| Keywords |
Definition |
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accessible housing |
To persons with mobility constraints, such as
people who use a wheelchair, walker or cane, or who have motor
capability limitations, such as arthritic hands and wrists - so that
levered door and tap handles are "accessibility" improvements.
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assisted living |
This housing form developed initially in the
United States, out of the merger of the principles of customer service
from the hospitality sector, with the residential care traditions of the
nursing home sector. The driving force has always been to create a
home-like, non- institutional environment, with supportive services
provided \"a la carte\". The units are fully self-contained, so the
resident may \"age in place\" and as their needs change, they can
partake in flexible meal and other service programs.Where assisted
living is operated by a licensed care provider, personal and
intermediate care can be included. The units are secure and lockable, so
that staff may not enter at their discretion, but only when called upon.
Residents either pay extra for formal care, or enter into a \"risk
management agreement\" in which they acknowledge that they choose not to
receive licensed care services, in favour or maintaining greater
independence and privacy. Assisted living is almost always provided
under rental tenure, in multi-family buildings |
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congregate care |
This term is somewhat misleading in that there is
no licensed residential care provided. The bundle of supportive services
is considered to include personal care, though skilled nursing care is
not allowed, since the setting is unlicensed. This category always
occurs in multi-family housing forms where the residents are congregated
together, to facilitate the delivery of a wider range of services to
them in the common areas of the building. The tenure is usually rental.
Some facilities provide the option of a flexible meal program, with
private kitchens in the units optional. |
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congregate housing |
The proper term for unlicensed home support
services bundled with housing. Usually used in municipal zoning
designations |
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convalescent care |
Care that supports recovery from a stabilized
prior condition from which the recipient can recover |
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dementia care |
In years past, dementia was called \"senility\".
Now, medical research has contributed a finer understanding of the
progressive loss of memory functions and the onset of dementia, which is
most commonly identified as Alzheimer\'s Disease. Dementia often occurs
to people who are otherwise able bodied and mobile, so it need not be
treated in licensed care settings where chronic physical conditions are
cared for. It can be managed by specially trained residential aides who
are skilled in managing difficult behaviours and in directing the
energies of people suffering from dementia. However, government-funded
dementia services are generally only available under licensed
intermediate care to residents who have both chronic physical ailments
as well as dementia. Due to this, funded dementia care is treated as a
sub-category of Intermediate Care, sometimes called Special Care.
Special Care units feature segregated, secured space that permits
wandering, but protects the residents from putting themselves in danger.
Dementia may be cared for in detached or multi-family settings, under
both rental and ownership tenure. |
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extended care |
This is the highest level of residential care,
short of acute care requiring hospital admission. Residents in this
category of need have chronic conditions that require regular, "24/7"
supervision and/or treatment by skilled nursing staff. They almost
always require help with transfers, such as out of bed, and into and out
of chairs and vehicles. The setting and operator must be licensed and
tenure is only on a rental basis |
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ground oriented |
Having direct access to the dwelling unit, from
the ground level. This could include a building with an elevator up the
outside of the building to an open-air dwelling entry, but usually means
dwellings that are located on the ground level and can be entered
directly, as distinguished from entry through a semi-public lobby and
hallways. |
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group home |
Several persons not related in the same family
live together, either with or without live-in assistance or shift worker
support personnel |
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home healthcare |
Personal care and skilled nursing care delivered
to the client in their own home, as distinguished to delivery in a
residential care facility or medical establishment |
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home support services |
Such as lawn cutting, house cleaning, meal
preparation and clean-up or transport to shopping errands - which
supports the client on maintaining their independence, in fully
self-contained housing (where they have their own kitchen and bathroom(s)
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independent living |
This term encompasses all cases where the resident
receives no services at their home, except what they may contract for
independently, such as gardening or house-cleaning. Under special needs
circumstances, home healthcare services might be arranged for delivery
in an otherwise \"independent living\" situation. Independent living
occurs under both rental and ownership tenures, and in detached single
family as well as in multi-family housing forms. |
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intermediate care |
This term covers the various levels of residential
care that are between personal care (care to the person which does not
require trained nursing skills) and acute care (hospital care).
Intermediate care is governed by regulations as to the built space in
which it\'s provided, as well as to the program and staffing. Generally
it occurs in an institutional setting, though recently there is a
movement toward smaller resident groupings and \"home-like\" settings.
Various care levels are defined, to differentiate between various
degrees of dependency on supervision and care services. What they all
have in common is that the resident has chronic (persistent, as opposed
to temporary) conditions that require regular monitoring and/or
treatment by skilled nursing staff. Tenure is always on a rental basis.
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licensed care |
One need not be licensed to provide personal and
first aid care to their family members, but usually regulations will
require licensing of some sort, for provision of care to non-family
members, whatever the nature of the care or of the place of delivery. In
housing, this refers generally to the category of housing options that
make licensed care available to the resident |
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multi-level care |
This term represents the facilities in which a
variety of levels of skilled residential nursing care may be delivered,
as distinguished from some older facilities that were only built and
licensed for certain levels of care, but not for all levels. In MLC
facilities, the complete range of care from Personal Care through
Intermediate Care levels I, II and III (including Special Care for
dementia) and Extended Care can be provided. Governments fund these
facilities based on the particular mix of care levels present over a
given budgetary period. |
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palliative care |
Care to relieve symptoms and suffering of a person
with a terminal illness |
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personal care |
Care of an individual that does not require
skilled nursing qualifications or other medical training - such as help
dressing and bathing, and limited degrees of help with incontinence and
medication reminder and administration. |
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post operative care |
Care of a patient after they have had an
operation, usually provided at their home, when they've been sent home
from the hospital |
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residential care |
Personal or medical care delivered in a
residential setting (where the client sleeps the night). |
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respite |
Relief to a care-giver, by relieving them of
taking care of the person they are usually responsible for |
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supportive housing |
This is where supportive services are regularly
delivered to the resident at their home, ranging from house-cleaning and
grounds-keeping to personal services like companionship, help with
shopping, transportation and errands and even financial management.
Supportive housing services are commonly contributed by one\'s own
family and friends, or by volunteers and non-profit societies that
sponsor housing projects. In the latter case, meals are delivered
pre-prepared, or are prepared and served in a communal dining room. The
tenure is usually on a rental basis, in a multi-family form, with a
compulsory service package included in the rent. Sometimes the units are
fully \"self-contained\" (each having its own kitchen) so that the meal
program might be optional |
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transitional care |
care provided in a licensed facility, over the
interim between surgery and a return to fully independent living
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universal housing |
Housing specially designed and equipped to be
universally suitable - meaning that people with varying levels of
mobility and motor capabilities can appropriately live there
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