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In the Hebrew Bible, aging is both a blessing and a curse. Alexander Smith, 38, assistant professor of medicine at the University of California, San Francisco:. This came up as a disagreement between two of my senior mentors. So much for the experts — what about you? What language do you think we should use to describe people who have advanced beyond the middle of their lives, and why? See next articles. Alexander Smith, 38, assistant professor of medicine at the University of California, San Francisco: This came up as a disagreement between two of my senior mentors.

Companionship Plus: Personal activity assistants that provide social support needed by older adults to participate in activities they may no longer enjoy alone.

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Visits can be scheduled as needed, or on a regular weekly basis. Continuing Care Retirement Community CCRC : Senior housing community planned and operated to provide a continuum of accommodations and services for seniors, including but not limited to independent living, congregate housing, assisted living, and skilled nursing care, all in one location. Co-Payment: Co-payment is a predetermined flat fee that an individual pays for healthcare services, in addition to what the insurance covers. Co-payments are not usually specified by percentages. Deductible: A flat amount a group member must pay before the insurer will make any benefit payments.

Discharge: The release of a patient from a course of care. Discharge Planner: A healthcare professional who facilitates a patient's movement from one healthcare setting to another, or to home. It is a multidisciplinary process involving physicians, nurses, social workers, and possibly other health professionals. Although the DNR order is written at the request of a person or his or her family, it must be signed by a physician to be valid.

Durable Medical Equipment DME : Medical equipment used in the course of treatment or home care, including such items as crutches, knee braces, wheelchairs, hospital beds, prostheses, etc. Durable Power of Attorney: A legal document that designates another person, usually a family member, to make medical decisions if the individual is unable to do so for themselves.

Emergency Medical Services EMS : A group of governmental and private agencies that provide emergency care, usually to persons outside of healthcare facilities; EMS personnel generally include paramedics, first responders and other ambulance crew.

Acronym Glossary

Emergency Medical Technician EMT : A person trained in and expert in the performance of the procedures required in emergency medical care. Fee Schedule: The fee determined by a managed care organization MCO to be acceptable for a procedure or service, which the physician agrees to accept as payment in full. Also known as a fee allowance, fee maximum, or capped fee.

Foundation: The Foundation raises funds to subsidize the organization's community living and home-based services. Fully Funded Plan: A health plan under which an insurer or managed care organization bears the financial responsibility of guaranteeing claim payments and paying for all incurred covered benefits and administration costs.

Geriatrician: A physician who specializes in the diagnosis and treatment of diseases of older persons. Geriatrics: The branch of medicine concerned with the diagnosis, treatment and prevention of disease in older adults and the problems specific to aging. Gerontology: The study of the social, psychological and biological aspects of aging. Health Care Directive: A legal document that specifies whether you would like to be kept on artificial life support if you become permanently unconscious or are unable to speak for yourself.

Developed by the Department of Health and Human Services, these new standards provide patients with access to their medical records and more control over how their personal health information is used and disclosed. Health Maintenance Organization HMO : A healthcare system in which an organization hires medical professionals and operates medical facilities to provide a wide range of specified services to prepaid subscribers.

Home-Based Support: Describes all Eskaton programs, other than community living, which supports the independence of older adults in the place they call home. Home Health Care: A health service provided in the person's place of residence for the purpose of promoting, maintaining, or restoring health or minimizing the effects of illness and disability. Service may include medical, speech and physical therapy.

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Requires a prescription from physician. Hospice Care: A service designed to give supportive care to people in the final phase of a terminal illness and focus on comfort and quality of life, rather than cure. The goal is to enable terminal individuals to be comfortable and free of pain, so that they live each day as fully as possible.

The department assists in finding solutions to the problems of housing and urban development through state, local, or private action. It makes direct loans, insures mortgages, and provides housing subsidies, and it promotes and enforces equal housing opportunity. Independent Living: A multi-unit senior housing development that may provide supportive services such as meals, housekeeping, social activities, and transportation. Independent Practice Association IPA : An organization comprised of individual physicians or physicians in small group practices that contracts with managed care organizations on behalf of its member physicians to provide healthcare services.

Intensive Care: Continuous and closely monitored healthcare that is provided to critically ill patients. JAMA is the most widely circulated medical journal in the world.

Length of Stay LOS : The number of days, counted from the day of admission to the day of discharge, that a plan member is confined to a hospital or other facility for each admission. Level of Care: The intensity of medical care being provided by the physician or healthcare facility. Licensed Vocational Nurse LVN : A nurse who has completed a one- or two-year training program in healthcare and earned a state license. LVNs provide direct patient care for people with chronic illness, in nursing homes, hospitals, and home settings.

They assist RNs in caring for acutely ill patients. It provides an innovative model of home design that is a better way to live and a better way to build for all ages. Longevity: The condition of having a long life, or having lived a long life; the average life expectancy of adults continues to spiral upward; the upper limit of average human life expectancy may range from 85 to Long-Term Care: A variety of services that helps meet medical and non-medical care to people with a chronic illness or disability who cannot care for themselves.

Long-term care can be provided at home, in the community, in assisted living or in nursing homes. Medicaid: A joint federal and state program that provides hospital expense and medical expense coverage to the low-income population and certain aged and disabled individuals.

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In California, this is called Medi-Cal. Outreach services - where a medical specialist provides specialist medical health services in a location that is not the location of their regular practice Overweight - Defined as a body mass index 25 and over but less than See also obesity. It is basic quality control and risk management.

Top of page Pap smear - Papanicolaou smear, a procedure to detect cancer and pre-cancerous conditions of the female genital tract. Pathogen - Disease-causing agent. Patient-days - The number of full or partial days of stay for patients who were admitted for an episode of care and who underwent separation during the reporting period.

A patient who is admitted and separated on the same day is allocated 1 patient-day. Performance information - Evidence about performance that is collected and used systemically. Evidence may relate to effectiveness or efficiency. It may be about outcomes, factors that affect outcomes, and what can be done to improve them.

Performance measures - A more precise measure than indicators. Performance measures are used to provide information on administered items and outputs in terms of quality, quantity and efficiency. Different phobias include fear of heights, flying, open spaces, social gatherings, animals such as spiders and snakes, etc. Plasma Fractionation - The process by which plasma is separated into some of its different component parts. Portfolio Budget Statements - Statements prepared by portfolios to explain the Budget appropriations in terms of planned Government outcomes and outputs.

Post-traumatic stress disorder PSD - A form of anxiety disorder in which a person has a delayed and prolonged reaction after being in an extremely threatening or catastrophic situation such as a war, natural disaster, terrorist attack, serious accident or witnessing violent deaths. Potential years of life lost PYLL - Number of potential years of life lost in a population as a result of premature death. Prevalence - The number or proportion of cases, instances, etc.

Compare with incidence. Preventable - Accepted by the community as potentially avoidable in the particular set of circumstances Prevention of disease - Action to reduce or eliminate the onset, causes, complications or recurrence of disease. Top of page Price - The amount the Government or the community pays for the delivery of agreed outputs. The total of all prices aggregates to equal total expenses. Primary Carer - Defined by the ABS as a person of any age who provides the most informal assistance, in terms of help or supervision with one or more disabilities.

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  5. The assistance has to be ongoing, or likely to be ongoing, for at least 6 months and be provided for one or more of the core activities communication, mobility or self-care. Private health insurance - Health insurance funds offer benefits to members for approved services provided in both public and private hospitals. They also operate ancillary tables which provide benefits for a wide range of non-hospital health and health-related services. There are a number of categories of health insurance membership which provide a wide range of benefits cover. Private Hospital - A privately owned and operated institution, catering for patients who are treated by a doctor of their own choice.

    Patients are charged fees for accommodation and other services provided by the hospital and relevant medical and paramedical practitioners. Includes private freestanding day hospital facilities. Private Patients - Persons admitted to a private hospital; or persons admitted to a public hospital who decide to choose the doctor s who will treat them and to have private ward accommodation. This means they will be charged for medical services, food and accommodation.

    Officials must have regard to the PRs to ensure full accountability and adequate controls are in place. Program - Program is a specific strategy, initiative or grouping of activities directed towards the achievement of government policy or a common strategic objective. Program Allowances - Program Allowances are payments made in the nature of a benefit, direct to an individual for the purposes of assisting the individual.

    Program Guidelines - Program Guidelines set down the administrative arrangements and specify the control requirements for the management of specific programs. Program Payments - Program Payments are payments made from program funds and consist of program allowances, program grants and program service payments. Program Service Payments - Program Service Payments are payments made to a contractor or provider for the provision of health related services. Psychosis - A broad grouping for a more severe degree of mental disturbance, often involving fixed, false beliefs known as delusions.

    PTF - Presidential Task Force Public Health - Term variously referring to the level of health in the population, to actions that improve that level or to related study. Activities that aim to benefit a population tend to emphasis prevention, protection and health promotion as distinct from treatment tailored to individuals with symptoms.

    Examples include provision of a clean water supply and good sewerage, conduct of anti-smoking education campaigns and screening for diseases such as cancer of the breast and cervix.


    Public Hospital - A hospital controlled by a state or territory health authority. In Australia public hospitals offer free diagnostic services, treatment, care and accommodation to all who need it. Public Moneys - Public Moneys are moneys in the Commonwealth's possession or control, including money that is held in trust and money in a bank account.