1. • Provide bathing assistance with consideration of consumer’s physical, mental and cognitive status based on individual preferences and/or needs. • Provide assistance with oral and denture care, recognizing and reporting problems such as loose fitting dentures, missing teeth, dry mouth, and plaque build up. • Give nail care according to plan of care, monitoring condition & reporting abnormalities. • Give foot care and monitors condition for any early signs of breakdown. • Provide assistance with dressing and undressing as needed based on individual needs and use of assistive devices as per plan of care. • Demonstrate use and care of prosthetic and orthotic devices and reports problems. • Incorporate task segmentation with ADL’s as outlined in care plan. • Provide assistance with bowel/bladder elimination based on individual needs. • Demonstrate care of suprapubic and ostomy appliances per agency procedure. • Assist to maintain personal hygiene needs by providing hair care, shaving, pericare, applying make-up, washing and drying face and hands based on consumer needs.

1. • Demonstrate techniques for addressing the unique needs and behaviors of individuals with dementia (Alzheimer’s and others) • Communicate effectively with cognitively impaired consumers. • Communicate understanding of the behavior of cognitively impaired consumers and verbalizes techniques to circumvent negative behaviors. • Respond appropriately to the behavior of cognitively impaired consumers. • Utilize intervention to reduce the effects of cognitive impairments, incorporating therapeutic interventions according to plan of care. • Provide support to families and significant others of cognitively impaired consumers. • Recognize and report signs and symptoms of depression and anxiety. • Identify and promptly report mental status and behavioral changes. • Implement intervention to support consumer coping mechanisms according to the plan of care. • Implement support for spiritual well-being according to individual wishes.

1. • Assist in identifying basic human needs throughout the lifespan, including physical (security, shelter, food, clothing), socio-cultural (family, friends), psychological (emotional, self-esteem, and self -actualization) and spiritual needs. • Document and describe mental status and behavior changes. • Assist in identifying sources of stress common to consumers. • Describes how cultural attitudes contribute to psychological problems. • Modify own behavior in response to consumer behavior. • Ensure that consumers are not subject to abuse by anyone. • Ensure that all incidences of alleged or suspected abuse/neglect are promptly reported. • Identify normal sexuality and common myths related to sexuality and aging. • Facilitate the client's expression of needs and provide supportive communication. • Assist and instruct clients to be independent in the activities of daily living. • Modify care to accommodate client values, customs or habits. • Use family members as a source of consumer emotional support. • Provide appropriate care for consumers with depression, schizophrenia, and mental retardation.

1. • Identify and recognize the stages of dying. • Assist in care of dying client and their family members considering spiritual and cultural beliefs. • Observe records and report cessation of vital signs. • Provide post-mortem care according to facility guidelines.

1. • Assist consumer with thickened liquids and identify consistency as needed. • Recognize thickened liquid consistency and demonstrate ability to mix and administer appropriately. • Identify therapeutic diets, the foods included in each specific diet, and the condition where specific diets are prescribed. • Recognize personal, cultural, and religious variations in diet. • Describe dietary problems of the aging. • Identify why a client may need to be encouraged to drink fluids as ordered and recognize symptoms of dehydration and report promptly • Provide and restrict fluids as ordered, verbalizing rationale for restrictions. • Prepare and position the client appropriately for meals. • Identify clients at nutritional risk and implement measures to minimize weight loss as per care plan. • Assist the client with eating using effective techniques. • Observe and record the amount/percentage consumed. • Recognize potential problems associated with feeding tubes.

1. • Establish a safe, clean, comfortable and homelike environment with regard for the consumer's preferences. • Identify environmental safety hazards, and methods used to prevent accidents, including falls, slips, and tripping hazards and use safety precautions when oxygen is in use. • Identify disaster plans and vulnerability of consumers in given situations. • Maintain and enforce safety precautions related to age of client. • Apply and monitor mobility alarms and demonstrates appropriate application according to plan of care. • Consider the consumer's sensory and/or cognitive impairments when planning a safe environment. • Monitor equipment safe use and maintenance of equipment.

1. • Recognize consumer need for skin protectors, i.e., geri-gloves, etc., to protect fragile skin and implements these interventions as needed • Promote sense of value incorporating past life experiences and recognitions, encouraging appropriate activity participation and recognizing individual sense of worth. • Incorporate knowledge of care of consumer with complex orthopedic needs –such as: complications of hip-replacement surgery, transfer of patient with hip-replacement surgery, logrolling of immobile consumer, guidelines for the care of a consumer in a cast. • Incorporate knowledge of care for consumers with chronic or severe pain • Recognize symptoms of fecal impaction, monitors bowel function, and promptly reports any abnormalities.

• Describe the aging process and common myths of aging. • Identifies developmental tasks associated with the aging process. • Identifies the role of elderly in the home and community, including cultural and religious aspects. • Identifies major health problems found in the aging process. • Identifies major physical system changes in the aging process: > Respiratory system—COPD, bronchitis, asthma, TB. > Cardiac system—CHF, MI, atherosclerosis, angina, hypertension, pacemakers > Urinary system—various types of incontinence, UTI have and identify appropriate indications for catheters. > Metabolic system—diabetes, dialysis issues and kidney dysfunction. > Integuementary system—skin tears, skin ulcers (stasis vs. pressure) shingles, lice/scabies. > Nervous system—CVA, TIA, Parkinson’s disease, spinal cord injuries, cerebral palsy. > Gastrointestinal system—diverticulitis, ulcers, hernias, gall bladder disease. > Musculoskeletal system—fractures, osteoporosis, arthritis and contractures. > Reproductive system—AIDS, benign prostatic hypertrophy, prolapsed uterus, post menopause. > Sight and hearing: cataracts, glaucoma, hearing loss.