Dependency in old age: a comparison of mental and physical factors

Article


Kay, D. W. K., Holding, T. A., Jones, B. and Littler, S.. 1991. "Dependency in old age: a comparison of mental and physical factors." International Journal of Geriatric Psychiatry. 6 (12), pp. 833-844. https://doi.org/10.1002/gps.930061203
Article Title

Dependency in old age: a comparison of mental and physical factors

ERA Journal ID13083
Article CategoryArticle
AuthorsKay, D. W. K. (Author), Holding, T. A. (Author), Jones, B. (Author) and Littler, S. (Author)
Journal TitleInternational Journal of Geriatric Psychiatry
Journal Citation6 (12), pp. 833-844
Number of Pages12
Year1991
Place of PublicationUnited Kingdom
ISSN0885-6230
1099-1166
Digital Object Identifier (DOI)https://doi.org/10.1002/gps.930061203
Web Address (URL)http://onlinelibrary.wiley.com/doi/10.1002/gps.930061203/abstract
Abstract

The level of dependency of 412 patients aged 70 years or over living in hospitals, nursing homes or sheltered accommodation (n=312) or receiving care from the domiciliary nursing services (n=100) and of 100 elderly people living in the community in Hobart, Tasmania, was assessed using a version of the CARE schedule. The respective roles of mental and physical factors were examined using other CARE items and after administering the Geriatric Mental Status schedule and the Wechsler Memory Scale. Rank-order correlations and log-linear analyses indicated that physical impairment affecting mobility and upper limb function and cognitive impairment due to dementia were about equally strongly related to the level of dependency; at least moderate degrees of both mental and physical impairment were present in 20% of patients. Vision was often hard to assess in demented patients but was associated with dependency in the non-demented. Dependency was significantly related to age and self-rated health but not to deafness and was related to mood disorder only in non-demented patients nursed at home. Apart from this, these patients showed similar relations between dependency and physical and mental impairments to those living in institutions. Central nervous system disease was associated with greater dependency than other medical diagnoses. Preventative programs, and effective management and treatment of the individual, will depend on careful diagnosis of the causes of dependency.

Keywordsaged; dependency; dementia; depression; disability institutions; domiciliary nursing
ANZSRC Field of Research 2020420301. Aged health care
Public Notes

File reproduced in accordance with the copyright policy of the publisher/author.

Byline AffiliationsUniversity of Tasmania
Institution of OriginUniversity of Southern Queensland
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