International Journal of Geriatric Psychiatry, 18(11), November 2003, pp.1050-1055.
Publisher:
Wiley
Dementia patients suffer from the progressive deterioration of cognitive and functional abilities. Instrumental disabilities usually appear in the earlier stages of the disease while basic disabilities appear in the more advanced stages. In order to differentiate between mild, moderate and severe patients both instrumental and basic functional disabilities should be taken into account simultaneously. The objective of this study was to find a new method for classifying dementia patients based on their disabilities by using a basic and an instrumental Activities of Daily Living (ADL) scale. Functional disability was assessed in a Belgian cohort of dementia patients using the Katz and Lawton Instrumental Activities of Daily Living (IADL) scales. A k-means derived clustering method allocated patients to disability clusters according to their Katz and Lawton scores. In order to validate the classification, we compared socio-demographic, clinical and costs parameters between the groups. The clustering method allocated patients between three clusters: dependent, non-dependent with instrumental functional disability (ND-IFD) and non-dependent. Dependence, as defined by these clusters, significantly correlates with age, residential setting, MMSE, patient's quality of life and costs. This new classification of patients suffering from dementia will provide better understanding of functional disabilities and will complement the evaluation of disease severity based on cognitive function.
Dementia patients suffer from the progressive deterioration of cognitive and functional abilities. Instrumental disabilities usually appear in the earlier stages of the disease while basic disabilities appear in the more advanced stages. In order to differentiate between mild, moderate and severe patients both instrumental and basic functional disabilities should be taken into account simultaneously. The objective of this study was to find a new method for classifying dementia patients based on their disabilities by using a basic and an instrumental Activities of Daily Living (ADL) scale. Functional disability was assessed in a Belgian cohort of dementia patients using the Katz and Lawton Instrumental Activities of Daily Living (IADL) scales. A k-means derived clustering method allocated patients to disability clusters according to their Katz and Lawton scores. In order to validate the classification, we compared socio-demographic, clinical and costs parameters between the groups. The clustering method allocated patients between three clusters: dependent, non-dependent with instrumental functional disability (ND-IFD) and non-dependent. Dependence, as defined by these clusters, significantly correlates with age, residential setting, MMSE, patient's quality of life and costs. This new classification of patients suffering from dementia will provide better understanding of functional disabilities and will complement the evaluation of disease severity based on cognitive function.
Subject terms:
learning disabilities, older people, physical disabilities, psychiatry, research methods, socioeconomic groups, activities of daily living, cost effectiveness, dementia, evaluation;
Collection of articles looking at the contexts for, and the outcomes of, the diversity of social care provision by the member states of the European Union. The book first addresses how we define social care in Europe and looks at the differences between member states. Goes on to look in more detail at the context for social care provision and the constitutional framework provided by the European Union itself. Further chapters cover Europe's mixed economy of welfare and provide detailed analysis of the impact of social care provision on 3 key clients groups: children and families, disabled people and older people.
Collection of articles looking at the contexts for, and the outcomes of, the diversity of social care provision by the member states of the European Union. The book first addresses how we define social care in Europe and looks at the differences between member states. Goes on to look in more detail at the context for social care provision and the constitutional framework provided by the European Union itself. Further chapters cover Europe's mixed economy of welfare and provide detailed analysis of the impact of social care provision on 3 key clients groups: children and families, disabled people and older people.
Subject terms:
home care, mixed economy of care, older people, physical disabilities, social welfare, social care, social care provision, children, comparative studies;
Location(s):
Belgium, Denmark, Greece, Europe, France, Ireland, Italy, Germany, Netherlands, Luxembourg, Portugal, Spain, United Kingdom
Includes papers on: acceptable language in information provision; the National Disability Information Project; telephone information helplines; MENCAP's profound intellectual and multiple disabilities section; physical and attitudinal barriers to effective information provision; employment information for people with disabilities; the accessibility of public information in different European countries; the EC's Helios programme; Kent County Council and links between disabled people in Europe; methods of disseminating information; the Deaf Women's Health Project; the Asian People with Disabilities Alliance; information and visual impairment; advocacy and the law; the use and value of information technology; and travelling and tourism for all.
Includes papers on: acceptable language in information provision; the National Disability Information Project; telephone information helplines; MENCAP's profound intellectual and multiple disabilities section; physical and attitudinal barriers to effective information provision; employment information for people with disabilities; the accessibility of public information in different European countries; the EC's Helios programme; Kent County Council and links between disabled people in Europe; methods of disseminating information; the Deaf Women's Health Project; the Asian People with Disabilities Alliance; information and visual impairment; advocacy and the law; the use and value of information technology; and travelling and tourism for all.
Subject terms:
helplines, information services, information technology, learning disabilities, older people, physical disabilities, visual impairment, advocacy, carers, children, deafness, employment;
University of Kent. European Institute of Social Services
Publication year:
1993
Pagination:
401p.
Place of publication:
Canterbury
Detailed account of social services in the twelve member states of the European Community. Contains sections on: organisation, responsibility and finance for social services; preventative services; children and families; elderly people; people with disabilities; addictions; illnesses; AIDS/HIV; socially excluded people; young people; services for migrants; names and addresses of major public and private social services agencies.
Detailed account of social services in the twelve member states of the European Community. Contains sections on: organisation, responsibility and finance for social services; preventative services; children and families; elderly people; people with disabilities; addictions; illnesses; AIDS/HIV; socially excluded people; young people; services for migrants; names and addresses of major public and private social services agencies.
Subject terms:
HIV AIDS, immigration, learning disabilities, mental health, mental health problems, older people, physical disabilities, poverty, prevention, private health care, social exclusion, social services, voluntary organisations, young people, addiction, alcohol misuse, black and minority ethnic people, children, drug misuse, families, health care;