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Glossary

Our glossary is intended to help you better understand the technical terms used in our industry. The definitions represent the meanings understood and shared by the majority of the senior living field.

AcuteA sudden and severe condition.

Activities of Daily Living (ADL)Physical functions that an individual performs each day, including: bathing, dressing, eating, toileting, walking or wheeling, and transferring into and out of bed.

Advanced DirectivesA written statement of an individual’s preferences and directions regarding health care. Advanced directives protect a person’s rights even if he or she becomes mentally or physically unable to choose or communicate his or her wishes. Examples include Living Wills and Medical and Durable Powers of Attorney.

AssessmentDetermination of a resident’s care needs, based upon a formal structured evaluation of the resident’s physical and psychological condition and ability to perform activities of daily living. Assistive Device Physical aid such as a cane, walker, wheelchair, or hearing aid.

AudiologistHealthcare professional specializing in identifying, diagnosing, treating, and monitoring disorders of the auditory and vestibular system portions of the ear.  

Centers for Medicare and Medicaid Services (CMS)CMS is an element of the Department of Health and Human Services, which finances and administers the Medicare and Medicaid programs.  Among other responsibilities, CMS establishes standards for the operation of nursing facilities that receive funds under the Medicare and Medicaid programs.

Culture ChangeCulture Change is the transformation of the medical model of nursing home care to a more social-based, home-like care model, focusing on resident choice and relationships    – not only between residents and staff, but also between all levels of staff and families/friends of residents. Residents, families, and staff work in a cooperative and respectful way.  The resident’s daily life does not adhere to a rigid schedule, but is based on the resident’s life-long habits.

DementiaThe loss of intellectual functions (thinking, remembering, reasoning) of sufficient severity to interfere with a person’s daily functioning.  Not a disease itself, dementia is rather a group of symptoms that may accompany certain diseases or conditions. Symptoms may also include changes in personality, mood and behavior.  Dementia is irreversible when caused by disease or injury, but may be reversible when caused by drugs, alcohol, depression, or imbalances of hormones or vitamins. Examples include Alzheimer’s and Louis Body Dementia.

Durable Power of Attorney A legal document in which a competent person gives another person (called an attorney-in-fact) the power to make health care decisions for him or her if unable to make those decisions.  A DPA can include guidelines for the attorney-in-fact to follow in making decisions on behalf of the incompetent person.

Dual EligibilitySomeone who qualifies for both Medicare and Medicaid.

Family CouncilFamily Councils provide educational opportunities and a support system for its members, and often enhance activity programs.  Sometimes, nursing homes organize Family Councils chaired by facility staff.

GerontologyThe scientific study of the biological, psychological, and social effects of aging.

Healthcare Power of AttorneyThe appointment of a healthcare agent to make decisions when the principal becomes unable to make or communicate decisions.

Home Health Care Provision of medical and nursing services in the individual’s home by a licensed provider.  Medicare can cover this care, if it meets certain guidelines regarding a recent hospital stay.

HIPPAThe Health Insurance Portability and Accountability Act (HIPAA) requires that all covered entities (most nursing facilities meet the definition of covered entity) provide a notice to patients detailing the ways in which the covered entity will use or disclose the patient’s protected healthcare information (PHI).  PHI is defined as individually identifiable health information that relates to the past, present, or future physical or mental health of, or the provision of healthcare to, a patient or resident.

HospiceHospice care is provided to enhance the life of the dying person.  The program provides supportive services to terminally ill patients and their families in the form of physical, social, and spiritual care.  In a nursing facility hospice does not pay for room and board.

Living WillWritten document stating, in advance, an individual’s wishes concerning the use of life-saving devices and procedures in the event of terminal illness or injury, should the individual no longer be competent.

Long-Term Care (LTC)The broad spectrum of medical and support services provided to persons who have lost some or all their capacity to function without assistance, due to illness or injury.  

Managed CareA partnership between an insurance provider and a health care system.  Put in place to coordinate all care services received to maximize benefits and minimize costs.  Managed care plans use their own network of health care providers and require approvals prior to receiving services.

Occupational TherapyTherapeutic use of work, self-care, and play activities to increase independent function, enhance development, and prevent disability; may include adaptation of task or environment to achieve maximum independence and to enhance quality of life.  

Ombudsman Often a volunteer representative who handles complaints of residents and families and works to resolve any problems or differences with the facility staff by defining concerns, explaining rights and identifying choices.  An ombudsman can help resolve the problem in most cases; however, complaints involving serious abuse or neglect are referred to the appropriate agency. In all situations, confidentiality is maintained and no information is released without permission of the resident or legal guardian.  In addition, an ombudsman is a good source of information about selecting a long-term care facility, eligibility criteria, and other services for the elderly, and resident rights.

Palliative CareAny form of medical care or treatment that concentrates on reducing the severity of disease symptoms, rather than striving to halt, delay, or reverse progression of the disease itself or to provide a cure.  The goal is to prevent and relieve suffering and to improve quality of life for people facing serious, complex, and/or terminal illnesses.

Pre-Admission Screening and Annual Resident Review (PASARR)A process for determining whether a person being considered for admission has any mental illness or mental retardation.  Federal law requires nursing homes that participate in Medicare or Medicaid to screen all patients. If an initial evaluation reveals mental illness or mental retardation, a more in-depth evaluation is performed to determine whether the patient needs special services that cannot be provided in a nursing home.  Patients whose mental conditions change during their stay in the facility will be retested.

Private Pay PatientsPatients who pay for their own care or whose care is paid for by their family or another private third party, such as an insurance company.  The term is used to distinguish patients from those whose care is paid for by government programs (Medicaid, Medicare, and Veterans Administration).

Physical TherapyTreatment of disease or injury by physical and mechanical means.  Physical therapists plan and administer prescribed physical therapy treatments for patients to help restore their function and strength.

Power of AttorneyA legal document allowing one person to act in a legal manner on another’s behalf pursuant to financial or real-estate transactions.  

Pre-Admission ScreeningAn assessment of a person’s functional, social, medical, and nursing needs, to determine if the person should be admitted to a nursing facility.

RehabilitationTherapeutic care for individuals requiring intensive physical, occupational, or speech therapy, provided to restore them to a former capacity.

Resident Assessment A standardized tool that enables nursing homes to determine a patient’s abilities, what assistance the patient needs and ways to help the patient improve or regain abilities.  Patient assessment forms are completed using information gathered from medical records, discussions with the patient and family members, and direct observation.

Resident Care PlanA written plan of care for nursing facility residents developed by an interdisciplinary team with specific measurable objectives and time tables for service to be provided to meet a resident’s medical, nursing, mental, and psychosocial needs.

Resident CouncilResident Councils are run by and for the residents of the facility, and have the same rights under federal law as Family Councils.  A Resident Council routinely meets to answer resident questions, organize events, and discuss concerns. Facility staff may assist with the operations of the Resident Council.

Respite CareScheduled short-term nursing facility care provided on a temporary basis to an individual who needs this level of care but who is normally cared for in the community.  The goal of scheduled short-term care is to provide relief for the caregivers while providing nursing facility care for the individual.

Skilled Nursing CareLevel of care that includes services that can only be performed safely and correctly by a licensed nurse (either a registered nurse (RN), or a licensed practical nurse (LVN).  

Skilled Nursing Facility (SNF)Generally speaking, a skilled nursing facility is a clinical provider of 24-hour licensed nursing.  A SNF is primarily engaged in providing services for residents who require medical or nursing care and/or therapy services for the rehabilitation of injured, disabled, or sick persons.

SurveyA detailed, unannounced inspection of each licensed nursing home conducted at least once a year by the Quality Assurance division of the Texas Department of Aging and Disability.

Support Group Facilitated gathering of caregivers, family, friends, or others affected by a disease or condition for discussing issues related to the disease.

Speech TherapyThis type of service helps individuals overcome communication conditions such as aphasia, swallowing difficulties, and voice disorders.

TransferTo move a resident from one place to another –  from the bed to a wheelchair, or from assisted living to skilled care.