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Autonomy - ✔✔A cluster of notions that include self-determination, freedom,
independence, and liberty of choice and action
Person-centered care - ✔✔A philosophy that integrates physical layout and design with
empowerment of the residents, families, and staff
Sick-role model - ✔✔In this model the patient is expected to relinquish control to
medical personnel and comply with their directions
Wayfinding - ✔✔Features that can help people find their way through a large
institution with relative ease
Discharge planning - ✔✔A process that includes decisions about when a patient may
need to be discharged from the facility and what may be needed to make a smooth
transition from one level of care to another or from the facility to living independently
Ethics committee - ✔✔A multidisciplinary forum that is generally called upon to make
decisions in the patient's best interest, particularly when legal avenues are not clear cut
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,Family management - ✔✔A proactive approach to minimize dissatisfaction and conflict
by addressing family members' emotions about placing someone in a nursing home
Gerontology - ✔✔An area of knowledge that deals with the understanding of the aging
process, the changes accompanying aging, and the special problems associated with
aging
Infantilization - ✔✔Treating older adults as children
Intimacy - ✔✔A person's privacy during visits with family, friends, or counselors
Closeness or proximity of the caregiver to the dependent elder that goes beyond mere
familiarity
Preadmission Screening and Resident Review (PASRR) - ✔✔Screening required under
federal law to ensure that when people have a mental illness, mental retardation, or
developmental disability, they are placed in a nursing home only if they need nursing
home care
Psychosocial - ✔✔A constellation of social and emotional needs and the care provided
to meet those needs
Resident council - ✔✔An independent, semi-formal body made up of all residents who
are able to participate. The purpose of this forum is to empower the residents so they
can have a say in the operations of the facility
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, Social work designee - ✔✔A person who does not possess a bachelor's of social work
(BSW) degree but has a related academic degree. In some states, such a person may be
employed as a social worker with adequate consultation from a qualified social worker
Activity - ✔✔Active or passive involvement of patients in any activities, outside the
activities of daily living, that provide meaning and personal enrichment
Continuous activity programming - ✔✔An approach in which a dementia patient is
always in the presence of a staff person who engages the patient in meaningful
activities
Multisensory Stimulation - ✔✔Involves stimulation of all the primary senses—touch,
hearing, sight, smell, and taste—through a combined effect of textured objects, soft
music, colored lighting, aromas, and favorite foods
Passivity - ✔✔A decline in human emotions, withdrawal from interactions with others
and surroundings, and a decrease in motor activity
Programming - ✔✔Structured methods of delivering needed services by developing
and carrying out a meaningful plan
Reality orientation - ✔✔A form of therapy for confused or disoriented individuals that
consists of reiteration of the person's identity, orientation to time and place, and
reinforcement of consistency in daily routine
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