Measuring change in activities of daily living in nursing home residents with moderate to severe cognitive impairment
dc.contributor.author | Carpenter, G I | |
dc.contributor.author | Hastie, Charlotte L | |
dc.contributor.author | Morris, John N | |
dc.contributor.author | Fries, Brant E | |
dc.contributor.author | Ankri, Joel | |
dc.date.accessioned | 2015-08-07T17:47:22Z | |
dc.date.available | 2015-08-07T17:47:22Z | |
dc.date.issued | 2006-04-03 | |
dc.identifier.citation | BMC Geriatrics. 2006 Apr 03;6(1):7 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/112864 | en_US |
dc.description.abstract | Abstract Background The objective of this study was to assess the responsiveness of the Minimum Data Set Activities of Daily Living (MDS-ADL) Scale to change over time by examining the change in physical function in adults with moderate to severe dementia with no comorbid illness who had been resident in a nursing home for over 90 days. Methods Longitudinal data were collected on nursing home residents with moderate (n = 7001) or severe (n = 4616) dementia in one US state from the US national Minimum Data Set (MDS). Severity of dementia was determined by the MDS Cognitive Performance Scale (CPS). Physical function was assessed by summing the seven items (bed mobility, transfer, locomotion, dressing, eating, toilet use, personal hygiene) on the MDS activities of daily living (ADL) Long Form scale. Mean change over time of MDS-ADL scores were estimated at three and six months for residents with moderate (CPS score of 3) and severe (CPS score of 4 or 5) dementia. Results Physical function in residents with moderate cognitive impairment deteriorated over six months by an average of 1.78 points on the MDS-ADL Long Form scale, while those with severe cognitive impairment declined by an average of 1.70 points. Approximately one quarter of residents in both groups showed some improvement in physical function over the six month period. Residents with moderate cognitive impairment experienced the greatest deterioration in early-loss and mid-loss ADL items (personal hygiene, dressing, toilet use) and residents with severe cognitive impairment showed the greatest deterioration in activities related to eating, a late loss ADL. Conclusion The MDS-ADL Long Form scale detected clinically meaningful change in physical function in a large cohort of long-stay nursing home residents with moderate to severe dementia, supporting its use as a research tool in future studies. | |
dc.title | Measuring change in activities of daily living in nursing home residents with moderate to severe cognitive impairment | |
dc.type | Article | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/112864/1/12877_2005_Article_53.pdf | |
dc.identifier.doi | 10.1186/1471-2318-6-7 | en_US |
dc.language.rfc3066 | en | |
dc.rights.holder | Carpenter et al. | |
dc.date.updated | 2015-08-07T17:47:22Z | |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.