How do you Avoid Job Burnout? Internal Validation ... have a look

How do you Avoid Job Burnout?

Many of us, admittedly most of us, look for some level of external feedback in the form of recognition to measure the importance of what we do. Feedback from our family, friends, business associates or coworkers helps us to develop a sense of personal and professional contribution. But all too frequently we give away our power to others to rate how successful we are while working to achieve our goals. The success of our own internal ability to self-motivate will increase or decrease greatly when those external sources say yah or nah to what we do often leading to a maker or breaker attitude.
 We can always count on our loved ones to give us what we need to succeed but that is not the expected scenario out there in the working world. It is neither rewarding nor any fun to toil away at a job where your efforts go unnoticed. You are especially prone to those influences when the elements of your work are demanding both physically and emotionally.

Give yourself permission to find reward and value in what you do. When we are waiting for those external sources to find time during that busy work day to give us praise for work well done, we stand in pause, a momentary state of waiting for validation and responses to unanswered questions. Are we valued, are we not valued for our work? Did we do as well as we thought we did – did we do as well as we wanted to?
Permit yourself to self-reflect and self-rate what you do first and then proceed to include the input from those outside sources. Establishing a sense of a job well done is the best way to prevent burnout. Ask yourself if your still leaving work at the end of the day feeling satisfaction and excitement upon the thought of returning back to work the next day.

Before evaluation date, pursue a dialogue with your work supervisor to ask how you are doing. Your approach should not be defensive but rather should be to seek better understanding of what is expected and whether you are on the right track. Ask for clarification if need be so you can make clear plan of action to meet your job requirements. You will ensure that you remain on target to be in line to move into another position of more responsibility if you have aspirations to do so. You are looking to partner with your supervisor in a way that supports the overall mission & goals of your department. Your supervisor will remember & appreciate this meeting when your actual performance rating is scheduled.

There is never a time when we have learned it all; regardless of what position of professional status one may achieved. Continued education is not only consistently required to maintain certifications but continues to provide one of the largely single greatest source of renewed interest in any given career path. Learning sparks introspective thought that provokes one to look for better and more current strategies to improve delivery and discover more effective ways to offer the services provided.
Job burnout is often seen to take hold when work tasks become mundane in nature or otherwise automatic and lack the need for individualized thought process, thus, mind stimulation through continued education provides a pathway that may prevent that “same old same old” mind set.

Protect yourself from that it’s me and me alone feeling. No one success story in any profession, business or leadership role, was ever accomplished by just one individual alone. Plans are devised policies & procedures are written but it takes the entire team to create a synergy – whereas; combined effect of the sum of all is greater than individual efforts. Remember … “IT TAKES A VILLAGE”

Here are a few qualities that a successful team possess.

  • Group focus on goals and mutual support of each other’s achievements
  • Everyone contributes their fair share – jointly collaborating towards a common action plan
  • The team offers each other support & develops natural synergy amongst the group
  • Unity of individualized members creates a collaboration of diversity that creates success
  • Good leadership is balanced by each individuals unique leadership style

Look around for Validation
Look for those rewards that which is not spoken; those quiet subtle nuances that speak volumes. You will see that in the smiles, it will present in the body language, it will be reflected in the positive behaviors and in the active engagement of those you serve. Take time at the end of each day or week to reflect on what went well and what didn’t go as well. This task helps you to recall both what you’re good at and why you do what you do. Concentrate on the positive to nourish your self esteem and self-validate your achievements. Those external sources charged with rating you in the work world will also see that you have that special quality – that capacity to improve the quality of life of others in a meaningful way.

Look to move away from the desire to obtain external validation; fulfillment, job burnout prevention and real validation will come from within and will always lead to a proven success story.”

Internal Validation to Prevent Job Burnout …. 
Author : M. Celeste Chase AC-BC, ACC, CDP
Activity Directors Network -

What’s The Difference . . . between Adult Day Centers?

Author:  M. Celeste Chase, ACC, CDP
               Activity Directors Network

-Medical, therapy and socialization centers
-Socialization and safety centers
-Alzheimer’s and dementia care facilities

Adult Day Centers are either social or medical in nature with specifically trained and compassionate staff that creates programs to meet the needs, preferences and cultural differences of those they serve. These facilities offer supportive assistance by way of physical activities and cognitive stimulation and/ or medical care during the day-time hours (no overnight stays).

 Family members can plan for daily “predictable respite” for which they might use to relax or go to work or run necessary errands (without the added burden taking their senior loved ones with them). When participants go home to be with their families after a day at the center, families will find their loved ones happy, stimulated, alert and often more ready to sleep soundly through the night. Giving the entire family a most welcomed nighttime benefit which is often desperately needed. Without a doubt adult day health programming leads to improved well-being and increased socialization within a safe, nurturing and comfortable community setting.

Medical vs. Social  - There are two types of adult day care:
Both provide a comfortable, secure place for a senior to reside during the day, enabling them to socialize, stay active, remain productive and enjoy an improved quality of life, Typically, the center provides one or two meals a day. Some centers provide transportation for pick up and/or drop off, which may or may not be included in the cost.
The main difference between medical and social day care is that the medical model also provides an array of medical professionals, which may include on-site registered nurses, speech therapists, occupational therapists, physical therapists, social workers and registered dietitians.
Keeping it simple; the easiest way to identify the difference between these two centers is to take a look at the name. An “adult day care” facility, without the word - “health” in the title are not required to adhere to the same standards and regulations and do not offer the availability of on-site health care professionals from a range of disciplines to provide clinical oversight.

Adult Day Centers and Offerings
Socialization and safety centers – Adult Day Care

Adult Day Care Many centers have well-trained activity specialists who lead dynamic activities programs.  These programs might include arts and crafts, intergenerational programs, music, cooking classes, exercise sessions, movies, discussion groups, live entertainment and trips into the community.  Some care centers offer programs that are especially designed for physically frail individuals with special medical needs such as diabetes, hypertension and post-stroke disabilities, and those with mental health challenges such as dementia, confusion and Alzheimer's disease.  The goal is to be an extension of the home environment with caring, personalized service. These centers rely on private pay reimbursement for services provided.
Medical, therapy and socialization centers – Adult Day Health

Adult Day Health centers offer all of the same services you would find in Adult Day Care centers mentioned above, in addition; they provide ” certified” amenities via trained health care professionals such as physical, occupational and speech therapies, nursing services, personal care, social services and much more depending on the individuals acuity level assessment. These centers are prepared and well equipped to enroll not only very independent individuals but also those with chronic physical illness and/or cognitively challenging needs.
Most states have specific governing bodies that work to establish procedures for licensing and regulation standards to oversee the business of Adult Day Health “medical” care centers. These regulations are mandated and centers are required to adhere to guidelines and protocols to be given licensing privileges. These standards are not only specific to medical record guidelines but are also required for the centers to qualify to submit billing to Medicaid and/or Medicare for reimbursement of services on behalf of those participants pre-approved to receive these benefits.

Alzheimer’s and Dementia Care centers – may be found in either social or medical model centers (medical facilities usually provide for more advanced stages of the disease).
Many dementia patients are at risk for safety and cannot be left unsupervised. Progressive memory and cognitive decline may lead to potential for wandering, risk for self harm from misuse of everyday regular household items. This puts family caregivers in a difficult position, especially if outside help is scarce and/or family members are still working. Dementia programs at adult day centers typically utilize security features to prevent wandering as well as improved staffing ratios to ensure seniors are safe and their needs are met in a timely manner. This provides invaluable free time and peace of mind for the dementia caregivers. Skilled Adult day centers that specialize in the care of those with dementia are becoming more and more in demand in light of the increased numbers of seniors diagnosed with this disease over the past few years. Many states require centers to have staff members obtain specific dementia  training to care for this population.  Trained professionals are able to recognize those seniors that prefer quiet, solitude like environment while others are in desperate need of more stimulation. This expertise proactively minimizes potential disruptive behavior by addressing each     individual’s unique needs. State regulations have been written to target this topic requiring medication management to modify behavior to be used only as the last option after it is documented that all non-pharmaceutical interventions have been implemented without success through the individualized care plan.

Adult Day centers provide an array of activities for attendees to participate in; adapted to each person’s unique abilities to maximize enjoyment and minimize frustration.  Many centers also offer flexible scheduling choices from attending just a few hours each day to attending the entire day for one or more days per week.  The affordable cost of care for Adult Day allows these centers to be more accessible to a wide range of families for senior care options. Clearly, Adult Day Centers are the go to choice for those looking find support that fits into their family values and needs while allowing them to keep their loved one at home.

Author : M. Celeste Chase, ACC, CDP
All Rights Reserved

Activity Directors Network is the premiere Online provider of the MEPAP classes with almost all of our students passing the NCCAP national exam. We have taught students from all 50 states, Canada and England.

Our Online MEPAP Classes start the first Tuesday of every month.  

We are always enrolling!    
Visit or call us at 1.888.238.0444

Activity Directors in Long Term Care, Nursing Homes, Assisted Living Facilities, Adult Daycare, Swing-Bed Hospital Care and Recreational Care.
Our MEPAP 1 is the most widely accepted Activity Director Training course in the US.

Make sure your Activity Staff is qualified before your next Survey, The Centers for Medicaid and Medicare ( State Survey of Senior Care Facilities follow Federal Regulation F680-F679, Surveyors Guidelines.

Taking a course Online is a very interactive way to learn.
Not only do you benefit from a professional Activity Director Instructor, you also share the knowledge and networking with your entire class.

Our Classrooms Lead Instructor, Kathy Hughes ADC, has over 35yrs of teaching the NCCAP Certification course experience, as one of the original MEPAP Certification Training Course Authors, Kathy has the "know how", the experience and the resources to train you and your staff to provide innovative activities to your residents as well as learn about the regulations that effect the delivery of activities.

Our Guest Instructors  - Swing-Bed Specialist, Ruth Martanis, ADC - Adult-Day Health Specialist, Celeste Chase, ACC CDP

 Once you experience the Online Classroom setting you'll wonder why you didn't try this sooner.

The 24/7 Chatroom and the Class Forum are just two of the ways each and every Student can reach out to the entire class to either ask for help, offer some advice or share their particular journey with the class. You will enjoy networking with activity professionals who share their ideas and knowledge throughout the course.

Our online class lasts 4 months, a 180hr course, 90hrs Class Study/90hrs of Practicum (Fieldwork). Cost is $600 - Payment Plans are available. If your facility is paying, simply sign our Purchase Order Agreement and begin immediately.

Ask about our "Self Paced Course" format that will allow you to expedite the training or extend it out for a year to help accommodate a busy life.....

To Get Started . visit and download the MEPAP 1 Enrollment Packet . fill out the enrollment forms, fax them in and you're ready to go. (fax 1.866.405.5724).

Be sure and use our "Military Family Discount"  $100 off any Military family

Download a Enrollment Packet, fill out the forms, fax it to us. 855-405-5724
Pass it along to your employer to assure them they are making the Right Choice with NCCAP Certification .

Click HERE for the MEPAP1 Enrollment Packet

Be sure and use our "Military Family Discount"  $100 off any Military family
Payment Plans Available  - Call or email us to set up a plan that will work for you!

New Classes Start the 1st Tuesday of Every Month

Activity Directors! Mark you Calendars. Reserve the Bus, Mothers Day Comedy Show - MAY 13th Southern CA

California here they come... it's the craziness from

     Bonnie and her bunch have put together a Mothers Day Event like no other.. 
Mark your Calendars for May 13th 2018  .  Get the Bus reserved and make your way to the Palos Verdes Golf Course
Vista Ballroom for an afternoon of Funny!

   Here's a little Sample


Download this Flyer for the Details.
Hats On For Momma.jpg

Download this Flyer for a Pass Around Flyer to Share.
MothersDayPostcard flyer.jpg

Home Care Certification Course offered by

Caregiver Training Requirements By State  

Caregiver training requirements for each state are shown below. 

 8-hour  Home Care Certification course meeting the standards developed by the




  1. Alabama 8-hour Caregiver Course, No licensing requirements 
  2. Alaska 8-hour Caregiver Course,No licensing requirements (only business license required) CPR, First Aid Training, TB test are required.
  3. Arizona 8-hour Caregiver Course, Licensure for Home Care Agencies Requires Basic Caregiver Training. DCW Caregivers for Medicaid (ALTECS) Must Have 6 Hours of Training 
  4. Arkansas 8-hour Caregiver Course,
  5. California 10-hours total : 5-hours Training Prior to Presence with a Client + 5 Hours Annual Training 
  6. Colorado 8-hour Caregiver Course, Personal Care 
  7.  Connecticut 8-hour Caregiver Course, Personal Care - Home care agencies not licensed under Dept. of Health but "registered" under Dept. of Consumer Protection, which requires background checks, basic training. Background check required. 
  8. Delaware 8-hour Caregiver Course, Personal Care 
  9. District of Columbia  8-hour Caregiver Course, Personal Care 
  10. Florida 8-hour Caregiver Course, Personal Care 
  11. Georgia 8-hour Caregiver Course, Companion/Homemaker, Personal Care 
  12. Hawaii 8-hour Caregiver Course,
  13.  Idaho 8-hour Caregiver Course,
  14. Illinois 8-hour Caregiver Course, Home Services 
  15. Indiana 8-hour Caregiver Course, Companion/Homemaker, Personal Care 
  16. Iowa 8-hour Caregiver Course, No license required Home care agency provides training.
  17. Kansas 8-hour Caregiver Course, Home care agency provides training.
  18. Kentucky 8-hour Caregiver Course,
  19. Louisiana 8-hour Caregiver Course, Home care agency provides training. training details
  20. Maine 8-hour Caregiver Course, Home care agency provides training. 
  21. Maryland 8-hour Caregiver Course, Personal Care 
  22. Massachusetts 8-hour Caregiver Course, Special Business License 
  23. Michigan 8-hour Caregiver Course, No licensing required 
  24. Minnesota 8-hour Caregiver Course, Special Business License, Personal Care 
  25. Mississippi 8-hour Caregiver Course,
  26. Missouri 8-hour Caregiver Course,
  27. Montana 8-hour Caregiver Course,
  28. Nebraska 8-hour Caregiver Course, Personal Care 16 of the 75 hours must be supervised training
  29. Nevada 8-hour Caregiver Course, Companion/Homemaker, Personal Care No specified number of required training hours, but training in 16 subjects is required by the state. 
  30. New Hampshire 8-hour Caregiver Course, Companion/Homemaker, Personal Care Home care agency provides training.
  31. New Jersey 76-hour Caregiver Course, CNA, Companion/Homemaker, Personal Care 
  32. New Mexico 8-hour Caregiver Course,
  33. New York 8-hour Caregiver Course, Personal Care 
  34. North Carolina 8-hour Caregiver Course, Personal Care 
  35. North Dakota 8-hour Caregiver Course,
  36. Ohio 8-hour Caregiver Course,
  37. Oklahoma 8-hour Caregiver Course, Personal Care 
  38. Oregon 8-hour Caregiver Course, Personal Care
  39. Pennsylvania 8-hour Caregiver Course, Personal Care Must be completed within first 3 months of employment
  40. Rhode Island 8-hour Caregiver Course, Personal Care 20 hours in classroom; 5 hours practical
  41. South Carolina 8-hour Caregiver Course, Established - postponed drafting specifics until October 
  42. South Dakota 8-hour Caregiver Course,
  43. Tennessee 8-hour Caregiver Course, Personal Care 
  44. Texas 8-hour Caregiver Course, Personal Care 
  45. Utah 8-hour Caregiver Course, Companion/Homemaker, Personal Care 
  46. Vermont 8-hour Caregiver Course, Caregivers must pass a state test as well as a background check and drug test. 
  47. Virginia 8-hour Caregiver Course, Personal Care 
  48. Washington 75-hours Companion/Homemaker, Personal Care 85-hours to become a CNA 
  49. West Virginia 8-hour Caregiver Course, No licensing requirements 
  50. Wisconsin 8-hour Caregiver Course, No licensing requirements for personal care 
  51. Wyoming 8-hour Caregiver Course,                                                                                                          list provided by

How to Become a Home Care Assistant

How to Become a Home Care Assistant

How to Become a HomeCare Aide/Assistant


By Kelli Hansen, RN

Personal care aide helping an elderly woman get used to her walker

Home care assistants serve a vital role in providing much-needed
assistance to the elderly, disabled, and chronically ill populations
within our communities. They care for patients who independently are
unable to maintain good hygiene, proper nutrition, and a clean living
space. They may also assist with daily activities and recreation if
needed by the patient.

“Home care assistant” is often a generalized term used to refer
collectively to two different branches of assistants: personal care
aides and home health aides. Each branch varies in job function and

Home health aides (HHAs) help
patients with personal necessities like dressing, bathing, and hygiene
needs. By assisting with housekeeping and other IADLs (instrumental
activities of daily life) like cooking and laundry, HHAs enable clients
to live safely in their own homes, greatly improving their quality of
life in the process. Aides may have to document the patient’s condition
and the care that they provide, along with any problems encountered
during care, submitting this report to a supervisor. In some cases, HHAs
also facilitate transportation and leisure activities for clients.
Depending on the state regulations, they may be able to take vital
signs, give medications, and perform basic wound dressing changes as

Personal care aides assist patients with
self-care and everyday tasks as well as provide some clients with much
needed companionship. Personal care aides are sometimes known by other
titles, including caregiver, companion, and personal attendant. They
often perform tasks similar to those of home health aides; however, they
cannot provide any type of medical-related services, whereas home
health aides may be able to provide basic medical services depending on
state regulations.



The word “home” within the title of home care assistant would
suggest that the environment is primarily within an individual’s home,
but this is not necessarily true. While most home care assistants do
work in homes, their job functions may also be performed in a variety of
provider settings such as retirement homes, community centers,
residential group homes, and even nursing care facilities. An assistant
may care for one individual or many, depending on the provider setting
in which he or she works. The length of time during which a home care
assistant may work with a client or clients varies from one day to
multiple years. Work may include nights, weekends, and holidays
depending on the requirements of the employer or the private client with
whom the assistant is working.

Because of their work environments, home care assistants have a
higher rate of injury than the national average. The work provided in
this role can at times be very emotionally and physically demanding.
Injury can occur when lifting a client, helping a client ambulate
(walk), or simply helping a client to get in and out of a bed, chair, or
shower. Clients may suffer from Alzheimer’s or other cognitive
impairments that prove very challenging at times; the client may even
become violent and aggressive. In some instances, personal care aides
may be exposed to communicable diseases or infections when working with
clients, depending on the nature of a client’s health issues.



No formal education is required to become a home care assistant. But
according to the Bureau of Labor Statistics (2014), most home health
aides have earned a high school diploma. This is true for personal care
aides as well.

HHAs who aim to work in a certified home health or hospice agency are
required to get formal training. In anticipation of this, preparatory
classes are offered at some community colleges or through
vocational/technical schools. To enroll in classes, students typically
must be at least 18 years of age.


Training requirements for home care assistants vary from state to
state. Broadly, for both HHAs and personal care aides, there are
circumstances in which no formal training programs are required and the
budding professional receives all necessary training while on the job.
This is often the case for personal care aides, who may be trained by a
nurse, social worker or other aide to meet the specific needs of a
particular client – for instance, if a client has cognitive impairment
issues or has very specific dietary requirements.

However, formal training programs are required in some states and are
available from vocational schools, community colleges, agencies and
elder care programs. The duration of these programs varies based on
varying state requirements.

An HHA who wishes to work with a home health agency will need to
obtain formal training and pass a competency exam before becoming
employed. Some states include additional required training above the
nationally mandated minimum for working within an agency.

Furthermore, if a home health aide wishes to become certified, which
can definitely improve job prospects, he or she must obtain a minimum of
75 hours of training in order to become eligible for certification.




Home health aides are not licensed, but many employers prefer or require that HHAs, Care Givers, obtain certification. The National Certification Coucil of Activity Professionals
(NCCAP) ( oversees a HHC certification. Minimally, in
order to become certified, the candidate must complete 75 hours of
training. In some states, the required amount of time is greater than 75
hours. You can refer to this map
for HHA training requirements in your state. Upon completing the
training, HHAs will have to take a standardized written test and
correctly demonstrate the skills they learned during training.

Necessary Skills and Qualities

Because they focus on direct patient care, home care assistants must
possess patience, dependability, good interpersonal skills, and
effective time management skills. They must be detail-oriented to follow
specific rules and protocols. Home care assistants will be working
closely with patients who may have severe pain or who may be
experiencing emotional distress; they must be able to show sensitivity
to patients’ emotions. It is important for the aide to be warm,
compassionate, and emotionally stable. This role involves performing
physical tasks such as lifting, turning and repositioning patients; an
aide must possess a higher level of physical stamina and strength in
order to be comfortable and safe performing those required tasks.

Opportunities for Advancement

Personal care aides may start within their role and progress into the
role of a home health aide by receiving additional health training.
Once they advance into the HHA role, they may have more opportunities to
advance even further into medical assisting, nursing or both. Many home
care assistants with experience and a higher level of training seek out
available opportunities to teach students or supervise new home care

Salary and Job Outlook Interactive Map of Salary and Job Growth


The annual mean wage reported by the Bureau of Labor Statistics (BLS) is $21,380 for home health aides. Salaries range from a low of $17,040 up to a high of $29,560.

Meanwhile, the median annual wage for a personal care aide is $20,440, according to the BLS. The lowest 10% of wage earners make around $16,580 and the highest 10% earn closer to $27,910.

Job opportunities for home care assistants will be numerous from now
well into the future; based on its statistic, the U.S. Bureau of Labor
Statistics anticipates a 48% employment increase for HHAs and a 49% increase
in jobs for personal care aides between 2012 and 2022. This job growth
is due mostly to more elderly people needing care and choosing to stay
in their homes as long as possible. Some clients don’t require medical
related assistance as much as additional assistance with household tasks
or minor personal hygiene assistance. Hiring a home care assistant may
be a cheaper option for many clients who wish to stay in their homes to
avoid the increased expenses that occur with moving to a higher level of
care, such as an assisted living facility or retirement home.

Visit for Home Care Certification Classes Online