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The Alzheimer functional status instrument: An instrument to assess rehabilitation strategies for Alzheimer patients

The Health institute of the New England Medical Center; Boston University School of Public Realth, Boston, Massachusetts

Julia Burnham, MS, RN, CS

Edith Nourse Rogers Memorial VAMC, Bedford, Massachusetts

Jennifer Lee, MA

Health institute of the New England Medical Center

The Alzheimer Functional St atus Inventory (AFSI) was developed to assess a kinesiotherapy program for 22 randomized pairs ofpatients with Senile Dementia of the Alzheimer Type (SDAT) residing in the Dementia Study Unit of the Edith Nourse Rogers Memorial VA Medical Center; Bedford, Massachusetts. The AFSI was developed by an interdisciplinary team to overcome some of the limitations of standard geriatric instruments to detect changes in functional status in SDAT patients following a rehabilitation program. The AFSI, which is performance-based, includes items adapted from Granger's PULSES Profile and activity disturbances itemsfrom the Behavioral Pathology in Alzheimer's Disease Rating Scale (BEHAVE-AD), items on mood andbehaviorduring assessment, as well as, one on communication status. The AFSI thus includes items which evaluate physical, psychosocial, and cognitive dimensions offunctional status. These dimensions are:

• • Sensory function;
  
• • Range of motion skills including lower limb and upper limbfunction;
  
• • Mood state;
  
• • Behavioral status; and
  
• • Time to complete tasks.
  

American Journal of Alzheimer's Disease and Other Dementias®, Vol. 10, No. 5, 17-25 (1995)
DOI: 10.1177/153331759501000504


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