Mississippi Administrative Code › Title 18 - HUMAN SERVICES › Part 2 - Division of Aging and Adult Services › Chapter 2 - Quality Assurance Stanards › Rule 18-2-2.11 - HOMEMAKER

Current through June 25, 2024
A.
Definition and
				Purpose
Homemaker services are supportive services provided in the
				  home by a trained homemaker that involves education and/or provision of home
				  management duties to assist in strengthening family life, promoting self
				  sufficiency and enhancing quality of life.
The purpose of homemaker services is to assist functionally
				  impaired older persons to remain in their home by providing assistance with the
				  activities of daily living, housekeeping, laundry, meal planning, marketing,
				  food preparation, and other types of home management tasks.
B.
Eligibility
Individuals 60 years and older with a level II score of 22 or
				  above on the Consumer Information Form who cannot perform simple housekeeping
				  tasks or need assistance in performing these tasks. Individuals 60 and older
				  who have either functional, physical, or mental characteristics which prevent
				  them from providing the service for themselves and who do not have an informal
				  support network capable of meeting their service needs.
C.
Unit of Service
One (1) unit of service equals one (1) hour of direct service
				  to, for or on behalf of the client.
D.
Minimum Program
				Requirements
All providers of homemaker services under Title III, SSBG or
				  other funds through contractual agreement with an Area Agency on Aging must
				  adhere to the following minimum program requirements:
* All clients are to be entered into the State Approved
				  Client Tracking System no later than 10 working days.
1.
Service
				Activities
- the homemaker shall perform the following services:
a.
Household
				Management
- Assist with activities of daily living such as
				dusting, vacuuming, sweeping, washing dishes and clothes, bed making, and other
				simple housekeeping tasks to ensure a healthy environment.
b.
Menu Planning and Meal
				Preparation
Work with the client and primary caregiver to find out
				what foods and menus the client needs; prepare a shopping list, plan the meals
				for a week, purchase groceries, prepare and serve the meal if needed, and put
				away groceries and other food items. The homemaker must know the basic food
				groups and what constitutes a nutritious meal.
c.
Consumer
				Education
- Assist the client in getting the best buy for the
				dollar; selecting good quality meats, vegetables and other foods; comparing
				prices, buying merchandise in the size or quantity to meet the needs of the
				client and family; choosing the most economical products; clipping coupons, and
				watching for newspaper or store ads and in-store sale items.
d.
Human Growth and
				Development
- Be knowledgeable of the aging process to assist the
				client in understanding his or her aging process and the changes that occur as
				he or she ages.
e.
Dressing
- Assist the client in finding, preparing and
				putting on or taking off clothes.
f.
Toileting
-
				Assist the client to understand the importance of regular elimination of body
				waste and assist client in using the commode, urinal or bed pan.
g.
Oral Hygiene
Assist the clients with mouth and denture cleaning procedures.
h.
Bed Making
Change
				bed linen as necessary.
i.
Sleeping and Rest Habits
Be aware of the sleeping
				patterns and rest habits of older people and encourage clients to take frequent
				rest periods.
j.
Safety
Be aware of the overall protection of the
				household from predictable hazards and do everything possible to ensure a safe
				environment for the client, which includes being knowledgeable of:
1) Basic first aid and CPR;
2) Proper cleaning techniques;
3) The effects of medication on
				clients;
4) Ways to prevent burns,
				falls and fires and the types of accidents to which elderly clients are
				prone;
5) The phone numbers to
				contact emergency personnel;
6)
				Ways to recognize the signs of abuse, neglect and exploitation, and the proper
				reporting protocol; and,
7)
				Diseases such as AIDS, tuberculosis, pneumonia and other infections,
				communicable or contagious diseases and proper disease prevention
				techniques.
k.
Health
: Encourage healthy lifestyles with good habits
				of eating, dieting and exercising. The homemaker should be aware of the leading
				causes of death among the elderly such as cancer, strokes, diseases of the
				heart/heart attacks and others. Evidence suggests that heavy smoking, alcohol
				abuse, poor nutrition, improper exercise, and the lack of regular medical
				check-ups are associated with a variety of poor health conditions later in
				life.
l.
Substandard
				Housing
- The homemaker should have a basic knowledge of existing
				county and city housing codes and be aware of telephone numbers and process for
				making referrals for clients residing in substandard or inadequate
				housing.