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Home Health Care Management & Practice
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A Key to Success in Home Health Care!

Elizabeth McIntyre, MAS, BSN, RN

Lancaster County Career and Technology Center, and Applications Research Laboratory, betsymacrn{at}aol.com

This article presents five specific components of the certified nursing assistant's (CNA's) role in the clinical setting that are essential to patient care quality. These are hands-on skill level, communication, reliability and integrity, documentation and technology, and clinical knowledge base. The importance of education and communication by the caregiver staff for patients within long-term- and home-care settings is discussed relative to how these elements affect care and service delivery. Central to this ongoing observation and reporting is the role of the CNA within the long-term-care setting or the home health aide within the home care setting. By taking preventive actions and working as a team in the provision of patient care to individuals at risk for dehydration and renal failure, improved patient outcomes can be achieved. An education tool is also provided as a resource to direct caregivers in long-term- and home-care settings.

Key Words: dehydration • weight loss • diarrhea • elevated BUN • creatinine • CNA • education • prevention • communication

This version was published on October 1, 2008

Home Health Care Management & Practice, Vol. 20, No. 6, 482-486 (2008)
DOI: 10.1177/1084822308319789
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