Home-based care
Specified Care and Services for Extended Aged Care at Home (EACH).
Downloadable Specified Care and Services schedule for Extended Aged Care at Home (EACH).
You may download this document in PDF format:
PDF printable version of the Specified Care and Services schedule (PDF 40 KB)
This Schedule is the approved list of care and services which may be provided to recipients of EACH packages. The specified care and services must be provided in the best way to:
- meet the EACH Standards, as set out in Schedule 1; and
- suit the care recipients’ needs, within the limitations of the funds available.
General | |
| 1. Administration | General operation of the service including care recipient documentation. |
| 2. Care planning and management | Initial and on-going assessment, planning and management of care by appropriately qualified and trained staff, with the involvement of the care recipient, (or his or her representative), and their carer, where appropriate. |
Specialised Clinical Services | |
| 3. Clinical care | Clinical care provided as part of the EACH package is to be carried out by a registered nurse, or under the direct or indirect supervision of a registered nurse or other professional appropriate to the service. Services include, but not limited to, the following: (a) assessment for pain and a plan implemented to keep the care recipient as free from pain as possible; (b) care and maintenance of tubes, enteral feeding and naso-gastric tubes; (c) establishment, review and maintenance of urinary catheter care and/or stoma care program; (d) complex wound management; (e) enema administration or the insertion of suppositories; (f) suctioning of airways and tracheostomy care; (g) oxygen therapy requiring ongoing supervision because of a care recipient's variable need, including the provision of oxygen and oxygen equipment at no additional cost to the recipient; (h) assistance with medication management; and (i) on-call access to nursing services, if required. For care recipients receiving any of the above nursing services, the provision of 24-hour per day on call access to care provided by or under the supervision of a qualified nurse. |
| 4. Access to other health and related services | Referral to appropriate health specialists and other service providers in accordance with needs and preferences and assistance to attend appointments whether the care provider, care recipient (or his or her representative), relatives or carer make the arrangements. |
Care ServicesNote: Excludes services if the care recipient and carer chooses and/or is able to provide these for himself or herself. | |
| 5. Activities of daily living | Personal assistance, including individual attention, support, supervision and physical assistance with: (a) bathing, showering including the provision of shower chairs if necessary, personal hygiene and grooming, dressing and undressing, and using dressing aids; (b) communication including assistance to address difficulties arising from impaired hearing, sight or speech, or lack of common language, and assistance with the fitting of sensory communication aids, checking hearing aid batteries and cleaning spectacles and assistance in using the telephone; (c) assistance with shopping and transport to and from appointments and support with performing household tasks including house cleaning, removal of household waste, ironing, personal laundry services including laundering of clothing and bedding that can be machine-washed, but excluding cleaning of clothing requiring dry cleaning or another special cleaning process. |
| 6. Nutrition, hydration and meal preparation | Assistance, as necessary, in the preparation of meals and special diets for health, religious or cultural reasons. The provision of enteral feeding formula and equipment, without additional charge, as required. Assistance to use eating utensils and eating aids and assistace with actual feeding if necessary. Payment for food (except enteral feeds) is the responsibility of the care recipient (or his or her representative). |
| 7. Management of skin integrity | Provision of, without additional charge, bandages, dressings, and skin emollients, excluding goods prescribed by a health practitioner for a specific health condition. |
| 8. Continence management | Assessment for and, if required, provision of, without additional charge to care recipient, disposable pads and absorbent aids, commode chairs, bedpans and urinals, catheter and urinary drainage appliances and enemas. Assistance in using continence aids and appliances and managing continence. |
| 9. Support for care recipients with cognitive impairment | Individual therapy, activities and access to specific programs designed and carried out to prevent or manage a particular condition or behaviour, enhance the quality of life and provide ongoing support. |
| 10. Mobility and dexterity | Provision of, without additional charge, crutches, quadruped walkers, walking frames, walking sticks, wheelchairs where needed and the care recipient does not already have them. Where assessed as required, provision of, without additional charge, mechanical devices for lifting, bed rails, slide sheets, sheepskins, tri-pillows, and pressure relieving mattresses. Assistance in using the above aids. Excludes motorised wheelchairs and custom-made aids. |
Support Services | |
| 11. Leisure, interests and activities | Encouragement to take part in social and community activities that promote and protect the care recipient’s lifestyle, interests and wellbeing. Assistance to access support services to maintain his or her personal affairs. |
| 12. Emotional support | On-going support in adjusting to a lifestyle involving increased dependency and assistance for the care recipient, and carer if appropriate. |
| 13. Therapy services | Maintenance therapy, such as diversional, recreational or speech therapy, podiatry, occupational, physiotherapy services, designed to minimise deterioration in function. Excludes: intensive, long-term rehabilitation services, required, for example, following serious illness or injury, surgery or trauma, and services which the care recipient is able to claim through their private health insurance (if held). |
| 14. On-call access | 24-hour on-call access to at least one responsible person or agency located reasonably near, which will organise emergency assistance when required. This includes access to an emergency call system if the recipient is assessed as requiring it and does not currently have one. |
| 15. Home safety | Advice for care recipient (or his or her representative) of areas of concern in their homes that is a danger to the provider’s staff, the care recipient (or his or her representative) or carer. |
| 16. Home maintenance | Maintenance of the care recipient’s home, gardens and yard to provide for function, safety and adequate security. |
| 17. Home modification | Minor modifications, if required, eg, easy access taps, shower hose, bath rails. Providers will assist the care recipient and homeowner, if not care recipient, in accessing further technical advice, as required, in the consideration of more comprehensive home modifications. Major modifications are not met as part of EACH services. |
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