Beyond Functional Support: The Range Of Health-Related Tasks Performed In The Home By Paid Caregivers In New York
Open accessAbstract
Paid caregivers (for example, home health aides and personal care attendants) are formally tasked with helping older adults with functional impairment meet their basic needs at home. This study used thirty semistructured interviews with dyads of patients or their proxies and their paid caregivers in New York City to understand the range of health-related tasks that paid caregivers perform in the home and determine whether these tasks are taught in the New York State Department of Health's curriculum. We found that patients, proxies, and paid caregivers all reported that paid caregivers performed a wide range of health-related tasks that were often not part of their formal training. Creating clear competencies for paid caregivers that reflect the full breadth of health-related tasks they may perform in the home could help maximize the positive impact of the paid caregiver workforce on the lives of patients living at home with functional impairment.
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Under supervision by licensed nurses or other health professionals, home health aides and nursing assistants perform clinical tasks such as wound care, vital sign measurement, and medication administration, depending on setting and regulations.
“Under the supervision of licensed nurses or other health care professionals, home health aides and nursing assistants also perform certain clinical tasks, such as wound care, measuring vital signs and medication administration (depending on the setting and regulatory context).657,658”
From 2023 Alzheimer's disease facts and figures (2023) · cites this paper as [658]
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References 24 · Cited by 89
- Authors
- Reckrey, J. M., Tsui, E. K., Morrison, R. S., Geduldig, E. T., Stone, R. I., Ornstein, K. A., & Federman, A. D.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- City University of New York (US)
- Leading Age (US)
- ORCID
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2019-06
- Volume
- 38
- Issue
- 6
- Pages
- 927-933
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- PMC
- PMC6685545
- OpenAlex
- W2947508756
- Cited by
- 89
- References
- 24
- Citations by year
- 2026: 5 · 2025: 14 · 2024: 13 · 2023: 13 · 2022: 21 · 2021: 13 · 2020: 9 · 2019: 1
- FWCI
- 14.97
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Health Affairs (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (2p30ag028741-16)
- National Institute on Aging (P30‐AG028741, K01AG047923, R03AG060092, R01AG052557)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- professional caregivers, home health aides, personal care attendants, functional disability, older adults, caregiver competence, home care workforce, New York State Department of Health, New York City
- MeSH terms
- Activities of Daily Living, Adult, Aged, 80 and over, Female, Home Care Services, Home Nursing, Humans, Interviews as Topic, Male, New York City, Caregivers
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