Assistive Care Service (ACS) is a Medicaid-based, state plan that provides care to eligible recipients who require an integrated set of services on a 24-hour-per-day basis.

ACS recipients must demonstrate functional deterioration that makes it medically necessary for them to live in a supportive setting and receive integrated services, whether scheduled or unscheduled. ACS includes:

  1. Assistance with activities of daily living (ADLs) such as bathing, walking, toileting, etc.
  2. Assistance with instrumental activities of daily living such as shopping or making a telephone call.
  3. Medication administration and assistance with self-administered medications and
  4. Health support observing the recipient’s state of health and well-being on a daily basis and reporting changes to the health care provider as appropriate)

Day to Care: Personal Care

  • Maintaining Body Hygiene/ Bathing
  • Changing Bed and Bedsheets
  • Avoiding Skin and bed Sores
  • Ensuring Oral Hygiene
  • Urine Incontinence
  • Bowel Incontinence skills,
    • Incontinence and Toileting
    • Assisiting in toileting
    • Controlling stains and odour
    • Empyting the drainage bag
    • Practical demonstration of exercises –Arm/hand; Neck; Leg/ankle; Trunk (in bed); Legs (in bed); Arms and legs (sitting); Resistance; Sitting balance

Assistance in activities of daily living

  • Caring for someone in bed:
    • Adjusting the position of Patient
    • Ensuring the correct body mevhanics while lifting
    • Efficient movement from bed to chair
  • Assistive Devices:
    • Prepare a List
    • Demonstrate the skills and use of the equipments –
      (i) Walker (ii) Crutches (iii) Others (iv) Patient lift and bathroom equipment (v) Walking aids,Guarding Walk
    • Preventing falls and straining of the back
    • Assiting in wearing footwear

Day to Day Care: Food and Nutrition

Knowledge -Nutrition and Hydration. The ways and means to provide healthy food is very critical and we ensure the same.

  • Skills :
  • Helping to eat
  • Managing timely medication

Day to Day Care: Ailments and Medication

  • Fever, nausea and vomiting
  • Pain , fatigue, restlessness
  • Anxiety, delirium , depression

Emotional challenges: Mental health and counselling, handling difficult behavior

  • Fatigue, restlessness, anxiety , delirium
  • Depression, social and spiritual distress
  • Dementia, emotional withdrawal
  • End of Life, final Days, when death occurs