|
(B) includes services and coordination such as—
<br />(i) comprehensive assessment of the older individual (including the physical, psychological,
<br />and social needs of the individual);
<br />(ii) development and implementation of a service plan with the older individual to mobilize
<br />the formal and informal resources and services identified in the assessment to meet the
<br />needs of the older individual, including coordination of the resources and services—
<br />(I) with any other plans that exist for various formal services, such as hospital
<br />discharge plans; and
<br />(II) with the information and assistance services provided under this Act;
<br />(iii) coordination and monitoring of formal and informal service delivery, including
<br />coordination and monitoring to ensure that services specified in the plan are being provided;
<br />(iv) periodic reassessment and revision of the status of the older individual with—
<br />(I) the older individual; or
<br />(II) if necessary, a primary caregiver or family member of the older individual;
<br />and
<br />(III) in accordance with the wishes of the older individual, advocacy on behalf of
<br />the older individual for needed services or resources.
<br />(12) The term ‘‘civic engagement’’ means an individual or collective action designed to address a public
<br />concern or an unmet human, educational, health care, environmental, or public safety need.
<br />(13) The term ‘‘disability’’ means (except when such term is used in the phrase ‘‘severe disability’’,
<br />‘‘developmental disabilities’’, ‘‘physical or mental disability’’, ‘‘physical and mental disabilities’’, or ‘‘physical
<br />disabilities’’) a disability attributable to mental or physical impairment, or a combination of mental and
<br />physical impairments, that results in substantial functional limitations in 1 or more of the following areas of
<br />major life activity:
<br />(A) self-care,
<br />(B) receptive and expressive language,
<br />(C) learning,
<br />(D) mobility,
<br />(E) self-direction,
<br />(F) capacity for independent living,
<br />(G) economic self-sufficiency,
<br />(H) cognitive functioning, and
<br />(I) emotional adjustment.
<br />(14) The term ‘‘disease prevention and health promotion services’’ means—
<br />(A) health risk assessments;
<br />(B) routine health screening, which may include hypertension, glaucoma, cholesterol, cancer, vision,
<br />hearing, diabetes, bone density, oral health, immunization status, and nutrition screening (including
<br />screening for malnutrition);
<br />(C) nutritional counseling and educational services for individuals and their primary caregivers;
<br />(D) evidence-based health promotion programs, including programs related to the prevention and
<br />mitigation of the effects of chronic disease (including osteoporosis, hypertension, obesity, diabetes,
<br />and cardiovascular disease), infectious disease, and vaccine-preventable disease, prevention of
<br />sexually transmitted diseases, as well as alcohol and substance abuse reduction, chronic pain
<br />management, smoking cessation, weight loss and control, stress management, falls prevention,
<br />physical activity, and improved nutrition;
<br />(E) programs regarding physical fitness, group exercise, and music therapy, art therapy, and dance-
<br />movement therapy, including programs for multigenerational participation that are provided by—
<br />(i) an institution of higher education;
<br />11
<br />
<br />
|