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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Regional cerebral metabolism in early Alzheimer’s disease with clinically significant apathy or depression
Vjera Holthoff,Bettina Beuthien-Baumann,Elke Kalbe,Susanne Lüdecke,Olaf Lenz,Gerhard Zündorf,Sebastian Spirling,Kristin Schierz,Peter Winiecki,Sandro Sorbi,Karl Herholz +10 more
TL;DR: The notion that different functional circuits underlie apathy and depression in early AD is supported, with significant decreases in left orbitofrontal regions when compared with patients free of apathy.
Journal ArticleDOI
Recommendations for the use of Serious Games in people with Alzheimer's Disease, related disorders and frailty.
Philippe Robert,Alexandra König,Alexandra König,Hélène Amieva,Sandrine Andrieu,Francois Bremond,Francois Bremond,Roger Bullock,Mathieu Ceccaldi,Bruno Dubois,Bruno Dubois,Serge Gauthier,Paul-Ariel Kenigsberg,Stephane Nave,Jean Marc Orgogozo,Julie Piano,Michel Benoit,Jacques Touchon,Bruno Vellas,Bruno Vellas,Jerome A. Yesavage,Jerome A. Yesavage,Valeria Manera +22 more
TL;DR: The results revealed that SG may offer very useful tools for professionals involved in the care of patients suffering from ADRD, however, more interdisciplinary work should be done in order to create SG specifically targeting these populations.
Journal ArticleDOI
Validity and usefulness of hand-held dynamometry for measuring muscle strength in community-dwelling older persons.
Pedro Abizanda,José Luis Navarro,María Isabel García-Tomás,Esther López-Jiménez,Esther Martínez-Sánchez,Gema Paterna +5 more
TL;DR: It is concluded that hand-held dynamometry is valid and useful for determining functionality and it is recommended to perform three attempts for all strength measurements, except for pinch and grip, in which one is sufficient.
Journal ArticleDOI
Quality of life and physical components linked to sarcopenia: The SarcoPhAge study
Charlotte Beaudart,Jean-Yves Reginster,Jean Petermans,Sophie Gillain,A Quabron,Médéa Locquet,Justine Slomian,Fanny Buckinx,Olivier Bruyère +8 more
TL;DR: Sarcopenic subjects had a worse physical health-related quality of life, were at higher risk of falls, were more frail, and presented more often tiredness for the achievement of activities of daily living in the domain of physical functioning.
Journal ArticleDOI
Geriatric oncology: a clinical approach to the older patient with cancer
Lazzaro Repetto,Antonella Venturino,Lucia Fratino,Diego Serraino,G. Troisi,Walter Gianni,Maria Pietropaolo +6 more
TL;DR: The management of older persons with cancer requires the acquisition of special skills in the evaluation of the older person and in the recognition and management of emergencies as well as experience in geriatric case management.
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.