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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Published on: September 30, 2020

[Changes in ability- and performance-based IADL among community-dwelling elderly].

Naoko Suzuki1, Aya Goto, Hirohide Yokokawa

  • 1Department of Public Health, Fukushima Medical University, School of Medicine.

Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
|February 28, 2009
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Instrumental activities of daily living (IADL) performance declined in community-dwelling elderly over one year. Those shifting to borderline performance had lower physical status and unhealthy attitudes, highlighting the need for preventive care screening.

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Area of Science:

  • Gerontology
  • Public Health
  • Sociology

Context:

  • Community-dwelling elderly are a growing demographic.
  • Instrumental activities of daily living (IADL) are crucial for independent living.
  • Assessing IADL changes is vital for geriatric care.

Purpose:

  • To examine changes in ability- and performance-based IADL.
  • To identify factors associated with IADL decline in the elderly.
  • To evaluate the utility of IADL assessments for preventive care.

Summary:

  • A one-year follow-up study of community-dwelling elderly in Otama village assessed IADL performance.
  • Participants were categorized into good, borderline, or low performance groups based on Kihon Checklist tasks.
  • A decrease in the good performance group and an increase in borderline/low groups were observed, with shifts linked to lower physical status and attitudes.

Impact:

  • Findings underscore the decline in IADL performance among the elderly.
  • Identifies specific risk factors (physical status, attitudes) for IADL decline.
  • Highlights the importance of ability- and performance-based IADL evaluations for identifying individuals needing preventive interventions.