Glossary
GLOSSARY
2-1-1 Helpline – If in existence in an area, it provides comprehensive information and referral to the services and support you need
Action for Older Persons – Action for Older Persons (AOP) is an organization that enhances the lives of adults and empowers them to prepare for the future. Action for Older Persons sponsors and organizes community education programs, workshops, computer classes, and seminars for both the public and professionals. Topics include: Advance Planning, Long-Term Care, Medicare & related Health Insurance issues, Retirement/Financial & Estate Planning, Elder Mistreatment and Crime Prevention, Computer Training Classes, Multi-Generational Programming
Activity of Daily Living skills (ADL'S) - represent the fundamentals of personal care necessary to live independently such as bathing, toileting, grooming, mobility, and assistance with feeding.
Acute care – Care required by a client/patient for a short period, usually until an underlying condition is resolved. Acute care is delivered in a variety of settings including home, hospitals, and nursing facilities. The agencies strive to keep a person at home by offering services that supplement those provided by family members and friends to meet both acute and long-term care needs.
Adaptive Equipment – unique health care products for people with varying physical needs.
Adult Care – This level of care is intended for individuals who need 24-hour care. Assistance with minimal personal care is provided such as bathing and grooming, as well as supervision of medications, meals, housekeeping, and social activities. There are a number of types of homes with size being the primary distinction. Adult Care may be paid for privately or by Social Security Income (SSI). Costs vary.
Adult Care Facilities - 24-hour supervised living provides minimal assistance with personal care (bathing, dressing, grooming); monitors residents' medications and physical/social needs. Three meals a day are included. Adult care facilities serve residents who do not require continuing medical care. Regulations allow only medically stable residents to be admitted and retained in an adult care facility. Adult homes provide personal care, medication supervision, activities, housekeeping and transportation. 24-hour on-site supervision and three meals per day per resident are included. Resident rooms cannot have kitchens, and accommodations may be private or semi-private (shared room).
Adult Care Homes – Family type homes licensed by the county Department of Social Services to care for up to 4 residents and an additional 2 boarders in a family home setting.
Adult Day Care - Health support and rehabilitation services provided ourside the home to people who are unable to care for themselves independently during the day, but are able to live at home at night.
Adult Homes - Private and semi-private rooms with centralized dining, housekeeping, laundry, and social programs plus supplementary personal care. Also protective oversight including medication management (but not the medical or skilled services of a nursing home. Adult Care Facilities - more than residents. Family-type Homes - licensed by NYS Department of Social Services. They provide the same types of services as adult homes but are run by private homeowners. They are usually limited to four residents and are paid for privately.
Advance Health Directives – An "advance health care directive" lets your physician, family and friends know your health care preferences, including the types of special treatment you want or don't want at the end of life, your desire for diagnostic testing, surgical procedures, cardiopulmonary resuscitation and organ donation.
Advance Planning for End of Life (APEL) – A program which offers information on planning final arrangements in advance and options for payment. Free, individual assistance by appointment through Action for Older Persons
AIDS Home Care Program – A program which offers a coordinated plan of care and an expanded array of home care services for persons with AIDS or HIV-related illnesses in order to maintain them in their home or in a community setting. AHCP is coordinated by Ideal Home Care, a division of
Alternate Level of Care - Care received in a hospital inpatient setting for those persons waiting to be placed in a nursing home or while arrangements are being made for home care.
Alzheimer's Disease - is an irreversible senile dementia characterized by intellectual deterioration, disorganization of the personality, and functional disabilities in carrying out the tasks of daily living. This disease is definitively diagnosed only after autopsy. There are only hypotheses on the cause of this disease.
Ambulette Service – [see Medical Transportation]
Assessment - is an evaluation to review the medical, social, nutritional, and emotional needs of a person to determine eligibility for programs and services.
Assisted Living Facilities - Assisted living facilities are now licensed in
Assisted Living Program (ALP) - long term residential care, room, board, housekeeping, laundry, personal care and supervision and provides or arranges for home health services to five or more eligible adults unrelated to the operator. These services can be paid for by Medicaid (MA), Supplemental Security Income (SSI), or privately.
Association for Vision Rehabilitation & Employment (AVRE) - AVRE (formerly known as Blind Work Association) provides vision rehabilitation (independent living), orientation and mobility (safe travel training), low vision (magnification, lighting, color contrast, and glare control), and employment services for people with severe vision disabilities. (telephone: 607.724.2428)
AVRE – [see Association of Vision Rehabilitation & Employment]
BCOFA – Broome County Office for Aging. The Broome County Office for Aging assists seniors and caregivers by providing the services and benefits that elders need to live independently. We offer these services both in the community and in the homes of
bid – twice a day
Burial Funds - Are monies set a side to provide the funding for your funeral. All of the arrangements, including which funeral home, casket and services you wish can be set and paid for a head of time. Usually your family at the time of loss is very relieved not to have to think about arrangements, the cost, and more importantly knowing your wishes. Typically 4,000 dollars are set aside. If you are currently on Medicaid your family will receive 1,500 dollars for arrangements.
Care at Home (CAH) – The CAH program is for families who would not normally be eligible for Medicaid. CAH Medicaid helps to pay for medically necessary in-home services to make it possible for physically disabled children to live in their own home with their families.
Care Management - The consultative and planning services provided by a professional, typically a licensed nurse or social worker, to assess, coordinate and monitor the overall medical, personal and social services needed by an individual requiring long term care.
CASA (COMMUNITY ALTERNATIVE SYSTEMS AGENCY) – Provides information on long-term care for persons of any age in need of home or nursing home care. Seeks to assure appropriate use of all available services to maintain people at optimum levels of functioning and independence. Care planning, information on purchasing long-term care services, case management, nursing home evaluation, in-home services (EISEP) coordination, and nursing home to community assessments. Free assessment available. It is the central access agency for
Case Management - is a service of client advocacy which includes, assessment, care planning, service coordination, monitoring the safety and quality of services, and the well being of the client.
Catholic Charities - 729-9166 - 8:30am - 4:30pm weekdays - For over 70 years, Catholic Charities has lived these words, serving the people of
Certified Home Health Care Agencies (CHHA) - meet both federal and state regulations and provide part-time or intermittent health care and support services to individuals who have intermittent and skilled health care needs for a short time. These agencies provide nursing, home health aide services, and provide or arrange for professional services including physical therapy, occupational therapy, and speech therapy, as well as social work and nutrition services. In order to receive Medicare benefit, the client must be confined to home, receiving services under a plan provided by a physician, receiving skilled nursing on an intermittent basis and /or receiving professional services on a continuing basis.
Certified Nurses Aide (CNA) - trained to provide medical-related services in a nursing home setting.
Chronically Ill Individual - A person who is unable to perform without substantial assistance from another individual at least 2 ADLs (Activities of Daily Living) for a period of at least 90 days due to a loss of functional capacity, or a person requiring substantial supervision to protect the person from threats to health and safety due to severe cognitive impairment.
Cognitive Impairment - The loss or deterioration of intellectual capacity in people suffering from conditions, such as Alzheimer's disease or similar forms of irreversible dementia, characterized by such symptoms as: short- or long term memory loss; loss of orientation as to people, places or time; and loss of ability for deductive or abstract reasoning.
Combined Home Care Benefit - A New York Partnership insurance option that permits combining of home and community-based care benefit days to pay an amount in excess of the daily benefit amount for home and community-based care benefits set forth in the policy. Where this benefit is stated in the policy, the combination of benefit days shall result in no more than the equivalent of 31 days of home and community based care benefits being paid at the home and community based care daily benefit amount in any one month period.
COMMUNITY ALTERNATIVE SYSTEMS AGENCY (CASA) – [see CASA]
Community Based Services - Long Term care services that are rendered generally at home, but include services rendered in a group setting, such as an adult day care center, or where human assistance is required to aid in necessary travel, such as to a physician's office.
Community Integration Program Southern
Companion - visits and may provide escorting, assistance with shopping and running errands.
Companion Aide – Provides companionship for a client/patient and assistance with tasks such as homemaking, meal planning and preparation, shopping, and transportation
Consumer - The individual served by the long term care system regardless of age, income or disability.
Consumer Directed Personal Assistant Program - is a (client) driven personal assistance service offered by
Continuing Care Retirement Community (CCRC) - A continuing care retirement community encompasses the full range of living options -- from independent living to skilled nursing care – in one location. This allows a resident to enter at the independent level and, as his or her care needs increase, age into the services provided by the CCRC. This “aging in place” approach allows the client to receive the services they need without relocating. It also allows couples who may require different levels of care to remain in close proximity to one another.
Copayment or Coinsurance - The amount you must pay for each medical service, outpatient hospital service or hospital stay.
Custodial Care - Non-medical care that addresses personal needs, and is available to a chronically ill individual.
Dementia - is an organic mental syndrome characterized by a general loss of intellectual abilities involving impairment of memory, judgement, abstract thinking as well as personality. There are several different causes for dementia, cause is determined by a physician. There are types of dementia, which are reversible and others, which are progressive; Impairment of intellectual faculties due to a disorder of the brain
Dementia Care - Dementia care is for residents with dementia or Alzheimer’s disease. Dementia care is offered in specialized units within adult care or skilled nursing facilities. These units are secure and provide special stimulation for residents who are in many cases physically able but lacking mental capacity.
Dementia Units – Typically found in Skilled Nursing Facilities, these units are tailored to residents with memory related problems including Alzheimer’s disease. The units offer specialized programming, staffing patterns, and safety features.
Department of Social Services (DSS) - An organization which promotes self-sufficiency and assures the protection of vulnerable individuals.
Do Not Resuscitate Orders (DNR)- means when you are unable to breath and your heart has stopped beating that you do not wish professional staff or family to provide you with CPR. This means no one will try to breathe for you or pump on your chest to get your heart to re-start. This order would be kept with your medical record and should also be kept on your person at all times in order that it would be followed.
Durable Medical Equipment - equipment rented or owned necessary for the health maintenance of the client to remain at home safely. These goods are ordered by the physician and are contingent upon the client remaining home.
Elder Services Guide – Directory of elder services and programs for mid-life and older adults in
Elderly Pharmaceutical Insurance Coverage (EPIC) - is a drug insurance program for N.Y. residents' age 65 or older. Annual income limitations are 17,500 dollars or less (single) or 25,000 dollars or less (married). You are not eligible for EPIC if you receive Medicaid benefits or if you are on a private insurance plan which has a better prescription benefit.
Emergency Call Buttons – Personal Emergency Response Systems (PERS) offer access to emergency help and life support at the touch of a button. Most are fee-based; however, some commercial stores sell a system with no monthly fee. The installer programs emergency phone numbers and appropriate 24-hour dispatcher service.
Expanded In-home Services for the Elderly Program (EISEP) - provides non-medical, in-home services and case management for people over 60 years old who can be cared for safely at home. Services include bathing, dressing, cooking, shopping, laundry, and housekeeping. Clients pay for services on a sliding fee scale. A grant from the Office for the Aging will pay for those individuals whose income are approximately $1,000/month or less as well as assist with the sliding scale amount. There is no fee for case management.
Family Homes for the Elderly – 729-6206 - A program in
GROW – Provides employment service matching older job seekers with people needing care, companionship, repairs, maintenance, yard work, driving, housekeeping, and help with chores.
Guardianship - a court may appoint a guardian to manage property and/or personal needs of an impaired adult at the request of that adult or another concerned person. Once the court has appointed a person he/she is now called the guardian. A person need not be mentally incapacitated for the court to appoint a guardian. The court will only appoint a guardian when necessary. The court sets and defines the limits of the guardian's powers. The guardian must submit a plan to the court to provide for the financial care of the client and their properties.
HEAP – Home Energy Assistance Program - The Home Energy Assistance Program (HEAP) can help you meet the costs of home heating if you are an income-eligible homeowner or renter.
Health Care Proxy - grants competent adults the right to appoint someone they trust to make decisions about medical treatment on their behalf when they are no longer able to make such decisions for themselves. The person appointed to make health care decisions is known as the agent. An attorney is not needed to draw up the proxy. The written document must be signed and dated by you and witnessed by to other adults. A copy should be kept in your possession and with your doctor, attorney, and close relatives. Your agent must make decisions in accordance with your wishes, religious and moral beliefs. These wishes may be documented in the health care proxy.
Health Insurance Information and Counseling (HIICAP) – Counseling, education, and assistance regarding Medicare, and supplemental health insurance and drug plans, including Medicare Part D and NYS EPIC.
Home and Community Based Waiver Program (OMRDD) - The OMRDD Home and Community-Based Services (HCBS) Waiver operated by the Office of Mental Retardation and Developmental Disabilities (OMRDD) is a program of supports and services that enables adults and children with developmental disabilities to live in the community as an alternative to Intermediate Care Facilities (ICFs).
Home Care Services - A wide range of long term health care services, from skilled care and physical therapy to personal care delivered at home or in a residential setting.
Home Health Aide (HHA) - trained to provide medical-related services and personal care such as taking vital signs and bathing /dressing a client.
Home Health Care Case Management – Coordination of a client/patient’s health care services to ensure appropriate, quality care as their health care and social needs change.
Home Health Care Information & Referral – Service to answer questions and guide the client/patient to appropriate services.
Home Health Care Services (Long-Term Care) – Services ranging from personal care assistance to nursing services to physical therapy are provided in the home by qualified home health care agencies. Some long-term care facilities offer home health care services to their residents and some also make these services available to community residents.
Homemaker - assists with home management activities, which have no hands-on contact with the client.
Hospice at Lourdes – Hospice is primarily a home care program that offers care for terminally ill clients/ patients in their residences or in a nursing home. Hospice supports the family in caring for and enabling the client to live at home as long as possible. When additional care is needed, the Hospice Inpatient Program can provide relief for the client/patient and family in the hospital who elect noncurative care. In
Hot Meal Program – Available at the Senior Community Centers which are sponsored by BCOFA. Suggested contribution guidelines are available. Contributions are confidential; no one is turned away due to inability to pay. Limited special diets are available with written physician’s prescription.
Housing Agencies (Senior) – Some senior housing agencies offer Licensed Enriched Housing and/or Licensed Home Health Care Agency Services exclusively to their residents. The New York State Enriched Housing Program offers community-integrated living arrangements with supportive services and is licensed by the New York State Department of Health. Supportive services include assistance with personal care, meals, shopping, housekeeping and a 24-hour on-call emergency service.
Independent Living – Apartments affiliated with long-term care facilities provide apartment living for well elderly. Handicap accessible. Safety devices frequently provided, i.e. grab bars, emergency call bells. Residents care for themselves and the apartment; independent living is for seniors (typically with a minimum age of 65) who do not require care, but prefer to live in a setting where outdoor maintenance is managed and bills for electricity, cable, water and other services are handled by an organization. Residents pay the organization an entrance fee or a monthly rental fee for their lodging and services. Independent living offers privacy, as well as architectural amenities that aging may necessitate, such as grab bars, wider doorways, handrails, etc.
Informal Supports - Unpaid care and support provided to the consumer by family, friends, neighbors and others in the community.
Information/Referral – Provides wide range of information and referral services
Infusion Therapy – Intravenous medication administration, for therapeutic purposes. Infusion therapy may include administration of antibiotics, hyperalimentation, chemotherapy, pain control medicines, hydration fluids, and selected blood products.
Instrumental Activities of Daily Living (IADL's) - these are the tasks in the home which are not related to personal care, such as laundry, cleaning, shopping, and personal finances.
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Licensed Home Care Agencies (LHHCA) - offer one or more home care services including all levels of nursing care, various therapies, home health aides and personal care aides to the individuals who pay privately or who have insurance coverage. Many agencies also contract with local social services departments to care for those individuals with Medicaid coverage for personal care services.
Licensed Practical Nurse (LPN) - licensed by the State of
Life Care Community - provides a continuum of residential and health care services. They allow residents to continue living in the same complex as their housing and health care needs change. Life Care Communities usually offer apartments, cottages, and group homes with a range of support options, as well as skilled nursing facilities.
Living Will - a document in which an individual gives directions about health care to be followed in the event the individual has a terminal illness and is unable to provide further instructions.
Loan Closets – Loan closets lend equipment for home use, including electric beds, hospital beds, bed trays, tables, or footstools, commodes, bedpans, urinals, canes, crutches, wheelchairs, walkers, hydraulic lifts, roll-away beds, air mattresses, foot cradles, side rails, foan pads, trapezes, toilet seat raisers, bathtub seats, pillow rests, hearing loss equipment such as TTYs, closed captioners, and flashers. May provide information on adaptive equipment devices or assistance building wheelchair ramps.
Long Term Care (LTC) - refers to care required by some children and/or adults with disabilities that can range from household tasks to skilled nursing services and can be delivered in a variety of care settings, including home, adult home, and nursing facilities
Long Term Care Insurance - is a policy you buy to help pay some of the costs of long term care. The covered services typically include home health care and nursing home care. Policies may seem expensive but it can help in later years to maximize your independence, increase your choices about care, protect your assets, and avoid depending on your family and friends.
Long-term Care Ombudsman Program – Free unbiased advocacy for residents of long-term care facilities. NYS certified Ombudsmen can provide guidance, support and assistance in resolving concerns regarding care and services in long-term care facilities. Information on residents rights, the ombudsman program and how to locate an ombudsman may be obtained at www.ombudsman.state.ny.us or by telephone at 1-800-342-9871.
Long-Term Home Health Care Programs (LTHHC) – LTHHCPs (also known as the Nursing Home Without Walls program) offer health care and support services to disabled and chronically ill people who are medically eligible for admission to a nursing facility but who prefer to remain at home. These programs are designed to provide a full range of professional and aide-level health care services, as well as medical supplies, equipment, and appliances to those in need of services over a long period. In addition to traditional home care services such as nursing and therapies, the LTHHCP can arrange or provide for home-delivered meals, emergency call systems, social day care, social transportation, moving assistance, and home improvements.
Master Social Work (MSW) – This licensed professional assesses the social and emotional factors impeding the client/patient’s ability to cope with problems of daily living. Counsels and assists clients/patients and their families to understand and follow a medical treatment plan. Provides services to restore optimum health and social adjustment.
Meals on Wheels – Delivers two meals to homebound elderly, Monday-Friday, for those unable to prepare meals for self and no one in or out of home able to prepare meals. Offers daily contact with elderly living alone. Call Meals on Wheels (778-6205) for service in
Medicaid - is the medical assistance program for low-income people of all ages who are unable to pay for care and who meet eligibility guidelines. Federal, state, and local funds finance it. Federal and state law sets the services that Medicaid covers. Older adults are expected to use their Medicare, and private insurance first and to use Medicaid only for expenses not covered, such as prolonged nursing home, home health care and other exceptionally high medical costs not met by Medicare. For guidelines check with the Department of Social Services.
Medical Transportation – Non-emergency medical transportation, sometimes referred to as Ambulette Service, provides fee-based door-to-door service when full ambulance/emergency services is not necessary and curb-to-curb transportation, such as BC Lift or taxi, is not adequate for the situation. Additionally offers special needs assistance, especially for persons with mobility issues. For a list of providers, please refer to the telephone directory Yellow Pages under Ambulette Services.
Medicare - A federal government insurance program to assist those 65 and older and the disabled with medical and hospital expenses. Medicare covers only skilled care in a skilled nursing facility and limited nursing care at home. It does not usually provide benefits for personal or custodial care, and for this reason provides limited assistance in a program of long term care. Medicare requires co-payments and deductibles.
Medicare Buy-in Program - Some lower income recipients can have their Medicare premiums, deductibles, and co-insurance paid for by the Medicaid program or the Medicare Buy-in program.
Medicare Direct Billing – Some programs specialize in accessing and locating services for Medicare and Medicaid recipients. Some home health care agencies, referred to by the designator Certified Home Health Agency (CHHA), are certified to bill Medicare directly for services. Some may also accept payment from Medicaid.
Medicare Supplement "Medigap" - Private insurance policies that supplement Medicare benefits by covering co-payments and deductibles for medical and hospital expenses. Similar to Medicare, these policies do not provide coverage for personal or custodial care, and for this reason provide limited assistance in long term care situations.
MOW – (See Meals on Wheels)
Nursing Home - A facility that provides room and board and a planned, continuous medical treatment program, including 24-hour-per-day skilled nursing, personal and custodial care. All nursing homes that are licensed or certified and legally operating within the appropriate jurisdiction are deemed to be eligible for benefit payments.
Nutrition Education – Provides nutritional services to the client/patient as prescribed by their physician, including nutrition assessment, and counseling to meet normal and therapeutic needs.
NY Connects: Choices for Long Term Care - A consumer-centered entry point for information about and linkages to services that assist individuals of all ages with long term care needs. In New York State NY Connects: Choices for Long Term Care serves individuals who need long term care support, their family caregivers, and those planning for future long term support needs, regardless of how they will pay. It also serves as a resource for long term care professionals and others who provide long term care services to older adults and to people with physical disabilities of all ages.
Occupational Therapy - helps you do what you can do or could do better. After an injury or illness the therapist develops a plan of care (which may include equipment) which will assist the client to regain previous functions.
Olmstead Decision - 1999 Supreme Court Decision that requires states to administer services, programs, and activities "in the most integrated setting appropriate to the needs of qualified individuals with disabilities." It challenged states to review intake and admissions processes to ensure the most integrated setting of care.
OMRDD – The New York State Office of Mental Retardation and Developmental Disability assists people with developmental disabilities in leading productive and fulfilling lives by creating opportunities and supporting people in ways that allow for as many as possible to access the supports and services they want and need.
Palliative Care - Palliative care is an interdisciplinary approach that focuses on improving quality of life for patients with terminal conditions. Emphasis is placed on comfort measures, pain management and symptom management rather than aggressive, curative measures.
Partnership for Long Term Care - The New York State Partnership for Long-Term Care is a unique program combining long-term care insurance and Medicaid Extended Coverage. Its purpose is to help New Yorkers financially prepare for the possibility of needing nursing home care, home care or assisted living services someday. The program allows New Yorkers to protect some or all of their assets (resources), depending on the insurance plan purchased, if their long-term care needs extend beyond the period covered by their private insurance policy.
PERS – see Emergency Call Buttons
Personal Care - Assistance provided by another person to help with walking, bathing, eating and other routine activities of daily living. It is provided by individuals qualified to help with these tasks either at home or in an institution.
Personal Care Aide (PCA) - provides personal care such as bathing, grooming, and meal preparation.
Personal Care Program - provides a variety of home care services to Medicaid clients. A physician must document medical need of services. Case managers and/or nurses under a doctor's order coordinate in-home personal care services to people who receive Medicaid. Services are provided regardless of age.
Personal Emergency Response System (PERS) - is a communications system, which links an individual with the county's emergency medical response system. Pressing a button on the unit or pendent automatically dials emergency rescue. They are free to those with Medicaid who qualify for the service, they can be rented on sliding scale from the Office of the Aging or rented from a private provider.
Physical Therapy - A licensed professional whose job it is to detect, assess, prevent, correct, alleviate, and limit physical disability and body malfunction. Physical therapy can be for preventative and therapeutic purposes. This service must be ordered by the physician; and may be provided in home or at an outpatient therapy facility.
Power of Attorney (POA) - is a written contract in which you appoint someone to act on your behalf to manage your affairs. When you sign a power of attorney, you become the principal and the person you appoint to act as your agent is called the attorney-in-fact. This does not mean you've given up your own rights to continue to handle your own affairs. Many people choose to have the POA act on financial and business matters.
PRN – as needed.
Protective Services for Adults - protective services are provided to adults over age 18 who, because of physical or mental impairment, are unable to manage their own resources or protect themselves from neglect or hazardous situations, and have no one able to help them. All referrals are confidential.
Provider - Individual, organization or group rendering long term care services for a fee.
qd – every day
qid – four times a day
qod – every other day
Registered Nurse (RN) - licensed by the State of
Rehabilitation Units – Typically found in Skilled Nursing Facilities, these units are tailored to residents with short-term rehabilitation needs. The goal is to help a person regain his/her level of functioning prior to an illness, injury or surgery. The type of care and length of stay are tailored to the person’s individual needs. Medicare may pay for this type of care for up to 100 days.
Representative Payee - The Social Security Administration will select a person called a representative payee to receive benefits on behalf of a beneficiary who is unable to manage his or her own benefits. A Rep-payee will be appointed for you if you are found to be mentally incompetent or physically incapable of managing benefit payments. The decision of competence is determined by a court or decided by the physician while considering statements of relatives and friends.
Residential Health Care Facilities/Skilled Nursing Facility - Provides care for long term chronically ill clients and rehabilitative clients whose primary needs involve relatively complete assistance with activities of daily living (dressing, toileting and mobility) and / or essential skilled nursing care and medical supervision. Also available ombudsman and hospice programs. Sometimes eligible for MC and MA reimbursement.
Respiratory Therapy - the technical specialty concerned with the treatment, management and care of the patients with respiratory problems.
Respite – Short-term services provided in the home or facility designed to give the caregiver a break from care responsibilities (also known as short-term scheduled care). This allows caregivers time to take a vacation, attend to business, c lean house, sleep, or perform other activities. May include nursing, personal care, meals, personal emergency response system, and community services.
Senior Apartments - housing designed or adapted, and maintained for occupancy of elderly (usually over 62 years) and/or infirm persons. Handicap accessible, one-level apartments, community lounge, increased security. Special social and health related programs are often provided to meet the needs and interests of the residents. Some offer a noon meal which can be purchased. No personal care is provided. Rent is often subsidized.
Senior Community Centers – Senior Centers promote wellness and social activity for seniors through programs such as: exercise classes, crafts, games, dancing, computer education, tax and benefits counseling dinner events, and lunches. Area Senior Centers may be sponsored by Broome County Office for Aging (BCOFA), City of Binghamton (COB), Catholic Charities Association (CCA), Johnson City Senior Center, Inc. or other agencies.
Service Coordination - Coordinating services and benefits appropriately and prudently in a manner sensitive to consumer preference, enabling consumers to make informed choices about their long term care needs that balance cost, access and quality by involving them in the planning, evaluation and decision making for such care.
Severe Cognitive Impairment - The loss or deterioration of intellectual capacity in people suffering from conditions, such as Alzheimer's disease or similar forms of irreversible dementia. Severe cognitive impairment must be measured by clinical evidence and standardized tests that reliably measure impairment in the individual's short-term or long term memory, orientation as to people, places or time, and deductive or abstract reasoning.
Short term Rehabilitation - Short-term rehabilitation helps residents bridge the gap between hospital and home or a return to a lower level of care following surgery, a fall or for other reasons. Physical, occupational and speech therapy can be provided
Shopper Service – Agency workers visit a client/patient’s home to help prepare a grocery list. Shopper visits the grocery and returns all purchases to the client/patient’s residence. Some assistance is available to put supplies away. Arrangements can be made regarding handling of client/patient money, food stamps or checks, payment of utility bills, prescriptions, and other banking needs
Skilled Nursing Care - Nursing and rehabilitative care provided by, or under the direction of skilled medical personnel ; Skilled nursing is for residents requiring round-the-clock nursing and custodial care.
Skilled Nursing Facilities – These facilities provide 24-hour medical care. A variety of professional and licensed staff assure that each person’s needs are met. Care is planned using input from the resident, family, physician, and facility staff. Care may be provided for long or short-term depending on the resident’s needs. Some have amenities such as exercise rooms, gardens, and/or pets. These facilities may be paid for privately, by long-term care insurance, Medicaid, and, in special short-term circumstances, by Medicare. Some facilities have Special Needs Units that are tailored to the needs of residents with specific needs. These facilities are licensed by NYS Department of Health.
Social Adult Day Services - Social adult day services are non-medical structured, comprehensive programs that provide older people with personal care, nutrition, socialization, supervision, and monitoring in a protective setting during part of a day, but for less than a 24-hour period.
Special Needs Assisted Living Residence (SNALRs) – A level of Assisted Living Residences that may target services to meeting the needs of a special population such as individuals with dementia or a specific disease.
Speech Therapy - technical specialty concerned with assessment and rehabilitation of persons with speech or language disorder as well as swallowing problems.
Spending-down - To meet usual eligibility requirements for Medicaid, a person may be required to pay out of pocket for some monthly expenses.
Stakeholders - Those served by the long term care system, as well as the individuals, groups, organizations and government agencies that provide services, funding, advocacy or hold a shared interest in the long term care system.
Supplementary Security Income (SSI) - is a program administered by Social Security which pays monthly checks to aged, blind, and disabled people, who have limited resources, to assure a minimum income for eligible applicants.
Technology Dependent Children - Children who require medical devices and technology to sustain life and/or to interact and have an effect on their environment.
tid – three times a day
Traumatic Brain Injury (TBI) - Damage to living brain tissue caused by an external, mechanical force. The term does not include brain injuries that are caused by insufficient blood supply, toxic substances, malignancy, disease-producing organisms, congenital disorders, birth trauma or degenerative processes.
Traumatic Brain Injury (TBI) Waiver Program - Provides 11 Medicaid-funded services needed to assist participants to live in community-based settings and achieve maximum independence; services are used in combination with existing Medicaid services. http://www.health.state.ny.us/health_care/medicaid/program/longterm/tbi.htm
Twenty-Four Hour Care – Services can be provided or arranged for “around the clock.”
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VA Home Based Primary Care (HBPC) – The goals of VA HBPC are to assist the veteran and caregiver to avoid hospitalizations and to prevent premature nursing home placement. Veterans should contact the VA Outpatient Clinic for more information.
VESID – Provides rehabilitation, evaluation, and services designed to assist eligible disabled persons to return to employment or maintain independence in the home, including hearing evaluations, hearing aids, and adaptive equipment for persons with significant hearing loss affecting ability to function in the workplace or as primary homemaker, and other adaptive equipment for homemakers and individuals with disabilities seeking employment. Eligibility subject to means testing.
Vocational and Education Services for Individuals with Disabilities (VESID) – see VESID
Weatherization Referral And Packaging Program (WRAP) -- Low-income HEAP eligible seniors are referred to WRAP services to help reduce fuel bills and increase home safety and comfort. Food Stamp eligibility is also determined through this program
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