Tips for Accurately Answering the Task Questions #401 – 417 (Value-Based Care Questions)
Thank you for taking the time to accurately answering task questions #401 – 417. Please remember that the answers from your visit:
1) Document what you did for your client
2) Document what you observed
3) Document what the client reported to you
Taking your time to answer these questions accurately will help your client get the best possible care.
Please note that the HHAx app will automatically close after 15 minutes, so this should leave enough time to carefully read and answer the questions based on your experiences with your client each time you visit.
Here is a list of the #401-417 task questions and some tips for how to accurately answer each:
| Task # | Duty Name | When answering this question, consider the following: |
|---|---|---|
| 401 | Has the client visited the ER since the last shift? | -When you asked the client, did they tell you they went to the ER since the last time you provided their care? -Did a family member or other caregiver tell you the client went to the ER since the last time you provided care? |
| 402 | Has the client reported any falls since the last shift? | -When you asked the client, did they tell you they suffered a fall? -Did a family member tell you the client fell since the last time you provided care? -Did you find the client on the floor when you arrived for your shift? |
| 404 | Has the client expressed feelings of loneliness or distress? | -When you asked the client, did they tell you they felt lonely, isolated, or neglected? -Is the client no longer doing activities they previously did? -Did you observe the client no longer interested in doing activities, less engaged in social events, or not interacting with family or friends? -Is the client withdrawn and no longer want visitors as they did previously? |
| 405 | Has the client received the influenza vaccine within the last year? | -Did the client, family member, or responsible caregiver tell you the client received the flu vaccine in the last year? |
| 410 | Has there been a change in the client’s skin condition today? | -Did the client tell you or did you observe any difference in skin integrity: a bruise, cut, blisters, black and blue, open sore, ulcer? -Did the client tell you or did you see a burn, injury, rash? Skin tears, rash, oozing? -Ask the client if the condition is getting worse. |
| 413 | Has the client experienced an increase in urinary incontinence today? | -Did the client tell you they are urinating more often today? -Did the client need to be changed more often than usual? -Did the client experience more urinary accidents, with or without incontinent supplies? -Did you observe the client experiencing more incontinent episodes? -Ask the client if this frequency is normal for them. |
| 414 | Has the client experienced any shortness of breath today? | -Did you observe the client have difficulty breathing, gasping for air or showing signs of chest tightness? -Did the client tell you they feel they cannot breathe or feel suffocated? -Is this a different pattern of breathing for the client? -Ask if the client usually breathes this way. -The answer to the task is No, if: *The shortness of breath episode was relieved by treatment (did the client use their inhaler, medication, nebulizer). *The shortness of breath episode was relieved by resting. -Activities that may cause shortness of breath: walking, dressing, climbing stairs. |
| 415 | Has the client experienced any increase in pain? | -Did the client tell you they are in more pain than usual? -Ask the client to rate the level of pain from 0-10 today compared to yesterday; has there been an increase in their rate of pain? -Did you notice non-verbal signs of pain that is not usual for the client? Wincing, crying, moaning, guarding, or rubbing the area. -Ask the client if this is a normal level of pain for them and if it is manageable (by treatments, comfort measures, and/or medications). -Ask if the client took their regular medications to manage their pain. |
| 416 | Has the client visited the ER on this shift? | -Did you take the client to the Emergency Room (ER) during this shift? -Was the client taken to the ER by EMS, ambulance, or anyone else during this shift? |
| 417 | Has the client had any falls on this shift? | -Did the client end up on the floor, assisted or unassisted, during your shift? |