CHHA case studies
CHHA · Put your knowledge to work in context.
The Certified Home Health Aide (CHHA) credential documents that an aide has met a state's training and competency requirements to deliver personal care and supportive services in a client's home under the supervision of a nurse or therapist. It is typically pursued by people entering home care, by nursing assistants moving from facility to home settings, and by caregivers whose employers or state regulations require formal certification. Requirements vary by state, so the training hours, exam vendor, and renewal cycle you follow depend on the agency or board that governs your jurisdiction. The written exam samples a broad base of home care practice: bathing, grooming, dressing, toileting, transferring and mobility, positioning, and skin observation; safety and accident prevention in the home, including fall risk and emergency response; infection control and standard precautions; reporting and documentation; communication with clients, families, and the care team; nutrition and hydration; client rights, confidentiality, and ethics; dementia and behavioral care; and basic body systems and aging. The CHHA case studies are 5 cases and about 4,116 words.
1The Lighter in the Nightstand
Alvarez is 78 and has COPD. He uses oxygen at 2 liters per minute through a nasal cannula with 50 feet of tubing, and you are in the home from 7 p.m.
809 words, about 4 min2The Shared Bathroom and the Loose Stools
Okafor is 84 and came home three days ago after five days in the hospital on IV antibiotics for pneumonia. She now takes oral vancomycin for a Clostridioides difficile infection and has had six to eight loose stools a day.
755 words, about 4 min3"She Does This" - Dementia or Something New?
Chen is 87 with moderate Alzheimer's disease. Her baseline for the past year: she recognizes her daughter, eats breakfast with verbal cueing, and walks to the bathroom with a walker and one person nearby.
826 words, about 4 min4Eleven Days Without a Shower
Whitfield is 72 and lives with his daughter, who was appointed his representative for finances after a mild stroke; he still makes his own health care decisions. He has mild cognitive impairment and urinary incontinence.
846 words, about 4 min5Four Pounds Overnight
Patel is 79 with heart failure. Her care plan is 1,500 mL of fluid a day, daily weights, furosemide each morning, and a low-salt diet.
880 words, about 4 min