S. Jeenarine, RN ( Nurse Educator )




As a nurse in this unprecedented time of Corona Virus pandemic, we cannot help but find a way to help the community and do our share in this greatest challenge of the 21st Century in the heights of technical, scientific, medical, financial and social developments.


More than ever, there is an increased need for Home Health Aides to work with homebound patients and chronically ill and aging seniors at home as an alternative to more expensive healthcare in nursing homes and hospitals. We believe that our seniors have the right to remain at home and be taken cared of with the best help available. During this time, we have learned that so many nursing home patients have died, not necessarily from Covid but probably from lack or shortage of health care givers. We have developed an Online HHA Training so that we can continue training our much-needed front liners for homecare giving. While hands-on training in classroom is ideal, The Nursing Annex ensures that all the goals of training are met, and home health aides are trained to their full competency and skills.


Our Virtual, online Classrooms are set in the privacy of your homes, available 24/7, with carefully chosen and designed tools to assist you learn how to become an effective, Home Healthcare Giver. 

HomeCare Giving




As the cost of healthcare soar to its highest, the solution has gone to the basics, using strategies and resources that are almost readily available to individuals and families. Healthcare takes on the first line of defense for affordable care: The Home Caregivers. A home caregiver is an unpaid or paid person who helps another individual with impairment with his or her basic needs of maintaining activities of daily living at home. This first level of care is based on the philosophy that care giving is a natural instinct if not an innate human characteristic enabling a person to take care of himself and or others. It is also very important to note that the home is the most natural place to be taken cared of.

With an increasingly aging population in all developed societies, the role of caregiver has been increasingly recognized as an important one, both functionally and economically. Care giving is most commonly used to address impairments related to old age, disability, a disease, or a mental disorder that are essentially chronic in nature. Any person with health impairment might use care giving services to address their difficulties. Based on love and caring, equipped with basic instinct of survival and self preservation, Home Care-Giving in essence is improving the lives of older adults and supporting their families by lightening their load of caring for loved ones and assisting them in providing safe, competent, friendly, and comfortable services.


Mission: A Nurse Driven Healthcare Solution

As basic as home care giving, we at The Nursing Office takes this initiative to develop Training for Home Care Givers as our foremost Nurse-Driven Healthcare Solution to help in shaping the healthcare system by increasing access to delivering better affordable care, and assuming roles in health maintenance, preventative care, healthcare coaching, and quality improvement activities in the communities.


Rationale & Background: 

According to an article in The Wall Street Journal on the difficulties of aging, an AARPstudy found that 88% of people 65 and older wanted to stay in their current home as long as possible (AARP Bulletin/Real Possibilities, p. 46, November 2015).

Special Report:  "Caregiving in America 2015," AARP Bulletin, November 2015.  According to this report, "Caring for loved ones has become more complicated and demanding, experts say, in part because hospitals are discharging patients more abruptly to cut costs.  Most caregivers now regularly perform medical tasks that used to be handled by nurses, such as, injecting medicines or inserting catheters.... It's a different kind of caregiving we're talking about now.... We've never faced this kind of longevity, with caregivers managing chronic conditions for five or ten years," says Kathleen Kelly, Executive Director of Family Caregiver Alliance.

In another article, "Taking on Complex Medical Tasks," by Peter Jaret, "Caregiving...has gotten more difficult in recent years as more caregivers take on complex medical tasks once performed by doctors and nurses...In fact, 6 in 10 caregivers perform such tasks, according to new findings from "Caregiving in the U.S. 2015," a report jointly prepared by AARP and the National Alliance for Caregiving.  More than 4 in 10 say they received little or no training."


Healthcare Economics:

The amount of caregiving which is done as unpaid work exceeds the amount done as work for hire. In the United States, for example, a 1997 study estimated the labor value of unpaid caregiving at US$196 billion, while the formal home health care work sector generated US$32 billion and nursing home care generated US$83 billion. The implication is that since so much personal investment is made in this sector, social programs to increase the efficiency and efficacy of caregivers would bring great benefit to society if they were easy to access and use.


To train each care giver the basics and the art of caregiving.


  1. To provide culturally competent and culturally sensitive Home Care-Giving training skills to family members already taking care of loved ones; to immigrants interested in developing care-giving skills, and other community members in need of home care-giver programs and services.
  2. To provide training in Home Care-Giving that is affordable to immigrants and other unemployed /under-employed community members of the Richmond Hill and its neighboring areas.
  3. To upgrade the skills of many unemployed and/or underemployed community members and open up employment opportunities for those who have undergone Home Care-Giving skills training.


The Nursing Office Difference: “Making a Difference”

Designed by nurses with extensive years of experience in nursing and related care giving and healthcare system in general, this Training Program for Home Caregivers, is based on evidence and careful application of sound principles and healthcare economics, reflect the elements of Interdisciplinary, holistic, natural, cultural, family oriented, patient centered healthcare delivery in a patient centered medical home environment. By integrating behavioral health (mental health) in public and community healthcare systems bring about better home care givers, better patient outcomes and reduced healthcare cost. We will move healthcare closer to a population care model, starting from the smallest unit, individuals, and families and into the larger communities.


The Art of Care Giving: A Vocational Training

  • Introduction to Home Caregiving
  • The 4 H of Home Care Giving:   Head, Heart, Hands, Health
  • Happyness: Aim for Health
  • The Common Diseases
  • Safety Training: Patient Handling
  • Activities of Daily Living
  • Common Emergencies
  • Care giver Fatigue/ Care giver support
  • Beyond Home Care Giving


Course Duration: 16 hours

Cost: $300.00

Academic Requirement: Highschool, GED 

Registration: Data Form