Progressive support for activities of daily living for persons living with dementia
Open accessAbstract
Background and Objectives: Dementia is accompanied by increasing need for support in activities of daily living (ADLs). This brief report/literature review summarizes the practices to care for early stage, middle stage, and late stage ADL needs (dressing, toileting, and eating/nutrition), and examines commonalities across ADL needs and the extent to which practices are reflected in guidelines and/or evidence. Research Design and Methods: A review of the grey and peer-reviewed literature, using some but not all procedures of a systematic review. Key terms were identified for ADLs overall and for each of the 3 ADLs, and a search was conducted using these words in combination with (a) dementia, Alzheimer's disease, and similar terms, and (b) practices, interventions, guidelines, recommendations, and similar terms. Searches were conducted using databases of peer-reviewed literature as well as the Grey Literature Reports and Google search engine. Sources were included if they provided evidence or recommendations on interventions to address ADL functioning for dressing, toileting, and feeding for persons living with dementia. Results: As cognitive and functional impairment increases, the number of care practices and themes that embody care practices increases. The majority of practices are evidence-based, and most evidence is incorporated into guidelines. Discussion and Implications: Virtually all practices reflect person-centered care principles. Five recommendations summarize the evidence and recommendations related to providing support to persons living with dementia in relation to dressing, toileting, and eating/nutrition.
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Earlier studies reported similar challenges and demonstrated the value of educating people with dementia and family caregivers on how to lessen emotional and behavioral symptoms of dementia.
“Earlier studies reported similar challenges31–33 and demonstrated the value of educating PWD and family caregivers on how to lessen emotional and behavioral symptoms of dementia.34, 35”
Disease progression reduces the ability to participate in occupations-mainly activities of daily living, instrumental activities of daily living, leisure, and social activities-in patients with dementia, leading to a negative impact on quality of life and well-being of patients and caregivers.
“Disease progression reduces the ability to participate in occupations—mainly ADL, IADL, leisure and social activities—in patients with dementia, leading to a negative impact on QoL and well-being of patients and caregivers (113–117).”
From The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment (2018) · cites this paper as [115]
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Flagged first, then by citations
Research works printed but not linked: 2
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Cited by
Sorted by citations
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- Authors
- Prizer, L. P., & Zimmerman, S.
- Affiliations
- Emory University (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Prizer, Lindsay P
- Venue
- The Gerontologist
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-01-18
- Volume
- 58
- Issue
- suppl_1
- Pages
- S74-S87
- ISSN
- 0016-9013 (ISSN-L)
- 1758-5341
- PMC
- PMC5881654
- OpenAlex
- W2794002123
- Cited by
- 78
- References
- 52
- Citations by year
- 2026: 8 · 2025: 9 · 2024: 10 · 2023: 7 · 2022: 13 · 2021: 12 · 2020: 8 · 2019: 5 · 2018: 4 · 2017: 2
- FWCI
- 0.79
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- The Gerontologist (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Funders
- National Institute on Aging (R01 AG0284690)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- dementia, activities of daily living, person-centred care, dressing, toileting, care practices, Alzheimer's disease, evidence-based practice, clinical guidelines, functional disability
- MeSH terms
- Psychosocial Support Systems, Activities of Daily Living, Cognition, Dementia, Humans, Patient-Centered Care, Evidence-Based Practice
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