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Nursing Home Directory

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What you need to know: A glossary of caregiving terms

To help make your job as a caregiver easier, AARP has created this glossary of terms as part of its Prepare to Care planning guide.

Activities of Daily Living (ADLs) Basic tasks of everyday life that include, but are not limited to, dressing, bathing, eating, and toileting.

Adult Day Services Structured, comprehensive programs, including a variety of health, social and related support services during any part of the day but for less than 24 hours, provided at local centers for adults who need some supervision and/or support click here. To find a senior center near you, click here.

Adult Protective Services A public agency that investigates reports of abuse and neglect of vulnerable adults, usually works with law enforcement. Immediate dangerous situations should be directed to 911 or the local police. Contact: San Diego County’s Adult Protective Services; (800) 510-2020 or (800) 339-4661, outside the county.

Aging and Disability Resource Center (ADRC) An agency designated by the state with the responsibility for planning and coordinating services for older people or for older people and adults with disabilities within a specific geographical area. California’s ADRC, part of the Department of Aging, provides information, resources, assistance, and links to community services. Contact: (800) 510-2020; outside California (800) 677-1116.

Assisted Living Residences Housing for those who may need help living independently, but do not need skilled nursing care. The level of assistance varies among residences and may include help with bathing, dressing, meals and housekeeping.

Community Meal Program Balanced nutritious meals served at community locations for those ages 60 and over and their younger age spouses. For a list of meal delivery and nutrition programs, click here.

Conservator A person appointed by a court to handle someone’s affairs when that person cannot handle them him or herself. A conservator usually handles only financial affairs. To learn more, read: “What is conservatorship and how do I get it?”

Continuing Care Retirement Communities Housing that offers a variety of living options and services including independent living, assisted living, and skilled care, often all on the same campus, designed to meet a person’s changing needs.

Discharge Planner A professional who assists individuals and their families in developing a plan of care for an individual following a hospital or nursing home stay.

DNR: Do Not Resuscitate Order An order written by a doctor to fulfill an individual’s expressed medical care wishes during a medical emergency.

Durable Power of Attorney for Finances The durable power of attorney for finances is a legal document that allows you to give authority to another trusted person to make financial decisions on your behalf. The designation durable means that it will stay in effect if you become unable to manage your own financial affairs.

Employee Assistance Program (EAP) An employee benefit program offered by many employers. EAPs are intended to help employees deal with personal issues that impact their job performance, health, and well ­being. EAPs generally include short-term counseling and referral services for employees and their household members.

Family and Medical Leave Act A law that requires some employers to let you take unpaid time off work (up to 12 weeks) for illness, having/adopting a baby, or caring for an ill family member. Your job or equivalent is guaranteed when you return. If you work for a small employer or are a new employee, you may not be able to get the leave.

Family Caregiver Anyone who provides unpaid assistance to another person who is ill, disabled, or needs help with daily activities.

Guardian A person appointed by the court who is responsible for the care and management of another person who has been determined to be no longer capable of making decisions for him/herself.

Health Care Power of Attorney (Health Care Proxy) A special kind of durable power of attorney called a Health Care Power of Attorney (HCPA) in which you appoint another person to make health care decisions should you become unable to do so.

Health Insurance Portability and Accountability Act (HIPAA) A federal law that gives you rights over your health information and sets rules and limits on who can look at and receive your health information. It also permits the release of personal health information needed for patient care.

Home Health Agency An agency often certified by Medicare to provide health-related services in the home such as nursing, occupational, speech, or physical therapy, social work, and/or personal care.

Home Care Agency/Organization An agency that arranges for non-medical home care services such as bathing, meal preparation, dressing, shopping and companionship.

Home Care Aide/Attendant An individual who helps with bathing, dressing, grooming, feeding, and light housekeeping.

Homemaker Services A service that provides assistance with general household activities such as meal preparation, cleaning, laundry, and shopping.

Hospice Care Professionally coordinated support services, including pain and symptom management, social services, and emotional and spiritual support for terminally ill people and their families. The care is provided at home and in other settings.

Instrumental Activities of Daily Living (IADL) Basic tasks of everyday life that include, but are not limited to: managing money, shopping, telephone use, travel in the community, housekeeping, preparing meals, and taking medications correctly.

Living Will (Part of a Health Care Directive) A legal document that communicates a person’s wishes about lifesaving medical treatments should he or she have a terminal condition and not be able to communicate their health care wishes.

Long Term Care Insurance Insurance that can pay part of the cost of care received in the home, assisted living residences, nursing home, and other designated services depending on the policy purchased.

Long Term Care Ombudsman A person who investigates and resolves complaints on behalf of residents of nursing homes and other long-term care facilities. Contact: (800) 640-4661 for the San Diego County Long Term Care Ombudsman office.

Medicare A federal health insurance program for people age 65 and over, and for some younger persons with disabilities. Medicare covers hospital stays, doctor visits, prescription drugs and other health care related needs. Medicare does not cover long-term care.

Medicare Savings Program An assistance program for people with Medicare who need help with paying their Medicare expenses, such as premiums and possibly co-pays and deductibles for Medicare Parts A & B.

Medicaid/Medi-Cal The federal/state funded health and long-term care program for people with limited income and assets. It is administered by the states within federal guidelines so eligibility and coverage may differ from state to state. Known as Medi-Cal in California.

Nursing Homes A nursing facility that provides immediate care — assistance with personal care and activities of daily living — and/or skilled care 24-hour medical, nursing, and rehabilitation care, often a transition from hospital to home. The latter may be called a skilled nursing facility.

Palliative Care Professionally coordinated services that focus on physical, mental, social, and spiritual needs of those with life-threatening illness and their families. It seeks to maintain the highest level of comfort.

PersonaI Emergency Response System (PERS) A portable electronic device with a call button that a person can use to summon help in an emergency.

Respite Care A temporary break from providing care for a loved one. Respite care can be provided by either family and/or friends, and through services such as attending an adult day services center. You can also have a paid home-care attendant come to the home.

Social Security A benefit earned by eligible workers that provides guaranteed inflation-adjusted monthly income for life. A person with the required number of quarters in Social Security is eligible at age 62 or if disabled. Certain family members may be eligible for benefits as well.

Supplemental Security Income (SSI) SSI provides a monthly benefit to people who are 65 years of age and older, disabled or blind, and who have limited income and assets.

Because of Alice Reiter Feld and Tracy Meli, I have been able to make sure that my husband will receive the full time long term care he needs. I am truly grateful and thankful for all their help in this very difficult time in my life. I would recommend them to anyone who needs Elder Care Law help!!

Regina G.

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The Law Offices of Alice Reiter Feld completely exceeded my expectations. In fact, you and your AMAZING staff blew me away (which is not an easy thing to do, I’m from NJ and don’t impress easily). Your firm not only gave me sound legal advice but you provided guidance that could have only come from someone that truly cares.

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I am so grateful to have had such a wonderful team who worked so hard on behalf of my parents. I especially hold such deep gratitude for Alice’s assistant Jodi who literally took me by the hand when I felt so trapped, frightened and alone. She was always there for me. With Alice’s guidance we went through the maze into the world of elder-care.

Charlotte B.

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Thank you for your knowledge and professionalism in helping me place my mother in a nursing home and for navigating the Medicaid minefield. Your perseverance and attention to detail has reduced my stress level considerable and made this a very straightforward process.

Gerald V.

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During our first meeting, we quickly realized your staff is very knowledgeable, sincere, understanding, and extremely experienced in this matter. We contacted your company in February and my Father was approved for Medicaid in March and his Estate plan was in place as promised. You delivered as promised.

George A.

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I just wanted to say Thank You for all of your help & hard work. I am so grateful to you for getting my mom & stepfather their credit from Pioneer/Conseco. You have no idea how much that meant to my mom & in turn, how much it meant to me.

Amy S.

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