Staging methods for the assessment of dementia: Perspectives
J. Cohen-Mansfield
Bok Engelsk 1996
| Utgitt | 1996
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|---|---|
| Omfang | Side 190- 198
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| Opplysninger | Most dementias in old age are characterized by a progressive coursewith interindividual variability in pattern and rate of progression.Developing a system for staging such dementia poses a challenge incapturing this variability in a system that will afford comparisonsamong individuals and predictions of future change. Several corequestions underlie the development of such systems: (1) Is there adefinable order in which abilities are lost? (2) Which skills andfunctions should be considered essential for the staging of dementiaand what is their relative weight? (3) Can the different skills becaptured within one staging system? (4) How is the whole range offunction captured, and are the differences between stages clearlydefined? (5) Which populations can be rated with each staging system?The determination of this last question is based on understandingwhich other medical conditions may interfere with the course ofdementia and how prior characteristics, such as education, affectratings on specific scales for the staging of dementia. Severalsystems for staging dementia in older adults are described. Theseinclude the Clinical Dementia Rating, the Global DeteriorationScale/Brief Cognitive Rating Scale/Functional Assessment StagingSystem, the Six Clinical Phases of Cognitive Decline, the HierarchicDementia Scale, and the Functional Capacity Scale. Some aspects ofthe utility of these systems are reviewed, and the issues for furtherresearch are discussed.
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| Emner |
