Home Health Aide Training

The Continuum of Education, Economic Advancement and Healthcare: A Stimulus Package for Seniors 


Abstract/Executive Summary 

During this unprecedented time of the COVID-19 pandemic, the need for solutions to the myriad problems affecting seniors are called for more than ever. From the frontline of the communities, we have worked harder to make a difference in offering evidenced based strategies from the joint perspective of scientists, economists, doctors, nurses and the government on how the individuals and the world respond to live and survive in this uncertain time. The timely offering of this grant by the AARP Foundation gave us an inspiration to move on with our Nurse-Driven Healthcare Solutions to develop a model based on a theory of change that will maximize the continuum of education, economic advancement and healthcare as a stimulus package to benefit seniors.    


With an increasingly aging population, the cost of healthcare has also increased. Ironically, the solution has been deemed going back to the basics by using strategies and resources almost always readily available, individuals and their families. The first line of defense for affordable care is with Home Caregivers. The provision of well-trained homecare givers contributes to affordable healthcare, in addition to Improving financial sustainability among low income seniors (LI 50+).

To address the enormous social and economic need for basic, competent, low-cost healthcare, we at The Nursing Office took this initiative of developing a curriculum for Online Training Home Caregivers as our foremost Nurse-Driven Healthcare Solutions.


Based from the background, three general needs are identified on the issues relevant to the mission and vision of AARP Foundation: 1) Education 2) Economic Advancement of LI 50+ 3) Healthcare Benefits

Healthcare Economics  

Whether paid or unpaid, skilled, or unskilled, Home Caregiving has tremendous value. The amount of caregiving 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 healthcare work sector generated US$32 billion and nursing home care generated US$83 billion in costs. Because of the enormous personal investment made in this sector, Home Caregiving deserves the support of social programs easy to access and use, thereby increasing the cost effectiveness of training Low-Income 50+ Home Caregivers.


Our Organization 

The Nursing Office.Com is a 14-year-old nonprofit organization taking care of nurses and communities through its Community and Public Health Delivery System called, “The Nurse is IN” program.  “.COM” stands also for Communities, and as such, it is the Nursing Office for Communities.  
The Nursing Office.Com provides organizational and technical support to community organizations and develops coalitions and partnerships for its Healthcare Delivery Model, under the philosophy of “Shared Mission, Shared Governance and Shared Resources.” The Nursing Office.Com maintains offices in Queens and Manhattan and operates a Community Center as well, particularly The Philippine Community Center Services for Aging (PCCSA, Inc.) a 501(c)(3) organization
https://www.thenursingoffice.com/philippine-community-center-services-for-aging/, and the Irene Lumbrera Home Living Program, a Nurse-Driven Housing Solution. https://www.thenursingoffice.com/services-programs/nurse-driven-housing-solutions/home-living-program/



Nurse-driven Healthcare Solution:

Online Home Health Aide Training

While a hands-on training in a classroom is ideal, the Online HHA Training of The Nursing Office Annex https://www.thenursingoffice.com/the-nursing-annex/  is a timely strategy ensuring that all the goals of training are met, and Home Health Aides are skills-trained to their full competency while social distancing and other limitations relating to the pandemic exist.  


The Art of Care Giving: A Vocational Training Curriculum 

There is no substitute to a full-length reference book on Providing Home Care. For the sake of easier, effective, adult learning as a Home Care Giver, we will simplify the Methodology and the Curriculum, as a science and art, based on strong principles as a foundation of a lifelong skill and competency for the performance and delivery of the best care ever.

Training Goal: To train each Home Caregiver Basic Skills and the Art of Home Caregiving.  

Training Objectives:  

1. To provide culturally competent and sensitive training in Home Caregiving skills to family members already taking care of loved ones, from immigrants interested in developing caregiving skills to other community members in Queens, Bronx, Brooklyn, Manhattan, and Staten Island.

2. To provide an affordable training program in Home Caregiving to able-bodied senior LI (50+) immigrants and other unemployed or under-employed community members in the five boroughs.  

3. To upgrade the skills of the unemployed or underemployed able-bodied LI 50+ Seniors and other community members.  

4. To open employment opportunities and provide placement service for LI Seniors 50+ who have undergone previous Home Caregiving skills training. 


I Introduction to Home Care Giving

  • Course Description
  • General Information
  • Registration
  • Technical Support
  • Self-Assessment
  • Preparing to Become a Home Care Giver
  • Principles in Home Care Giving
  • Golden Rule/ Do No Harm/ Negligence
  • Guidelines & Standards in Home Care Giving
  • Unique Personalized Service
  • Understanding Culture and Diversity/Culturally Appropriate Care

II The 4 H of Home Care Giving: Head, Heart, Hands, Health

  • Legal, Ethical, Moral Responsibilities
  • Job Description of a Home Health Aide
  • Decision Making Process
  • How to make Care Plans for Home Health Aides
  • Developing a Lasting Relationship with Patients & Family

III Happyness: Aim for Health

  • The Culture of Health
  • Emotional Intelligence
  • Family Approach to Mental Health

IV The Common Diseases

Common Health and Medical Terminologies

Common Medical Conditions and Diseases

  • Hypertension
  • Diabetes
  • Dementia
  • Alzheimers
  • Other Chronic Conditions & Diseases

V Safety Training: Patient Handling

  • Body Mechanics and Techniques in Mobility Assistance
  • Elder Abuse & Neglect
  • Documentation & Reporting

VI Infection Control

  • Corona Virus Infection
  • Hand washing
  • Hygiene
  • Nutrition

VII Activities of Daily Living

  • Bathing
  • Feeding
  • Walking
  • Getting in and out of bed
  • Medication Administration
  • Vital Signs/ BP Taking
  • Glucose testing
  • Other Occupational/Recreational Activities

VIII Common Emergencies

  • Basic Emergency Principles
  • How to Alert Emergency Calls, 911

IX Care Giver Fatigue/ Care Giver Support

  • Stress Reduction Strategies
  • Basic Computer Skills
  • Basic Financial Literacy
  • “I love Caregivers” … AARP 

X Beyond Home Care Giving

  • Spirituality
  • Kindness

XI Course Completion



SWOT Analysis  

The Nursing Office Difference  

“Making a Difference in Home Care Giving”

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.

Aligning Mission, Goals and Objectives with AARP 

 The Nursing Office.Com has a non-profit 501 c3 charitable organization for its Services to Aging Immigrants, namely, The Philippine Community Center Services for Aging, Inc. This has given us a n opportunity to learn more of AARP’s services and programs on “I love Caregivers” through Mr. Steven Raga and Retired US Major Antonio Taguba. This has aligned our missions and visions, goals, and objectives for the elderly with that of AARP. We are happy to promote the status of the seniors.


Advantages to Low-Income 50+ Workers:  While they may have less technical skills compared with millennials and are disadvantaged by reduced work or employment during the lockdown, 50+ workers possess strong work ethic, longer life experience, caring attitudes and are reliable, eager and willing to learn, qualities that Home Caregivers must have. With proper education, job coaching & job placement assistance (which includes Case finding of seniors qualified for home care), the 50+ workers’ personal qualities are useful assets in the complex job of home caregiving.

While they have less technical skills and cannot compete with millennials as well as the unemployment during this lockdown, they have strong work ethics, they can easily become home care givers because of their experience and reliability, as well as their eagerness and willingness to learn and add to their already caring attitudes and skills.  

Back to work 50 + connects older LI adults with nonprofits that provide training, job search coaching and assistance and access to employers.  


Description/Process of the Intervention (Step by Step) 

This timely opportunity for a grant has inspired us to move on with our plan to be able to make a difference among our LI 50+ seniors in a time of crisis like this pandemic. Incidentally, we have seen a clear continuum of education, economic advancement and healthcare that may guide us for future programs and services to further deliver a stimulus to our seniors and the nation in general.

  1. Conceptualizing Project and Program Design (Project Development and Description)
  2. Program Planning Timeline
  3. Curriculum Development
  4. Strategic Planning from Organizational Level
  5. Strategic Planning for Training and Program Delivery
  6. Technical Set Up (Tablets and Internet Connections)
  7. Setting up the Online Classroom
  8. Videotaping of Instructional Materials online
  9. Establishing networks and organizational alliances (Promotion Drive)
  10. Screening of Applicants
  11. Registration
  12. Start Online Classes for HHA
  13. Delivery of a Successful Program
  14. Assessment and Evaluation of the Program

Our Virtual Online Classrooms are set in the privacy of Trainees’ homes, available 24/7, with carefully chosen and designed tools for each person to learn how to become an effective Home Health Caregiver. 

Google Classroom: In the Comfort of Your Home https://accounts.google.com/ServiceLogin/signinchooser?service=classroom&passive=1209600&continue=https%3A%2F%2Fclassroom.google.com%2F&followup=https%3A%2F%2Fclassroom.google.com%2F&emr=1&flowName=GlifWebSignIn&flowEntry=ServiceLogin


Methodology: (Participative Adult Learning Pedagogy)
Lecture, Audio-Visuals, Hand-Outs, Role Playing, Return Demonstration, Sharing Experiences, Practical Tests, Q & A  
Total Training/Learning Hours: 20-30 hours (Individualized and personalized for every HHA Student based on their Assessed Learning Needs)  
Class Size: (Actual classroom) Minimum 5-6           Maximum 10-12  
                   (Virtual/Online Classroom) up to 100 registrants/students
Course Duration: 20-30 hours  
Cost: $500.00 per student registrant
Academic Requirement: High School diploma or GED   
Registration: Data Form  
Minimum Requirements:

  1. Must speak read and understand English 
  2. Must show NYC ID or any picture ID for proper identification 
  3. Fill out The Nursing Office Registration Forms   

The Nursing Office service includes:   

1.   Certificate of Attendance 

  1. Job referral and placement as available 

3.   Recommendation Letter for higher advanced training in Home Healthcare Programs 

4.   Career Ladder Counseling   

Case Studies (for Data Input/Output, Assessment/Evaluation of Outcomes)  


MS is a retired nurse who manages a Home Living Program facility and have 2 homeless seniors. She is officially the caregiver of a 91- year old under the CDPAP program. Her income was donated 90% to cover the housing cost of the 2 homeless seniors.

CS, a new immigrant nurse had an unexpected stroke and had totally recovered. Her rehabilitation was facilitated when she assumed her home healthcare job. This helped her regain her independence and self-esteem.

TA is a 72-year old who has been working with elderlies under CDPAP. She has contributed financially to the family finances and still able to send money to her children in their native country.