P4-224: Multicenter, open-label, observational study to assess self care activities of daily living (ADL) in patients with Alzheimer disease with cerebrovascular disease

Summary Bulgaria ranks first in the world in incidence, morbidity and death associated with cerebrovascular disease. The aim of the study was to investigate, follow-up and register recovery of activities of daily living (using the toilet and maintaining personal hygiene) in patients with sequelae from cerebrovascular disease in a subacute stage, who underwent physiotherapy and rehabilitation. Sixty-one patients were included and followed up. They were given tailored physiotherapy and rehabilitation. This included kinesitherapy, occupational therapy and electrotherapy. All the patients filled in self-assessment questionnaires before and after the rehabilitation course. Major parameters were assessed, irrespective of the limb affected -dominant or non-dominant. Results were analyzed using the Wilcoxon rank test. At the end of the rehabilitation course, the Wilcoxon curves were driven to the right, confirming improvement concerning independence, irrespective of involvement of dominant or non-dominant limb.

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Chemotherapy-induced peripheral neuropathy and its correlation with activities of daily living, psychological well-being, grip strength, and quality of life in cancer subjects: An observational study

Indian Journal of Physical Therapy and Research ◽

10.4103/ijptr.ijptr_79_19 ◽

2020 ◽

Vol 2 (2) ◽

pp. 127

Author(s):

RenuB Pattanshetty ◽

Anagha Kulkarni ◽

Chinmayi Kulkarni ◽

Manjiri Kulkarni

Keyword(s):

Quality Of Life ◽

Peripheral Neuropathy ◽

Observational Study ◽

Activities Of Daily Living ◽

Grip Strength ◽

Daily Living ◽

Well Being ◽

Psychological Well Being

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Effect of implementing designed educational training program for neurological nurses on clinical outcomes of stroke patients

Clinical Nursing Studies ◽

10.5430/cns.v6n4p121 ◽

2018 ◽

Vol 6 (4) ◽

pp. 121 ◽

Cited By ~ 1

Author(s):

Seham A. Abd El-Hay ◽

Amany K. Abed Allah ◽

El Sayed A. Tag El Din

Keyword(s):

Activities Of Daily Living ◽

Training Program ◽

Clinical Outcomes ◽

Daily Living ◽

Self Care ◽

Educational Training ◽

Stroke Patients ◽

Knowledge And Practice ◽

Educational Training Program ◽

Nurses Knowledge

Background: Stroke is a major cause of functional disability, it increased the need for continuous nursing care. Nurses need to pay attention not only to the physical recovery after stroke, but also to the psychological and social recovery. Therefore, it is important to provide training courses to nurses about care of stroke patients.Aim: This study was conducted to evaluate the effect of implementing designed educational training program for neurological nurses on clinical outcomes of stroke patients.Methods: Design: A quasi experimental research design was utilized. Setting: Data were collected from Neurological Intensive Care Units, Wards and Neurological outpatient clinics of Tanta Main University Hospital. Sample: All nurses (n = 35) who are providing direct care for stroke patients and a purposive sample of 30 stroke patients. Tools: Three tools were used to collect data. Tool (I): Assessment of nurses’ knowledge questionnaire sheet about stroke; Tool (II): Observational checklist to evaluate nurses’ practice regarding care of stroke patients; and Tool (III): Patient’s clinical outcomes assessment sheet.Results: The results revealed that there were significant improvements in nurses’ knowledge and practice regarding care of stroke patients post training program at p < .01. Also, significant improvements in self-care and activities of daily living among stroke patients were observed from immediately to 2 months later post application of training program.Conclusions: The study findings revealed that the implementation of designed educational training program within 2 months were successful for improving nurses’ knowledge and practice regarding care of stroke patients. Furthermore, there was improvement in activities of daily living and self-care among stroke patients.Recommendations: It is recommended to generalize implementation of designed educational training program for neurological nurses as a routine hospital care for stroke patients.

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A review of instrumental ADL assessments for use with elderly people

Reviews in Clinical Gerontology ◽

10.1017/s0959259898008089 ◽

1998 ◽

Vol 8 (1) ◽

pp. 65-71 ◽

Cited By ~ 27

Author(s):

Gillian Ward ◽

Carol Jagger ◽

William Harper

Keyword(s):

Activities Of Daily Living ◽

Standardized Tests ◽

Elderly People ◽

Daily Living ◽

Self Care ◽

Primary Level ◽

Instrumental Activities ◽

Hierarchical Nature ◽

The 1960S ◽

Definition Of

The concept of formal or standardized tests for assessing function came to the fore in the 1960s. Katz et al. acknowledged the hierarchical nature of activities of daily living (ADL) such as eating, continence, transferring, going to the toilet, dressing and bathing in his ’Index of ADL’ and by 1968 ‘ADL’ was an accepted Index Medicus category. The definition of instrumental activities of daily living (IADL) began in 1969 with the work of Lawton and Brody who presented two scales to assess function which recognized the different degrees of complexity required for performing functional tasks. The first scale, taking life maintenance and activities essential for self-care as the primary level, was called the Physical Self-Maintenance Scale.

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The influences of psychotic symptoms on the activities of daily living of individuals with Alzheimer disease: a longitudinal analysis

Aging & Mental Health ◽

10.1080/13607863.2013.770446 ◽

2013 ◽

Vol 17 (6) ◽

pp. 738-747 ◽

Cited By ~ 4

Author(s):

M. Tran ◽

M. Bédard ◽

S. Dubois ◽

B. Weaver ◽

D. W. Molloy

Keyword(s):

Alzheimer Disease ◽

Activities Of Daily Living ◽

Longitudinal Analysis ◽

Daily Living ◽

Psychotic Symptoms

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Efficacy of Group Reminiscence Therapy on Cognition, Depression, Neuropsychiatric Symptoms, and Activities of Daily Living for Patients With Alzheimer Disease

Journal of Geriatric Psychiatry and Neurology ◽

10.1177/0891988719882099 ◽

2019 ◽

Vol 33 (5) ◽

pp. 272-281 ◽

Cited By ~ 2

Author(s):

Mo Li ◽

Ji-hui Lyu ◽

Yi Zhang ◽

Mao-long Gao ◽

Rena Li ◽

...

Keyword(s):

Alzheimer Disease ◽

Activities Of Daily Living ◽

Daily Living ◽

Neuropsychiatric Symptoms ◽

Intervention Group ◽

Disease Assessment ◽

Control Group ◽

Time Points ◽

Reminiscence Therapy ◽

Group Reminiscence

The current study aimed to investigate the effects of group reminiscence therapy on cognitive function, depression, neuropsychiatric symptoms, and activities of daily living in patients with mild-to-moderate Alzheimer disease (AD). A single-blind randomized parallel-design controlled trial was conducted between May 1, 2017, and April 30, 2018. Ninety patients with mild-to-moderate AD recruited from Beijing Geriatric Hospital were randomly allocated into intervention (n = 45) and control groups (n = 45). In the intervention group, group-based reminiscence therapy was performed in two 30- to 45-minute sessions weekly for 12 weeks. Control participants received only conventional drug treatments and routine daily care. Alzheimer disease–related symptoms were evaluated using the Alzheimer’s Disease Assessment Scale-Cognitive section, the Cornell Scale for Depression in Dementia (CSDD), the Neuropsychiatric Inventory, and the Barthel Index. Four time points were set for data collection: baseline (before treatment), 4 weeks (during treatment), 12 weeks (end of treatment), and 24 weeks (12 weeks posttreatment). χ2 Tests, independent t tests, repeated-measures analysis of variance, and Bonferroni tests were used for data analysis. Significant improvements in depressive and neuropsychiatric symptoms were found in the intervention group compared to the control group ( P < .05). Mean CSDD scores in the intervention group were improved at all 3 time points compared to baseline and showed the greatest effect at 12 weeks ( t = 2.076, P = .041) and 24 weeks follow-up ( t = 3.834, P = .000) compared to controls. Group reminiscence therapy was effective for improving depressive symptoms and was beneficial for treating neuropsychiatric symptoms in patients with AD.

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