Adult Day Center


Also called Adult Day Services, Adult Day Care, or Adult Day Health Centers,

these facilities and programs provide regular daytime care to senior adults for

socialization, recreation, help with personal care, safety, and in some cases,

health and rehabilitation-related services.



Area Agency on Aging


The local or regional agency established under the Federal Older Americans Act

to coordinate and provide a wide variety of services to the elderly.



Assisted Living


Assisted living residences offer private, homelike living space (for example, an

apartment, private room, or cottage) with services to support activities of daily

living. Some assisted living residences also offer health care services. Most

residences include housekeeping, meals and activity programs.



Continuing Care Retirement Communities (CCRC’s)


Retirement communities that include various levels of care – from residential

independent living to assisted living to skilled nursing care. Most CCRC’s offer

residency agreements, which include future health services and access to the

levels of care.





Disorders of the brain, including Alzheimer’s disease and other illnesses that

result in a decline in the memory and other intellectual functions.



Discharge Planning


A service provided through hospitals and other health care providers to help

place a convalescing patient in an appropriate care setting, or to arrange

appropriate services at home.



Durable Power of Attorney


A legal document executed as part of a person’s estate planning. In it, the

person names an “attorney-in-fact” or “agent” to act on his or her behalf in

business and/or health care matters.



Durable Power of Attorney for Health Care


Also called a “Health Care Appointment” or a “Health Care Proxy.” This is a legal

document that lets you give someone else the power to make health care

decisions for you if a time comes that you can’t speak for yourself.



Health Care Directive


Also called a “Living Will.” This is a document that lets you say what kinds of

care you would want and not want if you were nearing the end of your life.

Usually deals with life-sustaining measures.



Home Health Care


Health care services provided in the home. Includes care and support provided

by home health aides, certified nursing assistants, registered and licensed

nurses, rehabilitation therapists, and social workers. Personal care assistants

may also provide assistance with certain activities.



Hospice Care


Care for the terminally ill and their families, emphasizing pain management and

controlling symptoms, rather than seeking a cure. Offered by hospitals, long-

term care facilities and hospice organizations, on an inpatient basis or at home.



Independent Living


Also called “residential independent living” or “congregate care.” Retirement

communities offer independent senior living in a variety of settings such as

apartments, cottages, duplex homes and patio homes. Residents must be able

to live safely in the independent environment. Typical services offered by the

retirement community include housekeeping, transportation, activities and




Living Will


See “Health Care Directive.”



Meals On Wheels


Community-based meal service that delivers meals to the homes of senior

adults at a modest charge.





A joint state/federal program which helps pay the medical expenses of low-

income individuals who meet the program’s qualifying standards.





Long-term care and assisted living, the ombudsman program provides advocacy

and trouble-shooting support for residents. Open access to the ombudsman is a

protected resident right.



Power of Attorney


A legal document that gives another person legal authority to act on one’s




Respite Care


Temporary care for a person, provided by a home health care agency or other

provider, in order to give the person’s regular caregiver rest and personal time.

Respite care can be in the home, at an adult day center, assisted living or

memory care community, or in a long-term care facility or hospital.



Skilled Nursing Facility


Also called “nursing homes,” these facilities play two important roles: they

provide rehabilitation or “sub-acute care” for people who have been discharged

from the hospital but are not medically or physically able to return home; and

they provide extended long-term care to frail or chronically ill persons who

require a higher level of skilled nursing and medical supervision than is

available in other settings.

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