered by qualified personnel and are sensitive to the unique needs of the client and community. These services do not require the supervision of a registered nurse and do not require a physician’s order. The tasks to be performed by Home Care Assistants are non- medical in nature and do not require clinical judgment and may be performed by unlicensed individuals. Home care services may be required for a few hours a day, a few days a week or 24 hours a day. Non-Medical Home Care Services may include personal care services, Homemaker Services, Companionship Services, Caregiver respite services and intermittent Chores.

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Personal Care Services

Personal Care services offer assistance to clients, who have experienced a loss in their ability to perform the activities of daily living ADLs. (ADLs include bathing, grooming dressing, transferring, using the toilet, eating, and ambulation/walking,). Such assistance may enable them to remain in a safe, clean and healthy home environment. Home Care Assistants, who deliver Personal Care are responsible for observing, recording and reporting to their supervisor, or other appropriate person, any noticeable change in their client’s condition and/or home environment.
Personal Care services do not require the supervision of a registered nurse or a Physician’s order. Brainz’s Home Care Assistants, who perform Personal Care services, are trained for each task performed and are supervised by a Registered Nurse. Personal Care services may be provided on an hourly basis or on as-needed basis.

Personal Care services include, but are not limited to, the following:

a. assisting with eating, including:
– preparing food for clients with eating difficulties by cutting or pureeing;
– monitoring food and liquid intake;
– following special diets;
– observing eating behaviors; and,
– Monitoring eating safety risks such as swallowing and choking.
b. assisting with bathing including:
– bed bathing;
– sponge bathing;
– tub bathing;
– showering; and,
– Perineal care.
c. using bath equipment, including:
– tub seat;
– hydraulic tub seat; and,
– Hand-held shower wand.
d. assisting with tooth care including:
– brushing permanent teeth;
– flossing;
– using rubber pick; or,
– Removing, cleaning, and inserting dentures.
e. assisting/providing grooming, including:
– shaving with an electric or safety razor;
– beard trimming; and,
– Applying make-up.
f. assisting/providing hair care, including:
– Brushing;
– shampooing; and,
– styling;
g. assisting with bowel regularity, including:
– monitoring bowel movements and appearance;
– following prescribed diets for bowel maintenance;
– giving suppositories; and,
– Giving enemas.
h. assisting with transfers including:
– one person pivot transfer;
– two person transfers;
– using transfer belts;
– using mechanical lifts; and,
– Using wheelchair, walker and/or cane.
i. assisting with self-administered medication, including:
– reminding client to take medications;
– placing medication within reach of the client;
– providing water for oral medication;
– opening pill bottles or dispensing medications from blister packs, which have been prepared by a Pharmacist;
– storing medications; and,
– Reassuring the client that medication has been taken.
j. assisting/providing basic skin care, including:
– washing and drying;
– applying non-prescription body lotions or creams; and,
– Observing skin changes.
k. assisting with dressing including putting on support stockings, which do not require a physician’s prescription;
l. assisting with nail maintenance including;
– soaking;
– trimming;
– pushing back cuticles; and,
– Filing, except as outlined in #3a.
m. Emptying or changing external urinary collecting devices, including catheter bag and supra-pubic bags.
n. encouraging clients to perform normal body movements, as tolerated;
o. encouraging clients to follow prescribed exercise programs;
p. assisting with prosthetics such as applying/removing/cleaning hearing aids and limbs;
q. assisting with menstrual care;
r. assistance with urinals, bedpans and/or commodes;
s. providing bowel and bladder incontinence care;
t. assisting with positioning in bed, wheelchair and other chairs;
u. assisting with positioning cradles, rolls and pillows;
v. assisting with transferring back and forth from bed, wheelchair, toilet and chair;
w. providing colostomy care and emptying ostomy bag; and,
x. Emptying, cleaning, and changing urinary drainage bags.

2. Personal care services shall not include:
a. giving nail care to clients with circulatory problems or specific medical conditions such as diabetes and calluses;
b. |dispensing medications unless the medications have been prepared by a Pharmacist and are placed in a blister pack;
c. inserting or removing tubes or objects into/out of body openings, including catheters;
d. assisting with the application anti-embolic or other pressure stockings, which require a Physician’s prescription;
e. administering syringe feedings, tube feedings and/or intravenous feedings;
f. performing passive range-of-motion exercises on clients;
g. taking verbal telephone orders from Physicians;
h. advising clients/families about diagnoses and/or treatment plans;
i. supervising other Personal Care Attendants; and,
j. Doing anything that is beyond the duties of a Personal Care Attendant.

Homemaker Services

Homemaker services offer practical assistance with routine household tasks and related activities to enable a client to remain in a safe, clean and healthy home environment. Homemaking services may include: general household cleaning, planning and preparing meals, shopping for groceries or other items, running errands, laundry, ironing, changing bedding and assisting with management of household finances. Homemaker services do not include Chore Services or personal/hands-on care.
Homemaker services are usually provided on an hourly basis.

Homemaker services include, but are not limited to, the following:

a. conducting routine housekeeping activities such as:
i. making/changing beds;
ii. dusting;
iii. washing dishes, pots, pans and utensils;
iv. cleaning kitchen counters, cupboards and appliances, including oven, and stove top burners;
v. cleaning inside refrigerator;
vi. gathering up trash from inside the home and putting it out for pick up;
vii. cleaning bathroom fixtures;
viii. sweeping/vacuuming and scrubbing floors;
ix. vacuuming carpets and upholstery;
x. washing inside windows and cleaning blinds that are within reach without climbing;
b. doing laundry and ironing;
c. mending clothes;
d. teaching/performing meal planning and preparation;
e. cleaning up after meals;
f. assisting with special, written diet plans and reinforcing diet maintenance, which is provided under the direction of a Physician;
g. escorting or transporting clients to medical facilities, errands, shopping and outings;
h. shopping for essential items on client’s behalf such as groceries and cleaning supplies;
i. performing errands such as picking up medication and posting mail;
j. providing companionship, friendship and emotional support;
k. reading essential material to illiterate clients;
l. assisting clients with communication by writing or typing correspondence;
m. performing short-term, intermittent tasks necessary to maintain a clean, safe, healthy, and habitable home environment including:
i. doing heavy cleaning (washing walls, windows, stoves and woodwork);
ii. cleaning closets, basements and attics to remove fire and health hazards;
iii. cleaning/shampooing and securing rugs/carpets;
iv. spraying for insects within the home with over-the-counter supplies;
v. providing rodent control within the home (e.g. setting traps).

b. Homemaker services shall not include any hands-on or Personal Care activities.

c. Brainz follow Workers Compensation regulations when providing Homemaker services.

Companionship Services

Companionship/Sitter services include non-medical care, companionship, conversation, medication reminding, socialization, and supervision. They may also include laundry, meal preparation and shopping, provided they are obtained as separate/distinct services. Light housekeeping duties, which are incidental to the well-being and supervision of the client, may also be performed. The goal of Companionship/Sitter services is to assist individuals to live in the comfort of their own homes for as long as possible and to assure the safety, health and general well-being of the individual by providing companionship, friendship and supervision, and by promoting social interaction.
Companionship/Sitter services respect clients’ individual rights, strengths, weaknesses, preferences, differences and values. The services can be provided on an hourly, day time, overnight, weekly or on a live-in basis.

Companion/Sitter services include, but are not limited to, the following activities:

a. providing companionship, friendship and emotional support;
b. talking listening, sharing experiences,
c. playing games/cards, reading to client etc.;
d. helping keep clients in contact with family, friends and the outside world;
e. providing transportation to medical appointments, grocery store and errands;
f. accompanying clients to recreational and/or social events;
g. assisting with plans for visits and outings;
h. writing or typing letters/correspondence;
i. organizing and reading mail;
j. planning local trips and out-of-town travel with clients;
k. teaching/performing meal planning and preparation;
l. performing light housekeeping;
m. accompanying client on walks;
n. reminding client to take medication;
o. reminding client to start or finish meals; and,
p. Assisting with pet care.
5. Companion/sitter services shall not include any personal or hands-on care.

Caregiver Respite

Respite provides temporary relief to primary caregivers (a spouse, son, daughter, friend or relative). Respite is any combination of services provided specifically for the purpose of giving relief to the family or other caregivers of a dependent person, who lives at home. For Home Care purposes, respite could mean providing relief for time periods ranging from a few hours to a few days. Time periods will depend on the needs of families and other caregivers.

Respite may be provided occasionally, or periodically on a regular basis, to allow primary caregivers time to attend to their own affairs. In-home respite care may provide crisis relief to allow the primary caregivers, and their families, the opportunity to deal with stressful events such as an illness, hospitalization or a death in the family.

Private Duty Services

Private Duty Home Care Services

Non-medical home services are typically private pay. The scope of services and the price are agreed to between the family and Brainz. Some long term care insurance plans cover non-medical home care services.
Acceptable payment method
• Out of pocket pay
• Private Insurances
• Worker’s Compensation

Not Acceptable Payments
• Medicare
• Medical Assistance
• Other Gov’t Programs