‘Not knowing where I am doesn't mean I don't know what I like’: cognitive impairment and quality of life responses in elderly people
✍ Scribed by Caroline Godlove Mozley; Peter Huxley; Caroline Sutcliffe; Heather Bagley; Alistair Burns; David Challis; Lis Cordingley
- Publisher
- John Wiley and Sons
- Year
- 1999
- Tongue
- English
- Weight
- 103 KB
- Volume
- 14
- Category
- Article
- ISSN
- 0885-6230
No coin nor oath required. For personal study only.
✦ Synopsis
Objective. To elucidate the extent to which elderly people with cognitive impairment are able to answer questions about their quality of life.
Design and setting. 308 elderly residents were interviewed within 2 weeks of admission to one of 30 residential or nursing homes in north-west England.
Measures. The Mini-Mental State Examination (MMSE), the Lancashire Quality of Life Pro®le (Residential) (LQOLP(R)), the Crichton Royal Behaviour Rating Scale (CRBRS) and the HONOS-65 .
Results. Of the 308 subjects, LQOLP(R) interviews were attempted with 213 who scored 10 or over on the MMSE. Of the 213, 77.5% were found to be `interviewable', ie able to answer the majority of questions in the LQOLP(R) and in doing so to give answers in which the interviewer had con®dence. Of the seven cognitive domains measured by the MMSE, visual construction and registration were not signi®cantly associated with interviewability. While orientation to time and recall were signi®cantly associated with interviewability, many interviewable respondents had poor scores in these domains. No respondents were interviewable who scored less than 2 (out of 5) for orientation to place or less than 3 (out of 8) for language or less than 2 (out of 5) for attention.
Conclusions. A high proportion of elderly people can answer questions about their quality of life, even in the presence of signi®cant cognitive de®cits.