Abstract:

Frail older persons with cognitive impairments use fewer and are less satisfied with assistive devices than frail older persons who are not cognitively impaired. This study sought reasons for this device dissatisfaction and assessed the impact of professional intervention on the use of and satisfaction with assistive devices. 20 persons with cognitive impairments received a comprehensive assessment, individualised interventions, training and follow-up. Results indicated that devices for physical impairments were more readilly accepted and used than devices that addressed cognitive impairments. However, participants were more satisfied with cognitive devices. User satisfaction with physical devices appeared to increase with training and support. However, dissatisfaction with cognitive devices appeared to be more related to user limitations than training and support. The need for early intervention for persons with cognitive impairments is discussed as is the need for futher research on the effectiveness of assistive devices for these individuals. Approximately 10% of persons over the age of 65 has cognitive impairments that have a significant impact on functional abilities. Alzheimer's disease is the most common cause of cognitive impairment, affecting between 2.5 and 4 million Americans, more than half of the persons with dementia. Cognitive impairments resulting from a series of ministrokes are the second most frequently occuring type of dementia. Loss of ability to perform activities of daily living (ADLs) results in an increased need for care. The use of assistive devices and home modifications can help persons with cognitive impairments maintain their daily living skills and quality of life for longer periods of time.