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_ ' . , - , :# '. <br /> other appropriate professional in accordance with the approved plan of <br /> . care. For home health aide services, the approved plan of care will be <br /> developed in consultation with appropriate staff of the certified home <br /> health agency. <br /> Home health aides are required to report to the demonstration site any <br /> observed changes in the participant's condition or family situation which <br /> may affect his/her currently approved plan of care. <br /> Health and personal care tasks which may be performed by a home health <br /> aide include but are not limited to: <br /> a. dressing and wound care, including eare of decubitus and stasis <br /> ulcers; <br /> b. routine catheter care, including irrigation; <br /> c. assistance with medications specifically ordered by a physician which <br /> are ordinarily self-administered; <br /> d. assistance with or supervision of tasks associated with activities of <br /> daily living, e.g.,bathing,toileting,grooming and dressing,transferring <br /> , <br /> and use of adaptive equipment, where indicated; <br /> e. training participants and primary caregivers in necessary self-help ', <br /> skills. <br /> While the primary functions of a home health aide are to provide health <br /> and personal care services, it may be deemed efficient under certain <br /> conditions, as reflected in the approved plan of care, that certain assigned <br /> household activities be performed in conjunction with a home health aide <br /> visit. These ancillary services may include: <br /> a. performing light cleaning tasks in areas of the home used by the <br /> par�icipant, e.g., dusting, vacuuming, damp mopping; <br /> b. assisting with or supervising the preparation of a shopping list and <br /> preparing or assisting in the preparation of ineals appropriate to a <br /> participant's dietary needs and financial circumstances; <br /> � - <br /> � III-5 <br />