North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 06 - AGING - PROGRAMS OPERATIONS
Subchapter D - CARE MANAGEMENT
Section .0100 - SCOPE OF SERVICE
Section 06D .0102 - DEFINITIONS

(1) "Activities of daily living (ADL's)" include eating, dressing, bathing, toileting, bowel and bladder control, transfers, ambulation, and communication such as ability to express needs to others through speech, written word, signing, gestures, or communication devices.

(2) "Instrumental activities of daily living (IADL's)" include meal preparation, medication intake, house cleaning, money management, telephone use, laundering, reading, writing, transportation, mobility, shopping, and going to necessary activities.

(3) "Case closure" means the discontinuation of Care Management Services when the goals of the care plan have been met or when the client is no longer eligible for Care Management Services.

(4) "Functionally impaired" means individuals whose illness, disabilities, or social problems have reduced their ability to perform self-care and household tasks in an independent manner.

(5) "Complex care needs" means the presence of significant impairments in activities of daily living or instrumental activities of daily living, or both, with complicating mental, medical, social, or behavioral problems, which necessitates professional intervention.

(6) "Review" means a regular contact by an appropriate professional with the individual or family or both to note progress, maintenance or deterioration, changes in circumstances, and adequacy of the care plan in meeting the person's and family's needs, and to make any needed adjustments.