Personal care and supportive services include assisting a patient in and out of a shower, giving bed bath, sponge bath or shower, shampoo, shave, skin care, nail care, backrub, oral hygiene, passive range of motion, linen change - making an unoccupied bed and occupied bed; assisting with ambulation devices (cane, walker, wheelchair), transferring from bed to chair and from chair to bed, use assistive devices such as Hoyer lift; assisting a patient with toileting activities (use of commode, bedpan, urinal, toilet); emptying reservoirs such as Foley Catheter bags or colostomy bags; assisting with feeding patient; maintaining safe kitchen and bathroom; monitoring of vital signs and assist patient/family as specified by case manager or supervisor. Under the direct supervision of each patient's case manager, initiates the hospice aide care plan; provides feedback to case manager regarding changes in patient's physical, social, or psychological condition; and makes changes in care as directed.