Direct Care Worker Competency Review


Welcome to the Silver Lining online training program that will help to brush-up on your current skills and offer information to learn new skills.  It is important to participate in each module because the exam at the end will include questions from each of the modules.  You can spend as much time as you like reviewing the information provided in each of the modules.

Please take the test on your own, with no assistance from other resources.  At the end of the training, there will be an online test.  The test will have 50 questions.  You will need to score 85 percent or above.  In order to score 85 percent, you must get 43 questions correct. You can take the test as many times as it takes to pass.  When you do pass and I am confident that you will, download your certificate, take a clear picture of it and text it to 215-806-5190 or email it to

This requirement must be completed on or before June 1, 2024.  No extensions will be granted.

What is a registry?

A registry is an organization that refers independent contractors (Direct Care Workers) to provide home care services, as directed by the client, the client’s family or Power of Attorney, in the client’s home or independent living facility.  The services include bathing, grooming, dressing, toileting, preparing meals, light laundry, light housekeeping, medication reminders, food shopping or other like errands.  As an independent contractor you can choose when you work, where you work and what client you work for.  Keep in mind that you are not an employee of Silver Lining; therefore, you must keep your own records and pay your own taxes.  You are not covered by Workers Compensation and you do not have any company sponsored benefits.

What Services DCWs are Allowed and Not Allowed to Provide?

How to Communicate with Silver Lining:

How to Put on Elastic Stockings:

Alzheimer’s disease:

Below are some common difficult behaviors that you may face when working with Alzheimer’s clients:



What Is Dysphagia?

Signs of dysphagia include:

The Connection Between Dysphagia and Dementia:

Treatment for Dysphagia:

10 Ways to Make Meals Easier With Dysphagia:

Struggling to Swallow and End-of-Life Care:

What are bedsores?

What causes bedsores?

What are the stages of bedsores?

How are bedsores diagnosed?

How are bedsores treated?

Can bedsores be prevented?

What is a TIA?

TIA Risk Factors:

Warning of Future Strokes:

Facts about Falls:

What Can Happen After a Fall?

What Conditions Make You More Likely to Fall?

What You Can Do to Prevent Falls:

Do Strength and Balance Exercises:

Have Your Eyes Checked:

Make Your Home Safer:

Direct Care Worker Competency Quiz

Now that you have reviewed all the above information, it is time to see what you have learned.

Please take the following quiz and if you pass, you will have completed a state mandated requirement and be given a Passing Certificate!

For Caregivers

Tips, information and articles to help you with your job.

Read More Application for Direct Care Workers

Our Blog

Tips, advice and current state of home care as we see it.

Read More


It has Been a Pleasure to Be Part of the Silver Lining Family.

Dear Jonathan, It has been a pleasure to be part of the Silver Lining family. I think we started about five years ago with Edith Daniels. Edie worked part time… Read more “It has Been a Pleasure to Be Part of the Silver Lining Family.”

Susan Starr

Excellent Service

Dear Friends, I am writing to express my thanks for your excellent service, both in professional and human terms. For a period of about four months, with increasing frequency and… Read more “Excellent Service”

Diana Burgwyn Wolkin

Provided Valued Services

Dear Silver Lining, Beverly Brown provided valued services as a home health care aide for my father, and then my mother, over the last month’s time. Having brought my father… Read more “Provided Valued Services”

Gail Garber

Submit a Testimonial

Leave a Testimonial about Your Experience with Silver Lining Home Health Care!

Submit Here