DEPARTMENT OF HUMAN SERVICES




Saturday, May 26, 2018

Glossary

Glossary Search
  1. Match Words by:


Search Alphabetically:
0-9 | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | View All
AABD

The AABD or Aid to the Aged, Blind, Disabled is a cash assistance program for people who: (1) Have limited income (2) Are 65 or older (3) Are disabled

ABD

ABD or Aged, Blind and Disabled are individuals who are: (1) Age 65 and over (2) Unable to work because of a disability that is expected to last for at least a year or a disability that will result in death. (3) Blind

Abuse

Physical harm, bodily injury, or attempt to cause physical harm or injury, or the infliction of fear of imminent physical harm or bodily injury on an elder or adult with disabilities.

Access

Access is the freedom or ability to get needed services.

Accreditation

Accreditation is official recognition of an organization or person to signify that certain standards of quality have been met. The process is carried out by a nationally recognized accrediting body that determines whether or not standards have been met.

Accredited

An organization is accredited once it has gone through the accreditation process and has met certain standards of quality.

ACRN

ACRN or Americas Career Resource Network is a nationwide organization providing young people and adults with educational and career information that helps them make informed career decisions and secure meaningful employment.

ACSI

The ACSI or American Customer Satisfaction Index is a survey that looks at performance and customer satisfaction within the Workforce Investment system.

Activities of Daily Living (ADLs)

Basic, self-care tasks including: bathing, dressing, personal hygiene, walking, transferring, toileting, eating and bed mobility.

Acute Care

Care in a hospital setting which includes surgery, doctor visits, X-rays etc.

ADA

The ADA or Americans with Disabilities Act is a federal civil rights law, passed in 1990, to prevent the discrimination of individuals with disabilities in employment, state and local government, transportation, and commercial and public facilities.

ADA Consulting

Americans with Disabilities consulting provides professional direction with regards to accessible design, construction as well as direction in the areas of employment and "reasonable accommodations."

Adult Day Care

Provides non-medical care and supervision to adults in need of personal services, protection, assistance, guidance, or training. Adult Day Care assists its participants to remain in the community.

Adult Day Services

Services provided to dependent adults in a supervised, protective, congregate setting during some portion of a twenty-four hour day. Services offered typically include social and recreational activities, meals and other services that support the health, nutritional, social, and daily living needs of adults.

Adult Education

Any services or instruction below the post-secondary level for individuals at least 16 years of age, who are not enrolled or required to be enrolled in secondary school under state law

Adult Foster Care Homes

Adult Foster Care Homes are private homes where care is provided by families who are recruited and trained to provide care for adults.

Adult Living Care Facility

An Adult Living Care Facility is a residential facility for people who cannot live alone but do not need medical services.

Adult Residential Care Homes

Adult Residential Care Homes (ARCH) provide for the social and daily needs of individuals rather than medical needs. Residents are usually people who are functionally semi-independent, but need assistance in the activities of daily living. Dietary, housekeeping, social and recreational programs, and medical monitoring are the primary functions of these facilities. ARCHs are designated as Type I or Type II. Type I care homes are limited to 5 or fewer residents in a family home. Type II care homes are institutional settings and may care for as many as 50 to 60 residents.

Adult Services and Aging

A State of South Dakota Division of the Department of Social Services. The Division of Adult Services and Aging is the State Unit on Aging for South Dakota.

Adult with Disabilities

Person eighteen years of age or older who suffers from a condition of developmental delays, infirmities of aging, or who lacks the functional, physical or mental ability to provide their own self care.

Advocacy

Active support or argument in favor of something such as a cause, idea, or policy.

AJB

The AJB or Americas Job Bank is an online database that allows jobseekers to find jobs and employers to post job openings. The job bank also provides national data related to employment and training-related information.

ALMIS

ALMIS or Americas Labor Market Information System is a national database that contains information on who is employed, goods and services, and workforce data for each state.

Alzheimer's Disease

Dementia is a loss of brain function that occurs with certain diseases. Alzheimer's disease (AD), is one form of dementia that gradually gets worse over time. It affects memory, thinking, and behavior.

Ancillary Services

Ancillary Services are additional health services that are provided by an in-patient program or hospital. They may include x-ray, drug and laboratory services.

Appeal

An appeal is a complaint that an individual submits if they disagree with any decision about the services that they are receiving and want that decision reviewed.

Apprenticeship

Learning a skill or trade through practical experience while under the guidance of a professional.

ASC

An ASC or Ambulatory Surgical Center is a non-hospital location that performs outpatient surgery. A person receiving services at an ASC will sometimes stay for a few hours or sometimes overnight.

Assessment

Assessment is the process of gathering information to determine what is needed.

Assisted Living

Assisted Living provides housing along with supportive services for persons needing assistance with personal care or medications.

Assisted Living Services Program

A program to support low income individuals with a need for assisted living services and without sufficient income to pay the full cost of services.

Assistive Devices

Items which enable an individual to perform routine personal tasks independently or which provide for a safe and secure environment related to health care needs.

Assistive Technology

As you grow older you may find that you need to change how you do things. If so, assistive technology (a new term for adaptive devices) might have the answer. Assistive technology includes devices which will help you continue doing the activities you have always done, but in a slightly different way. For example, it might be a walker that makes moving around possible.

Basic Skills Deficient

Individuals arebasic skills deficientwhen their English reading, writing, and speaking skills or computing ability is at or below the 8th grade level.

Basic Skills Goal

A basic skills goal is what must be achieved in order to improve basic learning skills. Basic learning skills include reading, math, writing, speaking, listening, problem solving, reasoning and the ability to use these skills.

Beneficiary

A beneficiary is the person named to receive proceeds or benefits. For example, the person named on an insurance policy is a beneficiary of that policy.

Board and Care Home

A Board and Care Home is a group living arrangement designed to meet the needs of people who cannot live on their own. These homes offer some personal services such as meals, housekeeping, and transportation.

Board-Certified

A doctor is board-certified when he or she has passed an advanced exam in a special area of medicine. Both primary care doctors and specialists may be board-certified.

Care receiver

Beneficiary of care and services provided by another person.

Caregiver

Individual who provides care, services and support to another person.

Case Management

Case management is a service that helps people with disabilities to coordinate all of their services. A Case Manager is the person manages this process.

Centers for Independent Living

Non-residential places of action and coalition where persons with disabilities learn empowerment and develop the skills necessary to make lifestyle choices. Centers work with individuals and local communities to remove barriers to independence and ensure equality of persons with disabilities.

Certification

Medicare and Medicaid will only cover government agencies that are certified by law. To become certified certain health care providers (hospitals, home health agencies, nursing homes and dialysis facilities) are required to pass certain standards that are evaluated by a state government agency. Being certified is not the same as being accredited.

Certified Nurse Aide

(CNA) A Nurse Aide who has taken special training and passed proficiency testing. The certification is given by the state and entitles them to work in a facility or private home.

Chore Services

Non-continuous household maintenance tasks intended to increase the safety of the resident. Tasks may include replacing fuses, light bulbs, electric plugs, door locks, window latches, or faucets, installing safety equipment, screens and storm windows, weather stripping around doors, window shades and curtain rods, household repair tasks, pest control, mowing of lawns, leaf raking, trimming overhanging tree branches, gardening, clearing of ice and snow and pet care.

CMS

The CMS or Centers for Medicare and Medicaid Services is a federal agency under the Department of Health and Human Services (DHHS). It oversees the Medicare, Medicaid, State Childrens Health Insurance Program and the Health Insurance Portability and Accountability Act (HIPPA).

Community Action Program

Also known as community action agencies, these agencies are local private and public non-profit organizations that work to empower people of low income. Typical activities include promoting citizen participation, providing utility bill assistance, home weatherization for low-income individuals, administration of Head Start pre-school programs, job training, operation of food pantries and coordination of community initiatives.

Community Support Provider

Community Support Providers are not-for-profit community agencies certified by the South Dakota Department of Human Services to provide a full range of services and support to help meet the needs and desires of individuals with intellectual and developmental disabilities, as well as their families. The agencies are governed by local Boards of Directors and are required to meet established standards in order to be certified by the State of South Dakota.

Competency

The mental ability to understand problems and make decisions.

Conservator

One appointed by the Court to be responsible for managing the estate and financial affairs of a minor or protected person.

Continence

Bowel or bladder control

Continuing Care Retirement Communities

Continuing Care Retirement Communities (CCRC) combine independent living, assisted living, and a nursing facility under one roof.

Continuous Care

Home care services that are provided on an extended basis.

Convalescent Homes

See Skilled Nursing Facilities

Countable Income

The net income figure after out-of-pocket medical costs have been deducted.

Countable Resources

A resource is defined as any item of value that a person owns, such as bank accounts, land, vehicles, personal property, etc. Countable resources are those resources that are not exempted when calculating eligibility.

Custodial Care

Care that primarily deals with activities of daily living like bathing, dressing, and supervision.

Dementia

Loss of brain function affecting memory, thought, language, judgment and behavior.

Developmental Disabilities

A developmental disability is a severe chronic disability which: 1) Is attributable to a mental or physical impairment or combination of mental and physical impairments; 2) Is manifested before age twenty-two; 3) Is likely to continue indefinitely; 4) Results in substantial functional limitations in three or more areas of major life activities: self-care, receptive and expressive language, learning, self-direction, capacity for independent living, economic sufficiency; and 5) Reflects the need for a combination and sequence of special interdisciplinary or generic care, treatment, or other services, which are life long, or of extended duration and individually planned and coordinated.

Disability

An alteration of an individual's capacity to meet personal, social, or occupational demands because of an impairment (American Medical Association); an activity limitation that creates a difficulty in the performance, accomplishment, or completion of an activity in the manner or within the range considered normal for a human being (World Health Organization); the inability to engage in any substantial, gainful activity by reason of any medically determinable physical or mental impairment(s), which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months (Social Security Administration), a physical and/or mental impairment that results in substantial functional limitations in one or more of the following areas of major life activity: Self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living, economic self-sufficiency, cognitive functioning, and emotional adjustment (Older Americans Act).

Disability Determination

Sequence of evaluations which compare an individual's functional capacity, specifically his/her physical and mental capacity to perform basic work activities against set criteria.

Disability Services/Travel and Transportation

Any airline, ground transportation, and accommodations services that provide accessibility for persons with disabilities.

Disabled Persons Equipment and Supplies

The equipment and supplies that help persons with physical, sensory, or mental impairments that can make performing an everyday task more difficult. Some disabilities, such as a broken hip, may be temporary; others are relatively minor, such as vision impairments that can be modified by corrective lenses. Other disabilities classified as severe may not represent a handicapthat is, the inability to take part in community life on an equal level with others. For instance, a person confined to a wheelchair may be able to live independently if physical and social barriers to mobility have been removed.

Domestic abuse

Physical harm, bodily injury, or attempts to cause physical harm or bodily injury, or the infliction of fear of imminent physical harm or bodily injury, between persons in a relationship (i.e., spouse or former spouse; in a significant romantic relationship; has a child or is expecting a child with the abusing party; parent and child; sibling).

Durable Power of Attorney for Health Care

A legal document for the purpose of appointing another person to make health care decisions should the 'patient' become incapable of making his/her own health care decisions.

Emergency Response System

Electronic devices worn by an individual as a necklace or bracelet which allows the individual to summon help in the event of a fall or emergency by pushing a button on the device and activating a call system.

Enteral Nutrition

Fluids, nutrients and electrolytes administered through specialized feeding tubes to the esophagus, stomach or intestines.

Enterostomal Therapy

The enterostomal therapist provides direct patient care and education to persons with abdominal stomach wounds, fistulas, drains, pressure sores, and incontinence.

Exploitation

The wrongful taking or exercising of control over property of an elder or an adult with disabilities with intent to defraud the elder or adult with disabilities.

Extraordinary Expenses

Those expenses above and beyond what are considered normal household or medical expenses.

Family Caregiver

An adult family member, or another individual, who is an informal provider of in-home and community care to an older individual or to an individual with Alzheimer's disease or a related disorder with neurological and organic brain dysfunction.

Foster Care

A residential alternative to long term care. As a Medicaid Waiver program, it is available to Medicaid eligible individuals in need of ICF or SNF level of care. Individual families are recruited and trained to provide long term care in private homes. Case management is an integral component, providing monitoring, oversight, supervision, and training to foster caregivers.

Frail individual

Older individual who is determined to be functionally impaired because they are 1) unable to perform at least two activities of daily living without substantial human assistance, including verbal reminding, physical cueing, or supervision; or 2) due to a cognitive or other mental impairment, requires substantial supervision because the individual behaves in a manner that poses a serious health or safety hazard to him/her self or another individual.

Freedom to Work

South Dakota program which works to decrease barriers to employment for individuals with disabilities. One of the most commonly cited barriers is a fear of losing healthcare coverage. The Medical Assistance for Workers with Disabilities (MAWD) is a change to the traditional Medicaid system that extends healthcare coverage to working South Dakotans with disabilities whose income and assets would otherwise make them ineligible. Itde-linksdisability from earnings, and provides an incentive for people with disabilities to work. It provides an opportunity for people to not have to continue to choose between maintaining needed healthcare coverage or becoming independent and productive through employment.

Grandparent, Step-Grandparent or relative caregiver

Grandparents (or step-grandparents) or other relatives (excluding the child's parents), who are at least age 55 years and are providing care to children under the age of 18 years, or adults aged 18-59 with disabilities.

Guardianship

One appointed by the Court to be responsible for the personal affairs of a minor or protected person.

Guardianship Services

Guardianship is a legal relationship between a competent adult and a person over the age of 18 whose disability causes incompetency (a ward). The disability may be caused by mental illness, developmental disability, age, accident, or other causes. A developmental disability or mental illness is not, by itself sufficient reason to declare someone incompetent. In addition, a person may not be declared incompetent simply because it saves someone money or because the disabled person acts or uses personal money in ways that seem odd to someone else. Competency has to do with a persons ability to make aninformed decision’, or, with the risk of harm that they may experience due to their inability to provide for themselves or manage their affairs.

Home and Community Based Waiver Services (HCBS)

Services designed to support individuals at home or in a community setting, approved under a waiver approved by CMS and administered by State Agencies. A waiver is a mechanism utilized by states which allows certain requirements of Medicaid funding to be waived in order to provide services to eligible individuals in a less restrictive setting.

Home Health Aide

(HHA) A Nurse Aide who has been tested and proven competent in home health skills. Home Health Aides are able to work in the private home.

Home Health Service

Services that allow you to remain safely at home with some assistance in daily living, whether its medical, personal hygiene, companionship, rehabilitation and support to aid the healing process after illness, surgery or injury.

Home Infusion

Supplies essential nutrients, fluids, electrolytes, medication, blood or blood products directly into the patients blood stream. Specific therapies include antibiotics, diuretics, pain control, hydration, chemotherapy and total parenteral nutrition.

Home Medical Equipment

(HME) Equipment used by the patient to support attainment of highest level of independent function. HME includes hospital beds, walkers, bath benches, trapezes, oxygen and ventilators.

Home modification and repair

Modifications or repairs to a residence that increase the safety, comfort, security and independence of the residents and facilities caregiving. Major modifications include ramps, chair lifts, stair glides, roll-in showers and widening of doorways. Minor modifications include installation of grab bars, improved lighting, hand held shower adaptors and door handle replacement.

Homebound

Inability to leave home without a taxing effort, the assistance of someone else, or the use of crutches, cane, walker, wheelchair or special transportation.

Homemaker Service

Services which consist of 'hands off' assistance provided to an individual in the performance of basic household tasks including cleaning, vacuuming, washing dishes, laundry, shopping and light meal preparation.

Hospice

A coordinated program of palliative and supportive care for individuals with terminal illness. An interdisciplinary team of professionals and volunteers provides services in the patients place of residence or in an inpatient setting during the illness and period of bereavement.

Independent Retirement Housing

Independent Retirement Housing provides meals, activities, housekeeping, and maintenance to independent residents.

Information and Referral

Provision of information on resources and services available to individuals within their communities and assistance with connection to those services.

Infusion Therapy

Supplies essential nutrients, fluids, electrolytes, medication, blood or blood products directly into the patients blood stream. Specific therapies include antibiotics, diuretics, pain control, hydration, chemotherapy and total parenteral nutrition.

Instrumental Activities of Daily Living (IADLs)

Complex skills needed to successfully live independently: Managing finances, handling transportation, shopping, preparing meals, using the telephone and other communication devices, managing medications, navigating a flight of stairs and ordinary housework.

Insurance/Disability

An insurance policy that pays benefits in the event that the policyholder becomes incapable of working.

Insurance/Long Term Care

Long-term care insurance is one of the ways you may pay for long-term care. This type of insurance will pay for some or all of your long-term care. Long-term care insurance is a relatively new type of insurance. It was introduced in the 1980s as nursing home insurance but has changed a lot and now covers much more than nursing home care.

Intermediate Nursing Facilities

Intermediate Nursing Facilities (ICF) provide less intensive nursing care than that which is typically found in a Skilled Nursing Facility (SNF); however, many ICF patients may require higher levels of care to assist them with the activities of daily living. ICF services include 24-hour nursing care along with rehabilitative, social services, physical, occupational, and other therapies as prescribed by the patient's physician

Intermittent Care

Home care services provided on an episodic basis.

Job Placement and Vocational Rehab Service

Services that assist individuals with disabilities to overcome barriers to employment, independence and community integration

Level of Care

Criteria based methodology of assigning an individual based on the intensity of services and supports required.

Live in

A non-relative living in the patients home who provides assistance as requested by the patient.

Living Will

A written document containing a person's instructions about their health care wishes that is used when the person is unable to communicate those wishes. It instructs the doctor and other health care professionals under which circumstances the person wants life sustaining treatment to be provided, withheld, or withdrawn. A Living Will contains end-of-life decisions.

Long Term Care

Services provided for an extended period of time to patients of all ages with severe chronic diseases or disabilities involving substantial functional impairment. Long Term Care can range from skilled medical care to personal assistance with activities of daily living.

Long Term Home Care

Services and equipment provided in the home for an extended period of time to patients of all ages with severe chronic diseases or disabilities involving substantial functional impairment. Long-term home care can be a substitute for placement in a skilled nursing facility.

Managed Care

Assessment of nursing and social needs. Coordination of providers, oversight of services.

Medicaid

Federal and State funded and State administered health program for families and individuals with low income and resources.

Medical Condition

A medical disease or problem that needs to be treated or managed.

Medical Equipment

Devices designed to aid in the diagnosis, monitoring and treatment of medical conditions.

Medical Services

A State of South Dakota Division of the Department of Social Services. The Division of Medical Services is the State Medicaid Unit for South Dakota and processes and pays Medicaid claims for the State of South Dakota.

Medical Social Services

If a patient is having difficulty adjusting to physical, psychological, financial, environmental, or familial limitations which inhibit his or her recovery from an illness or injury, a medical social worker (MSW) may provide advice and counsel, and instruct in the utilization of appropriate community resources.

Medical Supplies

Expendable supplies related to an ongoing diagnosis of incontinency, diabetes, or wound care.

Medicare

Medicare is the country's health insurance program for people age 65 or older. Certain people younger than age 65 can qualify for Medicare too, including those who have disabilities and those who have permanent kidney failure.

NAPIS

National Aging Program Information Systems data collected and reported to the Administration on Aging in State Program reports. The data is designed to provide performance data on programs and services funded by the Older Americans Act and provide descriptive data on the elderly population in the state and on the infrastructure of home and community based services in place for older persons.

National Provider Identifier (NPI) Number

The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of a standard unique identifier for health care providers. The National Plan and Provider Enumeration System (NPPES) collects identifying information on health care providers and assigns each a unique, ten digit, National Provider Identifier (NPI) number. Applications are available at the NPPES website at https://nppes.cms.hhs.gov/NPPES/StaticForward.do?forward=static.instructions

Needs Allowance

Standard amount designated for personal use for individuals who are being supported either in whole or in part by state or federal funding.

Neglect

Harm to an elder's or adult with disabilities' health or welfare, without reasonable medical justification, caused by the conduct of a person responsible for the elder's or adult with disabilities' health or welfare, within the means available for the elder or adult with disabilities, including the failure to provide adequate food, clothing, shelter or medical care.

Nurse Aide

Provides personal care including assistance with ambulation, bathing, dressing and meal preparation.

Nursing Homes

Provides long term care for those with considerable assistance needs. Services include medical, nursing, personal care, social and ADL assistance. Generally reserved for persons who do not need acute care but require more attention than is provided in an Assisted Living Facility.

Nursing Services

Clinical monitoring, evaluation, education and screening of individual's health status to promote and maintain or improve current level of functioning.

Occupational Therapy

(OT) Is needed if a patient has suffered an injury or illness which has affected perceptual motor skills or the ability to perform activities of daily living (ADL), such as dressing, bathing, toileting, eating or meal preparation. The occupational therapy program may consist of evaluation, ADL training, adaptive equipment recommendations, to maximize potential in perceptual motor and daily activity skills. Typically, this service is considered skilled care.

Ombudsman

One that investigates, reports on, and helps settle disputes in long-term care facilities.

Options Planning

A free service provided by Aging and Disability Resource Connections (ADRC) to offer information and decision support to individuals and their family/friends about the available services, supports, and resources to meet long-term care needs at home and in the community.

Personal Care Services

Services which consist of 'hands on' assistance provided to an individual in the performance of self care tasks including dressing, personal hygiene and grooming, and bathing.

Physical Therapy

(PT) Is needed if a patient has suffered an injury or illness which has affected motor skills or function. The physical therapy program may consist of evaluation, therapeutic exercises, gait training, adaptive equipment recommendations, massage, heat, cold or electrical treatments, all geared toward helping the patient attain his/her maximum functional motor potential. Typically, this service is considered skilled care.

Plan of Care

A written document signed by the physician or other licensed health professional. It outlines the prescribed care that is to be given to the patient.

Private Duty Nursing

Nursing services provided in the home or in a facility exclusively to an individual primarily for observation and support and requiring a minimal degree of skilled interventions.

Prosthetic Devices

Mechanical devices adapted to reproduce the form, and as far as possible, the function, of a lost or absent member. An example would be an artificial arm or leg.

Protection Order

An order restraining an individual from contact with another individual. See South Dakota Codified Law (SDCL) 25-10-1 and SDCL 25-10-7.1

Psychiatric Nursing

Provided by nurses specifically trained and experienced in psychiatry. It includes observations and interventions related to the patients behavior, social interactions, and administration of medications, as well as instructions about these medications and their side effects.

Psychological/Emotional Abuse

Threats, harassment, intimidation, humiliation or ridicule that adversely impacts another's emotional well being or is characterized by behavioral change or physical symptoms.

Rehabilitation Equipment and Supplies

The equipment and supplies that help with any program designed around exercise, guidance, or instruction afforded to those with a particular disability, whether physical, psychological, or social.

Rehabilitation Services

Therapeutic care services for persons with disabilities, usually physical, occupational, or speech therapy.

Residential Care Homes

Residential Care Homes provide for the social and daily needs of individuals rather than medical needs. Residents are usually people who are functionally semi-independent, but need assistance in the activities of daily living. Dietary, housekeeping, social and recreational programs, and medical monitoring are the primary functions of these facilities. Adult Residential Care Homes are designated as Type I or Type II. Type I care homes are limited to 5 or fewer residents in a family home. Type II care homes are institutional settings and may care for as many as 50 to 60 residents.

Respiratory Therapy

Home health nurses provide treatment, education and training to patients with lung problems. Respiratory home care patients are supplied with needed respiratory equipment such as concentrators, liquid and cylinder oxygen systems, aerosol and drug nebulization equipment, and home ventilator support systems.

Respite

Temporary, short-term relief for Caregiver from providing caregiver duties and/or responsibilities.

Respite Care

Providing temporary relief to the caregiver(s) from the duties of caring for the patient. Respite care may be provided by members of the interdisciplinary home care team, homemakers or volunteers in the patients home or other residential setting.

Respite, In-home

Short-term, temporary relief from care responsibilities provided in the individuals home to those who are caring for family members who might otherwise require permanent placement in a facility.

Respite, Institutional

Short-term, temporary stay in an assisted living or skilled nursing facility in order to provide relief from care responsibilities to those who are caring for family members who might otherwise require permanent placement in a facility.

Rest Homes

A facility or institution where people are cared for. Often synonymous with nursing homes.

Retirement Communities and Homes

Housing for older adults with amenities such as transportation and social activities. On-site meals, banking, health screenings, pharmacy and sundry shopping may be available.

Self abuse

Conduct which threatens or endangers a person's own welfare, health or safety.

Self neglect

An act or failure to act that substantially endangers a person's health, safety, welfare or life by not seeking or obtaining services necessary to meet the person's essential human needs. Choice of lifestyle or living arrangement are not by themselves evidence of self neglect.

Senior Housing

Age-restricted housing for older adults who are able to care for themselves and live independently. Usually no additional services such as meals or transportation are provided.

Severely restricts physical mobility

Inability to walk more than 50 meters on level ground without the use of a cane or other assistive device.

Sexual abuse

Unwanted sexual activity, with perpetrators using force, making threats or taking advantage of victims unable to give consent.

Skilled Nursing

(SN) The performance of procedures or activities requiring the skill of a registered nurse or licensed practical nurse. These activities may include assessment, education, and administration of medications and treatments. Medicare reimbursable, skilled nursing services include skilled observation, skilled "hands on" intervention, skilled teaching, and management and evaluation of the patient care plan.

Skilled Nursing Facilities

Skilled Nursing Facilities (SNF) provide continuous 24-hour nursing care for convalescent and/or critically or chronically ill residents. RNs, LPNs, and Certified Nurse Aides provide care and services prescribed by physicians with emphasis on medical nursing care. Physical, occupational, and other therapies are offered as prescribed by the patient's physician.

Social Security

The Social Security Act was developed in the 1930s as a comprehensive social insurance system covering all major personal economic hazards with a special emphasis on unemployment and old age insurance.

Speech Pathology/Speech Therapy

(SP)/(ST) May be recommended if the patient has suffered an illness or injury which has affected speaking or hearing ability and/or language skills. The speech therapist helps the patient relearn and practice language skills.

SSDI, Social Security Disability Insurance

Benefits paid to individuals and certain members of their family if the individual has met the contribution requirements and meets the criteria of disability.

SSI, Supplemental Security Income

Financial benefits paid to individuals based on financial need.

Standard calendar quarter

Three month period of time, defined as Jan-Feb-Mar, Apr-May-June, July-Aug-Sept, and Oct-Nov-Dec.

Theft by exploitation

Any person who, having assumed the duty by written contract, by receipt of payment for care, or by order of a court to provide for the support of an elder or adult with disabilities, and having been entrusted with the property of that elder or adult with disabilities, with intent to defraud, appropriates such property to a use or purpose not in the due and lawful execution of that person's trust, is guilty of theft by exploitation.

Therapy

Attempted remediation or treatment of a health problem, following a medical diagnosis.

Title III

The Older Americans Act provides for formula grants to State agencies on aging, under approved State plans, to stimulate the development or enhancement of comprehensive and coordinated community based systems resulting in a continuum of services to older persons with special emphasis on older individuals with the great economic or social need.

Title IIIB

Subpart of Title III which provides for Supportive Services including Adult Day Services, Transportation and other supportive services.

Title IIIB Adult Day

Services provided to dependent adults in a supervised, protective, congregate setting during some portion of a twenty-four hour day, and funded through a grant agreement with the State, utilizing funding from the Administration on Aging. Services offered typically include social and recreational activities, meals and other services that support the health, nutritional, social, and daily living needs of adults.

Title IIIC

Subpart of Title III which provides funding for congregate meals programs and home delivered meal programs.

Title IIIC Nutrition Site

Congregate meal site supported in part by funding from the Title IIIC portion of Older Americans Act funding and state funding.

Title IIID Disease Prevention and Health Promotion Services

Established in 1987 Title IIID provides grants to States and Territories based on their share of the population aged 60 and over for education and implementation activities that support healthy lifestyles and promote healthy behaviors. Evidence-based health promotion programs reduce the need for more costly medical interventions. Priority is given to serving elders living in medically underserved areas of the State or who are of greatest economic need.

Title IIIE Family Caregiver Support Program

The National Family Caregiver Support Program, was established in 2000 under the Older Americans Act (Title IIIE) and provides grants to States and Territories, based on their share of the population aged 70 and over, to fund a range of supports that assist family and informal caregivers to care for their loved ones at home for as long as possible.

Transportation

Assistance with access to community services by use of volunteer drivers, public transit system or scheduling of door to door service on demand.

Tuck In Service

A service that makes contact with an at-risk individual to make sure that he or she is not in any harm. This check is usually done in the evening and could be either a telephone call or a visit to the persons home.