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In health care and caregiving, a companion, sitter, or private duty is a job title for someone hired to work with one patient (or occasionally two). Companions work in a variety of settings, including nursing homes, assisted living facilities, hospitals, and private homes, and their duties range from advanced medical care to simple companionship and observation.
The term "private-duty" refers to the private pay nature of these relationships. Home care (non-medical) has traditionally been privately funded as opposed to home health care which is task-based and government or insurance funded. California's In-Home Supportive Services (IHSS) also offers financial support for employing a non-medical caregiver.
Under Medicare rules, caregivers are qualified healthcare professionals such as nurses or therapists. Medicare does not pay for care from family members, friends, or privately hired home health aides.
A caregiver, carer or support worker is a paid or unpaid person who helps an individual with activities of daily living. Caregivers who are members of a care recipient's family or social network, and who may have no specific professional training, are often described as informal caregivers.
UAPs care for patients in hospitals, residents of nursing facilities, clients in private homes, and others in need of their services due to old age or disability. By definition, UAPs do not hold a license or other mandatory professional requirements for practice, though many hold various certifications.
Private duty nursing is the care of clients by nurses, who may be licensed as RNs (Registered Nurses) or LPNs/LVNs (Licensed Practical Nurses).. In the late 19th and around the beginning of the 20th century, private duty nursing was seen as "the ultimate goal of a trained nurse, both internationally and in Australia".
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