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Adult and Aging Chapter 12 Flashcards

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3567761394institutional facilitya group residential setting that provides individuals with medical or psychiatric care.0
3567761395nursing homea type of medical institution that provides a room, meals, skilled nursing and rehabilitative care, medical services, and protective supervision.1
3567762026skilled nursing facilitya type of nursing home that provides the most intensive nursing care available outside of a hospital.2
3567762027intermediate care facilityhealth-related services are provided to individuals who do not require hospital or skilled nursing facility care but do require some type of institutional care.3
3567762741residential care facilityprovides 24-hour supportive care services and supervision to individuals who do not require skilled nursing care.4
3567762742board and care homegroup living arrangement designed to meed the needs of people who cannot live on their own in the community and who also need some nursing services.5
3567763292assisted living facilitieshousing complexes in which older persons live independently in their own apartments.6
3567763293aging in placethe principle that older adults can remain in their own homes, or at least in their own communities, with appropriate services.7
3567763735home health servicesprovide assistance to older adults within their own private residences.8
3567763736geriatric partial hospitalprovides older adults living in the community who need psychiatric care with a range of mental health services.9
3567764184adult day careolder adults who need assistance or supervision during the day receive a range of services in a setting that is either attached to another facility, such as a nursing home, or is a standalone agency.10
3567764667respite careprovides family caregivers with a break while allowing the older adult to receive needed support.11
3567764668government-assisted housingprovided for individuals with low to moderate incomes who need affordable housing or rental assistance.12
3567765202accessory dwelling unitalso known as an "in-law apartment," this second living space in the home allows the older adult to have independent living quarters, cooking space, and a bathroom.13
3567765779continuing care retirement community (CCRC)a housing community that provides different levels of care based on the needs of the residents.14
3567765780Medicarethe federal health care funding agency passed and signed into law in 1965, designated as "Health Insurance for the Aged and Disabled."15
3567766649Patient Protection and Affordable Care Act (PPACA)legislation signed into law by President Barack Obama in the spring of 2010 intended to expand health care insurance to all Americans.16
3567769503Centers for Medicare and Medicaid Services (CMS)the U.S. government agency responsible for the formulation of policy and guidelines, oversight and operation of contracts, maintenance and review of records, and general financing.17
3567770142Medicare Part A (Hospital Insurance or HI)provides coverage that includes all medically necessary services and supplies provided during a patient's stay in the hospital and subsequent rehabilitation in an approved facility.18
3567770143Medicare Part Bprovides benefits for a range of medical services available to people 65 and older who pay a monthly insurance premium.19
3567770770Part C of Medicarealso called Medicare Advantage; provides coverage in conjunction with private health plans.20
3567771686Part D of Medicarea prescription-drug benefit plan that provides coverage for a portion of the enrollee's costs.21
3567771687Medicare Modernization Act (MMA)U.S. legislation passed in 2003 that created the prescription drug benefit in Medicare.22
3567772386donut holea coverage gap in Medicare Part D in which the enrollee's coverage drops and out-of-pocket expenses rise.23
3567772387Medicaida federal and state matching entitlement program that provides medical assistance for certain individuals and families with low incomes and resources.24
3567772980Nursing Home Reform Act (NHRA)a U.S. federal law mandating that facilities meet physical standards, provide adequate professional staffing and services, and maintain policies governing their administrative and medical procedures.25
35677736921998 Nursing Home Initiativeprogram developed by President Clinton intended to improve enforcement of nursing home quality standards.26
35677740822002 National Nursing Home Quality Initiativefederal program that combined new information for consumers about the quality of care provided in individual nursing homes with resources available to nursing homes to improve the quality of care in their facilities.27
3567775531competence-press modelpredicts an optimal level of adjustment that institutionalized persons will experience on the basis of their levels of competence compared with the demands or "press" of the environment or the demands it places upon individuals.28
3567775532Green House modelan alternative to the traditional nursing homes; offers older adults individual homes within a small community of 6 to 10 residents and skilled nursing staff.29

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