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Teaching is our way of Giving and Caring

TRAINING IN HOME CARE-GIVING  

       

Abstract:

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 AARP study 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.

Goal:

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

Objectives:

  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 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.

CAMPAIGN FOR NURSE DRIVEN HEALTHCARE SOLUTIONS

DURING COVID PANDEMIC TIMES: ONLINE TRAINING

 

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. 

Gerontology: Art and Science of Aging

How culture and nursing impact and affect aging

 

While I am delighted with this final phase of life, as I enjoy narratives of their lives with all the wisdom gained through their ages, I’m saddened as well with the problems that accompany them: depression, homelessness, malnutrition, failure to thrive, financial and physical dependence, verbal abuse and neglect.

 

As the aging population is growing, I felt that I should make the aging process as pleasant and peaceful experience through gerontology, the art and science of aging. My goal is to provide quality care to the elderly and prepare to move forward as we plan together on how to celebrate their 100th birthday.

 

While their physical space has shrunk smaller in that nursing home, their needs back to basics: roof over their head, food in their stomach and clothing in their backs. Surround them with memories of their rich lives, photos of their loved ones, phone to connect with their family and friends, TV for entertainment and stimulation, snacks to provide nutrition, clock and calendars to keep them oriented, religious memorabilia to maintain their faith. Take care in your choice of color in their rooms, red blanket, a sign of energy and life. Think safety walkers and comfortable shoes as they need. This is the life of gerontological nurse.

~Myrna D. Santos, MSN, RN

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, not as a half hazard program, but indeed 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.

In my forty years of professional nursing practice, my goal is always teaching, not just teaching, but making sure that whatever I teach, sticks to the learner. I developed a program on how to become a nurse in eight hours, among my nursing students, to summarize what they have learned in the nursing school, to wrap up their training so they can embark to the role of a professional nurse. I got fascinated with the idea that, “Whatever I learned in Life, I learned from kindergarten!” Can we do it here with this curriculum? But of course, we can!

Teaching one to become a care giver, is like teaching nurses in Nursing 100, because homecare giving is the foundation of Nursing. As a home care giver, you are an extension of the nurse. You have the same language of caring. Being a home care Giver, you can qualify to become a nurse, as it is the beginning ladder of a nursing career.

The foremost principle is the application of life’s Golden Rule: “To do unto others what you want others to do unto you, when you are in the same position.” This golden rule will give you the wisdom and judgement on how you will care for others. From it, will flow kindness, compassion, consideration, and respect, that is already in you as inherent to human nature. How can you deviate from what is normal and natural; how will you differentiate from what is good and bad?~ MDS     

The Curriculum

I Introduction to Home Care Giving (Companion Care Education)

  • 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
  • Suicide  and Prevention

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

  • COVID 19 (Corona Virus Infection)
  • Tuberculosis
  • Hepatitis
  • 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
  • Heart Attack
  • Stroke
  • Falls
  • Bleeding
  • Fire
  • How to Alert Emergency Calls, 911

IX Care Giver Fatigue/Care Giver Support/ Companion Care Education

  • Stress Reduction Strategies
  • Sexual Harrasment and Prevention Training

X Beyond Home Care Giving

  • Spirituality
  • Kindness
  • Financial Literacy
  • Basic Computer Skills

XI Course Completion

  • SKILLS & COMPETENCY CLEARANCE
  • TESTING & EVALUATION
  • CERTIFICATE of ATTENDANCE

Methodology: (Participative Adult Learning Pedagogy)

Lecture, Audio-Visuals, Hand-Outs, Role Playing, Return Demonstration, Sharing Experiences, Practical Tests, Q & A

Total Training/Learning Hours: Individualized and personalized to every HHA Student based on their Assessed Learning Needs

Class Size: 1-15 online

Course Duration: Total of 60 days Equivalent to 75 classroom hours 

Cost: $500.00

Academic Requirement: Highschool, GED 

Registration: Data Form

Requirements:

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

The Nursing Office Service includes

  1. Job referral and placement as available
  2. Certificate of Attendance
  3. Recommendation Letter for higher advanced training in Home Healthcare Programs
  4. Career Ladder Counseling
Myrna D. Santos, MSN, RN (Executive Director)

Our Teaching Mission Through the Years