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STATE OF NEVADA SERVICE SPECIFICATIONS CAREGIVER SUPPORTIVE SERVICES Any exception to these Service
Specifications must be requested in advance in writing and approved by the
Administrator. SERVICE
DEFINITION: This service provides
education and supportive services for frail older adults, families and
professionals caring for elderly adults in their own homes. The intent is to
prevent excessive disability in the elderly client and reduce stress-related
problems in the caregiver. This service directly targets problems that cause
families to seek costly residential placement. The service promotes the
maintenance of elderly Nevadans in their homes while maximizing the quality of
life for both the senior and the caregiver. Services may include:
AoA
SERVICE CATEGORIES AND UNIT MEASURES The following service
categories and unit measures must be used to document the amount of service
provided: Caregiver
Supportive Services:
A program to prevent excess disability in elderly clients and the
reduction of stress-related problems in their caregivers. This service promotes
the maintenance of elderly Nevadans in their homes while maximizing their lives
and their caregivers’ quality of life. One unit equals one contact with or on
behalf of a caregiver and/or client. Education:
Provides health care professionals, students, clients and/or caregivers
with education and training in geriatric health issues, techniques and/or
trends. One
unit equals one hour of training/educational meeting (including preparation
time) in a group setting. SPECIFICATIONS: 1.
Required Services: 1.1
Individual
and family counseling, both in the home and at treatment facilities. 1.2
Caregiver
training programs both for family caregivers and professionals. 1.3
Support groups—either conduct a support group(s) or arrange for the
caregiver to attend a support group sponsored by another organization. 2.
Optional Services: 2.1
Case management 2.2
Advocacy services 3. Assessment/Certification: 3.1
Primary Caregiver Assessment: An
in-home assessment must be completed as part of the total assessment and must
document the following areas: 3.1.a
Description of Client’s Physical/Cognitive Condition: o
Diagnosis o
Recent Hospitalizations/reason o
Physical condition of client:
areas of the body impaired; severity of impairments o
Cognitive status: level of
functioning, mental confusion, depression o
Assistive devices used by client in
performing Activities of Daily Living; e.g., wheelchair, oxygen 3.1.b
Analysis of Client’s Physical Status: o
Ambulation o
Ability to Stand o
Vision o
Ability to grasp, bend, reach, lift o
Ability to transfer o
Ability to go outside the home
without assistance 3.1.c
Analysis of Client’s Support System: o
Number of persons in household and
their relationship to the client o
Supportive tasks performed by
family and friends 3.1.d
Analysis of Home Environment: o
Number/type of pets o
Type of housing:
mobile, apartment, townhouse, house o
Indicate whether refrigerator,
oven, heating and plumbing are in working condition o
Indicate whether the client needs
assistive devices for bathing; e.g., shower chair, grab bars o
Indicate unsafe conditions 4. Care Plan: 4.1
A Care Plan must be established based on the needs identified in the assessment.
The care plan should include the type, amount, frequency, expected duration and
source of services to be arranged or provided. The care plan must be signed and
dated by the client/caregiver. A signed copy of the Care Plan must be provided
to the client and/or caregiver. A new Care Plan must be established whenever
changes are made to the plan and a copy of the new plan must be provided to the
client and/or caregiver. 5.
Reassessment: 5.1
A reassessment is required whenever there is a substantial change in a client’s
physical condition, support system, or home environment. At a minimum, clients
must be reassessed annually through an in-home visit. Reassessment documentation
must be recorded separate from the original assessment documentation. 6.
Education and training sessions. 6.1
Develop an annual plan on proposed education and/or training sessions
prior to the start. The plan should include:
topics, proposed target group, proposed schedule/timeline and proposed
general community sessions. 6.2
Documentation shall include: date of training; topic presented; name and
title of presenter; and the number of the individuals in attendance. 7.
Performance Indicators: 7.1 Programs will develop and implement performance indicator surveys for (new) clients and conduct a six-month follow up survey to assess the impact of the services provided on the client and caregiver. Survey questions are subject to the approval of the Division for Aging Services.
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