Centre for Policy on Ageing



Cognitively impaired older adults — risk profiles for institutionalization
Author(s)	Laurel A Strain, Audrey A Blandford, Lori A Mitchell
Journal title	International Psychogeriatrics, vol 15, no 4, December 2003
Pages	pp 351-366
Source	www.springerpub.com
Keywords	Cognitive impairment ; Dementia ; At risk ; Admission [nursing homes] ; Longitudinal surveys ; Canada.
Annotation	Cluster analysis was conducted using data from the Manitoba Study of Health and Aging, for 123 individuals aged 65+ and their unpaid caregivers. Three distinct groups emerged: 12 people were at high risk of institutionalisation for reasons of cognitive impairment or dementia; 40 were at medium risk; and 71 were low risk. The high risk group had the poorest cognitive scores, were the most likely to need assistance with activities of daily living (ADLs) and instrumental ADLs (IADLs), and had the highest levels of burden on their caregivers. Follow-up of the groups validated the risk profiles: 75% of the high-risk group were institutionalised within the next 5 years, compared to 45% of the medium-risk group and 21% of the low-risk group. The risk profiles highlight the diversity among those with cognitive impairment and the opportunity for differential targeting of services for the distinct needs of each group. (RH).
Accession Number	CPA-040604201 A
Classmark	E4: EA: CA3: LHB:QKH: 3J: 7S
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...from the Ageinfo database published by Centre for Policy on Ageing.