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Research Article  |   October 1988
Functional Skill Regression in Late-Stage Dementias
Author Affiliations
  • Ninette R. Nolen, MPH, OTR, is Coordinator of Life Enrichment Programs at a nursing home in St. Paul and an independent consultant. (Mailing address: 2402 Larpenteur Avenue East, St. Paul, Minnesota 55109.)
Article Information
Alzheimer's Disease and Dementia / Geriatrics/Productive Aging / Neurologic Conditions / Features
Research Article   |   October 1988
Functional Skill Regression in Late-Stage Dementias
American Journal of Occupational Therapy, October 1988, Vol. 42, 666-669. doi:10.5014/ajot.42.10.666
American Journal of Occupational Therapy, October 1988, Vol. 42, 666-669. doi:10.5014/ajot.42.10.666
Abstract

One hundred fifty-two institutionalized persons with late-stage dementia were rated with a geriatric developmental screening scale that notes cognitive, language, sensorimotor, and self-care abilities. The results showed that the loss of functional abilities in late-stage dementias seems to occur in reverse order of their development in childhood. Developmental congruence was noted within these persons regardless of diagnosis. In addition, the average functional age rating correlated well with scores from the Folstein Mini Mental State examination (MMS) (Folstein, Folstein, & McHugh, 1975). The close correlation between scores indicates that the MMS is a fast and simple tool for predicting not only cognitive impairment but also the approximate stage of functional development.