Chapter 11

Question 1

a community facility that frail older people living at home can attend several hours each day; those based on a social model focus on structured social and psychotherapeutic activities

Answer 1

adult day care (ADC)

Question 2

a private home facility, licensed by the state, in which the owner of the home provides housekeeping, per- sonal care, and some delegated nursing functions for the residents

Answer 2

adult foster care (AFC)/adult family home (AFH)

Question 3

continuing to live in a private home or apartment, even when declining competence reduces P–E congruence and more assistance with ADL is needed

Answer 3

aging in place

Question 4

a housing model aimed at el- ders who need assistance with personal care, e.g., bathing and taking medication, but who are not so physically or cognitively impaired as to need 24-hour attention

Answer 4

assisted living (AL)

Question 5

a multilevel facility offering a range from independent to congregate living arrangements, including nursing home units; generally requires an initial entry fee to assure a place if skilled nursing care is needed in the future

Answer 5

continuing care retirement community (CCRC)

Question 6

a paradigm for nursing home care that encourages active participation by residents and greater staff decision making

Answer 6

Eden Alternative

Question 7

cities, suburbs, and towns that offer transportation, social and health services, and safe and adaptable housing to help older residents age in place

Answer 7

elder-friendly (livable) communities

Question 8

a variety of nursing, rehabilitation, and other therapy services, as well as assistance with personal care and household maintenance, that are provided to people who are homebound and have difficulty performing multiple ADLs

Answer 8

home health care

Question 9

exceptions to state Medicaid rules that allow use of Medicaid funds for services that are traditionally not covered by Medicaid, such as chore services and home care

Answer 9

Medicaid waivers

Question 10

facilities with three or more beds staffed 24 hours per day by health professionals who provide nursing and personal-care services to residents who cannot remain in their own homes due to chronic disease, functional disabilities, or significant cognitive impairments

Answer 10

nursing homes

Question 11

designing a product, building, or landscape to make it accessible to and usable by the broadest range of users

Answer 11

universal design

Question 12

Types of housing where the houses are either subsidized for low income elders, or age segregated houses for middle and upper income elders.

Answer 12

Planned housing (p. 460)

Question 13

housing where the elder either owns or rents their own space.

Answer 13

Independent housing (p. 457)