1. Impairment in Instrumental Activities of Daily Living and the Geriatric Syndrome of Self-Neglect.
- Author
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Naik, Aanand D., Burnett, Jason, Pickens-Pace, Sabrina, and Dyer, Carmel B.
- Subjects
GERONTOLOGY ,ACTIVITIES of daily living ,OLDER people ,GERIATRICS ,LONGEVITY ,LIFE skills ,SELF-neglect ,HEALTH behavior ,HEALTH ,HYGIENE - Abstract
Purpose: We sought to characterize self-neglect definitively as a geriatric syndrome by identifying an association with functional impairment. Design and Methods: We performed a cross-sectional home evaluation of 1 00 community-living older adults referred by Adult Protective Services for geriatric self-neglect and 100 matched adults from a community geriatrics clinic. We made our assessments by using two manual muscle tests, a timed-gait test, a modified Physical Performance Test (mPPT), and the Kohlman Evaluation of Living Skills (KELS). Results: Participants in the self-neglect group had impaired mPPT (p < .077) and KELS (p < .001) scores compared with community-controls. Using analysis of covariance models, we found that self-neglect referral explained a significant proportion of the variance in KELS scores (32%; p < .001) but not in mPPT scores (22%; p = .49). Implications: The geriatric syndrome of self-neglect is associated with increased morbidity and mortality and appears to be independently associated with impairments in instrumental activities of daily living. The evaluation and treatment of geriatric self-neglect should be consistent with that of other geriatric syndromes. [ABSTRACT FROM AUTHOR]
- Published
- 2008
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