| (62) Nursing facility--An institution licensed as a
nursing home under the Health and Safety Code, Chapter 242.
(63) Nutritional counseling--Advising and assisting
individuals or families on appropriate nutritional intake by integrating
information from the nutrition assessment with information on food
and other sources of nutrients and meal preparation consistent with
cultural background and socioeconomic status, with the goal being
health promotion, disease prevention, and nutrition education. Nutritional
counseling may include the following:
(A) dialogue with the client to discuss current eating
habits, exercise habits, food budget, and problems with food preparation;
(B) discussion of dietary needs to help the client
understand why certain foods should be included or excluded from the
client's diet and to help with adjustment to the new or revised or
existing diet plan;
(C) a personalized written diet plan as ordered by
the client's physician or practitioner, to include instructions for
implementation;
(D) providing the client with motivation to help the
client understand and appreciate the importance of the diet plan in
getting and staying healthy; or
(E) working with the client or the client's family
members by recommending ideas for meal planning, food budget planning,
and appropriate food gifts.
(64) Occupational therapist--A person who is currently
licensed under the Occupational Therapy Practice Act, Occupations
Code, Chapter 454, as an occupational therapist.
(65) Operating hours--The days of the week and the
hours of day an agency place of business is open as identified in
an agency's written policy as required by §97.210 of this chapter
(relating to Agency Operating Hours).
(66) Original active client record--A record composed
first-hand for a client currently receiving services.
(67) Palliative care--Intervention services that focus
primarily on the reduction or abatement of physical, psychosocial,
and spiritual symptoms of a terminal illness.
(68) Parent agency--An agency that develops and maintains
administrative controls and provides supervision of branch offices
and alternate delivery sites.
(69) Parent company--A person, other than an individual,
who has a direct 100% ownership interest in the owner of an agency.
(70) Person--An individual, corporation, or association.
(71) Person with a disclosable interest--Any person
who owns at least a 5.0% interest in any corporation, partnership,
or other business entity that is required to be licensed under Health
and Safety Code, Chapter 142. A person with a disclosable interest
does not include a bank, savings and loan, savings bank, trust company,
building and loan association, credit union, individual loan and thrift
company, investment banking firm, or insurance company, unless these
entities participate in the management of the agency.
(72) Personal assistance services--Routine ongoing
care or services required by an individual in a residence or independent
living environment that enable the individual to engage in the activities
of daily living or to perform the physical functions required for
independent living, including respite services. The term includes:
(A) personal care;
(B) health-related services performed under circumstances
that are defined as not constituting the practice of professional
nursing by the Texas Board of Nursing through a memorandum of understanding
with DADS in accordance with Health and Safety Code, §142.016;
and
(C) health-related tasks provided by unlicensed personnel
under the delegation of a registered nurse or that a registered nurse
determines do not require delegation.
(73) Personal care--The provision of one or more of
the following services required by an individual in a residence or
independent living environment:
(A) bathing;
(B) dressing;
(C) grooming;
(D) feeding;
(E) exercising;
(F) toileting;
(G) positioning;
(H) assisting with self-administered medications;
(I) routine hair and skin care; and
(J) transfer or ambulation.
(74) Physical therapist--A person who is currently
licensed under Occupations Code, Chapter 453, as a physical therapist.
(75) Physician--A person who holds a doctor of medicine
or doctor of osteopathy degree and is currently licensed and practicing
medicine under the laws of the state of Texas, Oklahoma, New Mexico,
Arkansas, or Louisiana.
(76) Physician assistant--A person who is licensed
under the Physician Assistant Licensing Act, Occupations Code, Chapter
204, as a physician assistant.
(77) Physician-delegated task--A task performed in
accordance with the Occupations Code, Chapter 157, including orders
signed by a physician that specify the delegated task, the individual
to whom the task is delegated, and the client's name.
(78) Place of business--An office of a home and community
support services agency that maintains client records or directs home
health, hospice, or personal assistance services. This term includes
a parent agency, a branch office, and an alternate delivery site.
The term does not include an administrative support site.
(79) Plan of care--The written orders of a practitioner
for a client who requires skilled services.
(80) Practitioner--A person who is currently licensed
in a state in which the person practices as a physician, dentist,
podiatrist, or a physician assistant, or a person who is a registered
nurse registered with the Texas Board of Nursing as an advanced practice
nurse.
(81) Preparedness--Actions taken in anticipation of
a disaster.
(82) Presurvey conference--A conference held with DADS
staff and the applicant or the applicant's representatives to review
licensure standards and survey documents, and to provide consultation
before the survey.
(83) Progress note--A dated and signed written notation
by agency personnel summarizing facts about care and the client's
response during a given period of time.
(84) Psychoactive treatment--The provision of a skilled
nursing visit to a client with a psychiatric diagnosis under the direction
of a physician that includes one or more of the following:
(A) assessment of alterations in mental status or evidence
of suicide ideation or tendencies;
(B) teaching coping mechanisms or skills;
(C) counseling activities; or
(D) evaluation of the plan of care.
(85) Recovery--Activities implemented during and after
a disaster response designed to return an agency to its normal operations
as quickly as possible.
(86) Registered nurse (RN)--A person who is currently
licensed under the Nursing Practice Act, Occupations Code, Chapter
301, as a registered nurse.
(87) Registered nurse delegation--Delegation by a registered
nurse in accordance with:
(A) 22 TAC Chapter 224 (concerning Delegation of Nursing
Tasks by Registered Professional Nurses to Unlicensed Personnel for
Clients with Acute Conditions or in Acute Care Environments); and
(B) 22 TAC Chapter 225 (relating to RN Delegation to
Unlicensed Personnel and Tasks Not Requiring Delegation in Independent
Living Environments for Clients with Stable and Predictable Conditions).
(88) Residence--A place where a person resides, including
a home, a nursing facility, a convalescent home, or a residential
unit.
(89) Residential unit--A facility that provides living
quarters and hospice services to clients admitted into the unit and
that is in compliance with standards adopted under the Health and
Safety Code, Chapter 142.
(90) Respiratory therapist--A person who is currently
licensed under Occupations Code, Chapter 604, as a respiratory care
practitioner.
(91) Respite services--Support options that are provided
temporarily for the purpose of relief for a primary caregiver in providing
care to individuals of all ages with disabilities or at risk of abuse
or neglect.
(92) Response--Actions taken immediately before an
impending disaster or during and after a disaster to address the immediate
and short-term effects of the disaster.
(93) Section--A reference to a specific rule in this
chapter.
(94) Service area--A geographic area established by
an agency in which all or some of the agency's services are available.
(95) Skilled services--Services in accordance with
a plan of care that require the skills of:
(A) a registered nurse;
(B) a licensed vocational nurse;
Cont'd... |
