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Glossary of Important Terms

In caregiving, many terms are used casually, even though they may not be widely understood. At Cornerstone, we aim to ensure you feel comfortable and informed as we partner together. To assist with this, we have compiled a comprehensive glossary of terms you may encounter on your caregiving journey.

A

Activities of Daily Living (ADLs)

Basic activities essential for daily living, including walking, getting in and out of bed, bathing, dressing, eating, toileting, and self-administering medications. ADLs are widely used to assess functional status.

Acute Care

Short-term medical care aimed at treating or curing disease or injury, usually within a period of less than three months, often involving physician and hospital services.

Administration on Aging (AOA)

An agency of the US Department of Health and Human Services that focuses on older persons and their concerns at the federal level.

Adult Day Care

Centers providing companionship and supervision to older adults during the day, offering a break to full-time caregivers.

Advance Directive

Legal documents, such as living wills and medical powers of attorney, that allow a person to give instructions about future medical care if they become unable to make decisions due to serious illness or incapacity.

Advocacy

Speaking or writing to support or defend an interest or cause, often advocating for a loved one’s wishes, dignity, and comfort in caregiving.

Alzheimer's Disease

A progressive, irreversible form of dementia, the most common type, affecting memory and rational thinking, usually leading to total disability over time.

Ambulation

The act of moving about or walking.

Ambulatory

Able to walk about.

Ambulatory with Assistance:

Able to move about with the aid of a cane, crutch, brace, wheelchair, or walker.

Analgesic

Medication, often available without prescription, used to treat pain, including stronger prescription medications.

Area Agency on Aging (AAA)

Local government agencies that provide services for older persons through grants or contracts with public and private organizations.

Assisted Living Facility (ALF)

Housing that combines personal services and health care for individuals needing help with ADLs, provided in a professionally managed group living environment.

Assistive Technology Devices

Products that improve a person’s ability to live independently, ranging from low-tech devices like canes to high-tech items like electric wheelchairs and hearing aids.

B

Bed Pan

A pan used for urination and defecation while in bed.

Bed-bound

A person unable to walk or get out of bed without assistance.

Bereavement

The period of mourning after a loss.

Burnout

Physical and/or mental exhaustion caused by long-term stress.

C

Cardiologist

A medical doctor specializing in heart disorders.

Catheter

A tube passed through the urethra into the bladder to drain urine, also known as Foley or In-Dwelling Catheter.

Certified Nursing Assistant (CNA)

A certified caregiver who can provide assistance to those with disabilities, chronic illnesses, or who are aging.

Chair Bound

Unable to get out of a chair without assistance.

Chronic Disease

A condition lasting one year or more, requiring ongoing medical attention or limiting daily activities like bathing, dressing, or walking.

Chucks

A disposable pad, soft on one side and waterproof on the other, used under incontinent persons or draining areas.

Cohousing

A planned community with single-family homes, townhouses, or rental units clustered around shared amenities like a community kitchen, dining room, and common areas.

Commode

A portable toilet used in a patient’s room.

Comorbidity

The presence of more than one disorder in the same person.

Competence

The legal ability to understand information, make a choice based on that information, and communicate that decision understandably.

Conservator

A court-appointed person who handles someone’s affairs when that person cannot do so, usually focusing on finances.

Consumer-directed Personal Assistance Program

A Medicaid program allowing chronically ill and disabled people to choose, train, and supervise their own caregivers.

Continent

Able to control the passage of urine and feces. The opposite is incontinent.

Continuing Care Retirement Community (CCRC)

Housing offering various living options and services to meet a person’s changing needs.

Copayment

A fixed amount paid for a health care service covered by insurance after the deductible.

Custodial Care

Non-medical care that helps individuals with daily activities like bathing and dressing.

D

Decubitus Ulcer

A sore caused by lack of blood circulation to an area of the body, also known as bedsores or pressure sores.

Dehydration

Lack of adequate fluid in the body.

Delirium

Short-term confusion and disrupted attention, often accompanied by disordered speech and hallucinations.

Dementia

A decline in mental ability severe enough to interfere with daily life, with Alzheimer’s being the most common cause.

Dermatologist

A medical doctor specializing in skin disorders.

Diabetes

A condition caused by the pancreas’s failure to secrete insulin.

Dietician

A professional trained in planning menus and special diets.

Discharge Planner

A professional assisting patients and families in developing post-hospital or nursing home care plans.

Disorientation

Loss of one’s bearings or familiarity with surroundings.

Diuretics

Drugs helping the body eliminate excess fluid.

Do Not Resuscitate (DNR)

A written order instructing not to perform cardiopulmonary resuscitation (CPR) in case of cardiac or respiratory arrest.

Drainage Bag

A plastic bag collecting urine from a catheter.

Draw Sheet

A sheet placed under a patient to facilitate movement.

Durable Power of Attorney

A Power of Attorney unaffected by the individual’s subsequent disability.

E

Edema

Fluid collection in tissues causing swelling.

Eldercare

Services or products impacting the lives of the older adult population.

Eldercare Specialist

A professional assisting older adults and families by assessing needs and identifying appropriate services.

Emphysema

A condition where the lungs become distended or ruptured.

Endocrinologist

A medical doctor specializing in hormonal and metabolic disorders.

End-of-Life Doula

An individual providing nonmedical comfort and support to a dying person and their family.

Evidence-Based Programs (EBPs)

Carefully planned programs tested for benefits to specific populations.

Extended Care

Short-term or temporary care in a rehabilitation hospital or nursing home, aiming to return a patient home.

F

Family and Medical Leave Act (FMLA)

A federal law providing eligible employees with up to 12 weeks per year of unpaid, job-protected leave for family and medical situations.

Family Caregiver

Any relative, partner, friend, or neighbor providing a broad range of assistance to an adult with a chronic or disabling condition.

Febrile

Involving a fever.

Fiscal Intermediaries

Private insurance organizations contracted by the federal government to handle Medicare claims.

Formal Care

Paid care services provided by a service provider.

Formulary

The list of medications covered by a particular health insurance plan.

Functional Impairment

Inability to perform daily activities like dressing, eating, or bathing without help.

G

Gastroenterologist

A medical doctor specializing in digestive disorders.

Geri-Chair

A wheelchair that cannot be self-propelled.

Geriatric Assessment

Evaluations determining a patient’s strengths and problems.

Geriatric Care Manager

A specialist creating a care plan to arrange services for an individual.

Geriatrician

A medical doctor focusing on older adults.

Gerontologist

Professionals specializing in the physical, social, and psychological aspects of aging.

Grab Bar

Railings placed around tubs, showers, and toilets for stability.

Group Home

Another name for Certified Residential Facility.

Guardianship

A court-sanctioned legal relationship giving someone authority over another person unable to make safe decisions.

H

Hand Rails

Railings on walls to improve safety.

Health Maintenance Organization (HMO)

An organization providing a comprehensive range of health maintenance and treatment services for a prepaid fee.

Health Care Proxy

A type of durable power of attorney appointing someone to make health care decisions if the person becomes unable to do so.

Hematologist

A medical doctor specializing in blood disorders.

Home Health Agency (HHA)

A certified agency providing skilled nurses, homemakers, home health aides, and therapeutic services in a person’s home.

Home Health Aide (Also HHA)

A trained and certified health care worker assisting with personal care and hygiene in the home.

Home Health Care

Health services provided at home for the elderly, disabled, sick, or convalescent, including nursing care, social services, and various therapies.

Homemaker Services

Light housekeeping, meal preparation, laundry, shopping, and other tasks for those needing assistance at home.

Hospice Care

Care for patients in the final stages of terminal illness, focusing on physical, psychological, spiritual, and existential needs.

Hypertension

High blood pressure or elevated pressure in the arteries.

I

IADLs

Instrumental Activities of Daily Living, enhancing quality of life, including shopping, household chores, and meal preparation.

Incontinence

Inability to control bowel or bladder functions.

Independent Living

Age-restricted housing with few services, typically related to convenience.

Informed Consent

Making medical care decisions based on open communication among the health care provider, patient, and family.

In-home Caregiver

A professional providing personal care services in a client’s home.

In-home Personal Care

Assistance with everyday tasks and ADLs, like meal preparation, housekeeping, toileting, bathing, dressing, and transportation to appointments.

Inpatient Care

Medical care and services requiring overnight or extended stays.

L

Laxatives

Medication given for constipation.

Licensed Practical Nurse (LPN)

A nurse with vocational training and a state license to handle basic duties in hospitals, nursing homes, and long-term care facilities.

Living Will

A document describing a person’s wishes regarding heroic life support measures.

Long-term Care (LTC) Insurance

Coverage helping policyholders pay for long-term care at home, nursing homes, or assisted living facilities.

Long-term Care Ombudsman

An advocate for residents of nursing homes, residential care homes, and assisted living facilities.

M

Meals on Wheels

A service delivering daily hot meals to the homes of elderly or disabled people.

Medicaid

Government-provided health care coverage for eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities.

Medical Doctor (M.D.)

A healthcare professional with medical school training, hospital experience, a federal licensing exam, and a state license.

Medical Power of Attorney

A document allowing an individual to appoint someone to make medical decisions if they are unable to communicate.

Medicare

A federal health insurance program for people 65 and over and some under 65 who are disabled.

Medicare Advantage (Medicare Part C)

Private health plans offering all benefits covered by original Medicare, sometimes with additional benefits.

Medigap

Private policies covering costs not paid by original Medicare.

Memory Cafe

A gathering place for individuals with dementia and their caregivers to socialize, support each other, and exchange information.

Memory Care Communities

Facilities or specialized units focusing on helping people with Alzheimer’s disease and other forms of dementia.

N

Nasal Gastric Tube (NG Tube)

A tube passed through the nose to the stomach for liquid feeding.

National Family Caregiver Support Program (NFCSP)

A federal program providing grants for respite care, training, counseling, and other supports.

Nephrologist

A medical doctor specializing in kidney disorders.

Neurologist

A medical doctor specializing in nervous system disorders.

Nurse Practitioner (NP)

A primary-care provider with advanced practice nursing training, able to order tests, write referrals, and prescribe medicines.

Nursing Home

A residential facility providing long-term personal or medical care for chronically ill, disabled, and older people unable to care for themselves.

O

Ombudsman

A representative protecting a person’s rights through advocacy, providing information, and encouraging respect for citizens’ rights.

Oncologist

A medical doctor specializing in cancer treatment.

Ophthalmologist

A medical doctor specializing in eye disorders and surgery.

Orthopedic Surgeon (Orthopedist)

A medical doctor specializing in bone and connective tissue disorders.

Osteopath (DO)

A doctor with additional training in manual medicine and the musculoskeletal system.

Osteoporosis

A disorder causing a gradual decrease in bone strength.

Otolaryngologist (ENT)

A medical doctor specializing in ear, nose, and throat problems.

Out of Hospital Do Not Resuscitate (OOH-DNR)

A written document that instructs emergency medical services (EMS) providers to withhold or withdraw CPR from a patient if they experience cardiac or respiratory arrest outside of a medical facility.

Outpatient Care

Health care procedures and treatment not requiring overnight hospitalization.

P

Palliative Care

Specialized medical care focusing on relief from symptoms and stress of serious illness.

Patient Advocate

A professional resolving concerns about someone’s health care experience.

Patient Co-Payment

The amount a patient must pay for health care services after insurance.

Personal Care

Assistance with eating, dressing, walking, and other personal needs.

Personal Care Services (PCS)

Help with personal hygiene and self-care provided by in-home personal care aides (PCAs).

Personal Emergency Response System (PERS)

An alarm system summoning help during a medical or personal emergency.

Physical Therapist (PT)

A professional helping retain or restore muscle function through movement, exercises, or treatments.

Physician Assistant (PA)

A health care professional working in collaboration with a medical doctor.

Podiatrist (DPM)

A doctor specializing in foot and ankle problems.

Power of Attorney (POA)

A legal document giving someone authority to act on another’s behalf, usually on financial matters.

Primary Care Physician (PCP)

The doctor seen first for checkups and health problems.

PRN

An abbreviation indicating medication or treatment is given only as needed.

Psychiatrist

A medical doctor specializing in emotional and mental disorders.

Psychologist

A specialist helping patients and families with emotional and personal matters and decision-making.

R

Radiologist

A medical doctor specializing in X-rays and related procedures.

Registered Nurse (RN)

A nurse with at least two years of education and a degree from an accredited school of nursing.

Rehabilitation Hospital

A facility providing therapy and training for restoring physical function or cognitive skills after injury or illness.

Remote Patient Monitoring (RPM)

Telehealth services allowing patients to use mobile devices to gather health data.

Respite Care

Short-term care of a sick, disabled, or older person for a few hours, days, or weeks.

Restraint

A device preventing a person from falling out of a chair or bed.

Rheumatologist

A medical doctor specializing in joint and musculoskeletal system pain and symptoms.

S

Sedatives

Drugs providing calm and quiet to those in a state of nervous excitement.

Self-Care

The ability to bathe, dress, toilet, and feed oneself.

Senility

A layman’s term for the mental deterioration that may occur with aging.

Senior Center

A physical location providing opportunities for older adults to get active, enjoy social activities, and improve their overall quality of life.

Skilled Care

Nursing or rehabilitation services ordered by a doctor and provided by licensed health professionals like nurses and physical therapists.

Skilled Nursing Facility (SNF)

A facility certified by Medicare and/or Medicaid to provide skilled care.

Social Security

A national insurance program providing income to workers when they retire or are disabled, and to dependents when a worker dies.

Social Security Disability Insurance (SSDI)

Monthly benefits for people below retirement age with a significant illness or impairment preventing work for at least a year or expected to result in death.

Social Worker

A professional identifying social and emotional needs and providing necessary services.

Spend Down

Establishing Medicaid eligibility by reducing income through medical expenses until meeting Medicaid financial requirements.

Sundown Syndrome or Sundowning

Confusion occurring later in the afternoon and into the night, often in patients with dementia or Alzheimer’s disease, including behaviors like confusion, anxiety, agitation, and sleeplessness.

Supplemental Security Income (SSI)

A federal program paying monthly benefits to people with limited income and resources who are disabled, blind, or aged 65 or older.

Surrogate

An individual appointed to act in place of another.

T

Tau

A protein stabilizing other proteins supporting neuron structure and cellular transportation.

Terminal

A condition that is incurable or fatal.

Third-Party Payment

Payment for care made by someone other than the patient or their family, like Medicare or private insurance.

TIA

A transient ischemic attack, a brief stroke-like event requiring immediate medical attention and warning of a future stroke.

TPR

Abbreviation for the measurement of Temperature, Pulse, and Respiration.

Transfer (in terms of ADLs)

An activity of daily living referring to getting in and out of a chair, bed, or sitting up in bed.

Transitional Care

Home care for those transitioning home after a hospital stay, injury, procedure, or rehabilitation facility, including transportation, medication reminders, exercise or diet support, and other in-home care services.

U

Urinary Tract Infection (UTI)

An infection in the urinary tract, common in patients with catheters.

Urologist

A medical doctor specializing in the urinary tract and male reproductive system.

V

VA

Veterans Administration.

Vertigo

A sensation of dizziness or light-headedness.

Vital Signs

Measurements like Temperature, Pulse, Respiration, and Blood Pressure, showing how well a person’s body is functioning.

W

Walker

A lightweight frame used to provide stability while walking, offering more stability than a cane.

Wheelchair

A chair fitted with wheels for use as a means of transport by a person who is unable to walk as a result of illness, injury, aging, or disability.

Help is on the way

Here are just a few of the ways our caregivers can help. During our free in‑home assessment we will customize a care plan for your loved one.

Meals Prep
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Respite Care
Cooking
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Up to 24-Hour Care
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Medical Transit
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Bathing
Nutrition Support
Dressing
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Incontinence Service
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Medication Reminders
Grooming
Light Housekeeping
Exercise
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Live Managers 24/7
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Hygiene Assistance
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Hydration Reminders
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Companionship
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Therapy Reminders
Grocery Shopping
Hair Care
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Hobby Help
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Organizing
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Bedside Care
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Transportation
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UTI Prevention
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Maintain Independence
Cognitive Stimulation
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Personal Care
Laundry
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Dementia Care
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Mobility Assistance
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Fall Prevention
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Errands
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Morning Routine Aid
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Sundowning Redirection
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Toileting