Surroundings differ from case to case. Some homes are neat and pleasant, while others are untidy or depressing. Home health and personal care aides generally work on their own, with periodic visits by their supervisor. They receive detailed instructions explaining when to visit clients and what services to perform. Many aides work part time, and weekend hours are common.
Aides are individually responsible for getting to the client's home.
They are particularly susceptible to injuries resulting from all types of overexertion when assisting patients, and falls inside and outside their homes. Mechanical lifting devices that are available in institutional settings are seldom available in patients' homes. Most aides are employed by home health and personal care agencies, visiting nurse associations, residential care facilities with home health departments, hospitals, public health and welfare departments, community volunteer agencies, nursing and personal care facilities, and temporary help firms. Self-employed aides have no agency affiliation or supervision, and accept clients, set fees, and arrange work schedules on their own. In some States, this occupation is open to individuals with no formal training.