Daily functioning and dementia

Cipriani, Gabriele; Danti, Serena; Picchi, Lucia; Nuti, Angelo; Fiorino, Mario Di

doi:10.1590/1980-57642020dn14-020001

Cited by 93 publications

(57 citation statements)

References 92 publications

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“…Impairments in basic ADLs and more complex, instrumental ADLs (IADLs) are associated with the development of functional disability. [34][35][36][37][38] In a systematic review, Gaugler et al 39 found that having three or more ADL dependencies was a strong predictor of nursing home admission. In addition, IADL impairment may adversely affect the management of risk factors such as hypertension and diabetes, which are risk factors for heart failure.…”

Section: Activities and Participationmentioning

confidence: 99%

Laying the foundation for an International Classification of Functioning, Disability and Health Core Set for community-dwelling elderly adults in primary care: the clinical perspective identified in a cross-sectional study

et al. 2020

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ObjectivesHaving more information about the biopsychosocial functioning of their geriatric patients might help physicians better balance medical interventions according to patients’ needs. For this reason, we aimed to develop an easy-to-handle International Classification of Functioning, Disability and Health (ICF) Core Set for community-dwelling geriatric patients aged 75 and older in primary care. In this empirical study, we describe the functioning and health of community-dwelling patients aged 75 and older in primary care in Germany and identify the most common problems encountered by these individuals when using the ICF.DesignIn this exploratory, cross-sectional study, a health professional conducted semi-structured interviews.SettingCommunity-dwelling older adults aged 75 and older in Germany.Participants65 participants (mean age=80.2, SD=3.6).Outcome measuresExtended ICF Checklist V.2.1a, patients prioritised chapters of the ‘activities and participation’ component.ResultsThe three most common impairments for ‘body functions’ were visual system functions (ICF-code b210; 89%), blood pressure functions (b420; 80%) and sensations associated with hearing and vestibular functions (b240; 59%). For ‘body structures’, they were eyes, ears and related structures (s2; 81%), structure of mouth (s320; 74%) and structures related to the digestive, metabolic and endocrine systems (s5; 49%). For the ‘activities and participation’ component, adequate aids compensated for activity limitations to a certain degree. Still, after having adequate aids, the category in which the participants had the most difficulty was walking (d450; 35%). Participants rated the ‘mobility’ chapter as the most important of all chapters. ‘Environmental factors’ were facilitators of participants’ functioning.ConclusionsThis empirical study provides a list of ICF categories relevant to older adults from the clinical perspective. Along with lists from the other three preparatory studies, it will form the basis for the development of an ICF Core Set for community-dwelling older adults in primary care.Trial registration detailsThe trial is registered in ClinicalTrials.gov (NCT03384732).

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Section: Activities and Participationmentioning

confidence: 99%

Laying the foundation for an International Classification of Functioning, Disability and Health Core Set for community-dwelling elderly adults in primary care: the clinical perspective identified in a cross-sectional study

et al. 2020

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“…The following neuropsychological data were collected from all participants: Mini-Mental State Examination (MMSE); Alzheimer's Disease Assessment Scale – Cognitive subscale (ADAS-Cog); F-A-S Letter Verbal Fluency (LVF) [or Controlled Oral Word Association Test (COWAT)]; Logical Memory subtest of the Wechsler Memory Scale (WMS) – fourth edition (WMS-IV). In addition, data with the Lawton Instrumental Activities of Daily Living Scale (LADL) and Neuropsychiatric Inventory (NPI) were collected and included in this study, as behavioral disturbance and loss of daily functioning are common in AD patients and can be assessed by these two tests (Cipriani et al, 2020 ; Cummings, 2020 ).…”

Section: Methodsmentioning

confidence: 99%

A 5-min Cognitive Task With Deep Learning Accurately Detects Early Alzheimer's Disease

Almubark

Chang

Shattuck

et al. 2020

Front. Aging Neurosci.

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Introduction: The goal of this study was to investigate and compare the classification performance of machine learning with behavioral data from standard neuropsychological tests, a cognitive task, or both.Methods: A neuropsychological battery and a simple 5-min cognitive task were administered to eight individuals with mild cognitive impairment (MCI), eight individuals with mild Alzheimer's disease (AD), and 41 demographically match controls (CN). A fully connected multilayer perceptron (MLP) network and four supervised traditional machine learning algorithms were used.Results: Traditional machine learning algorithms achieved similar classification performances with neuropsychological or cognitive data. MLP outperformed traditional algorithms with the cognitive data (either alone or together with neuropsychological data), but not neuropsychological data. In particularly, MLP with a combination of summarized scores from neuropsychological tests and the cognitive task achieved ~90% sensitivity and ~90% specificity. Applying the models to an independent dataset, in which the participants were demographically different from the ones in the main dataset, a high specificity was maintained (100%), but the sensitivity was dropped to 66.67%.Discussion: Deep learning with data from specific cognitive task(s) holds promise for assisting in the early diagnosis of Alzheimer's disease, but future work with a large and diverse sample is necessary to validate and to improve this approach.

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“…Para além das orientações dos protocolos do Ministério da Saúde, o idoso com demência tem particularidades que podem tornar este cuidado um grande desafio. À medida que a doença evolui, aumenta o declínio nas atividades de cuidado pessoal, com prejuízo nos cuidados com a higiene corporal (Cipriani 2020), sendo este um dos riscos identificados num estudo (Evans 2018). Com o aumento da dependência nas atividades da vida diária, é necessário que o cuidador /familiar gerencie este cuidado, que muitas vezes é agravado pelo déficit de memória e pelos sintomas psicológicos e comportamentais da demência.…”

Section: Risco De Infecções Associadas Aos Cuidados De Saúdeunclassified

“…Nas demências, a deterioração cognitiva progressiva tem um grande impacto na capacidade de realizar as atividades diárias. A cognição está associada a realização das atividades do cotidiano (Cipriani 2020) A cognição compreende a aquisição de conhecimento e compreensão através de domínios cognitivos que envolvem atenção, percepção, memória, linguagem e funções executivas (Cipriani 2020). Para a realização de uma única atividade funcional são necessários vários domínios cognitivos.…”

Section: Risco De Perda Funcional Associada Ao Déficit Cognitivounclassified

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Identificando riscos a segurança do paciente idoso com demência: revisão integrativa

Calvo

Brum

Messias

2020

RSD

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Trata se de um estudo de Revisão integrativa com o objetivo de identificar os riscos à segurança do paciente idoso com demência. A pesquisa aconteceu nas bases de dados Medline, Bdenf e Lilacs, abrangendo artigos completos em formato eletrônico, em inglês português e espanhol no período de 2015 a 2020. Após a análise de acordo com os critérios do estudo foram selecionados 29 artigos que constituíram a amostra desta revisão. Os riscos encontrados foram analisados na perspectiva da segurança do paciente e descritos em oito categorias envolvendo as metas internacionais de segurança do paciente da Organização Mundial de Saúde, os riscos de perdas funcionais relacionadas a deterioração cognitiva, os riscos de perda funcional associadas as alterações psicológicas e comportamentais das demências e aos riscos à segurança associados a internação. A identificação dos riscos à segurança do idoso com demência é fundamental para a gestão do cuidado seguro. A progressão do déficit cognitivo predispõe o indivíduo idoso com demência a riscos que podem ser prevenidos ou mitigados através da ótica do cuidado centrado no paciente.

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Daily functioning and dementia

Cited by 93 publications

References 92 publications

Laying the foundation for an International Classification of Functioning, Disability and Health Core Set for community-dwelling elderly adults in primary care: the clinical perspective identified in a cross-sectional study

Laying the foundation for an International Classification of Functioning, Disability and Health Core Set for community-dwelling elderly adults in primary care: the clinical perspective identified in a cross-sectional study

A 5-min Cognitive Task With Deep Learning Accurately Detects Early Alzheimer's Disease

Identificando riscos a segurança do paciente idoso com demência: revisão integrativa

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