Dysfunctional Behavior Rating Instrument

1997 ◽  
Vol 8 (S3) ◽  
pp. 333-341 ◽  
Author(s):  
D. William Molloy ◽  
Michel Bédard ◽  
Gordon H. Guyatt ◽  
Judy Lever
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Abilities ◽  
Daily Living ◽  
Treatment Plan ◽  
Behavior Rating ◽  
Activity Of Daily Living ◽  
Dysfunctional Behavior ◽  
Identification Evaluation ◽  
Rating Instrument ◽  
Dementing Illness

A dysfunctional behavior can be defined as “an inappropriate action or response, other than an activity of daily living, in a given social milieu that is a problem for the caregiver.” Dysfunctional behaviors commonly accompany cognitive impairment and are a significant source of burden to caregivers. Dysfunctional behaviors may be the first sign of a dementing illness, even before caregivers perceive changes in the patient's cognitive abilities. However, unlike cognitive impairment, dysfunctional behaviors are amenable to medical treatment. Effective treatment of these behaviors requires their description and identification, evaluation of their frequency and impact on the caregiver, identification of causes, development of a treatment plan, and evaluation of the effects of treatment.

scholarly journals Mild cognitive impairment in Parkinson's disease and vascular risk factors among Indian patients

2015 ◽  
Vol 27 (12) ◽  
pp. 2098-2099
Author(s):  
Vikas Dhikav ◽  
Mansi Sethi ◽  
Kuljeet Singh Anand
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Daily Living ◽  
Activity Of Daily Living ◽  
Vascular Risk ◽  
Subjective Memory Complaints ◽  
Subjective Memory ◽  
Indian Patients

Mild cognitive impairment (MCI) is often defined as subjective memory complaints with intact activity of daily living without dementia. Its association as a precursor to Alzheimer's disease is well known. However, MCI in Parkinson's disease (PD) is poorly understood. The present small study aimed to measure the frequency of MCI and vascular factors in Indian patients with PD.

scholarly journals Obesity Is Less Frequently Associated with Cognitive Impairment in Elderly Individuals: A Cross-Sectional Study in Yogyakarta, Indonesia

Nutrients ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 367 ◽  
Author(s):  
Amelia Nur Vidyanti ◽  
Muhammad Hardhantyo ◽  
Bayu Satria Wiratama ◽  
Astuti Prodjohardjono ◽  
Chaur-Jong Hu
Keyword(s):  
Body Mass Index ◽  
Cognitive Impairment ◽  
Daily Living ◽  
Cross Sectional Study ◽  
Activity Of Daily Living ◽  
Sectional Study ◽  
Cross Sectional ◽  
Middle Income ◽  
Elderly Individuals ◽  
Middle Income Countries

Obesity is one of the factors associated with cognitive impairment. However, obesity may differently affect cognitive function in different age groups, and scarce data are available from low- and middle-income countries. This cross-sectional study aimed to identify the association between obesity and cognitive impairment among 143 elderly individuals in Yogyakarta. We recorded the sociodemographic factors and some comorbidities, also measured the body mass index as a parameter of obesity, cognitive function using Montreal Cognitive Assessment—Indonesia, mood condition and depression status using geriatric depression scale-short form, as well as the daily life function using Activity of Daily Living and Instrumental Activity of Daily Living. After adjustment for the sociodemographic and comorbidities, we found that subjects with older age were more likely to have cognitive impairment (odds ratio [OR] 3.544, 95%CI: 1.36–9.22, p < 0.01) and compared with elderly individuals with normal weight, obese elderly individuals were 40% less likely to have cognitive impairment (OR 0.604, 95%CI: 0.39–0.95, p < 0.05). This study suggests that obesity in elderly individuals is less frequently associated with cognitive impairment. These findings support the reverse causation mechanism related to body mass index (BMI) and cognitive impairment in low/middle-income countries.

Abstract P244: Comorbidities and Physical and Cognitive Impairments in Elderly Heart Failure Patients: Impact on Total Mortality: The Cardiovascular Health Study (CHS)

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Khalil Murad ◽  
David C Goff ◽  
Timothy M Morgan ◽  
Gregory L Burke ◽  
Dalane W Kitzman
Keyword(s):  
Heart Failure ◽  
Cognitive Impairment ◽  
Elderly Patients ◽  
Mortality Risk ◽  
Daily Living ◽  
Cognitive Impairments ◽  
Total Mortality ◽  
Cardiovascular Health Study ◽  
Activity Of Daily Living

Background: Comorbidities and physical and cognitive impairments are common in patients with heart failure (HF) and often associated with greater mortality. However, the prevalence of these conditions and their associated mortality risk in elderly patients with incident HF is unknown. Method: We examined the prevalence of 9 comorbidities and 4 measures of physical and cognitive impairments in 558 participants from CHS (age 79.2 ± 6.3, 52% men) with incident HF diagnosed between 1990 and 2002. Participants were followed prospectively until mid 2008 (an average follow up time of 4.7 years) to determine the associated mortality risk. Results: The burden of comorbidities was high; 60% of participants had ≥ 3 comorbidities, and only 2.5% had none. Impairment in ≥ 1 activity of daily living (ADL) and ≥ 1 instrumental activity of daily living (IADL) was present in 22.5% and 43.7% of participants, respectively. Significant cognitive impairment (modified mini-mental state exam (3MSE) score < 80) was present in 17% of participants. During follow up, 504 participants died, with 1-year and 5-year survival rates of 0.81 and 0.44 respectively. In a multivariable-adjusted model, the following were significantly associated with greater total mortality (hazard ratio: 95% confidence interval): comorbidities including diabetes mellitus (1.64: 1.33–2.03), chronic kidney disease (moderate (1.32: 1.07–1.62); severe (3.00: 1.82–4.95)), cerebrovascular disease (1.53: 1.22–1.92), and depression (1.44: 1.09–1.90); Physical impairment (1 ADL impaired (1.30: 1.04–1.63); ≥ 2 IADL impaired (1.49: 1.07–2.04)); and cognitive impairment (3MSE score < 80 (1.33: 1.02–1.73)). Conclusion: Elderly patients with incident HF have high burdens of comorbidities and physical and cognitive impairments that significantly contribute to their high mortality rates.

Factors Associated with history of Fall among Elderly people in Southern West Bank

2020 ◽  
Author(s):  
Nihal Natour ◽  
Alaa Jaradat ◽  
Manal Badrasawi
Keyword(s):  
Cognitive Impairment ◽  
Nutritional Status ◽  
Physical Function ◽  
Rural Areas ◽  
Daily Living ◽  
West Bank ◽  
Primary Objective ◽  
Anthropometric Measurement ◽  
Activity Of Daily Living ◽  
Risk Of Fall

Abstract Background Elderly men and women have higher risk of fall due to various factors including malnutrition, decreased muscle mass, decreased functional capacity, cognitive impairment and depression. Among Palestinian older adults fall history yet to be studied in term of prevalence and correlates. Objective The primary objective of this study is to determine the prevalence of fall and the differences in fallers and non-fallers among a group of Palestinian elderly living in rural areas in Southern West Bank region of Hebron. Methods The study included 142 participants from two villages: Se'ar and Bani Na'em , Hebron governance. Demographic variables and fall history was collected by a pre-tested structured questionnaire. Anthropometric measurement were used to assess nutritional status; physical function was assessed by activity of daily living and instrumental activity of daily living, level of fitness was assessed using senior fitness test. Geriatric scale for depression was used to assess depression and Montreal cognitive assessment test was used to evaluate mild cognitive impairment. Results : 51.7% of study participants were females, the mean age 69.5± 5.7 years old. Positive fall history was present among 11.7% mostly females. Significant relationship with fall was found with larger waist and hip circumference, cognitive impairment, higher level of dependency and slower performance in time up and go (TUG) p<0.05. Conclusion Fall history has considerable prevalence among the study sample and it is correlated with nutritional status, cognitive and physical function. The findings of the study recommend educational and intervention programs to enhance the nutritional status, physical fitness and cognitive function among Palestinian elderly. Further research are needed to determine the risk factors of fall utilizing longitudinal study design and intervention studies to optimize intervention model to enhance the health status and decrease the risk of fall.

Longitudinal Cognitive and Physical Training Effectiveness in MCI, Based on the Experience of the Alzheimer’s Hellas Day Care Centre

2021 ◽  
pp. 089198872110160
Author(s):  
Eleni Poptsi ◽  
Marianna Tsatali ◽  
Christina Agogiatou ◽  
Evaggelia Bakoglidou ◽  
Georgia Batsila ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Cognitive Performance ◽  
Cognitive Training ◽  
Verbal Memory ◽  
Cognitive Abilities ◽  
Daily Living ◽  
Control Group ◽  
Care Centre ◽  
Day Care Centre

This study assesses the effectiveness of a multicomponent Longitudinal Cognitive Training (CT) program plus physical exercise (PE) for people with Mild Cognitive Impairment (MCI). 155 people with MCI, completed a 3 years (3Y) CT+PE, whilst 133 were control. Neuropsychological assessment was performed at baseline and 3 years later, whilst CT+PE had additional annual assessments. According to the results, the 3Y CT+PE outperformed control in cognitive abilities ( p < 0.002), and Activities of Daily Living (ADL) ( p < 0.001), stabilized their functional performances between 1st and 2nd year, but worsened in working and verbal memory between 2nd and 3 rd year ( p < 0.002). Control deteriorated in cognitive functions ( p < 0.001) and ADL ( p < 0.001) after 3 years, whilst 1.33% of the experimental and 13.53% of the control group progressed to dementia ( p < 0.001). Longitudinal CT+PE improves cognitive performance and ADL in MCI and delay the progression to dementia.

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