Friday, August 22, 2008

Glossary of terms

This list is found in the back of my book.

Activities of Daily Living (ADL)--bathing, grooming, toileting, dressing, eating, and other activities necessary for daily living and survival

Agnosia--failure to recognize objects

Aphasia--a disturbance in receptive or expressive language

Apnea--temporary cessations in breathing; this is a sign of approaching death in palliative care patients

Apraxia--loss of understanding of the uses of things

Assistive device--a mechanical aid to make ADL easier

Benign brain tumour--a slow-growing tumour that does not tend to invade nearby cells

Biopsychosocial issues--interrelated biological, psychological, and sociological issues

Carcinogen--a substance that has been proven to cause cancer in living cells

Caregiver--one who provides care

Care recipient--one who receives care

Comorbidities--the effect of all disorders or diseases on an individual in addition to the primary health issue

Dementia--an acquired, persistent impairment in two or more cognitive areas of executive functions; profound mental incapacity

Delirium--• Disturbance of consciousness

• Disorientation, wandering attention, confusion, hallucinations

Dysphagia--choking and swallowing issues

Executive functions--planning, organizing, sequencing, and abstract thought

Frail--premorbid: at risk for biopsychosocial issues; inability to manage physical, social, and emotional needs (ADL)

Geriatric--of or relating to old age or old people

Independent Activities of Daily Living (IADL)--caring for pets and dependents; communicating with others effectively; managing finances and health; doing housework, meal preparation, and cleanup; looking after transportation and safety procedures

Infarct--a small, localized area of dead tissue caused by an inadequate blood supply; can result from blood clots or diabetes

Incontinence--inability to control evacuation of urine or feces

Long-term care (LTC) facility/home--a health care facility for those with physical disabilities that offers 24/7 nursing staff; formerly called a nursing home

Malignant brain tumour--a tumour that grows quickly and invades surrounding cells; these kinds of tumours are the least likely to be totally removed surgically, since they invade and damage important structures

Metastasize--when cancer cells break off from the original site and spread to other parts of the body to cause malignancy there

Morbidity--the quality of disease; the extent of illness, injury, or disability in a defined population

Nurse practitioner--a nurse who meets primary health care needs, conducts physical examinations, selects treatment plans, and identifies medication requirements

Nursing home--now called a long-term care home; differs from a retirement home

Orphan patient--a person without a family physician

Palliative care--giving care at the last stages of life

Polypharmacy--taking too many pharmaceuticals/prescription drugs

Premorbidities--factors that may lead to death

Primary care--basic or general health care from the medical system

Registered nurse (RN)--a nurse who is licensed to practise and is a registered member of a nurses’ association

Registered practical nurse (RPN)--a person who is registered by a professional association of nurses as having been trained to perform basic nursing tasks under the direction of a physician or an RN.

Respite care--temporary institutional or home care of a dependent ill or handicapped person to give respite to the usual caregiver

Retirement home--a private residence for seniors (profit or non-profit); governed by the Landlord Tenant Act

Sleep apnea--intermittent failure to breathe during sleep

Subcortical issues--issues such as plaque and damaged brain cells; physical evidence manifests as dementia

Supportive living--also called assisted living, in which supports are on call 24/7

Acronyms related to aging

Acronyms--Senior Care

ADL Activities of Daily Living

ADP Assistive Devices Program

ALC Alternate Level of Care (hospital designation)

CAT Scan
CT Scan Computerized Axial Tomography (takes x-rays of the brain)

CCAC Community Care Access Center

CCC Complex Continuing Care

CHC Community Health Centres

ED Emergency Department

ER Emergency Room

FHT Family Health Team (now mandated across the province in Ontario)

FIPPA Freedom of Information and Protection of Privacy Act

HHR Human Health Resources

HSP Health Service Plan

IHSP Integrated Health Service Plan

IADL Instrumental Activities of Daily Living

ICE Isolated Community Experience (to serve seniors in rural areas)

IGS Integrated Geriatric Systems

LHIN Local Health Integration Network

LTC Long-Term Care

MIS Management Information System

MLAA Ministry LHIN Articulation Agreement (data collection)

MOHLTC Ministry of Health & Long-Term Care (Ontario)

MRI Magnetic Resonance Imaging (MRI Scan uses a magnet and radio waves to take pictures of the brain. It provides more detail than a CAT scan.)

NSM North Simcoe Muskoka

OCSA Ontario Community Support Association

PACE Program of All-inclusive Care for the Elderly

PASD Personal Services Assistance Device

PEC Public Education Coordinator

PHIPA Personal Health Information Protection Act

PRC Psychogeriatric Resource Consultant

PSW Personal Support Worker

RAI Resident Assessment Instrument (used in home care and palliative care)

RGP Regional Geriatric Program

RISC Regional Integrated Senior Centre

SGS Specialized Geriatric Services

TPO Transfer Payment Organization (governments have been outsourcing health care to various agencies, transferring money to them. They are governed by boards of directors.)