Respite Care: The services performed during Respite Care may be the same as the aforementioned “Personal Care Services” but with the intent of relieving and offering rest for the permanent caregiver (usually a family member). These services are usually performed by a CNA or HHA, but if the duties do not include “hands on attention” but only Housekeeping, Transportation, Fellowship, or Chore related activities then these services can be performed by a Companion or Homemaker. Conversely, should the acuity of the patient be such that “invasive” medical care is required then the services of an LPN or RN might be required.

Homemaker Services or Chore Services: These are specific home management duties including Housekeeping, Laundry, Cleaning Refrigerators, Minor Home Repairs, Sewing, Transportation, Meal Planning and Preparation, Shopping Assistance, etc., these duties are routinely performed by Companion or Homemaker level caregivers. Should the client/patient have a condition that might require the caregiver to have the assessment skills necessary to determine that a client might need hands on attention in a given situation then the services of a CNA or HHA might be warranted.

Fellowship: Strictly for the purpose of visiting a client who is socially and/or geographically isolated for the purpose of relieving loneliness and encouraging continual social interaction. Transportation may be involved in this service. Homemakers or Companions routinely perform this service.