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Functional disability in Alzheimer's disease

S Gauthier¹, I Gélinas, L Gauthier

¹McGill Center for Studies in Aging, Verdun, Quebec, Canada.

International Psychogeriatrics

|January 1, 1997

Summary

Functional impairment in Alzheimer's disease (AD) is best measured by Activities of Daily Living (ADL) decline. The Disability Assessment for Dementia (DAD) scale, particularly its instrumental ADL items, aids early AD diagnosis by primary care physicians.

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Area of Science:

Geriatrics
Neurology
Cognitive Science

Background:

Functional impairment, specifically decline in Activities of Daily Living (ADL), is a hallmark symptom of Alzheimer's disease (AD).
Accurate assessment of ADL is crucial for differentiating between benign cognitive impairment and dementia.
Existing scales like the Disability Assessment for Dementia (DAD) are used in geriatric and AD populations.

Purpose of the Study:

To evaluate the utility of the instrumental ADL (IADL) components of the DAD scale for diagnosing early-stage AD.
To highlight the role of primary care physicians in early AD diagnosis and management.

Main Methods:

Review of the Disability Assessment for Dementia (DAD) scale, focusing on its instrumental ADL (IADL) relevant items.
Analysis of the DAD scale's potential application in primary care settings for early AD detection.

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Main Results:

The instrumental ADL items within the DAD scale offer critical insights for diagnosing early-stage Alzheimer's disease.
These ADL assessment tools can support primary care physicians in identifying dementia earlier.

Conclusions:

The DAD scale, specifically its IADL items, can significantly aid primary care physicians in the early diagnosis of Alzheimer's disease.
Enhanced ADL assessment tools are vital for expanding the role of primary care in managing AD patients, including earlier diagnosis and treatment initiation.