243. CCA Study Notes: Workplace Settings and Services Provided in Support Work

The Big Picture

Support workers work in many types of health care and community settings. Each setting has its own purpose, services, and expectations.

One rule applies across these workplaces. Each employer should have a clear job description for support workers, and the tasks a support worker performs should fit that job description.

Some settings focus on short-term illness or recovery. Others provide ongoing support, temporary relief for caregivers, rehabilitation, mental health services, or care near the end of life.

Look for Nova Scotia CCA Notes throughout this page for current provincial guidance.

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Course Notes: Key Ideas You Need to Know

Your Job Description Sets Workplace Expectations

Support workers do different work in different settings. Employers should have a specific, formal job description for support workers.

Any task a support worker performs should fall within that job description.

Job expectations can also differ between employers. One employer might focus mainly on personal care. Another might include home management along with personal care.

Acute Care

Acute care provides health care for a relatively short period, usually days to weeks. Its purpose is to diagnose and treat an immediate health problem.

Hospitals provide most acute care.

An acute illness:

  • appears suddenly
  • lasts for a short time
  • usually lasts less than 3 months
  • can cause severe symptoms

Pneumonia and influenza are examples of acute illnesses.

Subacute Care

Subacute care provides care or rehabilitation for people recovering from surgery or injury, or being stabilized after a serious illness or health challenge.

It is also known as:

  • complex continuing care
  • convalescent care
  • transitional care

Name to watch: In some provinces, complex continuing care is also used as another name for long-term care.

A person receiving subacute care is stable but still needs a level of care involving complex equipment or procedures.

Many hospitals provide subacute care. Some hospitals have specific areas for it.

For example, a person recovering from a hip replacement might still need frequent physiotherapy and dressing changes before going home. The person eventually moves home or to another level of care.

Long-Term Care

Long-term care provides health and support services over months or years for people who cannot care for themselves.

Many people receiving long-term care live with a chronic illness, also called a persistent illness.

A chronic illness:

  • continues over time
  • often starts slowly or gradually
  • might or might not become worse over time
  • cannot be cured

Diabetes, multiple sclerosis, and Alzheimer’s disease are examples of chronic illnesses.

Care focuses on preventing complications. Some chronic illnesses can be managed, and some complications can be prevented.

In some situations, a person receives long-term care for the rest of their life.

The goal of long-term care is to help the resident cope with a long-term illness or disability while maintaining a good quality of life.

Long-term care takes place in settings such as:

  • long-term care facilities
  • some hospitals
  • the person’s home through home care services

Respite Care

Respite care provides temporary care for someone who needs a high level of support, care, and supervision.

Its purpose includes giving caregivers a break from their caregiving duties.

Support workers often provide respite care in the client’s home. Hospitals and other facilities also offer respite care.

Rehabilitation Services and Restorative Care

Rehabilitation services use therapies, methods, and educational programs to restore or improve a client’s independence and functional abilities .

Restorative care focuses on helping a client regain as much independence as possible.

These services support people who are ill, injured, disabled, or recovering from illness or injury.

Rehabilitation services are offered in:

  • hospitals
  • live-in facilities
  • clinics

Services may include:

  • life skills training
  • occupational therapy and rehabilitation services
  • behavioural management
  • speech therapy
  • physiotherapy
  • job coaching
  • family counselling

Support workers may help clients with personal care or activities of daily living, also called ADLs. They may also assist with program delivery.

Indigenous or First Nations Services

Indigenous or First Nations services support and empower Indigenous peoples to improve access to services, deliver services, and address socioeconomic conditions in their communities.

These services are used across Canada, especially in rural and northern communities.

A First Nation may employ support workers to provide care to Indigenous clients.

Support-worker job descriptions can differ between employers. Some employers expect mainly personal care. Others include home management along with personal care.

Palliative Care

Palliative care supports clients and families when the client lives with an illness that cannot be cured.

The goal is to improve quality of life by managing pain and other distressing symptoms.

This approach focuses on:

  • the client’s goals
  • relief of pain and suffering
  • quality of life

End-of-Life Care

End-of-life care provides physical, emotional, social, and spiritual care to people who have stopped treatment intended to cure or control their disease.

It also provides support to their families.

End-of-life care may include:

  • palliative care
  • supportive care
  • hospice care

These forms of care may work together as the person approaches the end of life.

End-of-life care uses an interdisciplinary approach .

Hospice

Hospice is part of palliative care.

It provides home, live-in, or inpatient care for a client who:

  • has a terminal diagnosis
  • is no longer seeking life-prolonging care

Hospice supports the whole person. Care addresses emotional, social, spiritual, and medical needs.

The goal is to make the client’s last days as painless, comfortable, and dignified as possible.

Support workers may:

  • assist with personal care
  • assist with ADLs
  • provide emotional support and encouragement to the client and family

Mental Health Care Services

Mental health care services, also called psychiatric care services, support people with mental health disorders.

Examples in this setting include schizophrenia, bipolar disorder, and addictions.

Mental health care takes place in:

  • dedicated facilities
  • health care centres
  • hospital units

These services include both inpatient and outpatient care.

Clients are usually encouraged to return to the community rather than remain in hospital.

Assessment and treatment programs help clients function as independently as possible in the community. Community-based care and support services remain available to them.