Journal ArticleDOI
Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living
M. P. Lawton,Elmne M. Brody +1 more
TLDR
Two scales first standardized on their own population are presented, one of which taps a level of functioning heretofore inadequately represented in attempts to assess everyday functional competence, and the other taps a schema of competence into which these behaviors fit.Abstract:
THE use of formal devices for assessing function is becoming standard in agencies serving the elderly. In the Gerontological Society's recent contract study on functional assessment (Howell, 1968), a large assortment of rating scales, checklists, and other techniques in use in applied settings was easily assembled. The present state of the trade seems to be one in which each investigator or practitioner feels an inner compusion to make his own scale and to cry that other existent scales cannot possibly fit his own setting. The authors join this company in presenting two scales first standardized on their own population (Lawton, 1969). They take some comfort, however, in the fact that one scale, the Physical Self-Maintenance Scale (PSMS), is largely a scale developed and used by other investigators (Lowenthal, 1964), which was adapted for use in our own institution. The second of the scales, the Instrumental Activities of Daily Living Scale (IADL), taps a level of functioning heretofore inadequately represented in attempts to assess everyday functional competence. Both of the scales have been tested further for their usefulness in a variety of types of institutions and other facilities serving community-resident older people. Before describing in detail the behavior measured by these two scales, we shall briefly describe the schema of competence into which these behaviors fit (Lawton, 1969). Human behavior is viewed as varying in the degree of complexity required for functioning in a variety of tasks. The lowest level is called life maintenance, followed by the successively more complex levels of func-read more
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Journal ArticleDOI
Physical rehabilitation for older people in long-term care.
Thomas F Crocker,Anne Forster,John Young,Lesley Brown,Seline Ozer,Jane McKee Smith,John S. Green,Jo Hardy,Eileen Burns,Elizabeth Glidewell,Darren C. Greenwood +10 more
TL;DR: Physical rehabilitation for long-term care residents may be effective, reducing disability with few adverse events, but effects appear quite small and may not be applicable to all residents.
Journal ArticleDOI
Geriatric Factors Predict Chemotherapy Feasibility: Ancillary Results of FFCD 2001-02 Phase III Study in First-Line Chemotherapy for Metastatic Colorectal Cancer in Elderly Patients
Thomas Aparicio,Jean-Louis Jouve,Laurent Teillet,Dany Gargot,Fabien Subtil,Valérie Le Brun-Ly,J. Cretin,Christophe Locher,Olivier Bouché,Gilles Breysacher,Jacky Charneau,Jean-François Seitz,Mohamed Gasmi,Laetitia Stefani,Mohamed Ramdani,Thierry Lecomte,Emmanuel Mitry,Emmanuel Mitry +17 more
TL;DR: Geriatric factors (MMSE and IADL) are predictive of severe toxicity or unexpected hospitalization in a randomized prospective phase III study in mCRC and suggest that cognitive function and autonomy impairment should be taken into account when choosing a regimen for chemotherapy.
Journal ArticleDOI
Report on the demographic situation in Canada 1997.
Belanger A,Dumas J +1 more
TL;DR: The Demographic Situation in Canada as mentioned in this paper takes stock of the changes that have taken place in Canadian society and compares them to those of other industrialized nations, taking account of the relationship between living arrangements and the economic circumstances of seniors.
Journal ArticleDOI
Activities of daily living in patients with dementia: clinical relevance, methods of assessment and effects of treatment.
TL;DR: Assessment of ADL as a primary efficacy measure using a validated scale that is non-gender biased and cross-nationally relevant is recommended in new treatment trials of patients with Alzheimer’s disease and related dementias.
Journal ArticleDOI
Annual rate and predictors of conversion to dementia in subjects presenting mild cognitive impairment criteria defined according to a population-based study
Hélène Amieva,Luc Letenneur,Jean-François Dartigues,Isabelle Rouch-Leroyer,Christophe Sourgen,Françoise D’Alchée-Birée,Michel Dib,Pascale Barberger-Gateau,Jean-Marc Orgogozo,Colette Fabrigoule +9 more
TL;DR: The quite elevated conversion rates obtained show the usefulness, when defining MCI criteria, of considering not only memory impairment but also impairment in other cognitive areas, as well as mild impairment on higher-order activities of daily living.
References
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Journal ArticleDOI
The relationship of mental and physical status in institutionalized aged persons
TL;DR: It was found that persons tended to have disabilities consistent with the type of services to be expected in the institution, and patients in state hospitals had the largest number with poor mental functional status, while there was predominance of persons with poor physical functional status found in the nursing homes.
Journal ArticleDOI
Lives in Distress
TL;DR: The authors conclude that the " achillogram " is reliable as radioiodine uptake and better than the B.M.R. and the serum cholesterol and also reliable in a given patient when the results of treatment are being followed over a period.