Crawford Care Management

Glossary

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A

Activities of Daily Living:
The activities or tasks performed every day by people who live on their own. Examples include: dressing, eating, bathing, getting to and from a bed or chair, and taking care of personal hygiene needs. Some long-term care policies pay benefits based on a person's need for help with daily activities.

Acute Care:
Medical services provided by physicians, nurses, and other healthcare professionals for a person who has disease or ailment that requires immediate but short-term attention.

Adult Day Care:
Care which is provided during the day to persons who cannot remain alone and need assistance with their daily activities, but for whom continual nursing care is not medically necessary. It is especially helpful for people living with family members who work outside the home and cannot provide the care that is needed during the day.
A planned program of social, developmental, nutritional, and therapeutic activities provided in a protective non-residential setting to persons who are not capable of full-time independent living. Costs are often on a sliding scale fee basis, according to ability to pay. Neither Medicare nor most private medical insurances cover these costs. Medicaid is only available at a few centers. Centers that provide recreation, rehabilitation, or nursing care for adults who suffer from memory loss, depression, and loneliness can provide a safe alternative to in-home assistance at a lower cost.

Adult Day Care Facility:
A facility which is licensed or certified to provide adult day care by the state in which it is located. 

Area Agency on Aging:
Area Agency on Aging: A public or private non-profit agency, designated by the state to address the needs and concerns of all older Americans at the local level. Area Agency on Aging is a generic term. Specific names of local AAAs may vary. They may be listed in the phone directory under a government listing and/or in the yellow pages under "aging," "senior services," or "social services." AAAs are primarily responsible for a geographic area that is either a city, a single county, or a multi-county district. Of the 700+ Area Agencies on Aging across the country, about 66% are public/governmental agencies and 33% are private non-profit organizations. 

Assisted Living Facilities:
Also called personal care, board and care, residential care facilities. These facilities bridge the gap between independent living and nursing home care. By serving those who need daily assistance but do not need constant nursing care, assisted living supports and enhances independence, often delaying the need for more intensive nursing home care. These facilities are typically licensed to receive reimbursement under Medicare or Medicaid/MediCal.

Attendant Care:
Full-time aides who help with feeding, bathing, and other basic services for disabled people.

B

Board and Care Facilities:
Also known as residential care facilities. These are living quarters for the elderly in private homes, hotels, or apartments. They must be licensed by the state and do not provide nursing care. 

C

Caregiver Support:
These self-help groups often relate to specific problems, such as Alzheimer's, heart, or cancer patients. The groups provide emotional support and information about resources. Local associations may sponsor support groups. Local hospital discharge planning departments are a good source of contact for these support groups.

Caregiver Training:
Programs educate caregivers in basic information and techniques needed to effectively provide care to the elderly. AAAs, local hospitals, and Cooperative Extension Services may be helpful in locating formal programs offered locally or a custom program can be designed by a Broadspire Care Manager to address the training needs of a caregiver. Such programs might include; safe lifting techniques, shopping/cooking for a patient with diabetes, caring for a difficult patient, etc. 

Care Management:
Review and analysis of evidence or facts concerning an individual's social, psychological, and physical health problem(s). Commonly performed to make a conclusive statement about the level of functional ability (i.e., mildly impaired, moderately impaired, severely impaired) and requisite support service needed. Usually results in a plan of care for services or assistance in the form of a service/treatment plan.

Care Manager:
These professional advisers help evaluate the changing medical/physical, social/psychological, and environmental needs of the elderly or disabled. These professionals are often trained as nurses or social workers. Care managers evaluate a client's situation and make recommendations for products and services that will improve the safety and quality of life of the client. Care managers are often asked to implement the recommendation and monitor the client to identify future needs and modify the plan accordingly.

Chore Services:
These services go beyond homemaking to include more heavy-duty tasks, such as floor or window washing, minor home repairs, yard work, and other types of home maintenance. Services are available alone or in combination with homemaker/home health aide services.

Companions:
Non-medical personnel who are hired or volunteer to take care of a person by providing non-hands-on services like transportation, accompanying client to a social activity, laundry, etc. 

Custodial Care:
Non-medical care provided by a home health aide or a certified nurse's aide at home or in a short or long-term care facility. Medicare does NOT pay for custodial care.

D

Dementia:
A neurological condition that results in memory loss, changes in personality, difficulty in learning or retaining new information, language problems, and mood swings.

Depression:
A mental illness marked by symptoms which are severe and last over an extended period of time, such as loss of appetite or weight, loss of interest in pleasurable activities, crying, feeling helpless and hopeless, suicidal ideation, thoughts and plans. 

Durable Power of Attorney:
A legal document that allows a competent individual to appoint another individual to make decisions for him when he can no longer make his own decisions. This document remains effective in the event the individual becomes incapacitated.

Durable Power of Attorney for Healthcare:
A legal document that allows a competent individual to appoint another individual to make healthcare decisions for him when he can no longer make his own decisions. This document remains effective in the event the individual becomes incapacitated.

E

Elder Law:
A specialty in the field of law that deals with financial, legal, and personal needs of individuals sixty-five and older.

Estate Planning:
Provisions for the disposition of an individual's wealth for the benefit of their family.

F

G

Geriatric Physician:
A medical doctor who receives extensive training, education, and specialized clinical experience in the care and treatment of individuals sixty-five and older. 

Guardian:
A court-appointed individual who makes financial and/or personal-care decisions for another individual who can no longer make decisions for himself.

H

Healthcare Proxy:
A legal document that allows a competent individual to appoint another individual to make healthcare decisions for them when they cannot make their own decisions. 

Home Health Aide:
An employee trained to provide personal care and other associated services in the home, such as cooking, light housekeeping, and laundry.

I

Incapacity:
A legal term that describes the inability of an individual to make decisions for themselves. 

Incontinence:
The inability to control bladder and/bowel functions.

Independent Living:
An alternative living option for an individual who is physically and cognitively capable of residing in an independent environment.

J

K

L

Lifelong Care Communities:
Some retirement complexes provide a variety of housing alternatives in one location, ranging from separate apartments for fully independent and mobile residents to full-service nursing care for the mentally or physically disabled. Fee structures vary but are normally high because care is available no matter what the need. Few government regulations exist for these communities which are also called Continuing Care Communities.

Living Will:
A legal document that allows a person to identify in advance the type of medical care they want under specific circumstances usually related to serious illness or impending death.

Long Term Care Insurance:
A private insurance policy that covers some of the costs of extended healthcare needs at home or in a nursing home.

M

Medicaid:
A federal program mandated by individual states to cover the cost of certain medical care at home or in a nursing home. The purpose and design of the program is to meet the needs of individuals with limited income.

Medicare:
A federal insurance program for individuals sixty-five and older. It is divided into Part A, hospital benefits; Part B, medical benefits and Part C, Medicare + Choice. 

Medigap:
A private insurance plan designed to cover some of the costs not covered by Medicare.

Multi-Infarct Dementia:
A non-Alzheimer's type dementia, sometimes known as vascular dementia.

N

Non-Durable Power of Attorney:
A legal document that allows a competent individual to appoint another individual to make decisions for them. This document is generally used for a limited purpose such as providing an attorney the legal power to represent you at a house closing or other business transaction. This document is no longer effective if the individual becomes incapacitated. 

O

P

Personal Emergency Response System (PERS):
Electronic devices linking an individual to a fire department, hospital, or other health facility or social service agency. Simply pressing a button triggers a communicator attached to the telephone which automatically dials the response center.

Q

R

Respite Service:
Care provided on a temporary basis in a facility or in an individual's home to relieve a caregiver of caregiving duties and associated stresses.

S

Self-Neglect:
An individual's failure to care for their personal needs.

T

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W

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