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Flashcards in LTCA Terms Deck (21):


Activities of Daily Living



American Ass. or Retired Persons



American Disabilities Act


Alzheimer Disease

also known in medical literature as Alzheimer disease, is the most common form of dementia. There is no cure for the disease, which worsens as it progresses, and eventually leads to death



American Health Care Association



Certificate of Need - legal document required in many states and some federal jurisdictions before proposed acquisitions, expansions, or creations of facilities are allowed. CONs are issued by a federal or state regulatory agency with authority over an area to affirm that the plan is required to fulfill the needs of a community



Continuing Care Retirement Communities - type of retirement community. In the U.S. where a number of aging care needs, from assisted living, independent living and nursing home care


Durable Power of attorney for medical care

authority of the attorney-in-fact to act and/or make decisions on behalf of the grantor continues until the grantor's death and medical care



Minimum Data Sets -.S. federally mandated process for clinical assessment of all residents in Medicare or Medicaid certified nursing homes. This process provides a comprehensive assessment of each resident's functional capabilities and helps nursing home staff identify health problems -- RUGS are a part of this process.



Occupational Safety and Health Administration - OSHA's mission is to "assure safe and healthful working conditions for working men and women by setting and enforcing standards and by providing training, outreach, education and assistance


Older Americans Act

Older Americans Act of 1965 (Pub.L. 89–73, 79 Stat. 218, July 14, 1965) was the first federal level initiative aimed at providing comprehensive services for older adults. It created the National Aging Network comprising the Administration on Aging on the federal level, State Units on Aging, and Area Agencies on Aging at the local level.[1] The network provides funding - based primarily on the percentage of an area's population 60 and older.



Omnibus Budget Reconciliation Act of 1987 --- Signed into law by pres. Regan


Patient Self Determination Act of 1990

was passed by the United States Congress in 1990 as an amendment to the Omnibus Budget Reconciliation Act of 1990. Effective on December 1, 1991, this legislation required many hospitals, nursing homes, home health agencies, hospice providers, health maintenance organizations (HMOs), and other health care institutions to provide information about advance health care directives to adult patients upon their admission to the healthcare facility



prospective payment system -is a means of determining insurance reimbursement to hospitals based on predetermined prices, commonly from Medicare. Payments are typically based on codes provided on the insurance claim.[1] Examples of these codes include:
Diagnosis-related groups – for hospital inpatient claims
Ambulatory Payment Classification – for hospital outpatient claims
Current Procedural Terminology – for other outpatient claims



Resident Assessment Instrument


Social Security Act of 1935

drafted during Franklin Delano Roosevelt's first term by the President's Committee on Economic Security, under Frances Perkins, and passed by Congress as part of the Second New Deal. The act was an attempt to limit what was seen as dangers in the modern American life, including old age, poverty, unemployment, and the burdens of widows and fatherless children. By signing this act on August 14, 1935, President Roosevelt became the first president to advocate federal assistance for the elderly.[2]

The Act provided benefits to retirees and the unemployed, and a lump-sum benefit at death. Payments to current retirees are financed by a payroll tax on current workers' wages, half directly as a payroll tax and half paid by the employer.


Aging in Place

the ability to live in one's own home and community safely, independently, and comfortably, regardless of age, income, or ability level."[


Assisted Living

An assisted living residence or assisted living facility (ALF) is a housing facility for people with disabilities. These facilities provide supervision or assistance with activities of daily living (ADLs); coordination of services by outside health care providers; and monitoring of resident activities to help to ensure their health, safety, and well-being ----- a Step above a Nursing HOME



in the broadest sense is a natural person or other legal entity who receives money or other benefits from a benefactor


Chronic Care

Chronic care refers to medical care which addresses preexisting or long term illness, as opposed to acute care which is concerned with short term or severe illness of brief duration



Just enough treatment to make resident feel comfortable. Typical in cancer, and Chronic Residents