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Functional assessment of elderly clients of a rural community based long term care program
 — a 10-year cohort study
Author(s)Frank J Elgar, Graham Worrall, John C Knight
Journal titleCanadian Journal on Aging, vol 21, no 3, Fall 2002
Pagespp 455-463
KeywordsSelf care capacity ; Mobility ; Mental health [elderly] ; Evaluation ; Home care services ; Rural areas ; Longitudinal surveys ; Canada.
AnnotationAs the demand for home care increases, health care agencies should be able to predict the intake capacity of community-based long-term care (CBLTC) programmes. 297 clients entering a CBLTC programme in eastern Newfoundland were assessed for activities of daily living (ADL) and cognitive and affective functioning, and were then followed to monitor attrition and reasons why they left the programme. Compromised ADL functioning at baseline increased likelihood of death and institutionalisation by 2% each year. Over a 10-year period, reduced cognitive functioning at baseline increased the risk of death by 9%, and decreased the likelihood of leaving the programme due to improvement by 18%. Reduced affective functioning at baseline increased the risk of institutionalisation during the course of the study by 3%. Routine functional assessments with older people may help in the management of similar home care programmes. (RH).
Accession NumberCPA-021101227 A
ClassmarkCA: C4: D: 4C: NH: RL: 3J: 7S

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