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
Investigating the Effects of Communication Problems on Caregiver Burden
TL;DR: The study findings not only lend further support to the existing literature that has documented problem behaviors as strong predictors of burden but also emphasize the importance of communication problems in the caregiving process.
Mapt study: a multidomain approach for preventing alzheimer’s disease: design and baseline data
Bruno Vellas,Isabelle Carrié,Sophie Gillette-Guyonnet,Jacques Touchon,Thierry Dantoine,J. F. Dartigues,M.-N. Cuffi,Serge Bordes,Yannick Gasnier,P. Robert,Lawrence Bories,Olivier Rouaud,Françoise Desclaux,Kristelle Sudres,Marc Bonnefoy,Alain Pesce,Carole Dufouil,Stéphane Lehéricy,Marie Chupin,Jean-François Mangin,Pierre Payoux,D. Adel,Philippe Legrand,D Catheline,C Kanony,M. Zaim,Laurent Molinier,Nadège Costa,J. Delrieu,Thierry Voisin,Catherine Faisant,Françoise Lala,Fati Nourhashemi,Yves Rolland,G. Abellan Van Kan,Charlotte Dupuy,Christelle Cantet,P Cestac,Sylvie Belleville,Sherry L. Willis,Matteo Cesari,M. Weiner,Maria Soto,Pierre-Jean Ousset,Sandrine Andrieu +44 more
TL;DR: The MAPT trial is presently the first largest and longest multidomain preventive trial relevant to cognitive decline in older adults with subjective memory complaints and is likely to be easily implemented within the general population.
Journal ArticleDOI
The rapid disability rating scale-2.
Margaret W. Linn,Bernard S. Linn +1 more
TL;DR: A revised version of the Rapid Disability Rating Scale (RDRS‐2) is presented, and the new appraisals of reliability, factor structure, and validity are reported, along with the potential uses of the scale.
Journal ArticleDOI
The Mini Nutritional Assessment®—Its History, Today's Practice, and Future Perspectives
TL;DR: The development of the MNA with its short form (MNA-SF) is recalled and the literature is reviewed, focusing on the most recent publications.
Journal ArticleDOI
Gender differences in patients with hip fracture: a greater risk of morbidity and mortality in men.
TL;DR: Men were more likely to be married or living with someone else, and they were more dependent in instrumental activities of daily living than women prior to hip fracture, and male gender was a risk factor for sustaining a postoperative complication as well as a higher mortality at 1 year post hip fracture.
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.