Mississippi Administrative Code › Title 18 - HUMAN SERVICES › Part 2 - Division of Aging and Adult Services › Chapter 2 - Quality Assurance Stanards › Rule 18-2-2.13 - PERSONAL CARE SERVICES

Current through June 25, 2024
A.
Definition and Purpose
Personal care services are services to assist the
				  functionally impaired elderly and disabled with activities of daily living
				  (ADL). The activities of daily living are bathing, dressing, eating, toileting,
				  transferring, ambulation and assistance with medications which are ordinarily
				  self-administered by the client; assistance with food preparation and feeding;
				  performance of household services essential to the client=s health and comfort
				  in his/her home but not limited to.
B.
Eligibility
Individuals 21 years and older who have functional, physical,
				  or mental characteristics which prevent them from providing the service for
				  themselves and who do not have an informal support network (family, friends,
				  neighbors, etc.) capable of meeting their service needs.
C.
Unit of Service
One unit of service equals one hour of direct service to, for
				  or on behalf` of the client.
D.
Minimum Program
				Requirements
All providers of personal care 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 Personal Care Worker shall have knowledge of
				and/or perform the following:
a.
Human Growth and Development
- Be knowledgeable of the
				aging process in order to assist the client in understanding his or her aging
				process and the changes that occur as he or she ages.
b.
Personal Hygiene
- Assist the client with the activities of daily living (ADLs) such as:
1) Bathing
2) Tub bath/shower
3) Sponge/partial bath
c.
Shampoo and Groom
				Hair
- Wash, brush, oil and comb the client's hair.
d.
Ambulation
-
				Assist the client in walking from one point to another.
e.
Diversion and
				Recreation
- Take the client's mind off the pain or discomfort he
				or she may be feeling, reducing boredom. If client has a cane, wheelchair or
				walker, encourage the client to use it.
f.
Dressing
- Assist
				the client in finding, preparing and putting on or taking off
				clothes.
g.
Toileting
- Help the client to understand the
				importance of regular elimination of body waste and assist client in using the
				commode, urinal or bedpan.
h.
Feeding
- Feed client in a position that does not
				prevent digestion of food and does not block airway or cause choking.
i.
Oral Hygiene
-
				Keep the client's teeth and gums clean and healthy, mouth refreshed and
				encourage regular dental check-ups. This helps to improve the client's
				appetite.
j.
Bed
				Making
B Change the bed linen with or without the client in the
				bed.
k.
Sleeping and
				Rest Habits
B Be aware of the sleeping patterns and rest habits of
				older people and encourage clients to take frequent rest periods.
l.
Safety
B The
				Personal Care Worker should be aware of 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) How 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) How
				to recognize the signs of abuse, neglect and exploitation; and proper reporting
				protocol.
7) Diseases such as AIDS,
				tuberculosis, pneumonia and other infections, communicable or contagious
				diseases and proper disease prevention techniques.
m.
Health
- Encourage
				healthy lifestyles with good habits of eating, dieting and exercising. The
				personal care worker 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.
n.
Substandard
				Housing
- Have a basic knowledge of existing county and city
				housing codes and be aware of the individual agencies' telephone number and
				process for making referrals for clients residing in substandard or inadequate
				housing.