Activities of daily living and cognitive levels of function in dementia
Joan Ungerecht Thralow
Bok Engelsk
| Omfang | 6 s.
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| Utgave | TS/Kopi
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| Opplysninger | Abstract The number of progressive dementia patients being cared for in long term institutions is increasing. As medical science continues to search for answers to treatment and cure, caregivers continue to struggle with managing cares and promoting patient dignity. evaluation and identification of individual patient cognitive assets and limitations is essential in planning patient care. The purpose of this study is to describe to tools, used in a team aproach, to facilitate managing basic daily care. The study compares the scoring of the two tools indicating a substantial relationship between the two instruments and suggests that the Cognitive Performance Test (CPT) and the Self Care Performance Test (SCPT) rate behavior and task performance in the consistently similar manner. The results suggest that the scales are an accurate predictor of demented patients cognitive abilities and limitations and can facilitate designing nursing care plans. The CPT (wich can be given in about 20 minutes) can becompleted upon admission, the test score shared with nursing and the SCPT can guide plans of care. Cares planned in this manner are likely to allow the patients independence in performing those cares they are capably of and not frustating them by expecting them to perform skills they have lost. This study focuses on patients in the later stages of progressive dementia. Fifty-eight subjects were rated using the two tools. Fifty-one of the 58 subjects in the study received a rating level of four or lower. (Alle's levels of rating progressive dementia with level six being normal functioning) Patient scores for both the CPT and the SCPT are based on observance of performance and do not require verbal responses and therefor lower level demetia patients can be more reliably rated.
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