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Measuring change in activities of daily living in nursing home residents with moderate to severe cognitive impairment.
BMC Geriatr 2006; 6:7BG

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.

Authors+Show Affiliations

Centre for Health Services Studies, George Allen Wing, University of Kent, Canterbury, Kent, CT2 7NF, UK. G.I.Carpenter@kent.ac.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16584565

Citation

Carpenter, G Iain, et al. "Measuring Change in Activities of Daily Living in Nursing Home Residents With Moderate to Severe Cognitive Impairment." BMC Geriatrics, vol. 6, 2006, p. 7.
Carpenter GI, Hastie CL, Morris JN, et al. Measuring change in activities of daily living in nursing home residents with moderate to severe cognitive impairment. BMC Geriatr. 2006;6:7.
Carpenter, G. I., Hastie, C. L., Morris, J. N., Fries, B. E., & Ankri, J. (2006). Measuring change in activities of daily living in nursing home residents with moderate to severe cognitive impairment. BMC Geriatrics, 6, p. 7.
Carpenter GI, et al. Measuring Change in Activities of Daily Living in Nursing Home Residents With Moderate to Severe Cognitive Impairment. BMC Geriatr. 2006 Apr 3;6:7. PubMed PMID: 16584565.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Measuring change in activities of daily living in nursing home residents with moderate to severe cognitive impairment. AU - Carpenter,G Iain, AU - Hastie,Charlotte L, AU - Morris,John N, AU - Fries,Brant E, AU - Ankri,Joel, Y1 - 2006/04/03/ PY - 2005/10/26/received PY - 2006/04/03/accepted PY - 2006/4/6/pubmed PY - 2006/9/1/medline PY - 2006/4/6/entrez SP - 7 EP - 7 JF - BMC geriatrics JO - BMC Geriatr VL - 6 N2 - 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. SN - 1471-2318 UR - https://www.unboundmedicine.com/medline/citation/16584565/Measuring_change_in_activities_of_daily_living_in_nursing_home_residents_with_moderate_to_severe_cognitive_impairment_ L2 - https://bmcgeriatr.biomedcentral.com/articles/10.1186/1471-2318-6-7 DB - PRIME DP - Unbound Medicine ER -