Complete narrative instructions for each task code. Refer to these
when providing care.
102 - Bath-Bed
Provide bed bath assistance as needed when Joe requests or when
shower is not feasible. Ensure privacy and maintain dignity during
all personal care activities. Use warm water and appropriate
cleansing supplies. Check skin for any redness or pressure areas
during bathing.
106 - Hair Care-Shampoo
Assist with hair washing and shampooing during shower or bath as
needed. Joe may need standby assistance due to balance issues when
leaning over the sink. Ensure hair is thoroughly rinsed and dried.
Brush/comb hair neatly.
115 - Meal Preparation
Assist with meal preparation and light meal planning due to Joe's
balance challenges. Prepare breakfast, lunch, and dinner as
requested. Ensure kitchen is clean after meal preparation. Offer
healthy options and encourage adequate nutrition and hydration.
Joe should remain seated while food is being prepared to prevent
falls.
116 - Housework/Chores
Assist Joe with keeping his apartment clean and orderly.
IMPORTANT: Do NOT rearrange, remove, or discard any items without
Joe's knowledge and agreement - his home contains meaningful
artifacts from his anthropology career. Keep all walkways clear of
tripping hazards. Complete light housekeeping tasks including
dishes, tidying, vacuuming as needed.
117 - Managing Finances
Provide practical assistance with finances including organizing
bills, writing checks at Joe's direction, and preparing payments
for mailing. NEVER use Joe's debit card, withdraw cash, or access
his accounts without his explicit permission and direction.
Document any financial assistance provided.
118 - Managing Medications
Joe manages his own medications but benefits from daily reminders
and confirmation that he has taken them. Provide gentle reminders
at regular intervals. Confirm he has taken his medications by
asking and documenting. Do not physically handle his medications
unless specifically asked.
119 - Shopping
Assist with grocery shopping and errands as requested. May need to
accompany Joe to stores or shop on his behalf. Maintain the
shopping list and update as needed. Ensure proper handling of
perishables upon return.
120 - Transportation
Provide transportation as requested. Hands-on assistance is
required for stairs, curbs, and uneven surfaces. Ensure Joe is
properly secured with seatbelt at all times while vehicle is in
motion. Assist with entering and exiting the vehicle safely. Never
leave Joe alone in the vehicle.
122 - Hygiene
Assist with hygiene care daily in the morning and as needed
throughout the day. Provide standby assistance and hands-on
support as needed. This includes assistance with washing face,
hands, and personal hygiene tasks. Allow adequate time - these
routines can take 2+ hours due to Joe's balance challenges.
123 - Dressing Upper
Assist with dressing upper body daily in the morning and evening.
Provide standby assistance and hands-on support as needed. Allow
adequate time for Joe to dress himself where possible while
ensuring safety. Assist with buttons, zippers, and clothing
adjustments as needed.
124 - Dressing Lower
Assist with dressing lower body daily in the morning and evening.
Provide standby assistance and hands-on support with putting
on/removing pants, socks, and shoes. Ensure proper footwear for
safety. Allow adequate time for these tasks.
125 - Locomotion
Joe ambulates independently but can be unsteady. Provide standby
assistance during all ambulation - be ready to provide hands-on
support if he loses balance. Clear pathways before walking. Use
proper body mechanics when providing support. Joe is at risk for
falls due to unsteady gait.
126 - Transfer
Provide standby assistance during all transfers: bed, toilet,
shower, and wheelchair. Be ready to provide hands-on assistance as
Joe can be unsteady. Use proper transfer techniques to ensure
safety. Maintain physical proximity during all transfers.
127 - Toilet Use
Assist with toileting as needed. Provide standby assistance and
help with clothing adjustments. Ensure toilet is clean after use.
Monitor for any signs of urinary or bowel issues. Provide privacy
while maintaining safety.
128 - Bed Mobility
Provide standby assistance with repositioning in bed as needed.
Assist with getting in and out of bed using proper transfer
techniques. Ensure bed position is comfortable and safe. Check
skin for redness during repositioning.
129 - Eating
Provide standby assistance during all meals. Joe can eat
independently but may need encouragement. Monitor for signs of
choking. Ensure adequate food and fluid intake. Allow ample time
for meals.
130 - Bladder Incontinence
Provide assistance with bladder incontinence as needed. Monitor
for frequency and any signs of urinary tract infection (odor,
cloudiness, complaints of burning). Provide prompt assistance with
toileting and personal hygiene. Maintain dignity and privacy
during care.
131 - Bowel Incontinence
Provide assistance with bowel incontinence as needed. Monitor
bowel movements for changes in consistency, frequency, or color.
Report any concerns (constipation, diarrhea, blood, unusual odor)
to the office immediately. Provide prompt assistance with cleaning
and hygiene. Maintain dignity and privacy during care.
132 - Personal Care T1019
Provide hands-on assistance with personal care activities
including washing face, brushing teeth, combing hair, and
grooming. Assist with oral care. Provide nail care for fingers as
needed. Ensure Joe looks neat and well-groomed at all times.
Maintain dignity and privacy during all personal care activities.
Allow adequate time - these routines can take 2+ hours.
134 - Bathing - Wash Up
Assist with washing up at the sink and during shower/bath as
needed. Provide standby assistance and hands-on support as
required. Due to balance challenges, Joe may need support when
standing at the sink. Ensure proper water temperature and safety.
Maintain privacy and dignity.
137 - Lotion/Ointment
Apply lotion or ointment as needed or requested. Pay attention to
dry skin areas. Apply when Joe is seated safely - not standing.
Note: Lotion can make skin slippery on feet. Ensure Joe wears
non-slip footwear or socks after application. Inform Joe that feet
may be slippery after application.
138 - Laundry
Assist with laundry as needed. This may include washing, drying,
folding, and putting away clothes. Ensure laundry is completed in
a timely manner. Check that Joe has clean clothing available. Do
not discard or alter any of Joe's belongings without his explicit
permission.
139 - Reading/Writing
Assist with reading mail, documents, or other materials as needed.
Help with writing notes, letters, or forms as requested. Provide
reading assistance for any important documents. Maintain
confidentiality of any personal information.
140 - Supervision/Coaching/Cueing
Provide standby supervision during all care tasks. Coach and cue
Joe as needed to promote independence while ensuring safety.
Provide verbal cues and guidance for tasks he can do with some
assistance. Encourage Joe to remain active and engaged while being
mindful of his safety due to his unsteady gait.
141 - Incontinence Care
Provide prompt assistance with incontinence care as needed. This
includes checking, changing, and proper disposal of incontinence
products. Maintain proper hygiene and skin care. Report any skin
irritation or concerns to the office. Ensure Joe remains clean and
dry. Maintain dignity and privacy at all times.