A decline in physical and cognitive ability noted with age that is not related to the diagnosis of any specific disorder. Proactive lifestyle changes have been shown to delay or reduce the degree of decline in abilities.
A financial plan to protect assets from creditors. An asset protection trust is a financial tool that can be created in an attempt to qualify for Medicaid. Transferring funds to an asset protection trust are subject to Medicaid's five-year look back period.
A person or physician knowingly and intentionally providing another person with the knowledge or means to commit suicide. Physician assisted suicide is legal in 5 US states; Oregon, Vermont, Washington, California and Montana.
Clostridium Difficile; A bacterial infection that causes diarrhea, fever, and inflammation of the colon that is spread by spores found in feces. Older adults in health care facilities are most at risk following the use of antibiotics.
A plan of care that professional caregivers use to ensure a patient's needs are met in a timely, effective manner. The plan is customized to meet the patient's diagnosis and preferences, and is adjusted as needs change over time. The care plan usually indicates responsibilities of each member of the care team.
As dementia progresses, behaviors change in response to increased confusion, paranoia, anger, and agitation. Behaviors may include sleeplessness, wandering, repetitive actions, and verbal or physical aggression.
A disease that occurs when the blood glucose level is too high. Type 1 is usually diagnosed in children and young adults and is also known as juvenile diabetes. Type 2 is known as adult-onset diabetes.
A legal document that assigns authority to an agent to act on your behalf in specific matters as outlined by the document. A durable POA includes language that extends the authority to the agent to act on your behalf should you become mentally incompetent.
A form of dementia that develops symptoms before the age of 65. In some cases, early-onset Alzheimer's disease has a genetic component and is related to a genetic mutation directly contributing to the disease, known as Familial Alzheimer's disease.
Advocates for the elderly who specialize in legal matters affecting older individuals including estate planning, Social Security, Medicare/Medicaid, guardianship and the preparation of documents indicating advance directives and power of attorney.
Frontotemporal dementia (FTD) is a disease that results in progressive damage to the temporal and/or frontal lobes of the brain. FTD causes a group of brain disorders that share clinical features and cause marked personality and behavior changes. Symptoms associated with atrophy of the frontal lobe are often misdiagnosed as mental illness.
The response to the loss of someone or something that has died. Grief can have emotional, physical, and/or cognitive affects and is widely believed to progress through five stages beginning with denial and ending with acceptance.
Hypertension; A measure of the amount of blood your heart pumps and the amount of resistance to blood flow in the arteries. The more blood your heart pumps, and the narrower your arteries, the higher your blood pressure. Consistently high blood pressure can lead to heart attack, stroke, and other serious medical conditions. Recommended blood pressure levels vary by age.
A measure of the fats in your blood (lipids). Consistently high cholesterol levels can lead to hardening of the arteries, stroke, and other serious medical conditions. Cholesterol is measured through a lipid panel and reported as a total as well as a measure of LDL "bad" cholesterol and HDL "good" cholesterol. Recommended cholesterol levels vary by age and gender.
A compulsive urge to acquire large amounts of possessions and a persistent difficulty discarding or parting with them because of a perceived need to keep them. The condition was previously viewed as a manifestation of obsessive-compulsive disorder.
A form of palliative care for terminally ill patients. A team oriented approach to end of life care that includes medical care, pain management, and emotional support for patients, their family, and caregivers.
The transition from a hospital to another treatment facility or back to the home. A discharge plan is the individualized care plan that coordinates care and services to be continued outside of the hospital with the goal of preventing re-hospitalization.
Complex tasks that are necessary for truly independent living. Skill levels ranging from proficient to needing assistance are measured in the areas of cooking, medication management, shopping, communicating, managing finances, transportation, and performing household chores and tasks.
Cancer that forms in the cells of one or both of the lungs. There are three types affecting treatment options and prognosis: non-small cell lung cancer, small cell lung cancer, and lung carcinoid tumor.
A jointly funded federal and state program that provides health insurance for qualifying individuals with medical needs, low-income and little to no assets. Eligibility and benefit distribution widely varies and is determined by each state.
A set timeframe over which the federal government will "look back" to examine spending patterns in determining an applicant's Medicaid eligibility. Any financial transaction during this time period that is perceived as motivated by an attempt to qualify for Medicaid is subject to penalty resulting in ineligibility. The look back period is 5 years prior to the Medicaid application date, with the exception of applicants living in California who are subject to a 2.5 yrs look back period.
The process of spending assets down to allowable levels to allow you to become eligible for Medicaid. Allowable asset amounts and spending timelines are determined by the state in which the applicant resides.
Devices used for patient care being managed in the home. Consumable supplies are disposable and intended for single use, durable medical equipment is intended for repeated use such as wheelchairs, hospital beds, walkers, canes, oxygen, etc.
Residential care for patients who have been diagnosed with cognitive impairment and need assistance with activities of daily living. Memory care units are often distinct areas within larger senior housing communities.
The progression of cognitive impairment to a more noticeable stage often including difficulty recalling words, increased difficulty with daily tasks, and an increase in unexpected behaviors. Divided into 3 stages, the middle stage of dementia is often the longest lasting.
An excessive interest in oneself, often accompanied by grandiose views of one's abilities , a lack of empathy for others, and an excessive need for admiration. A persistent pattern of pathological narcissistic traits is diagnosed as narcissistic personality disorder (NPD).
A progressive disease of the nervous system that gradually decreases the amount of dopamine produced in the body. The loss of dopamine impacts movement and is marked by tremors, muscle rigidity, and the inability to control motor skills.
An in-patient facility providing therapy and treatment to restore functioning after an illness or injury. Often rehabilitation centers are used in the transition between hospital and home or long-term care.
The designation of an individual or organization appointed to receive SSI benefits for anyone who can not administer their own benefits. The SSA will investigate, approve and designate the representative payee who is then required to regularly report their accounting practices on behalf of the beneficiary.
A residential community designated for occupancy by older adults. Although generally established for independent living, community bylaws often indicate minimum age requirements for residents. Activities and amenities are provided by the community for the benefit of the residents.
A loan borrowed against the value of one's home. The agreement allows eligible homeowners of at least 62 years of age to borrow against available equity while the person remains in the home. The loan must be repaid at the time of death or either the primary residence has changed or the home is sold.
Various types of housing available to older adults that provide a range of assistive services depending on the level of care needed. Housing options include independent senior living communities, assisted living, and skilled nursing facilities.
The designation of an individual appointed to receive veteran's benefits for anyone ruled incompetent to administer their own benefits. After initiating a request, the VA administration conducts a field examination to approve the fiduciary to assist the beneficiary in managing benefits.