30 Day Free Look - The right to return a long term care insurance policy to
the issuing company within the first thirty days of receipt for a full refund of
any premiums paid, no questions asked.
Abuse - The willful infliction of injury, unreasonable confinement,
intimidation, or punishment with physical harm, pain, or mental anguish. (Source
: HCFA)
Accelerated Benefit - Some life insurance companies offer access to the life
insurance death benefit and cash value under certain specified conditions prior
to death, such as terminal illness, permanent confinement in a nursing home, or
for long-term care. (NAIC - "A Shopper's Guide to Long Term Care
Insurance")
Activities of Daily Living - Feeding one's self , bathing, toileting,
continence, transference (mobility).
Adjuvant therapy - the use of drugs or
radiation therapy in the treatment of cancer along with surgery.
(Source : AMA)
Administration on Aging - Federal agency for senior citizens, created by the
Older Americans Act . Has nationwide organization of state and area agencies to
provide support and resources to aid seniors in need.
Administrator - Person in charge of a health care facility.
Adrenal failure - a condition in which
the adrenal glands do not produce enough of the hormones that
control important functions such as blood pressure. (Source :
AMA)
Adrenal glands - two small glands located
on top of the kidneys that secrete several important hormones
into the blood. (Source : AMA)
Advance
directives: “Advance
directives” is a term used for the various means by which
people communicate their wishes about end-of-life care to their
health care providers. Advance directives include living wills,
health care proxies and "Do Not Resuscitate" orders.
Adverse reaction - an unintended and
unwanted side effect of some sort of treatment, usually drug
therapy. (Source : AMA)
Adult Day Care - Sometimes referred to as Senior Day Care, care services
ranging from basic to comprehensive for functionally and/or cognitively impaired
adults. Available at a center usually open during normal business hours. Allows
caregivers to have some time to themselves and the impaired adult to reside at
home. There are two types of Adult Day Care - Adult Day Health, necessary care
by health care professionals, and Adult Day Social, social interaction,
activities, meals, and outings
Advance Directives - Written documents, completed and signed when a person is
legally competent, that explain a person's medical wishes in advance allowing
someone else to make treatment decisions on his or her behalf. (Alzheimer's
Association)
Affective disorder - a mental disorder
involving abnormal moods and emotions; affective disorders
include manic-depressive disorder. (Source : AMA)
Air embolism - the blockage of an artery
by air bubbles, which may have entered during surgery or after
an injury. (Source : AMA)
Airway obstruction - blockage of the
passage of air through the windpipe to the lungs. (Source : AMA)
Airways - the passageways that air moves
through while traveling in and out of the lungs during
breathing. (Source : AMA)
Alcoholic cardiomyopathy - heart damage
and failure caused by intake of too much alcohol. (Source : AMA)
Alkalosis - dangerously decreased acidity
of the blood, which can be caused by high altitudes,
hyperventilation, and excessive vomiting. (Source : AMA)
Alzheimer's Disease - A progressive, degenerative disease that attacks the
brain and results in impaired memory, thinking and behavior. One in 10 persons
over 65 and nearly half of those over 85 have Alzheimer's disease. U.S. society
spends at least $100 billion a year on this disease. Neither Medicare nor
private health insurance covers the type of long- term care most patients need.
More than 7 out of 10 people with Alzheimer's live at home. Almost 75% of the
home care is provided by family and friends. The remainder is "paid"
care costing an average of $12,500 per year, most of which is covered by
families. (Alzheimer's Association)
Amyotrophic lateral sclerosis - the most
common of a group of disorders known as motor neuron diseases,
in which the nerves in the brain that control the movement of
muscles degenerate and muscle function is gradually lost,
commonly called Lou Gehrig's disease. (Source : AMA)
Anaphylactic shock - a life-threatening
allergic reaction resulting in difficulty breathing and low
blood pressure. (Source : AMA)
Anemia - a condition in which the blood
does not contain enough hemoglobin, the compound that carries
oxygen from the lungs to other parts of the body. (Source : AMA)
Anesthesia - a loss of sensation in a
certain part of the body or throughout the body. (Source : AMA)
Aneurysm - an abnormal swelling of the
wall of an artery, caused by a weakening in the vessel wall.
(Source : AMA)
Angina pectoris - pain experienced in the
chest, arms, or jaw because of a lack of oxygen to the heart
muscle. (Source : AMA)
Angioma - a tumor made of blood vessels
or lymph vessels that is not cancerous. (Source : AMA)
Angioplasty - the use of surgery to make
a damaged blood vessel function properly again; may involve
widening or reconstructing the blood vessel. (Source : AMA)
Antibiotic resistance - the development
by bacteria of the ability to live in the presence of a certain
antibiotic, making treatment difficult. (Source : AMA)
Antibody - a protein made by white
blood cells that reacts with a specific foreign protein as part
of the immune response. (Source : AMA)
Anticoagulants - drugs used to stop
abnormal blood clotting, such as to prevent stroke. (Source :
AMA)
Antihypertensives - drugs used to relieve
the symptoms and prevent the damage that can occur from high
blood pressure. (Source : AMA)
Antioxidants - substances that protect
against cell damage by guarding the cell from oxygen free
radicals. (Source : AMA)
Aortic stenosis - narrowing of the
opening of the aortic valve in the heart, which increases
resistance to blood flow from the left ventricle to the aorta;
commonly a birth defect or caused by scarring and calcium
accumulation in the valve from rheumatic fever. (Source : AMA)
Apnea - a possibly life-threatening
condition in which breathing stops, for either a short or long
period of time. (Source : AMA)
Area Agency on Aging - Local representative of Administration on Aging
provides resources and assistance to older Americans in legal matters,
nutrition, counseling, day health care, in home services, and employment.
Arteriosclerosis - a disorder causing
thickening and hardening of artery walls. (Source : AMA)
Arthritis - General term that includes several chronic conditions involving
inflammation of the joints. While no cure exists today, treatments are available
to control symptoms.
Arthroscopy - a procedure used to examine
the inside of a joint using a viewing tube (an endoscope).
(Source : AMA)
Artificial respiration/ventilation - the
forcing of air (either by mouth-to-mouth or mouth-to nose means)
into the lungs of a person who has stopped breathing. (Source :
AMA)
Assisted Living Facility - Residence usually in an apartment setting which
provides personal support and health care for those who need help with
activities of daily living.
Assistive Devices - Special equipment for the disabled and elderly to aid in
their independent living such as raised toilet seats, walkers, hearing aids.
Assessment - The rating or evaluation of a resident's health status and needs
while they are in a nursing home. (Source : HCFA)
Atherosclerosis - narrowing of the lining
of the arteries due to the accumulation of fat and other
materials, leads to coronary heart disease, stroke, and other
disorders. (Source : AMA)
Atrial fibrillation - an irregular
heartbeat in which the upper chambers of the heart (the atria)
beat inconsistently and rapidly. (Source : AMA)
Atrial flutter - an irregular heartbeat
in which the upper chambers of the heart (the atria) beat
rapidly but consistently. (Source : AMA)
Atrophy - the shrinkage or near
disappearance of a tissue or organ. (Source : AMA)
Aura - a "warning" signal that
comes before a migraine headache or an epileptic seizure, which
might include emotions or sensations of movement or discomfort.
(Source : AMA)
Auscultation - the act of listening to
sounds within the body, such as the heartbeat, with a
stethoscope. (Source : AMA)
Autonomic nervous system - the part of
the nervous system that controls automatic body functions, such
as heart rate, sweating, pupil dilation, and digestion; divided
into the sympathetic nervous system and the parasympathetic
nervous system. (Source : AMA)
Ball-and-socket joint - a joint
consisting of a ball-shaped bone that fits into a cup-shaped
bone, making the joint free to rotate; examples include the hip
and shoulder. (Source : AMA)
Balloon angioplasty - a technique that
uses a ballon catheter to open arteries clogged with fatty
deposits. (Source : AMA)
Basal metabolic rate - the lowest rate at
which a person can possibly use energy and remain alive; at this
rate, only absolutely necessary functions such as breathing are
maintained. (Source : AMA)
Becker's muscular dystrophy - a
hereditary disease in which the muscles weaken and waste away;
similar to Duchenne muscular dystrophy but starts later in life
and adavnces more slowly. (Source : AMA)
Bell's palsy - another name for facial
palsy, the usually one-sided, temporary numbing of the facial
muscles, caused by an inflamed nerve. (Source : AMA)
Benign tumor - a tumor that is not
cancerous, which means it does not spread through the body, but
may grow and become dangerous. (Source : AMA)
Beneficiary - The recipient of the proceeds or benefits of an insurance
policy.
Benefit Period - The period of time for which you will receive benefits under
a long term care insurance policy. Periods can range from 1 year to an unlimited
amount of time. The longer benefit period you choose the higher your premium
will be.
Benefit triggers - Provisions that insurance companies use to determine when
and if benefits will be paid. These can include the inability to perform a
certain number of the activities of daily living, cognitive impairment, doctor
certification of medical necessity, and prior hospitalization. (NAIC - "A
Shopper's Guide to Long-Term Care Insurance")
Bilateral - a term describing a condition
that affects both sides of the body or two paired organs, such
as bilateral deafness (deafness in both ears). (Source : AMA)
Bile - a yellow-green liquid produced in
the liver whose function is to remove waste from the liver and
break down fats as food is digested. (Source : AMA)
Bilirubin - the orange-yellow pigment in
bile, causing jaundice if it builds up in the blood and skin;
the levels of bilirubin in the blood are use to diagnose liver
disease. (Source : AMA)
Biofeedback - a technique used to gain
control over a function that is normally automatic (such as
blood pressure or pulse rate); the function is monitored and
relaxation techniques are used to change it to a desired level.
(Source : AMA)
Blood pressure - the tension in the main
arteries that is created by the beating of the heart and the
resistance to flow and elasticity of the blood vessels. (Source
: AMA)
Board and Care Home - Group living arrangements designed to meet the needs of
people who cannot live independently, but do not require nursing home services.
Most provide help with some of the activities of daily living. In some cases,
private long-term care insurance and medical assistance programs will help pay
for this type of living arrangement. Many of these homes do not get payment from
Medicare or Medicaid and are not strictly monitored. (Source : HCFA)
Bone marrow transplant - a surgical
procedure in which defective or cancerous bone marrow is
replaced with healthy marrow, either from the patient or a
donor. (Source : AMA)
Bone spur - an abnormal growth of bone
out of another bone, often located on the heel and usually
painful. (Source : AMA)
Bronchoconstrictor - a substance that
causes the lung airways to tighten up and become more narrow.
(Source : AMA)
Bronchodilator - a drug that widens the
airways in the lungs to improve breathing; works by relieving
muscle contraction or buildup of mucus. (Source : AMA)
Bronchospasm - the temporary narrowing of
the airways in the lungs, either as a result of muscle
contraction or inflammation; may be caused by asthma, infection,
lung disease, or an allergic reaction. (Source : AMA)
Burkitt's lymphona - a cancer of lymph
tissue that most frequently occurs in the abdomen, the ovaries,
and the bones of the face; it is associated with malaria.
(Source : AMA)
Bypass - a surgical technique in which
the flow of blood or another body fluid is redirected around a
blockage. (Source : AMA)