Hierarchical Decline of the Initiative and Performance of Complex Activities of Daily Living in Dementia.
نویسندگان
چکیده
OBJECTIVES While basic activities of daily living hierarchically decline in dementia, little is known about the decline of individual instrumental activities of daily living (IADLs). The objective of this study was to assess initiative and performance deficits in IADLs in dementia. METHODS A total of 581 carers completed the revised Interview for Deterioration in Daily Living Activities in Dementia 2 to rate their relative's everyday functioning. RESULTS Initiating and performing IADLs deteriorated hierarchically, while people with dementia were consistently most impaired in initiating using the computer and managing finances. Initiating preparing a cold or hot meal and managing finances were more impaired than their performance, whereas performing maintaining an active social life for example were more impaired than their initiative. CONCLUSION Findings can help identify the severity of dementia by understanding deficits in initiative and performance. This study has implications for the development of targeted interventions depending on the stage of dementia.
منابع مشابه
The newly revised interview for deteriorations in daily living activities in dementia (R-IDDD2): distinguishing initiative from performance at assessment.
BACKGROUND Minimal evidence exists on the detailed deficits in complex instrumental activities of daily living (IADLs) in mild dementia. The aim of this study was twofold, to validate a revised questionnaire focusing measuring the initiative and performance of IADLs in mild dementia and to explore the relationship between individual IADLs and patient and carer well-being. METHODS A total of 1...
متن کاملValidity and Reliability of the Persian Version of Lawton Instru-mental Activities of Daily Living Scale in Patients with Dementia
متن کامل
O 18: Autoimmune Dementia
Dementia is defined as significant acquired cognitive impairment in one or more cognitive domains that represents a significant decline from previous baseline and interferes with independence in daily activities. Autoimmune dementia is a term that has been used to describe a steroid-responsive autoimmune disorder characterized by a rapidly progressive dementia with a fluctuating course. Even co...
متن کاملEffect of mental practice on fear of falling in activities of daily living, satisfaction and lower extremity function in the community-dwelling elderly: A clinical trial
Introduction: One of the negative consequences of such a fear is a decline in the person's ability to perform daily life activities. The purpose of this study was to investigate the effect of mental practice on fear of falling in activity of daily living, satisfaction, functional mobility and balance in the community-dwelling elderly people. Materials and Methods: In this clinical trial study, ...
متن کاملThe Challenges of People With Heart Failure in Activity of Daily Living Performance: A Qualitative Study in Iranian Context
Objectives: People with Heart Failure (HF) encounter many limitations while performing their daily activities. These limitations can have adverse effects on their quality of life and self-satisfaction. Hence, to assess problems in the Activities of Daily Living (ADL) and plan effective interventions, we should properly identify people’s challenges in performing daily activities. This study aime...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of geriatric psychiatry and neurology
دوره 30 2 شماره
صفحات -
تاریخ انتشار 2017