(a) The following definitions shall apply for the purposes of this chapter: (1) âActivities of daily living (ADL)â means activities performed by the participant for essential living purposes, including bathing, dressing, self-feeding, toileting, ambulation, and transferring. (2) âInstrumental activities of daily living (IADL)â means functions or tasks of independent living limited to hygiene and medication management. (3) âPersonal health care providerâ means the participantâs personal physician, physicianâs assistant, or nurse practitioner, operating within his or her scope of practice. (4) âCare coordinationâ means the process of obtaining information from, or providing information to, the participant, the participantâs family, the participantâs personal health care provider, or social services agencies to facilitate the delivery of services designed to meet the needs of the participant, as identified by one or more members of the multidisciplinary team. (5) âFacilitated participationâ means an interaction to support a participantâs involvement in a group or individual activity, whether or not the participant takes active part in the activity itself. (6) âGroup workâ means a social work service in which a variety of therapeutic methods are applied within a small group setting to promote participantsâ self-expression and positive adaptation to their environment. (7) âProfessional nursingâ means services provided by a registered nurse or licensed vocational nurse functioning within his or her scope of practice. (8) âPsychosocialâ means a participantâs psychological status in relation to the participantâs social and physical environment. (9) âAssistanceâ means verbal or physical prompting or aid, including cueing, supervision, stand-by assistance, or hands-on support to complete the task correctly. (10) âSubstantial human assistanceâ means direct, hands-on assistance provided by a qualified caregiver, which entails physically helping the participant perform the essential elements of the ADLs and IADLs. It entails more than cueing, supervision, or stand-by assistance to perform the ADLs and IADLs. It also includes the performance of the entire ADL or IADL for participants totally dependent on human assistance. (11) âCognitive impairmentâ means the loss or deterioration of intellectual capacity characterized by impairments in short- or long-term memory, language, concentration and attention, orientation to people, place, or time, visual-spatial abilities or executive functions, or both, including, but not limited to, judgment, reasoning, or the ability to inhibit behaviors that interfere with social, occupational, or everyday functioning due to conditions, including, but not limited to, mild cognitive impairment, Alzheimerâs disease or other form of dementia, or brain injury. (b) Upon the date of execution of the declaration described under subdivision (g) of Section 14525.1, this section shall become operative and Section 14522.3 shall become inoperative and on that date is repealed.
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