ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

What to Expect While Working as a Home Health Aid and a Nanny

Updated on October 5, 2019
Christina Dunn profile image

Christina has frequently worked simultaneously as a home heath aid for a mother and a nanny for a toddler of the same family.

Nanny Vs Babysitter

A babysitter watches kids typically while the parents are away from home, for a irregular amount of hours until the parents return. A nanny, on the other hand, has more consistent hours, such as morning to afternoon. In some cases, the nanny watches the kids while the parents are physically at home, which was my scenario.

What is a Home Health Aid?

A home health aid assists someone, typically one who is elderly and/or has disabilities, through daily tasks. What they specifically help with depends on the needs of who they are assisting. For example, as I assisted someone with decreased mobility and low vision, I generally speaking would act as her eyes: removing or alerting her of obstacles in her walking path outside, helping her through steps without ramps, reading things to her, etc.

Being a nanny and working as a home health aid are not jobs that frequently overlap- the former frequently working with toddlers and children while the latter works with adults- however I worked caring for a low vision mother and her one-year-old toddler.

For simplification, I will refer to the mother as Alice and the toddler as Beth going forward.


A Typical Day At Home

The morning typically started between 7 am and 10 am; I washed Beth's face and cleaned her teeth, changed Beth's clothes from pajamas to day clothes, and I made breakfast for both Alice and Beth. With the weather permitted it, breakfast was followed by a walk around the neighborhood; I would place Beth into the her stroller, then get the stroller, Alice's walker, and help Alice herself through the door.

When we returned to the house, Alice would rest while I watched Beth until mid-afternoon or early evening, which was when Alice's partner came home. While I'm watching Beth by myself, I played and danced with her, read her books, sang to her, in addition to changing diapers and feeding her meals. Sometimes Beth knocked on the door, her way of requesting to go outside, and if the weather was permitting, we would go on a walk around the neighborhood or to the playground.

Beth is mostly good at walking on her own feet, only occasionally needing balancing help, so I didn't hold her hand while walking unless there was an incline or she fumbled. Frequently, she stops the walk to look or touch the rocks on the sidewalk.

While watching Beth, I also would clean up the house: frequently I did the dishes, laundry, and took out the trash and recycling.

Occasional Tasks

Every couple of days, I gave Beth a bath. This is involved not only making sure she gets clean, but also that she doesn't fall or slide around in the bath.

In addition, I cleaned up vomit and spills while making sure Alice and Beth don't walk into said spills, and occasionally refilled the diaper and wipe supply in the diaper bag.

I assisted Alice get to and from her and Beth's doctor appointments: we typically took a para-transit bus. Due to the service being specialized for transporting disabled adults, there was a wheelchair ramp on the bus. While Alice got on the bus through the ramp, I carried Beth into the bus in her car seat. After both Alice and Beth are on the bus, I would collapse the stroller and pack it in the bus.

Skills I Learned On The Job

Beth is more effective at communicating through sign language and actions than speaking out loud, and I initially barely knew any sign language when I got there. I quickly learned the baby signs she uses: "eat", "milk", "more", "all done", and "water".

I also learned the alphabet in ASL so I could finger-spell other words to Beth as well.

Figuring out how to collapse and pack Alice's walker and Beth's stroller into the car was a process Alice's partner had to show and help me with multiple times before I was able to reliably do it myself.

While bathing a baby and changing diapers are tasks I've done before, while working I became more comfortable doing so by myself. In addition, the time I would independently watch Beth for an entire shift without guidance from Alice or Alice's partner gradually increased as I worked more days there.

General Things

My usual focus was on Beth, making sure she's fed, changed, and entertained while also maintaining house tasks like doing the dishes in addition to helping Alice with any physical or visual tasks.

The work was energy-consuming- the majority of the time I am in charge of a toddler- but it was really fun too. Between playing, singing, and dancing with Beth, and hanging out and conversing with Alice and her partner- I gained a lot of new, fun experiences about by being a nanny and a home health aid.

This content is accurate and true to the best of the author’s knowledge and is not meant to substitute for formal and individualized advice from a qualified professional.

© 2019 Christina Garvis


This website uses cookies

As a user in the EEA, your approval is needed on a few things. To provide a better website experience, uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at:

Show Details
HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
LoginThis is necessary to sign in to the HubPages Service.
Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
AkismetThis is used to detect comment spam. (Privacy Policy)
HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the or domains, for performance and efficiency reasons. (Privacy Policy)
Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
MavenThis supports the Maven widget and search functionality. (Privacy Policy)
Google AdSenseThis is an ad network. (Privacy Policy)
Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
Index ExchangeThis is an ad network. (Privacy Policy)
SovrnThis is an ad network. (Privacy Policy)
Facebook AdsThis is an ad network. (Privacy Policy)
Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
AppNexusThis is an ad network. (Privacy Policy)
OpenxThis is an ad network. (Privacy Policy)
Rubicon ProjectThis is an ad network. (Privacy Policy)
TripleLiftThis is an ad network. (Privacy Policy)
Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)
ClickscoThis is a data management platform studying reader behavior (Privacy Policy)