Twenty-four individuals with Alzheimer's disease were assessed for their ability to use common objects included in daily living activities (ADL) within a natural setting. The study provides statistical evidence to support the notion that patients who have lost the ability to use objects have the most complex cognitive loss. That is, the 11 individuals with impaired ability to use common objects such as a toothbrush or comb were most severely cognitively impaired. However, independent of degree of dementia, 23 of 24 patients were able to use a spoon or fork in feeding themselves. Implications for help and support of patients with Alzheimer's disease and an impaired ability to use objects are discussed.
de AjuriaguerraJ.KluserJ. P.VelgheJ., & TissotR. (1965). Praxies ideatoires et permanence de l'objet. Quelques aspects deleur desintegration conjointe dans les syndromes dementiels du grand age. Psychiatria et Neurologia, 150, 306–319.
2.
AlmindG. (1985). The general practitioner and the dementia patient. Danish Medical Bulletin, 32 (supp. 1): 26–28.
3.
AlzheimerA. (1977). A unique illness involving the cerebral cortex. In RottenbergD. A., & HochbergF. H. (Eds.), Neurological classics in modern translation (pp. 41–43). New York: Haffner Press. (Original work published 1907).
4.
American Psychiatric Association (1987): Diagnostic and statistical manual of mental disorders (3rd ed. rev.). Washington, DC: American Psychiatric Association.
5.
Baum-ManvilleC.EdwardsD.LeavittK.GrantE., & DeuelR. (1988). Performance components in senile dementia of the Alzheimer type. Occupational Therapy Journal of Research, 8, 356–368.
6.
BeckC., & HeacockP. (1988). Nursing intervention for patients with Alzheimer's disease. Nursing Clinics North America1, 95–124.
7.
ColeM., & DastoorD. (1987). A new hierarchic approach to the measurement of dementia. Psychosomatics, 28, 298–304.
8.
FolsteinM. E.FolsteinS. E., & McHughP. R. (1975). “Mini Mental State”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research12, 189–198.
9.
HughesS.BergL.DanzingerW.CobenL., & MartinR. (1982). A new clinical scale for the staging of dementia. British Journal of Psychiatry, 140, 556–572.
10.
NolenN. (1988). Functional skill regression in late stage dementias. American Journal of Occupational Therapy, 42, 666–669.
11.
RogersJ., & SnowT. (1982). An assessment of the feeding behaviors of the institutionalized elderly. American Journal of Occupational Therapy, 33, 375–379.
12.
RogersJ.MarcusC., & SnowT. (1987). Maude, a case of sensory deprivation. American Journal of Occupational Therapy, 41, 673–676.
13.
RönnbergL., & EricssonK. (in press). Reliability and validity of the hierarchic dementia scale.
SandmanP. Q.NorbergA.AdolfssonR.AxelssonK., & HedlyV. (1986). Morning care of patients with Alzheimer type dementia. A theoretical model based on direct observations. Journal of Advanced Nursing, 11, 369–378.
16.
SandmanP. Q.NorbergA.AdolfssonR.ErikssonS., & NyströmL. (1990). Prevalence and characteristics of persons with dependency on feeding at institutions for elderly. Scandinavian Journal of Caring Sciences, 4, 121–127.
17.
SunderlandT.HillJ.MellowA.LaworB.GunderersheimerJ.NewhouseP., & GrafmanJ. (1989) Clock drawing in Alzheimer's disease, a novel measure of dementia severity. Journal of American Geriatrics Society, 37, 725–729.
18.
ZgolaJ. (1989). Doing things. A guide to programming activities for persons with Alzheimer's disease and related disorders. Baltimore: Johns Hopkins University Press.
