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Centre for Policy on Ageing | |
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| Defining severe dementia with the Minimum Data Set | | Author(s) | Jenny T van der Steen, Ladislav Volicer, Debby L Gerritsen |
| Journal title | International Journal of Geriatric Psychiatry, vol 21, no 11, November 2006 |
| Pages | pp 1099-1106 |
| Source | http://www.interscience.wiley.com |
| Keywords | Dementia ; Cognitive processes ; Evaluation ; Cross sectional surveys ; United States of America ; Netherlands. |
| Annotation | Accurately defining severe dementia is important for care and prognosis, but is not explicitly included in the Minimum Data Set (MDS). In order to define severe dementia using the MDS, two cross-sectional studies were conducted with 89 residents from one US nursing home and 86 residents from 9 Dutch nursing homes. Measurements included the Cognitive Performance Scale (CPS: range 0-6), activities of daily living (ADL) dependency, and the Bedford Alzheimer Nursing Seventy Scale (BANS-S, range 7-28), a staging instrument specific for severe dementia. Half of the residents received CPS scores of 5, and their BANS-S scores varied widely. There was fair agreement between severe cognitive impairment as defined by the CPS (scores 5 and 6) and the BANS-S score (17 or higher). Addition of an ADL dependency requirement to the CPS definition improved agreement. The observed patterns were similar but more obvious for US than Dutch residents. Cognitively impaired residents comprise a heterogeneous group with a wide variety of function. Restriction with respect to ADL dependency allows for distinction between moderate and severe dementia. The authors propose the following MDS-based definition of severe dementia: a CPS score of 5 or 6, with a minimum score of at least 10 points on the MDS ADL - Short Form. (RH). |
| Accession Number | CPA-061213211 A |
| Classmark | EA: DA: 4C: 3KB: 7T: 76H |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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