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AGLOSSARY OF TERMS FOR COMMUNITY HEALTH CARE AND SERVICES FOR OLDER PERSONS. Ageing and Health Technical Report, WHO/WKC/Tech Ser-/04.2 WORLD HEALTH ORGANIZATION 2004 Centre for Health Development, Kobe, Japan. by Prof Gary Andrews and Ms Debbie Faulkner, with assistance from Ms Melinda Andrews, University of South Australia, (€89;20 ya yaisill dias) GS ,0N .gcuall oxolill AAD — aiauall 59> past alld 3 Asal, Nursing home checklist (retrieved on June 2010) Medicare - Nursing Home Compare swww.medicare.gov/NHCompare salu, 2010 — orimsall ley 99 Alda) por duns! goliy, postin IIo 4 Nursing Home Compare Five-Star Quality Rating System: Technical Users’ Guide Centers for Medicare & Medicaid Service (CMS) June 2010 Asal (1996) 4:S208 sSnuSo 995 Ay pS drinall Ale! 599 your ollie 5 ‘New Mexico Requirements for Long Term Care Facilities (7 NMAC 9.2( New Mexico Department of Health, Division of Health Improvement Health Facility Licensing and Certification Bureau October 31, 1996 sub VL (2001) (Aabiall piling piwlaog lpilaair|) dreluall aiuaall US 6 Assisted living (Needs, Practices & Policies in residential care for elderly) Edited by S Zimmerman, P Sloane & J K Ekert ISBN 0-8018-6705-3 John Hopkins University Press 2001 sonal taal eI wale bls gl Aa all erball ob uatig du args 62 pds Galo 0(Arallall 2auall dalle ayiat uur) "dataall ale! 399 elgil” ola ,as Housing Spy aly] ite obtao Adult care home / residential facility A residence which offers. Raph /dyruo/ dain pad ley housing and personal care services to a number of residents, Services (Such as meas, supervision and transportation) are usually provided by the owner or manager. Usually 24-hour professional heaith care is not provided on site. Assisted living facility / assisted care living facility or Group senior assisted housing Establishment which provides ‘accommodation and care for older or disabled persons who cannot lve independently but do not need nursing care. Residents are also provided with domestic assistance (meas, laundry, personal care). ‘Care home A residential faciity that provides accommodation and offers a range of care and support services. Care hornes may provide a limited number of services to support low dependency or may provide a wide range of services to cater for the cortinuum from low to high dependency care. ‘Attendant care Personal care for people with disabilities in non- institutionalized settings generally by paid, non-family carers. Custodial care Board, room and other personel assistance services generally provided on a long-term basis. It excludes regular mecical care. Co-housing A form of planned community in which people live together, each with his or her own dwelling or ving space, but there ‘are also some common areas and joint activities may be arranged. ‘Communal care Assistance provided free of charge or at reduced rates to members of a group or society. Other members of the group or society generally provide care on a voluntary basis. Congregate housing Individual apartments in which residents may Teceive some services, such as a dally meal with other tenants. Buildings usually have some communal areas, such asa dining room ‘and lounge, as well as addtional safety measures such as an emergency call system. Aduit placement A type of foster care in which an older person lives with an approved family. Foster care A form of assisted housing, usually provided in private homes owned and occupied by individuals or families, offering a place of residence, meals, housekeeping services, minimum supervision, and personal care for a fee to nonfamily members who do not require supervision by skilled medical personnel Homeshare A scheme whereby a householder offers a bedroom and share of the home's facies and pays a small contribution to someone in exchange for services. Hostel An establishment which provides accommodation for older or cisabled persons who cannot ive independently but do not need nursing care, although some personal care may be provided, Housing with cae A range of hausrg schemes prove high ves care. Continuing care retirement community A community which provides several levels of housing and services for older people, oe Wyte all lanl all tu Bis ¢9) 30 3S aI ul gb tes ol outa 92 ge Sel oar © Tranging from independent living units to nursing homes, on one site but generally in separate buildings. Granny flat / annex A permanent or temporary residence which adjoins a family home to enable older people to maintain independent living while remaining close to the family. May be newly built or converted. Group home A house in which people have their own rooms but there are communal facities. Staff may lve into offer support. Extended care facility (ECF) A facility that offers sub-acute care, providing treatment services for people requiring inpatient care who do not currently require continuous acute care services, and admitting people who require convalescent or restorative services or rehabiitative services or people with terminal disease requiring macimal nursing care. Extra care sheltered housing Housing where there is aditioneal support (such as the provision of meals and extra communal facilities) to that Usually found in sheltered housing, Sometimes called ‘very sheltered housing’. Very sheltered housing See “extra care sheltered housing”. Independent living facility A rental unit in which services are not included as part of the rent, although services may be available on site ‘and may be purchased by residents for an addtional fee. High dependency care facility An establishment primarily engaged in providing inpatient nursing and rehabilitative services to individuals requiring nursing care. Home and community-based services; home and community care programme See “community-based care”. Home for the aged See "residential care"; "assisted lving facilty”; “high dependency care facity”. Home-from-hospital / hospital after-care schemes Schemes providing nursing care, personal care or practical help for older people who have returned home after a stay in hospital Home health agency (HHA) / home health care agency A public or private organization that provides home health services supervised by a licensed heath professional ina person's home, either directly or through arrangements with other organizations, Supported housing Accommodation where there is a degree of daily living support for its residents to enable them to live independently. ‘Supported accommodation Accommodation providing varying leve’ of support for people with impaired functioning, ranging from residential care facilities to occasional assistance for people living independent, Supported residential service See “assisted ving faciity”. Wheelchair housing Housing designed for wheelchair users. Mainstream housing / general needs housing Housing not specifically designed for a particuiar user group. Naturally occurring retirement communities Geographic areas or ‘multi-unit buildings that are not restricted to persons over a specified ‘age, but which have evolved over time to include a significant number (typically, over 50%) of residents who are aged 60 and aver. Retirement village / retirement community A community which _ provides several leves/types of housing and services for older people ranging from independent living units to nursing homes, on one site but generally in separate buildings. ‘Senior apartment An age-restricted apartment where the resident is 8expected to live with a high degree of independence. The age of eligibility varies and is often waived for the spouse of a resident. Senior centre A centre that provides a variety of onsite programmes (and sometimes outreach services) for older aduits, including recreation, socialization, congregate meals, and some health services. Usually a good source of information about area programmes and services, Sheltered housing Purpose-built or adapted accommodation for older people with a warden and an emergency alarm system. Different kinds of sheltered housing provide different levels of care. See“extra care sheltered housing”. Long-term care (LTC) / long-term aged care A range of health care, personal care and social services provided to individuals who, due to frailty or evel of physical or intelectual disability, are no longer able to lve independently. Services may be for varying periods of time and may be provided in a person's home, in the community or in residential faites (eg. nursing hornes or assisted ling facilities) These people have relatively stable medical conditions and are unikely to greatly improve their level of functioning through medical intervention. Long-term care facility See “high dependency care faclity”. Special care unit A long-term care facility unit with services, specifically for persons with particular ciseases, disorders or injuries. ‘Suaall gle I olde Nursing facility Licensed facility that provides skiled nursing care and rehabiltation services to functionally disabled, injured or sick individuals. Nursing home See “high dependency care facility” Interim nursing home care Care provided in geriatric centres and acute hospitals to okler persons who are in need of limited medical care and who are awaiting nursing home placement. Residential aged care facility See “residential care”; “assisted iving facility’ Residential care Provides accommodation and other care, such as domestic services (laundry, cleaning), help with performing daily tasks (moving around, dressing, personal hygiene, eating) and medical care (various levels of nursing care and therapy services), Residential care is for older people with physica, medical, psychological or social care needs which cannot be met in the community. Residential care services Accommodation and support for people who can no longer live at home, Skilled care “Higher level” of care (such as injections, catheterization and dressing changes) provided by trained health professionals, including nurses, doctors and therapists. Skilled nursing care Daily nursing and rehabiltative care that can only be performed by, or under the supervision of, skied nursing personnel. Skilled nursing facility Nursing homes that are certfied to provide a fairly intensive level of cere, including skiled nursing care. ay paill le jI olehPalliative, Terminal, Hospice care 99 Metall ale otitis Palliative care The active total care offered to a person and that ateal sal person's family when itis recognized that the iness is no longer Curable, in order to concentrate on the person’s quality of life and the alleviation of cistressing symptoms. The focus of paletive care is neither to hasten nor postpone death, It provides relief from pain and other distressing symptoms and integrates the psychological and spiritual aspects of care. It offers a support system to help relatives and friends cope during an individual's ilness and with their bereavement. Terminal care Medical and nursing care of persons in the terminal stage of an ilness. ‘See also “palliative care” Hospice care A cluster of comprehensive services that address the needs of dying persons and their famiies, including medica, spiritual, ‘egal, financial and farily support services. Intermediate care facility ([CF) An institution which is licensed to angie ple II olLiio provide, on a regular basis, health-related care and services to lla le Il list individuals who do not require the degree of care or treatment which a hospital or skilled nursing facility is designed to provide. Respite care Services provided inthe home, at a day care centre or by temporary placement in a nursing home or residential home to functionally disabled or frail individuals to provide occasional or systematic relief to informal caregivers.