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Residential Care Home for the Elderly Glossary A-Z

Activities of Daily Living (ADL)
Activities of daily living include bathing, dressing, transferring, toileting, eating, walking, and control of bowel/bladder. They are descriptions of physical functions which are useful tools when planning helping services for older persons.

Adult Day Health Care Centers
Adult Day Health Care Centers are a program of services provided under health leadership in an ambulatory care setting for adults who do not require 24-hour institutional care. They offer supervised social and educational activities, including exercise, special events, nutrition, music, art, guest speakers, and family counseling. They are licensed by the State of California Department of Health Services.

Advanced Practice Registered Nurse (APRN)
An Advanced Practice Registered Nurse (APRN) is a registered nurse qualified for independent practice. The APRN has a Master's degree or a Doctoral degree in Nursing. An APRN who completes two years supervised practice and a written examination by the American Nurses Association is designated as a Certified Specialist (CS).

Area Agencies on Aging (AAA)
Area Agencies on Aging (AAA) are the national network of senior service providers funded by Title III of the Older Americans Act (OAA) in 1965. They are administered through State and local government by the Administration on Aging. The Area Agency on Aging serves the needs of persons 60 years and older.

Assisted Living
Assisted Living provides assistance for those with the inability to perform some or all of the Activities of Daily Living. In California, this term covers a wide-range offacilities and programs. Assisted Living is not currently under a licensure category in California.

Formed by the Orange County Board of Supervisors as a public/private partnership, Cal OPTIMA is one of five County organized health systems in the United States authorized by Federal law to administer Medi-Cal benefits in regional settings. Cal OPTIMA's mission is to develop and implement a managed care system for Orange County Medi-Cal beneficiaries which improves access to medical services and ensures quality care. Patients select a primary care physician who will coordinate and provide all their basic health care services and refer them to a specialist, if necessary.

The term "caregiver" refers to anyone who provides assistance to someone else. These persons may be primary or secondary caregivers, full-time or part-time, and may live with a patient or live separately. "Formal caregivers" or "care providers" are volunteers or paid care providers associated with a service system.

Case Management
The primary goal of case management is to maintain the highest functioning, safety, and independence of each person by linking him/her to the needed services and resources available. A Case Manager will perform a comprehensive assessment in the home to determine a person's physical health, mental health, and safety needs, including limits and strengths. Based on this assessment, the Case Manager prepares a care plan. Case Managers are responsible for coordinating and monitoring services, as well as intermittent reassessment of the client's situation. Case management may be licensed or certified by various groups depending on the funding agency's standards.

Certified Financial Planner (CFP)
Certified Financial Planner (CFP) is a professional designation for financial planning professionals who have successfully passed a five-part examination covering insurance, investments, taxes, and estate and retirement planning. The CFP is certified by the Certified Financial Planner Board of standards.

Certified Nursing Assistants (CNA)
Certified Nursing Assistants (CNA) provide bedside patient-care under the direction of Licensed Vocational Nurses and Registered Nurses. The CNA usually assists older adults in Activities of Daily Living. They may be employed by State nursing facilities.

Certified Public Accountant (CPA)
A Certified Public Accountant (CPA) is a professional designation for accounting professionals who have successfully passed a four-part examination covering taxes, auditing and financial reporting. To maintain designation, Certified Public Accountants (CPA) must earn 40 continuing education credits every two years. Licensed with the California State Board of Accountancy.

Chemical Dependency
Chemical dependency is a maladaptive pattern of substance abuse (i.e., alcohol; prescriptive or street drugs) that negatively affects an individual cognitively, behaviorally, and/or physically. The individual continues abuse of the chemical, despite adverse life problems.

Congregate Meals
Congregate meals are inexpensive, nutritious meals provided in a communal setting (i.e., in Senior Centers, housing projects, synagogues, and churches).

Custodial Care
Custodial care usually refers to care rendered in a Skilled Nursing Facility. Custodial care does not require a licensed medical provider, such as a nurse or therapist.

Durable Power of Attorney for Health Care (DPAHC)
Durable Power of Attorney for Health Care (DPAHC) is a legal document whereby an individual grants authority to someone else to make health care decisions for him or her. These decisions are made if the individual becomes incapacitated and include the granting or withholding of life sustaining treatment.

Elder Abuse
Elder Abuse is mistreatment of a person 65 years of age or older. Elder Abuse may include physical abuse, neglect, intimidation, fiduciary abuse, abandonment, or other acts resulting in physical harm or mental suffering. Everyone should report all observed, known, or suspected incidents of elder abuse that occurs in the community to Adult Protective Services at (714) 566-3116.

Elder Law Attorney
Elder Law Attorneys are attorneys who specialize in legal services affecting the elderly. These services include, but are not limited to, conservatorships, estate planning, decedent's estate, long-term care planning, Social Security, and elder abuse.

Enrollment Agent (EA)
An Enrollment Agent (EA) is a professional designation for tax professionals who have successfully passed a four-part examination which allows them to represent clients before the Internal Revenue Service (IRS). An EA is licensed with the U.S. Department of Treasury.

Extended Care Facility
An Extended Care Facility is a healthcare center (e.g., Skilled Nursing Facility, Long-term Care Facility, Nursing Home) which typically provides continuation of care after a hospital stay or when patients require care beyond that available in their own homes.

A geriatrician is a physician who has had basic postgraduate training in either Internal Medicine or Family Medicine with an additional 1-2 years training in medical, social, and psychological issues that concern older adults.

Health Maintenance Organization (HMO)
The Health Maintenance Organization (HMO) is a comprehensive prepaid system of health care with emphasis on the prevention and early detection of disease and continuity of care.

Health Insurance Counseling and Advocacy Program (HICAP)
The Health Insurance Counseling and Advocacy Program (HICAP) is funded by the State of California Department of Aging and is administered by the local Area Agency on Aging. The HICAP is a volunteer-supported program that provides assistance with Medicare problems and help with related health insurance. The HICAP assistance is free and includes community education services and individual counseling.

Home-Delivered Meals
Home-delivered meals provide meals to older persons who are homebound by reason of illness, disability, or isolation. They are provided under contract with the County of Orange. No fee is charged, but contributions are encouraged

Home Health
Home health care is a skilled health care service provided to individuals who are homebound and limited in their ability to leave their residence. Through intermittent home visits, nurses, and therapists provide skilled nursing and physical, occupational and speech therapy. Some personal care may also be covered in conjunction with the skilled care. A physician must order and monitor this service, which is reimbursed by Medicare and most private insurance plans for a limited period of time.

Homecare Services
Homecare Services are also known as companion care, domestic services, homemaker services, and personal care. Homecare (non-medical) services provide assistance with housekeeping services, personal care, and Activities of Daily Living, all of which help the older adult to remain safely at home. These services may also include light house-cleaning, meal preparation, doing laundry, grocery shopping, and running errands. Additional non-medical homecare services include feeding, bathing, bowel and bladder care, and dressing.

Hospice is a special way of caring for a person with a terminal illness. A person is eligible to receive hospice care when they have a life expectancy of six months or less and choose comfort care, over treatment, to cure the illness. A team of physicians, nurses, counselors, therapists, social workers, aides, and volunteers focus on the physical, emotional and spiritual needs of patients and their families. While most hospice is delivered to patients in their own homes, hospice care may also be delivered in Residential Care Facilities and Skilled Nursing Facilities. Hospice services are covered by Medicare, Medi-Cal and most private insurance and managed care plans.

In-Home Supportive Services
In-Home Supportive Services is a place where arrangements can be made for personal assistance for persons having difficulty with activities of daily living.

Intermediate Care Facility (ICF)
Intermediate Care Facility is term for what is now referred to as Skilled Nursing Facility in the State of California.

Licensed Vocational Nurses (LVN)
Licensed Vocational Nurses (LVN) provide direct patient care under the direction of a Registered Nurse. The LVN scope of practice includes, but is not limited to, administering blood, blood component therapy, wound care, and medication administration.

Long-Term Care (LTC)
Long-Term Care (LTC) is an umbrella term referring to comprehensive health care delivered to people with functional impairments over an extended time period. An important goal of LTC is to provide care in the least restrictive environment (e.g., a person's home).

Medicaid or Medi-Cal (in California) is a joint Federal/State program of medical assistance for low-income individuals who are aged, blind, or disabled, or who are members of families with dependent children. Medicaid has no deductible or coinsurance. It typically covers inpatient hospital services, outpatient services, limited stays in Skilled Nursing Facilities, limited home health care, lab tests, radiographs, family planning, early and periodic screening, diagnosis and treatment.

See Medicaid.

Medicare is a Federal health insurance program for persons 65 years of age and over, persons considered permanently disabled for purposes of the Social Security Act, and persons with end-stage renal disease. Medicare is divided into two parts: Medicare Part A and Medicare Part B. Part A Hospital Insurance Benefits provide some protection against the medically necessary costs of hospital and related healthcare. Medicare A is financed through Social Security payroll tax deductions. It covers institutional care in hospitals and skilled nursing facilities and also care given by home health agencies and hospices. No premium is required from persons entitled to retirement or disability benefits from Social Security or Railroad Retirement. Part B Medical Insurance Benefits is financed through Federal contributions and the monthly premiums of the enrollees. The monthly premiums are automatically deducted from Social Security checks, unless the beneficiary indicates that he or she does not want Medicare B. Medicare B covers outpatient services, physician visits, ambulance transportation, and durable medical equipment. It also covers some home health care. In addition to paying a monthly premium for Part B, Medicare beneficiaries are often required to pay a portion of the cost of the Medicare-covered services they receive. This "cost-sharing" takes the form of deductibles and co-insurance amounts. A beneficiary is responsible for a minimum of 20% of the Medicare-approved amount under Part B. These amounts may change annually and older adults may find these changes in The Medicare Handbook, published annually and available at no charge through the Social Security Administration.

Mental Health Services
Mental Health Services are provided by psychiatrists, psychologists, social workers, counselors, and other mental health professionals. Most clinical services may be provided on an outpatient basis. Crisis services are available. Occasionally, brief psychiatric hospitalization in a specialized unit for older adults may be required if the problem is more complex.

A neuropsychologist is usually a State-licensed psychologist with expertise in evaluating and treating people who suffer from a brain disorder or organic problem. Neuropsychologists may play a pivotal role in the diagnosis and treatment of mental and emotional problems caused by brain dysfunction. A neuropsychologist's service is usually covered by Medicare.

Nurse Practitioner
A nurse practitioner is a Registered Nurse (RN) who has advanced education and clinical training in a health care specialty area. Nurse practitioners work with people of all ages and their families providing the information that people need to make informed decisions about their health care and lifestyle choices. An area of specialty includes geriatrics.

Nursing Home
Nursing Homes, also known as a Skilled Nursing Facilities and Long-Term Care Facilities, are licensed by the State Department of Health Services to provide skilled, 24-hour nursing and rehabilitation care. Generally, older adults who are bedridden, cannot feed themselves, or who require skilled nursing assistance are appropriate for this level of care.

Nursing Registry
A Nursing Registry is an agency that provides supplemental nursing personnel, as requested by health care agencies or families. Registries provide personnel who meet requirements of the appropriate State of California licensing board and the standards of the requesting agency. Registries must maintain files with appropriate evidence of standards and make evidence available upon request. Personnel carry a copy of his/her license available to present upon request.

A physiatrist is a physician with additional postgraduate training in physical medicine and rehabilitation.

A Psychiatrist is Board-certified, has at least 3 years of specialty training after receiving an M.D. degree, and is a medical doctor who specializes in mental disorders. A Psychiatrist is uniquely qualified to assess, diagnose, and treat mental and physical conditions. A Geropsychiatrist has additional training and experience with older adults.

A psychologist is a doctoral-level specialist in psychology, licensed by the State to practice professional psychology (e.g., assess and treat), teach psychology as a scholarly discipline, or conduct research. Psychologists are usually qualified to provide psychotherapy, administer psychological and educational tests, and diagnose and treat mental and psychiatric disorders.

Registered Nurse (RN)
A Registered Nurse (RN) acts upon the order of the physician, providing and directing nursing care services. Additionally, an RN utilizes agency and community resources to fulfill individual patient goals developed in coordination with patients and family.

Resident Hotels
Resident Hotels, while similar to the concept of the retirement home, usually provide fewer services. They are typically supportive senior environments. Residents must be able to care for themselves and not be dependent on the facility.

Residential Care Facilities for the Elderly or Residential Care Home for the Elderly (RCFE)
Residential Care Facilities for the Elderly (RCFE), also know as Board and Care and residential care home, is care in a setting that resembles a person's home. These are small facilities of about 6-8 residents that care for older adults who need assistance with Activities of Daily Living and instrumental Activities of Daily Living. Board and Care facilities are licensed by the State Department of Social Services.

Respite Care
Respite care is the temporary alleviation of the caregiver's responsibility and involvement with the patient. It can be obtained through Adult Day Care or in-home agencies, or from nearby relatives and friends.

Retirement Home (Facility)
Retirement Homes are special complexes of apartments or private homes that provide a supportive environment for seniors, but allow residents to remain somewhat independent. Residents have their own living space (apartment or room) and services provided vary greatly. Examples of services are meals in a central location, laundry facilities, housekeeping, bathing assistance, dressing and assistance taking medication.

Senior Center
A Senior Center is a community facility for the organization and provision of a broad spectrum of services, including provision of health, social and educational services, and recreational activities for older persons.

Shared Housing
This is designed for people seeking alternative living arrangement by sharing household responsibilities and reduced living costs.

Skilled Nursing Facility
See Nursing Home.

Come visit our Residential Care Home Facility for the Elderly (RCFE) cottage home today.

Cottage Home Living
The Cottage at Tabuenca
24682 Tabuenca
Mission Viejo, CA 92692
Phone: 949-916-3882
Fax: 866-302-3802

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Residential Care Home Facility for the Elderly (RCFE)
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