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This glossary defines key terms used in long-term care, covering concepts like resident councils, advocacy, professionalism, accountability, CCRCs, NCCAP, deficiencies, continuum of care, chain of command, organizational charts, F-tags, ombudsmen, validity, reliability, plans of correction, organizational culture, OSHA, authority, MSDS, CMS, SNFs, regulations, life course perspective, life span, cohort effects, cumulative disadvantage, functional age, wellness, adaptive skills, hospice, advance directives, Kubler-Ross stages, Robert Havighurst's developmental tasks, primary aging, coping skills, activity theory, social clock, theories on aging, social gerontology, Abraham Maslow's hierarchy of needs, wellness model, medical model, long-term care model, restorative model, metamessages, autonomy, reality orientation, re-motivation therapy, validation therapy, sensory stimulation, crystallized intelligence, fluid intelligence, and the three categories of programming: maintenance, supporti
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Resident Council - An advocacy group made up of a formal group of residents to support all resident concerns, to have access to the administration, to understand and have access to a formal and written process, and to promote positive activities, such as committees, election information and speakers. Activity - Anything engaging that is not physical therapy, or ADL. Certification - An award used to recognize a person as having met special qualifications of a professional board within a field. Leisure - Time where there is no demand of work or duties. Advocacy - Supporting a cause or issue by writing, speaking out or otherwise calling attention to it in order to elicit a change. Recreation - Doing something for the fun or excercise Interpretive guidelines - An explanation of how actions should be done according to the rules which are being interpreted. Professionalism - Acting in a manner, especially at work, that is respectful and upholds the others dignity. Accountability - Being responsible for your actions and taking any consequences. Professional Organization - A group of people in the same profession who support the members through education, advocacy and certifications. Departmentalization - Defining groups that carry out specific tasks, such as housekeeping and nursing. Protesting - Speaking out on an issue, usually through marching, gathering, signs and speeches. Profession - An occupation requiring specialized knowledge and usually academic preparation. Survey Process - The process of checking an institution for rule following based on observation, records and interviews. Responsibility - Being morally, legally and or socially responsible for actions and words. Ethics - A set of moral principles and values to follow.
CCRC - Continuing Care Retirement Community Activism - Action to support an issue. NCCAP - National Certification Council of Activity Professionals Deficiency - Being lacking or inadequate in standards or rules set by the federal government or state. Continuum of Care - Health care through the stages of illness or aging: Independent living, assisted living, nursing home and skilled nursing. Organization - An administrative and functional structure for a group of people in a similar business. Chain of Command - The line in which authority flows from the top executive down to the ranks of employees and accountability flows up. Organizational Chart - A visual chart showing the Chain of Command from the executive director or CEO, through the directors then managers, etc... of the departments. Tag number ftag - Federal laws on long term care homes listed in chronological order by regulation number which pertain to the different areas that are surveyed according to OBRA legislation. Ombudsmen - Person appointed by the government to investigate complaints by residents and report back for further investigation. Validity - The extent which something is true. Reliability - Able to be counted on to do a job correctly and do the right thing Plan of correction - A series of steps to change or eliminate incorrect behavior. Organizational culture - The sum of the mission,vision, values and behavior that make up the social and pyschological environment of an organization. Osha - Occupational safety and health administration Authority - Power an individual or group has over others, that enable them to carry out a job, but comes with responsibility. Msds - Material safety data sheet
primary aging - Age-related changes that inevitably take place and those that take place as a consequence of a person's unhealthy behaviors. Coping skills - The ability to deal with life's problems and accept or adapt to them as necessary. Activity Theory - The Havighurst theory that older people are most happy when engaged in an activities and social interactions. Social Clock - Erik Erikson's theory that a society or culture has expectations about when the transitional events like marriage, having kids, or retirement should take place in life. Theories on Aging - Three theories attempt to explain the aging process are: activity, disengagement and continuity. Social Gerontology - A sub field of gerontology that looks at the social aspects of aging. Abraham Maslow - Motivation theory described in a hierarchy of needs which must be fulfilled at the basic need levels before enlightenment and self-actualization can be achieved. Wellness Model - The treatment emphasis is based on the highest wellness of mind, body and spirit, according to capabilities. Activities help the resident cope with illness and develop new skills through physical and cognitive activities. Medical Model - Being cured is the ultimate goal and it is an illness centered approach most often found in hospital short term care, rehab and clinical settings. Activities are mostly diversionary. Long term care model - Units separated by illnesses and include Resident Rights, Quality of Life, and Quality Care for programming that is centered on assessed needs, abilities, interests, preferences and limitations. Activities provide an interdisciplinary approach in the different units. Restorative Model - Nursing assistants are trained to work with the resident's abilities in doing ADL to attain maximum functional potential. Objectives are measured and documented, evaluated by licensed nurse, and supervised. Metamessages - Underlying meaning of what a person says. Autonomy - The ability to do things for oneself, ie... vote, advance directives. Reality Orientation - The orientation to person, place, time, year, etc...
Re-motivation therapy - A group meeting that establishes acceptance, uses bounce questions to align with reality, explores the world we live and work in, uses a poem and appreciates the participants. This is done to help draw out older adults who are withdrawn and not participating in life. Validation Therapy - Started by Naomi Feil to reach the non-communicative old people and join with them emotionally through eye contact, music and rhythm. Sensory Stimulation - Using the five sense to stimulate the cognitively impaired, ie... visual, tactile,smell, hearing and taste. Crystallized Intelligence - Using skills, knowledge and information from long term memory. Fluid Intelligence - The ability to use logic, identify patterns and solve new problems. The three categories of programming, - maintenance, supportive and empowerment.