SAGE Journals Online
Advertisement
Sign In to gain access to subscriptions and/or personal tools.

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Advertisement

Sign In to gain access to subscriptions and/or personal tools.
American Journal of Alzheimer's Disease and Other Dementias®
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Calvani, D.
Right arrow Articles by Lawlor, B.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Calvani, D.
Right arrow Articles by Lawlor, B.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Instrumental activities of daily living and eligibility for long term home health care

Dorothy Calvani, RN, MSN, C-GNP

Gero-Psychiatry Clinic, Mt. Sinai Medical Center, New York, New York

Brian Lawlor, MD

University of Dublin and St. Patricks Hospital, Dublin, Ireland

Federal eligibility criteria for non-institutionalized long term care stipulates that older persons must require human help with two personal activities of daily living (ADL) before they qualify for services. Therefore, physically healthy cognitively impaired persons may be discriminated against. The purpose of this study was to compare and contrast a demented, physically healthy group with a non-demented, physically compromised group to determine if instrumental activities of daily living (IADLs) rather than ADL function, is a better indicator of the need for long term home health care services (LTC). Although the Alzheimer group had significantly higher ADL function than the non-demented medically ill group, both groups showed similar impairment on IADL function. This would suggest that IADL function is sensitive to both cognitive and non-cognitive changes. We conclude that IADL rather than ADL function, is a more equitable criterion in determining eligibility for long term home health care.

American Journal of Alzheimer's Disease and Other Dementias®, Vol. 8, No. 2, 5-6 (1993)
DOI: 10.1177/153331759300800202
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?




Advertisement