Public Health Fundamentals

1. Public Health Fundamentals What’s it all about?? By Sharon Verdu, RN - CD Owens High School

2. Adapted from the NC Division of Health Services Regulation, this course is designed to assist future healthcare professionals to understand the unique challenges and strategies involved in the delivery of healthcare outside traditional facilities and without traditional supervision structure, and is responsive to overwhelming need for community based healthcare. Public Health Fundamentals carries NC Division Health Services Regulation NAI registry endorsement when certain criteria are met. Students who are listed on the NC Nurse Aide I Registry and successfully complete Public Health Fundamentals will receive a Home Care Aide endorsement on the Nurse Aide I listing. Students, who successfully complete Public Health Fundamentals and later (within two years) become listed on the NC Nurse Aide I Registry as a Nurse Aide I, may receive the NAI Home Care Aide endorsement.

3. So what’s it all about? • The course has 26 modules. • Each module has a script, powerpointand activities.

4. Module 00 Intro to Public Health Describe what public health entails Better describe their own community’s public health picture Understand the role of public health in a community List several careers in public health A sample activity would be: What is Public Health?

5. Module 01 Home Care Understand the history of home care/home health Identify the different disciplines involved in home care Understand what the Nurse Aide’s role is in home care Understand supervision requirements for the Nurse Aide A sample activity would be: Trading Card Activity

6. Module 02 Legal and Ethical Issues Know the difference between legal and ethical issues Understand the home care aide’s role with legal and ethical issues Be familiar with the code of ethics Understand the patient’s rights and responsibilities Understand the home care aide’s rights and responsibilities Be able to give examples of ethical and unethical behaviors A sample activity would be: Role Play Activity

7. Module 03 Personal Safety Know his or her rights as an employee Be more aware of unsanitary working conditions Travel safely to/from patient’s homes Avoid any chemical hazards Feel confident in a potentially dangerous situation A sample activity would be: Personal Safety Activity-Crime Statistics (Workkeys Practice!)

8. Module 04 Person Centered Care Understand the concept/philosophy of person-centered care. Recognize key values and principles of person-centered care and thinking. Apply person-centered care in the delivery of daily care activities. A sample activity would be: Personal Safety Activity-Crime Statistics (Workkeys Practice!)

9. Module 05 Culture Obtain an understanding about culture and its influence on: • Caregivers • Patients and families • Relationships among home care aides, patients, and families • Clinical care • Decision making at the end of life A sample activity would be: Culture Research Assignment

10. Module 06 Age Appropriate Care, Caregiver Burnout, Patient Abuse Describe the normal growth and development of infants to preschoolers Identify developmental tasks of middle childhood to adolescence Identify developmental tasks of the varying stages of adulthood Identify physical, psychological, and social effects of aging Describe methods in which the aide can ensure age appropriate care A sample activity would be: Age Appropriate Quiz

11. Module 07 Infection Control in the Home Define vocabulary words related to infection control. Describe the history of infection control Discuss the importance of infection control measures, such as hand washing and good personal hygiene. Demonstrate good hand washing technique. Recognize how germs spread. Describe each link in the chain of infection. Relate the chain of infection to the work of in home aides. Describe the signs and symptoms of infection to report to the nurse. Compare standard precautions and transmission-based precautions. A sample activity would be: Guest Speaker on Bag Technique Music Video Bag Technique

12. Module 08 Providing Care for the Patient’s Environment Describe the role of the home care aide in caring for the patient’s environment Understand why a clean home is important to the overall health and well-being of the patient Understand basic guidelines for cleaning and home management tasks Describe how to develop a cleaning routine/schedule A sample activity would be: Cleaning Schedule in the Classroom

13. Module 09 Time Management Understand the importance of time management and organizational skills Apply applicable organizational techniques Understand how time management can impact patient care Demonstrate good time management and organizational decision making A sample activity would be: Timing Tasks

14. Module 10 Relationships with Patients and Families Relate professionalism to the role of the home care aide Define rapport and professional boundaries in relation to home care aides List examples of how to develop and maintain professional boundaries Give examples of what constitutes crossing professional boundaries Explain why professional boundaries are sometimes crossed Recognize and report inappropriate behaviors and/or relationships A sample activity would be: Appropriate or Inappropriate?

15. Module 11 Communication Discuss general guidelines of effective communication Explain why communication is important in the day-to-day interactions with patients, families, and co-workers Describe rules of reporting and recording Explain the importance of ensuring confidential patient communication A sample activity would be: Say What??

16. Module 12 Emergency Preparedness Describe the role of the home care aide in planning for a disaster Describe the role of the home care aide in planning for inclement weather Describe the role of the home care aide in responding to an emergency in the home Discuss the role of the home care aide in fire safety in the home environment A sample activity would be: Emergency Responders

17. Module 13 Patient Safety Identify common causes of home accidents and safety measures that could prevent home accidents Describe the role of the home care aide in fall prevention and responding to falls Describe equipment related accidents and the role of the home care aide in preventing those accidents Identify signs and symptoms of caregiver burnout Describe various forms of possible abuse and understand what to do in the case of suspected abuse of a patient A sample activity would be: Home Safety Assessment

18. Module 14 Nutrition Understand the MyPyramid guide to healthy eating Identify positive and negative food safety practices Shop and prepare healthy meals for their patients Understand the importance of hydration Understand how to avoid dehydration in patients A sample activity would be: What’s Cooking??

19. Module 15 The Home Care Aide’s Role for Patient’s with Certain Common Diseases Identify sources of payment for home care Understand the cost savings of home care versus institutional care Recognize the most common diagnoses related to home care Gain an understanding of the diseases and/or conditions most commonly seen in home care Understand the home care aide’s role in caring for patients with certain diseases or conditions A sample activity would be: Round Robin PPtPoster Sessions

20. Module 16 Restorative Care Identify the role and members of the rehabilitation team Discuss the home care aide’s role in restorative care Identify various adaptive equipment that may be used in the home Identify home modifications that may improve the quality of life or a disabled patient A sample activity would be: Adaptive Equipment Scavenger Hunt

21. Module 17 Alzheimer’s Disease and Other Types of Dementia Discriminate among the terms: dementia, Alzheimer’s disease, forgetfulness, delirium and depression Describe symptoms that commonly occur with Alzheimer’s disease/dementia based on brain damage. Recognize behaviors that are indicative of dementia. Differentiate between 5 levels of ability and loss in people with dementia based on observable behaviors, language and actions. Demonstrate key components of a positive physical approach when working with a patient with dementia. Demonstrate a combination of cues: visual, verbal and tactile to assist a patient with dementia. A sample activity would be: Physical Approach Skills Teepa Snow

22. Module 18 Pain Management Understand the different types of pain a person can experience Identify symptoms or side effects of complex illness Discuss the various pain management techniques and options Identify side effects of pain medications Better understand the home care aide’s role in pain management A sample activity would be: Pain Words

23. Module 19 Mental Health Identify the signs and symptoms of mental illness Understand possible treatment options for mental illness Know the home care aide’s role in helping patients manage symptoms and illness A sample activity would be: Common Phobias-Matching

24. Module 20 Understanding Challenging Behaviors Identify key concepts in aging Understand triggers to challenging behaviors Discuss good communication and problem solving Define the home care aide’s role in working with angry, combative, or agitated patients A sample activity would be: What Makes YOU Angry?

25. Module 21 Palliative Care Understand the premise of palliative care Differentiate between Hospice and palliative care Describe who could benefit from palliative care Understand the home care aide’s role in palliative care A sample activity would be: Imagine if…

26. Module 22 End of Life Care State the concept of and criteria for hospice care Describe the home care aide’s role in providing care to the dying patient Discuss the home care aide’s role in working with the patient’s family Understand how cultural diversity relates to end of life care A sample activity would be: Celebration of Life and Death Activity

27. Module 23 Stress Management for Home Health Aides Understand why home care aides might experience stress Identify possible symptoms of burnout or compassion fatigue List several stress reduction techniques A sample activity would be: Professional Quality of Life Scale

28. Module 24 The Role of the Home Care Aide in Medication Administration Identify unique medication requirements of home care patients Explain some physiological issues associated with home care patients and medications Recognize possible major side effects of medications Understand the home care aide’s role in medication administration A sample activity would be: Can/Cannot Activity

29. Module 25 Health Care Personnel Registry Identify the process for initial nurse aide listings and required renewals Identify the additional nurse aide listings available within the DHSR Registries Understand the role of the Health Care Personnel Registry Identify types of allegations listed on the Heatlh Care Personnel Registry Identify additional credentials for which nurse aides may be eligible A sample activity would be: Look Up Activity

30. Module 26(2 Modules) Entrepreneurship for Aspiring Healthcare Professionals The first module is an introduction to entrepreneurship and the second module is a brief introduction to the business planning process and shows how you can see if a business is fit for you and the your community. A sample activity would be: Smarties