Healthy Boundaries and Healing Hearts for Paraprofessionals

Health care boundaries are the limits within which health care services are to be delivered. Health care boundaries are important for the protection of both the patient and the health care provider. Maintaining healthy boundaries can be difficult when faced with the challenge of end-of-life care. Health care providers and volunteers need to demonstrate a healthy balance between care and compassion without becoming overly involved in their patient's lives.

This course is designed to assist the learner in understanding boundaries in health care, identify boundary issues and methods to avoid or address those issues.

This is a self-paced course with optional knowledge check quizzes after each lesson. These non-graded quizzes allow you to check your understanding of the lesson objectives before proceeding to the next lesson. After the final lesson you will be required to take the final exam. You must score 70% or higher to pass the course and obtain a certificate of completion.

  • Describe professional boundaries
  • State the need for professional boundaries
  • Explain the importance of codes of ethics
  • Explain the impact of patient history on establishing boundaries
  • Describe the balance of power between patient and caregiver
  • Identify methods to establish health boundaries at first meeting
  • Identify challenges in providing end of life care in the home
  • Define boundary crossing
  • Identify who is at risk for crossing boundaries
  • Name 2 different types of boundary crossings
  • Select the appropriate response to boundary crossings
  • State the different types of boundary violations
  • List three warning signs that might signal a boundary violation
  • Describe the role of the caregiver in reporting an event of misconduct or abuse
  • Define two resources for support when boundaries have been violated
  • Identify the importance of saying "no" so as to maintain healthy boundaries
  • State the importance of emotional health in establishing and maintaining healthy boundaries.
  • Provide three suggestions to avoid boundary violation
  • Name two sources of support for maintaining healthy boundaries
Contact Time

2.5 Contact Hour: based on 60 minute contact hour

Estimated Time

The estimated time for completion for this activity is 2.5 hour(s).

Intended Audience

Health care professionals and volunteers to: include Registered Nurses, Licensed Practical Nurses, Social Workers, Physicians, Chaplains/Counselors, Home Healthaides, Certified Nursing Assistants, Homemakers, Volunteers, Therapists, and others interested in hospice services and information.

Course Planning Team

Kathy Richie, BSN, RN, Lores Vlaminck, RN, BSN, MA, Technical Nurse Consultant, Lores Consulting

Washington State DSHS CE Approval Code: - CE122673
Washington State Department of Social and Health Services approved this course for CONTINUING EDUCATION PURPOSES for long term care workers. 
Disclosure Statements:
Author Originating

Lores Vlaminck - RN BSN MA Technical Nurse Consultant Lores Consulting

Lores received both her Bachelors of Science Degree in Nursing and her Master's in Nursing Education from Bethel University, St. Paul, MN. Lores has a varied background of healthcare experience to include acute and critical care, clinical nurse specialist, and most recently, 19 years of experience as the founder and director of a rural home care and hospice agency.

Lores' passion is education for health care professionals, para-professionals, volunteers, and the community at large in the specialty of end-of-life care. Lores offers seminars, training, orientation, coaching, presentations, compliance monitoring, and mentoring for home care, hospice agencies, and health care organizations.


Materials used in connection with this course may be subject to copyright protection. Retention of the materials for longer than the class term, unauthorized further dissemination of the materials, or use of copyrighted materials in any way other than intended for this class is prohibited by Copyright and Teach Act laws.


This course was developed with Rochester Community and Technical College's Continuing Education and Workforce Development Division located in Rochester Minnesota. Development was funded from the Minnesota State Colleges and Universities System.

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