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Related Experiment Videos

Functional skill regression in late-stage dementias.

N R Nolen

    The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
    |October 1, 1988
    PubMed
    Summary
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    Predicting dependent feeding behaviors in the institutionalized elderly.

    Journal of nutrition for the elderly·1988
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    Late-stage dementia patients exhibit functional decline mirroring childhood development in reverse. The Folstein Mini Mental State examination (MMS) effectively predicts cognitive impairment and functional staging in dementia.

    Area of Science:

    • Gerontology
    • Neuroscience
    • Developmental Psychology

    Background:

    • Late-stage dementia significantly impacts cognitive, language, sensorimotor, and self-care abilities.
    • Understanding the pattern of functional loss is crucial for patient care and assessment.

    Purpose of the Study:

    • To investigate the pattern of functional ability loss in late-stage dementia.
    • To explore the relationship between functional decline and developmental stages.
    • To assess the utility of the Folstein Mini Mental State examination (MMS) in predicting functional status.

    Main Methods:

    • A geriatric developmental screening scale was used to assess 152 institutionalized individuals with late-stage dementia.
    • Evaluated cognitive, language, sensorimotor, and self-care abilities.

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  • Correlated functional age ratings with Folstein Mini Mental State examination (MMS) scores.

    • Main Results:

    • Functional abilities were lost in the reverse order of their development during childhood.
    • Developmental congruence was observed across different dementia diagnoses.
    • A strong correlation was found between average functional age ratings and MMS scores.

    Conclusions:

    • Functional decline in late-stage dementia follows a predictable pattern related to developmental stages.
    • The Folstein Mini Mental State examination (MMS) is a valuable tool for assessing cognitive impairment and functional development stage in dementia patients.