What is it?
Glossary of Retirement & Aging Terminology

The following list is comprised of some of the more common terms and phrases used by service providers when serving boomers, older adults, people with disabilities and caregivers. We have also included definitions for words that are used on this website. The list is organized in alphabetical order with an A to Z link feature.

A | B | C | D | E | F | G | H | I | J-K | L | M | N | O | P | Q | R | S | T | U | V | W-X-Y-Z

A

24-hour Controlled Access
24-hour Controlled Access in a facility provides control of all points of entry/exit 24-hrs a day for the security of the residents.

AARP (American Association of Retired Persons)
AARP (American Association of Retired Persons) is a nonprofit, nonpartisan membership organization for those aged 50 and older. AARP provides information, benefits, advocacy and services for its members.

Abuse and Neglect
Abuse, Neglect and Exploitation are the infliction of injury, unreasonable confinement, intimidation, or cruel punishment resulting in physical harm, pain, or mental anguish, or deprivation by a person (including a caregiver), of goods or services that are necessary to avoid physical harm, mental anguish, or mental illness." You should report abuse to organizations who provide services designed to protect older persons from neglect, exploitation (including financial exploitation), or abuse.

Accessibility
Accessibility describes a space designed to provide the greatest amount of use by an individual with a disability.

Accreditation
Accreditation is a seal of approval given by an autonomous governing body to a community or service provider. To become accredited, the provider must meet specific requirements set by the accreditation entity and is then generally required to undergo a thorough review process by a team of evaluators to ensure certain standards of quality. The independent accrediting organizations are not government agencies or regulatory bodies. Some examples of accreditation bodies for the senior housing and care industry include CARF (Commission on Accreditation of Rehabilitation Facilities), CCAC (Continuing Care Accreditation Commission), and JCAHO (Joint Commission on Accreditation of Healthcare Organizations).
Active Retirement Developments or Active Adult Communities
Active Retirement Developments or Active Adult Communities are for-sale single-family homes, townhomes, cluster homes, mobile homes and condominiums with no specialized services, restricted to adults 55 and older. Residents generally lead an independent lifestyle; units offer low maintenance, but are not equipped to provide increased care as the individual ages. Communities may include amenities such as clubhouse, golf course and recreational spaces. Outdoor maintenance is normally included in the monthly homeowner's association or condominium fee.

Activities of Daily Living (ADL)
Activities of Daily Living (ADL) are physical daily functions of self care, including bathing, grooming, dressing, toileting, eating, and transferring in and out of beds and chairs. An aide may be needed to assist with ADLs, but these costs are not usually covered by Medicare.

Activity Director or Life Enrichment Coordinator
Activity Director or Life Enrichment Coordinator is the person responsible for planning or coordinating: outings, entertainment, group events, art projects and other activities. Such activities help residents of a long-term care facility stay active, alert and sociable.

Acute Care Facilities
Acute Care Facilities provide short-term care and rehab for illness and disability; typically in a medical setting such as a hospital, intensive care unit, nursing home or emergency department. Treatments can be provided in an outpatient or inpatient setting.

Acute Pain
Acute Pain is pain that has a known cause and occurs for a limited time. Acute pain usually responds to treatment with analgesic medications and treatment of the cause of the pain.

ADA (Americans with Disabilities Act)
ADA (Americans with Disabilities Act) was passed by Congress in 1980, this law establishes a clear and comprehensive prohibition of discrimination on the basis of disability.

Adaptability
Use and design of space that addresses the problems of physical changes over a period of time, allowing for ease of adaptability as needed.

Adaptive or Assistive Equipment
Adaptive or Assistive Equipment is an appliance or device which assists an individual in caring for themselves, performing work or other activities. Equipment may be specialized to meet the need of a physical disability, and can help individuals lead independent lives.

Adaptive technology
Adaptive Technology for computer equipment provides options to individuals for their eye, hand and motor skills, low vision and other physical abilities. Resources include large print keyboards, modified mouse, screen modifications and more.

Administration on Aging (AoA)
Administration on Aging (AoA) is an agency of the U.S. Department of Health and Human Services that administers the Older Americans Act. AOA is an advocate agency at the federal level and provides resources and education to older Americans and their caregivers. AOA works closely with its nationwide network of State and Area Agencies on Aging (AAA).

Administrator
Administrator refers to a licensed professional who manages the day-to-day operations of a care facility such as a nursing home, hospital, or assisted living facility. Sometimes this position may also be referred to as an Executive Director, Community Manager, or similar.

Adult Care Home or Adult Foster Care
Adult Care Home or Adult Foster Care is a facility that provides a more private, home-like setting, typically in a residential neighborhood and serves a small number of residents. The caregiver may perform several functions, such as personal care, housekeeping and activities. Group meals are served and help is given with ADLs. Usually housekeeping and laundry is taken care of and some activities are provided. Amenities and nursing services vary widely in these facilities, so it's best to check each location for specifics. (Also called Group Home, Personal Care Home, Board and Care Home, Residential Care Facility and Adult Foster Care.)

Adult Care Home or Adult Foster Care
Adult Care Home or Adult Foster Care is a facility that provides a more private, home-like setting, typically in a residential neighborhood and serves a small number of residents. The caregiver may perform several functions, such as personal care, housekeeping and activities. Group meals are served and help is given with ADLs. Usually housekeeping and laundry is taken care of and some activities are provided. Amenities and nursing services vary widely in these facilities, so it's best to check each location for specifics. (Also called Group Home, Personal Care Home, Board and Care Home, Residential Care Facility and Adult Foster Care.)

Adult Day Care Programs or Adult Day Health Care
Adult Day Care Programs or Adult Day Health Care offer a protective setting for those who cannot be left alone due to health care and social needs. The structured program offers: socialization, planned activities, companionship and meals. There are two types of Adult Day Care: Non-Medical Day Care provides daytime respite for the caregiver who typically works, needs time for other responsibilities, to simply to take a break. These programs can be full or partial day and are available on daily or weekly basis. Some programs are designed for older adults with dementia and/or physical limitations. Programs may be located at churches, senior centers or senior housing communities. Medical or "Healthcare" programs provide the additional health-related services of on-site nurses, therapists, social workers and other health professionals. Services are in accord with a comprehensive assessment of care needs and individualized health care plan. Programs through senior housing communities that are listed on this website must accept non-residents to be included.

Adult Day Treatment
Adult Day Treatment is an intense counseling services provided in a partial-hospitalization setting.

Adult Education or Continuing Education
Adult Education or Continuing Education is for adult learners, and is not normally considered to include basic instruction, but rather a continuation or exploration of interest or expertise, providing formal or informal opportunities for individuals to acquire knowledge, experiences, or skills. Education can be offered in a conference setting, University or community college, public library, health fair, hospital, an individual's home or other formal or informal setting. Topics may be relevant to older adults or their caregivers.

Adult Protective Services (APS)
Adult Protective Services is the agency where professionals investigate allegations of suspected dependent adult abuse, and handles allegations of suspected dependent adult abuse in both the community settings of Long Term Care (LTC) facilities and hospitals, as well as, private homes. APS is typically under the Department of Human Services (DHS) Services

Advance Directive
Advance Directive is a written legal document, also referred to as a medical directive, that documents an individual's preferences regarding the manner in which they would like to receive health care or refuse medical care, in the event they can no longer communicate such wishes directly. Advance directives include: a living will that explains your wishes about medical treatments at the end of life and a health-care power of attorney that lets you choose someone to make medical decisions for you

Advanced Planning
Advanced Planning includes companies that specialize in advance planning of burial services including traditional cemetery plots, casket burials and cremation alternatives. In this website, this topic also includes links to living wills and medical durable power of attorney.

Advantage List
Advantage List is a list of health service providers who agree to give a particular insurance company's policyholders a pre-set discount.

Advocacy
Advocacy Programs seek to influence legislative or regulatory actions to benefit specific interest groups. Advocacy may be pro-active in nature, such as when professionals or citizens groups work with legislators or public officials to ensure that the rights and needs of older persons are considered when developing laws and public programs.

Advocate
Advocate is a person who secures, researches, or works for the rights or benefits of another or to resolve complaints or problems on behalf of an older. Advocacy does not include services provided by an attorney or work under the supervision of an attorney.

Age Restricted Communities
Age Restricted Communities are housing areas or developments that restricts ownership or residency to individuals who are over a set age. These communities are set up to accommodate older adults.

Aging in Place
Aging in Place is a concept designed to allow an individual to remain in their home and the community regardless of cognitive or functional impairments.

Allodynia
Allodynia is pain caused by an abnormal source that does not normally cause pain (such as clothing touching the skin).

Allowable cost
Allowable cost is the highest fee the state will pay for people on Medicaid. Other insurance plans may also set allowable costs for the services they cover.

Alternative Therapies
Alternative Therapies may be an alternative to traditional western medicine and/or complementary therapies. Examples include, but are not limited to: massage therapy, reflexology, reiki, healing touch, acupuncture, etc.

Alzheimer's Disease
One of the most common of dementia disorders, it is a progressive, degenerative disease that attacks the brain and results in impaired memory, thinking, and behavior. Gradual memory loss, lessening ability to perform routine tasks, disorientation in time and space, and personality change are a few of the symptoms. Alzheimer's disease is the most common cause of dementia. Over months or years, this disease cripples the brain's nerve cells. Alzheimer's disease destroys memory and learning. Advanced stages of this disease generally require 24-hour care. The disease was first described in 1906 by German physician Dr. Alois Alzheimer (pronounced AHLZ-hi-merz).

Ambulatory Aids
Ambulatory Aids are devices that help individuals move safely and independently. These include walkers, crutches, canes, scooters and wheelchairs. See also (Mobility Equipment)

Ambulatory Care
Ambulatory Care is Health service provided in an outpatient setting and do not require an overnight hospital stay.

Ambulatory
Ambulatory refers to the ability to walk freely & independently; not confided to a bed or wheelchair.

American Association of Retired Persons (AARP)
American Association of Retired Persons (AARP) is a nonprofit, nonpartisan membership organization for those aged 50 and older. AARP provides information, benefits, advocacy and services for its members.

Americans with Disabilities Act (ADA)
Americans with Disabilities Act (ADA) was passed by Congress in 1980, this law establishes a clear and comprehensive prohibition of discrimination on the basis of disability.

Analgesic Medications
Analgesic Medications are those used to prevent or treat pain.

Annual Enrollment Period
Annual Enrollment Period is the period each year that you can enroll in or change to another drug or health plan.

Antidepressant
Antidepressant Medications are used to treat depression, and also used to treat chronic pain. Antidepressants may also be helpful for pain-related symptoms, like sleep problems and muscle spasms.

Anxiolytics or Anti-Anxiety
Anxiolytics or Anti-Anxiety Medications are used to treat anxiety, and also used to treat chronic pain. Anxiolytics reduce pain-related anxiety, help relax muscles and can help a person cope with pain.

Apartment
Apartment is a living space designed for use as a residence and located within a building where there is more than one unit. Apartments can range from Efficiency, Studio, 1-bedroom, 2-bedromm, 3-bedroom and larger. The number of bathrooms can also vary along with apartment amenities. They do not provide assistance with the activities of daily living and may or may not be subsidized.

Apparel
Apparel includes clothing, accessories, and shoes and may include resources for adaptable clothing or dressing aids.

Aquatic Classes & Therapies
Aquatic Classes & Therapy consists of an exercise program that is performed in the water using the resistance of water instead of weights.

Arbitration and Mediation
Arbitration and Mediation is the intervention between parties to help them reconcile differences, find compromises, or reach mutually satisfactory agreements.

Area Agency on Aging (AAAs)
Area Agencies on Aging are local government agencies that provide or coordinate home based services, advocacy , including information and referral, benefits counseling, home-delivered meals, transportation, employment services, senior centers, adult day care, and a long-term care ombudsman program, and other resources for older adults and people with disabilities, and their families. The Area Agency on Aging was established under the Older Americans Act (OAA) in 1973 to respond to the needs of Americans age 60 and over in every local community in the United States. The states have multiple agencies statewide that provide local and national information and referrals for programs and services needed by older adults. AAAs serve as portals to care, assessing needs, determining eligibility for assistance, purchasing home health and other services for income eligible seniors, and developing programs to respond to new needs as they arise.

Assessment
Assessment is a tool to describe an individual's physical and cognitive functions to determine if he or she can still complete activities of daily living. An assessment of mental status is a test of a person's ability to think, feel and react to others. An assessment may occur before admission to a facility and often repeated regularly afterwards; and takes the large view of a patient's conditions and needs. Assessments are performed by geriatric physicians, care managers, social workers or other similar professional.

Assisted Living (AL) (ALF)
Assisted Living Communities are State-regulated (regulations vary among states) rental properties that provide an independent living environment, but also provide care yo those needing assistance with activities of daily living including management of medications, bathing, dressing, toileting and eating, residents require less assistance than that at a skilled nursing facility. The fee schedule is regular monthly rent along with additional fees for specific services and Medicare does not generally cover care in these facilities. The community may be a large location or a small personal residence converted into an AL residence; many have private living space and a kitchenette. Some of these facilities do provide specific care for Alzheimer's Disease.

Assistive Products
Assistive products are devices, items and/or technology that aid persons with activities of daily living so they can be more independent. An assistive device may include eyeglasses, a cane, a wheelchair or a hearing aid, but may also be jar openers, show horns, walk in showers, etc...

Associations for Specific Condition
Associations for Specific Conditions are organizations that provide information and resources about medical conditions, such as: Alzheimer's, Cancer, and similar.

At Home Care & Services
At Home Care & Services are services that assist individuals to remain in their homes or assist families in caring for elders living with them. Services can include Companion Care, Emergency Response Systems, Errand & Shopping Services, House Cleaning, Medication Reminders, Personalized Visitation.

Attorneys & Elder Law
Attorneys & Elder are law firms specialize in legal issues affecting older adults and disabled; including probate and estate planning, guardianship, long-term care planning, estate planning, wills, and counsels clients about planning for the future with alternative decision-making documents. The attorney can also assist the client in planning for possible long-term care needs, including nursing home care. Not all attorneys specialize in elder law. Your local bar association or the National Academy of Elder Law Attorneys and your local chapter can refer you to elder law attorneys in your area.

Audiologist
Audiologist is a health professional who specializes in hearing measurement and hearing loss or impairment correction. Issues may include: hearing loss, tinnitus , and lack of balance. Audiologists provide hearing aids and other listening devices.