GLOSSARY OF TERMS
No matter what
the circumstances, the following Glossary
of Terms may be helpful in understanding
a few of the basic differences in the various
housing and care options, especially the newer
ones. Please feel free to call New Horizons' executive
director, Robert (Bob) O'Connor in Marlborough
(508-460-5000), or Jed Geyerhahn in Woburn at
(781-932-8000) for help with any questions.
Health Program - Program
providing supervision, recreation and health care
services during the day to older people to better
allow family caregivers to work or attend to other
responsibilities on a daily basis only. Several
couples among those living at New Horizons in
Marlborough have successfully combined the Alzheimer's
health care on-campus for the daytime use of one
Care - Usually indicates
an assisted living residence or nursing facility
with either separate units and/or a program geared
to residents with Alzheimer's disease or other
cognitive impairments. Such programs usually feature
very specially designed and secure environments,
structured activity programs and greater staff-to-resident
ratios. Such facilities are often associated as
part of the continuum of care arrangements at
an independent/assisted living facility or a CCRC.
Living for Seniors - The
most independent aspect of community residences
in which individuals are capable of maintaining
daily routines relative to homemaking and personal
care. Apartment living frees the senior from any
property maintenance obligations and provides
a neighborhood of peers for active socialization.
- A housing option for older adults
who need some assistance with activities of daily
living such as dressing, eating, bathing, ambulating
or toileting, but do not require 24-hour nursing
care. They are still able to live independently
with some assistance.
Care Retirement Community (CCRC) -
A residential community for older
adults that combines some form of independent
retirement living, plus assisted living and some
degree of nursing care, usually on one campus.
Communities like New Horizons offer various levels
of living accomodations on the same campus, greatly
facilitating easy transfers from one part of the
facility to another as residents' needs change.
Services - Services
provided to individuals in their own living environment,
such as homemaker services (cooking, cleaning,
washing), home health care (activities of daily
living - bathing, dressing, ambulating, toileting,
eating), physical, occupational, and speech therapy,
and medically necessary procedures done at home.
Full-Service Retirement Living - A
living arrangement in residential apartments where
elders share common space, but are able to maintain
their independence with little or no assistance.
Better facilities typically provide three meals
daily for all residents, plus utilities, some
transportation, housekeeping, etc., as well as
standby assistance, if needed, and a wide variety
of social activities.
A state and federal health insurance
program providing health care coverage for individuals
with limited incomes or who have been impoverished
by medical expenses.
- A federal health insurance program
providing health care coverage for the elderly
- Typically an independent living
community that is federally-funded (HUD funded)
or state funded, with asset limits and run by
the housing authority in a city or town.
Care Facility - A facility
licensed by the Massachusetts State Department
of Public Health to provide supervision for individuals
who do not routinely require nursing or medical
care. Also known as a rest home.
- Short-term placement for individuals
in facilities that enable relatives caring for
them at home to take some time off from their
caregiving responsibilities. This can often work
very well in an independent and/or assisted community
on a trial period, which may become longer term.
New Horizons in Marlborough offers respite care
Care - Refers to the
type of daily nursing and rehabilitative care
that can be performed only by, or under the supervision
of, skilled licensed medical personnel.
Facility (SNF)- Facility
providing 24-hour nursing care, rehabilitative
services, and assistance with activities of daily
living to the aged or chronically ill as well
as those who have been hospitalized for an illness
or operation and require a short period of rehabilitation
before returning home. Although New Horizons in
Marlboro maintains at least one Registered Nurse
on-duty 24 hours a day, seven days a week, it
does not have an on-site nursing home component.