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Cognitive ability and functional status.

M M Knight1

  • 1Nursing Faculty, Regis College, Weston, Massachusetts, USA. peggykn_99@yahoo.com

Journal of Advanced Nursing
|June 10, 2000
PubMed
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Functional status and its cognitive dimension lack clear definitions, hindering research. Developing models that integrate cognition is crucial for understanding and measuring functional status across disciplines.

Area of Science:

  • Gerontology
  • Rehabilitation Medicine
  • Cognitive Science

Background:

  • The literature reveals significant confusion regarding the definition and dimensions of functional status.
  • Existing frameworks lack substantiation, leading to a lack of agreement and inconsistent measurement.
  • The cognitive dimension of functional status is recognized but poorly described and understood.

Purpose of the Study:

  • To examine the historical development of the concept of functional status.
  • To describe the inclusion and evolution of the cognitive dimension within functional status literature.
  • To highlight the need for conceptual clarity and integrated models.

Main Methods:

  • A literature review was conducted using three major databases: CINAHL, PsychLit, and MedLine.

Related Experiment Videos

  • Extensive keyword searches identified thousands of sources from the 1960s to 1998.
  • Sources were analyzed and categorized to track the recognition of the cognitive dimension.
  • Main Results:

    • The review demonstrated a growing recognition of the cognitive dimension of functional status over time.
    • Despite increased recognition, conceptual clarity remains a significant issue.
    • Lack of clarity limits interdisciplinary communication and the comparability of study outcomes.

    Conclusions:

    • There is a critical need for functional status models that explicitly incorporate cognition as a core component.
    • Population-specific descriptions of the cognitive dimension should be informed by neuroscientific principles.
    • Enhanced conceptual clarity is essential for advancing research and practice in functional status assessment.