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
Low free testosterone predicts frailty in older men: the health in men study.
Zoë Hyde,Leon Flicker,Osvaldo P. Almeida,Osvaldo P. Almeida,Graeme J. Hankey,Graeme J. Hankey,Kieran McCaul,S. A. Paul Chubb,S. A. Paul Chubb,Bu B. Yeap,Bu B. Yeap +10 more
TL;DR: Lower free testosterone was independently associated with frailty at baseline and follow-up, and Randomized trials should explore whether testosterone therapy can prevent the development of frailty.
Journal ArticleDOI
Looking at the Relationship Between Hemoglobin Concentration and Prevalent Mobility Difficulty in Older Women. Should the Criteria Currently Used to Define Anemia in Older People be Reevaluated
TL;DR: The relationship between hemoglobin (Hb) concentration, prevalent mobility difficulty, and the Summary Performance Score (SPS) is evaluated.
Journal ArticleDOI
Predictors of Complicated Grief Among Dementia Caregivers: A Prospective Study of Bereavement
TL;DR: Reducing the burden of active caregiving, treating depression before the death of the loved one and providing supportive psychosocial and skills training caregiver interventions can prevent the emergence of postdeath psychiatric morbidity.
Journal ArticleDOI
Intensive physical training in geriatric patients after severe falls and hip surgery
TL;DR: Progressive resistance training and progressive functional training are safe and effective methods to increase strength and functional performance during rehabilitation in patients after hip surgery and a history of injurious falls.
Journal ArticleDOI
Evaluation of visual recognition memory in MCI patients.
Emmanuel J. Barbeau,Mira Didic,Eve Tramoni,Olivier Felician,Sven Joubert,A. Sontheimer,Mathieu Ceccaldi,Michel Poncet +7 more
TL;DR: The DMS48, a test of visual recognition memory, is impaired early in the course of patients with amnestic mild cognitive impairment, suggesting a profile of genuine memory impairment related to medial temporal lobe lesions.
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.