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- Personal Care
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Personal care includes any or all of the
following: Companionship, showering, bathing,
toileting, dressings, shampooing, grooming, oral hygiene, and caring for
other physical needs; routine nail care and skin care; routine ambulation
activities; transferring to and from the wheelchair, bed, shower, tub, and
toilet (may include use of mechanical lift device); assisting with adaptive
equipment, assistive devices, special appliances, and or prosthetic devices;
assisting the movement-restricted individual with tasks necessary for
comfort and safety; assisting the individual with the self-administration of
medications, including reminding the member to take medications, and/or
assisting the alert person with the opening of medication containers;
accompanying the individual to medically necessary appointments; encouraging
the member, family, and/or friends to provide personal care tasks when such
individuals are available and can provide appropriate care; encouraging
family support of the individual’s care; serving food and feeding the
individual, as necessary; and, reminding and encouraging the individual to
eat.
This may also include transporting the
individual in the individual's vehicle, but not in the caregiver's
vehicle. It also does not include performing any procedures or tasks
which are medical in nature, which require special medical training, which
are penetrating to or invasive of the physical body, and/or which require
medical or nursing supervision.
- Homemaking
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This entails cleaning the individual’s living area, including
dusting, cleaning floors, carpets, ceilings, walls, bathrooms, and windows
as necessary to maintain safe and sanitary living conditions; cleaning oven,
stove, and refrigerator as necessary to prepare food safely; cleaning
kitchen, washing dishes, and routine cleaning of household appliances;
changing linens and making beds used by the individual; performing
laundering tasks for the individual, including washing, drying and folding
laundry (and ironing if the individual cannot wear clothes without ironing);
planning, preparation, cooking and serving of meals to the individual;
feeding the individual as necessary; reminding and encouraging the member to
eat; performing essential errands such as grocery shopping, and obtaining
prescriptions, medical supplies and household supplies; performing storage
tasks as necessary; and, performing other duties and tasks included in the
individual’s care plan that are necessary to assist the individual with
maintaining self-sufficiency.
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It does not include doing any of these
things for members of the client's family or individuals who are not also clients,
nor does it include "deep" or "heavy" cleaning.
- Attendant Care
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This is a designated category of contracted care services which may
be authorized by Yavapai County Long Term Care, the DES Division of
Developmental Disabilities, and other agencies contracted to provide
services under AHCCCS (Arizona's version of Medicaid). It includes both
Personal Care and Homemaking services, as described above. Attendant Care
normally involves more hours of care during a week than separately
authorized Personal and Homemaking services, and is often provided by
eligible family members living with the long term care client. These
family members then become and provide services as employees of Helping
Hands.
- Respite
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This includes Personal Care and Homemaking
tasks which may be required during the service hours, as well as
companionship, social stimulation, activities and supervision. Respite care
is normally provided to give primary caregivers, such as family members, a
break.
- Habilitation
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This is a designated category of contracted care services which may be
authorized by Yavapai County Long Term Care, the DES Division of
Developmental Disabilities, and other agencies contracted to provide
services under AHCCCS (Arizona's version of Medicaid). These services are
generally authorized for clients who, because of developmental
disabilities, childhood trauma, particular medical conditions, etc., did not
develop normal developmental or living skills. They include the provision of training and/or
assistance in independent living skills or special developmental skills,
mobility training, sensory-motor development, behavioral management and
supported employment, such as:
1)
Assistance and training related to personal and physical needs and daily
living skills;
2)
Implementing strategies to address behavioral concerns, developing behavior
intervention programs, and coordinating with behavioral health programs to
ensure proper review of medication treatment plans;
3)
Ensuring that the health needs of the individual are being met, including
providing follow up as requested by the client’s primary care physician or
medical specialist;
4)
Implementing all therapeutic recommendations including speech, occupational,
and physical therapy and assisting individuals in following special diets,
exercise routines, or other therapeutic regimes
5)
Mobility training, alternative or adaptive communication training;
6)
Opportunities for training and/or practice in basic consumer skills such as
shopping, banking, money management, assess and use of community resources,
and community survival skills; and,
7)
Assisting individuals in utilizing community transportation resources to
support the individual in all daily living activities, e.g., day treatment
and training, employment situation, medical appointments, visits with family
and friends and so forth.
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