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American Journal of Alzheimer's Disease and Other Dementias®
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Assessment to guide placement, plan care, and track change in individuals with Alzheimer's disease

Ann L. McCracken, RNC, PhD

College of Nursing and Health, University of Cincinnati; Alois Alzheimer Center, Robert Wood Johnson Teaching Nursing Home Project at Maple Knoll Village, Ohio

Evelyn Fitzwater, RNC, MSN

University of Cincinnati College of Nursing and Health; Robert Wood Johnson Teaching Nursing Home Project at Maple Knoll Village, Ohio

Appropriate placement of residents is of critical concern. Multi-dimensional assessment is a complexprocess that could more precisely guide the placement and care of elderly persons withAlzheimer's disease. The use of the HaycoxDementia Rating Scale with 11 individuals withAlzheimer's disease in a closed unit, has assisted staf in the placement of residents in a protective unit at a tine when such a unit could increase or deter functional loss in selected areas of functioning. Moreover, the assessment tool has helped to identify the impact of dementia in the functional capabilities of individuals. Dressing and grooming was most impaired on admission to the unit, but changed very little during the ensuing 12 months. Functions dealing with social skills and awareness tended to increase. Increase of motor coordination impairment heralded a decrease in function for three residents.

American Journal of Alzheimer's Disease and Other Dementias®, Vol. 5, No. 1, 24-30 (1990)
DOI: 10.1177/153331759000500106
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