[Code of Federal Regulations]
[Title 38, Volume 2]
[Revised as of July 1, 2003]
From the U.S. Government Printing Office via GPO Access
[CITE: 38CFR52.2]

[Page 843-844]
 
            TITLE 38--PENSIONS, BONUSES, AND VETERANS' RELIEF
 
          CHAPTER I--DEPARTMENT OF VETERANS AFFAIRS (CONTINUED)
 
PART 52--PER DIEM FOR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES--
Table of Contents
 
                           Subpart A--General
 
Sec. 52.2  Definitions.

    For purposes of this part--
    Activities of daily living (ADLs) means the functions or tasks for 
self-care usually performed in the normal course of a day, i.e., 
mobility, bathing, dressing, grooming, toileting, transferring, and 
eating.
    Clinical nurse specialist means a licensed professional nurse with a 
master's degree in nursing and a major in a clinical nursing specialty 
from an academic program accredited by the National League for Nursing.
    Facility means a building or any part of a building for which a 
State has submitted an application for recognition as a State home for 
the provision of

[[Page 844]]

adult day health care or a building, or any part of a building, which VA 
has recognized as a State home for the provision of adult day health 
care.
    Instrumental activities of daily living (IADLs) means functions or 
tasks of independent living, i.e., shopping, housework, meal preparation 
and cleanup, laundry, taking medication, money management, 
transportation, correspondence, and telephone use.
    Nurse practitioner means a licensed professional nurse who is 
currently licensed to practice in the State; who meets the State's 
requirements governing the qualifications of nurse practitioners; and 
who is currently certified as an adult, family, or gerontological nurse 
practitioner by the American Nurses Association.
    Physician means a doctor of medicine or osteopathy legally 
authorized to practice medicine or surgery in the State.
    Physician assistant means a person who meets the applicable State 
requirements for physician assistant, is currently certified by the 
National Commission on Certification of Physician Assistants (NCCPA) as 
a physician assistant, and has an individualized written scope of 
practice that determines the authorization to write medical orders, 
prescribe medications and to accomplish other clinical tasks under the 
appropriate supervision by the primary care physician.
    Primary physician or Primary care physician means a designated 
generalist physician responsible for providing, directing and 
coordinating health care that is indicated for the residents.
    State means each of the several States, territories, and possessions 
of the United States, the District of Columbia, and the Commonwealth of 
Puerto Rico.
    State home means a home approved by VA which a State established 
primarily for veterans disabled by age, disease, or otherwise, who by 
reason of such disability are incapable of earning a living. A State 
home may provide domiciliary care, nursing home care, adult day health 
care, and hospital care. Hospital care may be provided only when the 
State home also provides domiciliary and/or nursing home care.
    VA means the U.S. Department of Veterans Affairs.

(Authority: 38 U.S.C. 101, 501, 1741-1743)