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American Journal of Alzheimer's Disease and Other Dementias®
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Changes in Habits Related to Self-care in Dementia: The Nursing Home Versus Adult Day Care

Jiska Cohen-Mansfield, PhD, ABPP

Department of Health Promotion, Sackler Faculty of Medicine and Herczeg Institute on Aging at Tel Aviv University, Tel Aviv, Israel, cohenmansfield{at}hebrew-home.org, George Washington University Medical Center, Washington, DC, Research Institute on Aging, A Charles E. Smith Life Community, Rockville, Maryland

Barbara Jensen, PhD

Research Institute on Aging, A Charles E. Smith Life Community, Rockville, Maryland

Little is known about the changes that occur for older persons with dementia in the practice of self-care routines. This study assesses the concordance of past and current self-care practices of day care and nursing home persons using spouse reports, the degree of spouse awareness of these changes, and spouse perception of how important self-care practices had been to their partner. Participants were spouses of 12 older persons with dementia in day care and spouses of 20 nursing home residents. Self-care routines were assessed using the Self-maintenance Habits and Preferences in Elderly (SHAPE) questionnaire. Day care attendees showed few changes in self-care routines compared to nursing home residents. Spouses of nursing home residents underestimate the changes in self-care that occur with nursing home admission. The importance of being aware of self-care changes lies in the value of maintaining continuity with the customary preferences and routines of the older person.

Key Words: dementia • self-care • nursing home • adult day care • proxy reports

American Journal of Alzheimer's Disease and Other Dementias®, Vol. 22, No. 3, 184-189 (2007)
DOI: 10.1177/1533317507301589


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