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
Citations
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Journal ArticleDOI
Responsiveness of goal attainment scaling in a randomized controlled trial of comprehensive geriatric assessment.
TL;DR: Clinometric measures can offer a responsive means of evaluating complex interventions and only GAS detected clinically important change associated with the MGAT intervention in these frail elderly patients.
Journal ArticleDOI
Prazosin for the Treatment of Behavioral Symptoms in Patients With Alzheimer Disease With Agitation and Aggression
Lucy Y. Wang,Jane B. Shofer,Kirsten Rohde,Kim L. Hart,David J. Hoff,Yun H. McFall,Murray A. Raskind,Elaine R. Peskind +7 more
TL;DR: Prazosin was well tolerated and improved behavioral symptoms in patients with agitation/aggression in AD, and increased up to 6 mg/day using a flexible dosing algorithm.
Journal ArticleDOI
State of the art in geriatric rehabilitation. Part I: review of frailty and comprehensive geriatric assessment.
TL;DR: Frail elderly patients should be screened for rehabilitation potential and the team approach to geriatric rehabilitation should be interdisciplinary and use a comprehensive geriatric assessment.
Journal ArticleDOI
Use of goal attainment scaling in measuring clinically important change in the frail elderly
TL;DR: GAS is an individualized measurement approach which shows promise as a responsive measure in frail elderly patients and is more efficient than any other measure compared with standard measures.
Journal ArticleDOI
Factors associated with caregiver burden among caregivers of terminally ill patients with cancer.
Nathan E. Goldstein,John Concato,Terri R. Fried,Stanislav V. Kasl,Rosemary Johnson-Hurzeler,Elizabeth H. Bradley +5 more
TL;DR: Variations exist in the intensity of caregiver burden based on subjective experiences and social support, rather than on the amount of assistance provided, in those caring for terminally ill patients with cancer.
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.