Explanation of Services

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Personal Hygiene Assistance: Help with bathing, dressing and grooming.

 

Meal Prep: Preparing meals in individuals own home. 

 

Light Housekeeping: Assistance with basic house cleaning and laundry. 

 

Alzheimer's & Dementia Care: Hourly Rate: Specialized care for individuals with memory loss and cognitive impairment. 

 

Per Session Rate: Cost of service; time spent will be determined at time of assessment. 

HOME CARE SERVICES

HOME SUPPORT SERVICES

 

Home care services include:

  1. a) assessment
  2. b) case management and care coordination 
  3. c) nursing services;
  4. d) home support services, that include personal care, meal preparation, light housekeeping,

and respite.

 

  1. Home support services have four components:
  • a) personal care;
  • b) meal preparation;
  • c) light housekeeping; and
  • d) respite.

 

  1. Meal preparation is provided to improve and/or maintain the nutritional status and general health of clients and every effort must be made to assist clients to become as self-reliant as possible in meal preparation and/or to access community based meal services, where available.

 

  1. Respite services shall not be provided to relieve parents from routine childcare.

 

  1. Home support services are required to act in accordance with existing scopes of practice

and within Nursing Soles Foot & Home Care scope of employment.

 

HOME SUPPORT SERVICES

Definitions

 

“Light housekeeping” includes assisting with and/or teaching self-care techniques for instrumental activities of daily living in the areas of general household cleaning, laundry, and changing linen.

“Meal preparation” includes assisting with and/or teaching self-care techniques for instrumental

activities of daily living in the areas of nutritional care, menu planning, and meal preparation.

“Personal care” includes assisting with or supervising activities of daily living in the areas of hygiene, toileting, dressing, feeding, and mobility.

“Respite” is any combination of services provided specifically for the purpose of giving relief to the family or other non-paid caregivers of a dependent person who lives at home. The objective of respite services through home care is to support the family environment by allowing primary caregivers time to attend to personal matters or to obtain needed rest and relief.

“Scope of employment” means the range of an employee’s duties and responsibilities as defined by the service provider in accordance with such employee’s level of competence as prescribed by the service provider.

“Scope of practice” means roles, functions, and accountabilities for which individuals are educated and authorized to perform as well as the limitations pursuant to which these services are provided. For members of a regulated profession, these roles, functions, and accountabilities and limitations are also defined by applicable legislation.

NURSING SERVICES

  1. Home care nursing services include:
  • a) performing nursing assessments;
  • b) performing nursing treatments and procedures;
  • c) teaching and supervising self-care to clients receiving personal care or nursing services;
  • d) teaching personal care and nursing procedures to family members and other caregivers;
  • e) providing service for personal care or respite when the assessment process identifies that the condition of the client warrants provision of these services by a nurse;
  • f) initiation of referrals to other agencies and services as appropriate.

 

  1. Home care nursing services must be delivered by providers who are members in good standing of Nova Scotia Nurses Union.

 

  1. Home care nursing service providers are required to deliver services in accordance with their scope of practice as defined by the regulatory body governing their profession and within their Nursing Soles Foot & Home Care scope of employment.

PALLIATIVE HOME CARE SERVICES

Refers to home care services that provide active, compassionate care to theclient who is terminally ill. It is a service made available to terminally ill persons and their supporters who have determined that treatment for cure or prolongation of life is no longer the primary goal.

This category applies to clients who are dying and who have chosen to spend as much time as possible in their own homes. Clients may be considered “palliative” when:

  • a) their condition has been diagnosed by a physician as terminal with life expectancy of weeks or months;
  • b) active treatment to prolong life is no longer the goal of care; and
  • c) the case management process has determined through assessment that the individual has “end stage” palliative care service needs.

There are three stages in the palliative process:

  1. “Early” and “Intermediate” Stage Palliative Care – Individuals in the early and intermediate stage of the palliative process normally would be considered “stable”, where deterioration is proceeding at a slower pace, and minimal or occasional assistance is required due to terminal illness.
  2. “End Stage” Palliative Care – The following parameters may be used to help determine whether terminally ill individuals are in the end stage of the palliative process and are dealing with end of life (dying) issues:                                                                                                     a) the time frame for the end stage may be measured in terms of days or weeks of dying.

       Time frames are difficult to determine however, and in some cases this end stage may be

        longer than a few weeks or as short as one or two days;

        b) there are typically day-to-day changes with deterioration proceeding at a dramatic pace;

        c) end stage may be characterized by:

        ▪ increasing intensity of need;

        ▪ increasing assistance required for physical and psychological need and family

          exhaustion; and/or

        ▪ a requirement for additional interventions such as social work, pastoral care, and therapies;

       d) there is documented clinical progression of disease, which may include a variety of symptoms.

  1. The types of clients that receive palliative care would generally align with the standard for the End of Life home care client grouping developed by the Canadian Institute for Health Information. The typical prognosis for clients in this grouping would be a life expectancy of less than 6 months.