Caregivers (N=53) of dementia patients administered modified version of cognitive examination at home to their patients. Comparison between caregiver-administered and clinical examinations revealed high interrater reliability unaffected by caregiver age or education level. Reliable assessment of cognitive functioning by caregivers can provide…

Considered impact of physical environment on work-related stress and quality of care in day care center integrating demented people and other frail elderly. Examined positive and negative differences before and after move to new facility. Discusses implications for facility design and other program characteristics. (Author/CM)

Comparison of cognitive processes in 23 individuals with Down's syndrome (DS) and 23 individuals of comparable mental handicap without Down's syndrome found that older (above 40 years) DS subjects had significantly poorer outcomes. The areas of speech rate, number finding, and expressive attention appeared to show the earliest signs of dementia of…

Evaluated development of integrated family assessment inventory based on Double ABCX and Circumplex models of family functioning and its clinical utility with 121 primary family caregivers from cognitive disorders program. Proposed model predicted significant proportion of variance associated with caregiver stress and strain. Several aspects of…

Examined loss of identity resulting from engulfment in caregiver role among 555 adult children and spouses caring for Alzheimer patient. Loss was more common among spouses, females, and younger caregivers. Limited social contact and lack of social roles were related to greater loss of self. Found loss of self associated with lower…

Interviewed 88 family caregivers concerning experience with medical care of demented relatives. Most caregivers expressed overall satisfaction with services. Greatest dissatisfaction was expressed in regard to receiving insufficient information about dementia; fewest concerns were expressed about inappropriate physician control. Families reported…

Describes Time Off Promotes Strength (TOPS), program for caregivers of Alzheimer's victims which provides in-home and day program services. Explains that, through application of service/training model adapted from Global Deterioration Scale, TOPS maintains high quality of services with limited but highly trained professional staff. (Author/NB)

Alzheimer's disease caregiver support groups were developed simultaneously in two cities with existing Alzheimer's disease support groups but without ethnic minority use. "Ethic competence" concept, featuring ethnographic methods, was applied in African-American and Hispanic communities in both sites. In 2 years, 114 ethnic minority primary…

Examined differences in patterns of service use between persons with probable or possible Alzheimer's disease who lived alone (n=439) versus those living with others (n=2,026). Found that those living alone were more likely female, poor, older, and had milder cognitive impairments; less likely to use medical services; and more likely to use…

Longitudinal 2-year study compared self and family members' reports of physical and functional health among 40 Alzheimer's disease patients and 53 age-matched nondemented healthy older persons. Functional health was consistently rated as more impaired by family caregivers of demented patients than by patients themselves, discrepancy not seen in…

Discusses personal narratives of subjects with Alzheimer's disease and their spouses. Notes that solo narratives were gathered from patients and spouses separately, and then joint narratives were gathered. Compares patients' ability to provide settings in their solo narrative to their ability to supply information when prompted by spouses. Finds…

Two studies are discussed. The first tested the effect of intervening material on the processing of subject-verb number agreement in Alzheimer's Disease patients and in normal elderly adults. The second examined the effect of intervening material on the processing of pronoun-antecedent number agreement in the same patients. (Author/VWL)

Purpose: Although persons with Alzheimer's disease (AD) require increasingly more assistance with activities of daily living as their disease progresses, the caregiving environment has received little attention as a source of predictors of their survival time. We report here on a study to determine whether variation in survival time of persons…

The care of individuals with dementia requires knowledge and competencies across a wide range of physical and psychosocial aspects of the disease. Yet the quality of care for persons with dementia suffers from staff shortages and inadequate training about the treatment and optimal care strategies for individuals with Alzheimer's disease. Attention…

In their role as committed advocates, parents of children with Down syndrome have always sought alternative therapies, mainly to enhance cognitive function but also to improve their appearance. Nutritional supplements have been the most frequent type of complementary and alternative therapy used. Cell therapy, plastic surgery, hormonal therapy,…