St. Andrew’s

Activities of Daily Living – Those activities necessary to maintain independent living, such as feeding, dressing, toileting, and bathing.

Adult Day Care – Adult day care offers socialization during the day that includes activities, field trips, and meals. Many centers provide transportation to and from the center. This is an excellent and affordable way to provide loved ones with quality care, while giving caregivers time away.

Advanced Directives – Allows you to express wishes in advance to let physicians and other health care providers know what medical treatments are acceptable in the event you are unable to communicate your wishes.

Assisted Living – A living arrangement in which people with special needs, especially seniors with disabilities, reside in a facility that provides help with everyday tasks such as bathing, dressing, and taking medication. This is often referred to as a Resident Care Facility (RCF I or II) or an Assisted Living Facility.

At-Home Care Services – Assistance available to older adults who reside in a variety of living arrangements designed to help with the activities of daily life. Such services range from assistance with bathing and dressing to home cleaning, laundry and meal preparation. Some may also escort a person to medical appointments and assist with medication management and more.

Community-Based Services – Cost effective, quality care or services, in the least restrictive environment, that enables people to stay within their own home and community; that enhances quality of life; and supports individuals chosen lifestyle.

Dementia – The loss of intellectual functions (such as memory deficit or confusion) that interfere with daily living. There are many causes for dementia and some of these may be reversible such as drug reactions and nutritional deficiencies. Other causes of dementia are not reversible such as Alzheimer’s disease which is the most common type of dementia. To accurately determine the cause of dementia and provide optimal treatment, the older person needs a thorough geriatric assessment performed by a physician with input from family members.

Durable Medical Equipment – An item that can withstand repeated use, is used for medical purposes, and for an illness or injury in the home. These include walkers, shower curtains, shower chairs and raised toilet seats.

Durable Power of Attorney – Gives power to another to make legal or financial decisions such as handling investments, paying bills, contracting for nursing services and/or other living arrangements or care. The powers can be narrow or broad. To make this legally binding you should seek the advice of an attorney.

Durable Power of Attorney for Health Care – Gives power to another to make medical and other healthcare decisions if you are incapacitated.

Eldercare – A business industry that provides services or products that directly or indirectly impacts the lives of the older adult population.

Geriatric Assessment – Many older people experience multiple medical problems, frequent falls, memory and functional problems. Evaluations are needed to determine the patient’s strengths and problems, so that resources can be identified and used to promote as much independence, safety, and lifestyle satisfaction as possible. A thorough care plan is provided upon completion of the assessment.

Home Health Aide – Provides assistance with personal care such as bathing, dressing, toileting, walking, etc. These services are generally not covered by insurance.

Homemaker Services – Provides assistance with light housekeeping, meal planning and preparation, laundry, eliminating safety hazards, accompanying people to appointments, running errands. and grocery shopping. These services are generally not covered by insurance.

Hospice Care – For those who have a terminal illness and require 24-hour care, hospice addresses the medical, emotional and spiritual needs of both the patient and family.

Independent Living – A living arrangement that maximizes independence and self-determination through a “community” environment which allows one to be on their own while still having a network of support nearby.

Living Will/Health Care Directive – A document in which a person states his/her wishes regarding medical treatment. In Missouri, these documents become effective when the individual is incapacitated.

Medicaid – A government program, which provides certain health and long-term care services for low-income people. The person must financially qualify based on monthly income and assets. This program then allows the person to receive medical treatment both in and out of hospitals.

Medicare – A federal health insurance plan. It covers a portion of your hospital and doctor bills. When you apply for Social Security at full retirement age, you’re automatically enrolled in Medicare Part A (free hospital insurance). You may choose to sign up for Medicare Part B (medical insurance). A monthly premium for Part B will be deducted from your benefit check unless low income entitles you to Qualified Medicare Beneficiary aid.

Residential Care Facility I – Provides 24-hour care, shelter and protective oversight which may include the storage and distribution of medications during a short-term illness or recuperation.

Residential Care Facility II – Provides additional services, such as supervision of diets, assistance with personal care, housekeeping, social, and recreational programs and care during a short-term illness or recuperation and supervision of health care under the direction of a licensed physician. This type of facility is designed for the semi-independent resident able to walk alone or with the help of a cane, walker or crutch.

Respite Care – Short-term stay in a nursing facility to permit the family/caregiver some rest. Sometimes, this time away from home allows the care recipient an opportunity to socialize, participate in mentally stimulating recreational activities and make new friends

Skilled Care – Care needed by a registered nurse such as injections, medication administration, etc., or requires the skilled services of occupational and physical therapists, speech pathologists, and/or social workers. Generally, skilled care is covered through Medicare, Medicaid, and other insurance policies.

Skilled Nursing – An extended care facility, which provides skilled nursing care to long-term care residents or short-term rehabilitation services for a transition from surgery and illness to full health. It is more commonly known as a nursing home.