CHHA study materials
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CHHA study plan

CHHA · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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