CHHA study plan
CHHA · Give each week a clear focus.
8 weeks · About 6 hours per week
Personal Care and Activities of Daily Living
List in writing the sequence of steps for a complete bed bath, a shower assist, and a partial bath without looking at notes
Demonstrate on a manikin or pillow the mechanics of repositioning, turning, and safe transfer from bed to chair, narrating each cue aloud
Identify at least 10 personal-care tasks in the ADL category and state for each one what the client should be encouraged to do independently
Explain in your own words how to preserve dignity and privacy during toileting, dressing, and bathing, giving two concrete examples for each
Your checkpoint
A one-page checklist of all major ADL procedures with step counts, self-scored against a written rubric with 90% of steps recalled correctly
Personal Care and Activities of Daily Living & Safety, Accident Prevention, and Emergency Procedures
Practice range-of-motion and skin-inspection routines on a partner three times, correcting your own hand placement each time
Identify 15 fall, burn, and choking hazards in a room walk-through and write the corrective action for each
Recite the steps for responding to a fall, a choking episode, and a suspected stroke in the correct order
Map where fire extinguishers, exits, and call lights belong in a client's home and describe evacuation steps for a non-ambulatory client
Your checkpoint
A completed home hazard inspection form listing 15 hazards with corrections, plus a spoken run-through of three emergency scenarios timed under two minutes each
Safety, Accident Prevention, and Emergency Procedures & Infection Control and Standard Precautions
Sequence the steps of hand hygiene and donning and doffing gloves, gown, and mask, performing each three times without missing a step
Distinguish when standard precautions alone are sufficient versus when transmission-based precautions apply, sorting 20 scenario cards into the right category
Explain how to handle blood, body fluids, soiled linen, and sharps, and state what to do after a needlestick or splash exposure
Describe how to keep a client's environment clean and how to prevent the spread of infection between clients, including equipment cleaning
Your checkpoint
A scored skills demonstration of hand hygiene plus glove donning and doffing, passed with zero critical errors on a self-made 12-point checklist
Observation, Reporting, and Documentation
Write 10 objective observation notes that separate what you saw and measured from what you inferred, then revise any subjective wording out of them
Convert five verbal reports into a structured handoff statement covering what changed, when, and what action was taken
Identify which findings must be reported immediately versus at the end of the shift, listing at least eight urgent signs
Label the parts of a client record and state the rules for correcting an entry, timing an entry, and protecting confidentiality in written and electronic records
Your checkpoint
A portfolio of 10 written observation notes scored by a peer or instructor, with at least 9 of 10 fully objective and containing all required elements
Communication and Interpersonal Skills & Client Rights, Confidentiality, and Ethical Practice
Role-play six communication scenarios, including a client with hearing loss, a client who is angry, and a client who refuses care, and self-score your word choice against a written rubric
Rephrase 12 examples of jargon, elderspeak, and vague messages into plain, respectful language
List the client rights that apply to privacy, choice, refusal, grievances, and personal belongings, and give one example of how each is honored or violated
Describe how to respond when a client's family asks for information you cannot share, and when a coworker asks you to cut corners
Your checkpoint
A recorded or live role-play of three communication scenarios plus a one-page written response guide covering confidentiality, refusal of care, and reporting a rights concern
Nutrition, Hydration, and Meal Preparation & Care of Clients with Cognitive Impairment and Behavioral Needs
Plan five days of meals for a client on a modified diet, naming the texture and fluid restrictions honored in each meal
Demonstrate two safe feeding techniques and describe how to position a client, monitor swallowing, and record intake and output
List the signs of dehydration and poor nutrition and state which ones you would report and to whom
Design a calm, cue-based routine for a client with dementia during morning care, and describe how to respond to wandering, sundowning, and agitation without arguing
Your checkpoint
A five-day modified-diet meal plan with an intake-and-output recording sheet, plus a written behavior-response plan for three dementia-related behaviors
Body Systems, Aging, and Meeting Physical, Emotional, and Developmental Needs & Personal Care and Activities of Daily Living
Draw and label the major body systems and write one normal age-related change and one care implication for each
Match 15 physical or emotional changes in older adults to the system involved and to the appropriate care response
Re-run your two weakest ADL procedures and correct the specific steps you missed in week 1
Describe how to support emotional and developmental needs, including social connection, grief, and loss of independence, with two practical actions each
Your checkpoint
A completed body-systems chart with normal aging changes and care implications, plus a re-scored repeat of the week 1 ADL checklist showing improvement on every missed step
Personal Care and Activities of Daily Living & Safety, Accident Prevention, and Emergency Procedures & Observation, Reporting, and Documentation
Take three timed, self-written 60-question practice sets drawn from all nine domains and score each one
Review every missed item and write the correct fact plus the domain it belongs to
Re-drill the two domains with the lowest practice scores until you reach 85% on a fresh set
Recite your personal pre-shift and emergency action checklists from memory
Your checkpoint
A score log from three practice sets showing a rising trend and no domain below 80% on the final set
Milestones
Week 2: Recite the full ADL sequence for bed bath, transfer, and toileting with no notes, and name all major home hazards without prompting
Week 4: Pass a self-administered 40-question quiz covering domains 1, 2, 3, and 4 at 80% or higher, and produce 10 objective observation notes
Week 6: Explain modified diets and dementia-behavior responses aloud in under five minutes each without referring to notes
Week 8: Score 85% or higher on a full-length mixed practice set, with every domain at 80% or above and all missed items rewritten as corrected facts