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Updated: Jul 6, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Functional dependencies among the elderly on hemodialysis.

W L Cook¹, S V Jassal

¹Division of Geriatric Medicine, Department of Medicine, Providence Health Care, University of British Columbia, Vancouver, British Columbia, Canada. wcook@providencehealth.bc.ca

Kidney International

|March 21, 2008

Summary

Disability in daily activities is common for older adults on hemodialysis. Identifying patients at risk for functional impairment is crucial for better care and reduced healthcare burdens.

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Last Updated: Jul 6, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Area of Science:

Gerontology
Nephrology
Public Health

Background:

The aging dialysis population faces challenges with daily activities, impacting patient well-being, caregiver burden, and healthcare utilization.
Functional limitations in older hemodialysis patients require investigation to understand associated risks and clinical characteristics.

Purpose of the Study:

To determine the prevalence of functional disability among elderly patients undergoing chronic outpatient hemodialysis.
To identify clinical factors associated with a higher risk of disability in this patient group.

Main Methods:

A cross-sectional study involving 162 patients aged 65 and older on chronic outpatient hemodialysis.
Utilized the Barthel and Lawton Scales to assess dependence in basic self-care and instrumental activities.
Employed logistic regression to analyze associations between disability and factors like age, gender, comorbidities, cognition, and physical performance.

Main Results:

A significant proportion of older hemodialysis patients exhibited functional disability, with 85 out of 162 participants experiencing combined basic and instrumental dependence.
Factors such as multiple prescription drug needs, impaired mobility ('up-and-go' test), and lower education levels were linked to basic self-care dependency.
Only 8 participants showed no disability, while 69 had only instrumental dependence.

Conclusions:

Self-care disability is a prevalent issue among elderly patients receiving hemodialysis.
Routine identification of older dialysis patients at risk for functional impairment is necessary.
Developing strategies to mitigate functional limitations in this vulnerable population is essential.