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Executive dyscontrol: an important factor affecting the level of care received by older retirees
Author(s)Donald R Royall, Maria Cabello, Marsha J Polk
Journal titleJournal of the American Geriatrics Society, vol 46, no 12, December 1998
Pagespp 1519-1524
KeywordsCognitive processes ; Dementia ; Services ; Usage [services] ; Retirement communities ; Long term ; United States of America.
AnnotationExecutive control function (EFC) impairment is a type of cognitive impairment that undermines a person's independence by interfering with the direction, planning, execution, and supervision of behaviour. The prevalence of EFC impairment among older people living in the community is not known. This study examined the relative contributions of EFC, general cognition, mood, problem behaviour, physical disability, demographic variables, and the number of prescribed medications to the level of care received by older people in a continuing care retirement community in Texas. Results showed that cognitive (particularly EFC) impairment contributed most to the observed variance of care received. In contrast, markers of general cognition, depression, and physical illness contributed relatively little additional variance. EFC is not detected well by traditional cognitive measures and must be sought by specific tests. (AKM).
Accession NumberCPA-990304404 A
ClassmarkDA: EA: I: QLD: ROA: 4Q: 7T

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