The role of cognitive status in the use of inhome services: implications for nursing assessment
Related Experiment Video
Updated: Oct 27, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
1Faculty of Nursing, University of Manitoba.
Abstract:
The link between cognitive status and use of home-care services by elders and their informal caregivers has received limited research attention. The purpose of this study was to determine whether an association exists between cognitive status and inhome service utilization by elders and their identified informal caregiver (N = 380). A modification of the Andersen-Newman health service utilization model was constructed to facilitate analysis and comparison with other studies. Data from the Manitoba Study on Health and Aging-1 (MSHA-1) were analyzed using hierarchical logistic regression modelling. Elders of 3 types of cognitive status--dementia, cognitive loss without dementia, and no cognitive impairment--were studied; 4 different inhome services--homemaking, inhome nursing, personal care, and home-delivered meals--were examined. The study revealed a weak association between cognitive status and use of inhome services. The findings raise implications for eligibility assessment by nurses and home-care policy.
Related Concept Videos
Role of Communication in the Nursing Process I: Assessment and Diagnosis
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing process.
Nursing Assessment
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments and...
Patient-centered Care
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...
Critical Thinking I
Nursing Evaluation
Section...