Functional loss in older adults with intellectual disabilities and dementia.
Why you should read this article: • To be aware of secondary analysis of data from waves 1 and 3 of the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA) • To appreciate that dementia is highly prevalent in older adults with intellectual disabilities, particula...
| Publicado en: | Learning Disability Practice Vol. 25; no. 6; pp. 24 - 32 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
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Royal College of Nursing of the United Kingdom (The)
12/5/2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160561613&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160561613 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14658712 FTU jtl: Learning Disability Practice issn: 14658712 maglogo: N pubinfo: dt: 12/5/2022 vid: 25 iid: 6 pid: 6040 pub: Royal College of Nursing of the United Kingdom (The) artinfo: ui: 160561613 160561613 160561613 10.7748/ldp.2022.e2184 160561613 ppf: 24 ppct: 8 formats: tig: atl: Functional loss in older adults with intellectual disabilities and dementia. aug: au: Kirwan, Rachel Sheerin, Fintan McGlinchey, Eimear McCallion, Philip McCarron, Mary affil: Staff nurse, Nursing Stewarts Care Ltd, Dublin, Ireland sug: subj: Geriatric Functional Assessment Intellectual Disability Diagnosis Dementia Epidemiology Down Syndrome Human Aged Activities of Daily Living Evaluation Life Expectancy Alzheimer's Disease Dementia Diagnosis Random Sample Adult Middle Age Aged, 80 and Over Interviews Questionnaires Secondary Analysis Data Analysis Software Descriptive Statistics Chi Square Test Statistical Significance Funding Source Aged: 65+ years Adult: 19-44 years Middle Aged: 45-64 years Aged, 80 & over ab: Why you should read this article: • To be aware of secondary analysis of data from waves 1 and 3 of the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA) • To appreciate that dementia is highly prevalent in older adults with intellectual disabilities, particularly in those with Down's syndrome • To recognise the need for routine assessment of cognition and adaptive functioning in older adults with intellectual disabilities to increase recognition, identify early symptoms of dementia and plan care accordingly Background: Diagnosing dementia in people with intellectual disabilities can be challenging due to pre-existing cognitive impairment. In this population, functional loss could be an early indicator of dementia, but the relationship between functional loss and dementia is not well understood. This means there is a risk of delayed diagnosis and therefore a delay in care planning. Aim: To identify and compare the prevalence and age distribution of dementia in people with intellectual disabilities, differentiating between those with Down's syndrome and those with an intellectual disability not attributable to Down's syndrome, and to identify and compare functional loss in people with intellectual disabilities who have developed dementia, differentiating between those with Down's syndrome and those with an intellectual disability not attributable to Down's syndrome. Method: This was a secondary analysis of data from waves 1 and 3 of the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA), a nationally representative study in Ireland of older adults with intellectual disabilities as they age. Functional loss was determined by participants' level of difficulty with activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Results: The prevalence of dementia was higher among participants with Down's syndrome than among those with an intellectual disability not attributable to Down's syndrome, and the age distribution of dementia differed markedly between the two groups. Both groups experienced similar patterns of difficulty with ADLs and IADLs. IADLs posed more difficulty than ADLs, and among ADLs self-care activities posed the most difficulty. Conclusion: It is important to continue to investigate functional loss in older adults with intellectual disability who have developed dementia, as this should lead to earlier assessment and care planning. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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