Back to Search
Start Over
Impairment in Instrumental Activities of Daily Living and the Geriatric Syndrome of Self-Neglect.
- Source :
- Gerontologist; Jun2008, Vol. 48 Issue 3, p388-393, 6p, 3 Charts
- Publication Year :
- 2008
-
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]
Details
- Language :
- English
- ISSN :
- 00169013
- Volume :
- 48
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Gerontologist
- Publication Type :
- Academic Journal
- Accession number :
- 33357524
- Full Text :
- https://doi.org/10.1093/geront/48.3.388