In a nursing or home health agency, the Personal Support Worker (PSW) or Health Care Aide (HCA) would be a paraprofessional member of the health care team who would work directly under the supervision of a registered nurse (RN) or Service Coordinator and performs various services for the client. These duties would include personal care, (activities of daily living). In a non-medical, custodial agency such as At Home Senior Care and Services, the PSW or HCA may provide assistance in hygiene or personal care in the jurisdiction, which such care, is permitted.