The relationship between functional status and judgment/problem solving among individuals with dementia

Autor: Margaret I. Wallhagen, Kala M. Mehta, Bruce L. Miller, Leslie Ross, Ann M. Mayo, Bruce A. Cooper
Rok vydání: 2012
Předmět:
Zdroj: International Journal of Geriatric Psychiatry. 28:514-521
ISSN: 0885-6230
Popis: Judgment and problem solving are required when completing activities of everyday living such as writing checks, responding appropriately to strangers, and keeping track of appointments. Damage to the brain, including that caused by certain subtypes of dementia, is associated with the loss of function in judgment and problem solving (Auning, et al., 2011; Fellows and Farah, 2005; Fellows and Farah, 2007; Wallis and Rich, 2011). While the linkage between a decline judgment and problem solving and a decline in functional activities is intuitive, no studies have examined this relationship among individuals with one of the most serious neurodegenerative conditions in older adults, that of dementia. When health care professionals suspect that a decline in judgment and problem solving accompanies a decline in functional status in this population, a targeted specialized assessment of judgment and problem solving may not always be conducted due to time constraints, lack of resources or insufficient expertise. If an empirical relationship between functional status and judgment and problem solving can be documented, it may stimulate health care professionals to obtain a detailed assessment of judgment and problem solving in individuals when declining functional status is noted during a routine examination. Therefore, the purpose of this study was to determine if an empirical relationship exists between judgment and problem solving and functional status and the extent demographics (including dementia subtype) and cognition (mental status and executive function) may moderate that relationship in individuals with dementia.
Databáze: OpenAIRE