PMID: 1401701Nov 1, 1992

The demented elderly in the city of Helsinki: functional capacity and placement

Journal of the American Geriatrics Society
K JuvaR Tilvis


To study prevalence, functional capacity, and placement of demented patients in a randomly selected population. Survey. Random sample from population registry of the City of Helsinki. Nine hundred subjects aged 75 years, 80 years and 85-years, 300 in each group. For each participant, we completed a questionnaire for the subject and an informant and a functional-capacity scale and Mini-Mental Status Examination by a community nurse, including the Clinical Dementia Rating (CDR) scale. Subjects with CDR of 0.5 or greater were examined by a neurologist who diagnosed the presence or absence of dementia according to DSM-III-R. Ninety-three subjects of the 656 whose CDR was known were found to have dementia. Three-quarters of them lived in institutions, and they comprised 33%, 60%, and 68% of all institutionalized patients in the above-mentioned age groups, respectively. Community residents suffering from dementia often lived with a caring relative and needed many services. A considerable part of the need was not met. In the older age groups, the need for institutional placement due to dementia is great. According to our study, it seems unlikely that these patients could be cared for in any other way, at least not on a large scale. Th...Continue Reading


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Related Concepts

Self Care (Rehabilitation)
Senile Paranoid Dementia
Home Care of Patient
Institutionalized Persons
Urban Population
Geriatric Assessment

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