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Autor/inn/enNaik, Aanand D.; Burnett, Jason; Pickens-Pace, Sabrina; Dyer, Carmel B.
TitelImpairment in Instrumental Activities of Daily Living and the Geriatric Syndrome of Self-Neglect
QuelleIn: Gerontologist, 48 (2008) 3, S.388-393 (6 Seiten)
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Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN0016-9013
SchlagwörterPhysical Fitness; Performance Tests; Older Adults; Geriatrics; Statistical Analysis; Daily Living Skills; Matched Groups; Correlation; Aging (Individuals); Adventitious Impairments; Symptoms (Individual Disorders); Gerontology
AbstractPurpose: We sought to characterize self-neglect definitively as a geriatric syndrome by identifying an association with functional impairment. Design and Methods: We performed a cross-sectional home evaluation of 100 community-living older adults referred by Adult Protective Services for geriatric self-neglect and 100 matched adults from a community geriatrics clinic. We made our assessments by using two manual muscle tests, a timed-gait test, a modified Physical Performance Test (mPPT), and the Kohlman Evaluation of Living Skills (KELS). Results: Participants in the self-neglect group had impaired mPPT (p less than 0.077) and KELS (p less than 0.001) scores compared with community-controls. Using analysis of covariance models, we found that self-neglect referral explained a significant proportion of the variance in KELS scores (32%; p less than 0.001) but not in mPPT scores (22%; p = 0.49). Implications: The geriatric syndrome of self-neglect is associated with increased morbidity and mortality and appears to be independently associated with impairments in instrumental activities of daily living. The evaluation and treatment of geriatric self-neglect should be consistent with that of other geriatric syndromes. (As Provided).
AnmerkungenGerontological Society of America. 1030 15th Street NW Suite 250, Washington, DC 20005. Tel: 202-842-1275; Fax: 202-842-1150; e-mail: geron@geron.org; Web site: http://www.geron.org/journals/gsapub.htm
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2017/4/10
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