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{{unreferenced, date=October 2008 In
health care Health care or healthcare is the improvement of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health profe ...
and
caregiving A caregiver or carer is a paid or unpaid member of a person's social network who helps them with activities of daily living. Since they have no specific professional training, they are often described as informal caregivers. Caregivers most comm ...
, a companion, sitter, or private duty is a
job title The International Standard Classification of Occupations (ISCO) is an International Labour Organization (ILO) classification structure for organizing information on labour and jobs. It is part of the international family of economic and social ...
for someone hired to work with one patient (or occasionally two). Companions work in a variety of settings, including
nursing home A nursing home is a facility for the residential care of elderly or disabled people. Nursing homes may also be referred to as skilled nursing facility (SNF) or long-term care facilities. Often, these terms have slightly different meanings to in ...
s,
assisted living An assisted living residence or assisted living facility (ALF) is a housing facility for people with disabilities or for adults who cannot or who choose not to live independently. The term is popular in the United States, but the setting is s ...
facilities,
hospital A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emerge ...
s, and private homes, and their duties range from advanced medical care to simple companionship and observation. They may be qualified, for example as a
nursing assistant Unlicensed assistive personnel (UAP) are paraprofessionals who assist individuals with physical disabilities, mental impairments, and other health care needs with their activities of daily living (ADLs). UAPs also provide bedside care—includ ...
.


By location


Hospitals

In hospitals, sitters are hired by the hospital for patients who cannot remain unsupervised for even a short period of time. These include patients who are at risk for injury to themselves or others due to disorientation or combativeness, and those whose vital signs are severely unstable. Companions also work on psychiatric wards or in
mental institution Psychiatric hospitals, also known as mental health hospitals, behavioral health hospitals, are hospitals or wards specializing in the treatment of severe mental disorders, such as schizophrenia, bipolar disorder, eating disorders, dissociative ...
s, caring for patients who have been observed attempting suicide. This is known as suicide watch or intense suicide observation.


Nursing homes

In a nursing home or assisted living facility, a companion or sitter is often hired by the resident or his/her family to provide personal care to the patient at a level that cannot be provided by the facility's nursing staff, in which each member is responsible for a much larger number of patients. These private duty nurses and aides may provide more immediate and detailed service, whereas facility staff can only reach the patient in turn and provide less frequent, rudimentary care. Companions in nursing homes also provide social companionship. Nursing homes, like hospitals, sometimes hire sitters to watch patients who are at risk for injury to themselves or suicide.


Private homes

An aide providing care to one or more persons in a private home is generally referred to as a home health aide. Companions are sometimes hired to provide only chores within a household, such as basic-level cooking, cleaning, or in some cases, nothing more than supervision or social interaction without providing any hands-on care. Companions are sometimes directly hired privately by clients or their families. In many cases, clients or their families obtain companion care services by utilizing the services of in-home care companies. Some in-home care companies act as the employer of the caregivers that they send out to clients' homes. Other in-home care companies take the approach that the caregivers are not employees of the companies, and instead may be independent contractors or employees of the clients, depending upon the degree of supervision and control exercised by the clients or their families over the caregivers' activities and tasks. In the
United States The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territorie ...
, the laws regulating companion care in private homes vary from state to state. Some states, such as
Tennessee Tennessee ( , ), officially the State of Tennessee, is a landlocked state in the Southeastern region of the United States. Tennessee is the 36th-largest by area and the 15th-most populous of the 50 states. It is bordered by Kentucky to th ...
, require home care companies. Others do not.
California California is a U.S. state, state in the Western United States, located along the West Coast of the United States, Pacific Coast. With nearly 39.2million residents across a total area of approximately , it is the List of states and territori ...
currently does not provide any licensing nor any consumer protection regulatory oversight over in-home care companies unless those companies are also licensed as "home health agencies" that are specifically licensed to provide skilled nursing care in patients' homes.


See also

*
Home health care Homecare (also spelled as home care) is health care or supportive care provided by a professional caregiver in the individual home where the patient or client is living, as opposed to care provided in group accommodations like clinics or nursing ho ...
* Private duty nursing *
Lady's companion A lady's companion was a woman of genteel birth who lived with a woman of rank or wealth as Affinity (medieval), retainer. The term was in use in the United Kingdom from at least the 18th century to the mid-20th century but it is now archaism, arch ...
Health care occupations