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. 2020 Apr-Jun;14(2):93-102.
doi: 10.1590/1980-57642020dn14-020001.

Daily functioning and dementia

Gabriele Cipriani  1   2 , Sabrina Danti  3 , Lucia Picchi  4 , Angelo Nuti  1 , Mario Di Fiorino  2
Affiliations

Daily functioning and dementia

Gabriele Cipriani et al. Dement Neuropsychol. 2020 Apr-Jun.

Abstract
in English, Portuguese

Dementia is characterized by a decline in memory, language, problem-solving and in other cognitive domains that affect a person's ability to perform everyday activities and social functioning. It is consistently agreed that cognitive impairment is an important risk factor for developing functional disabilities in patients with dementia. Functional status can be conceptualized as the ability to perform self-care, self- maintenance and physical activity. A person with dementia usually requires help with more complex tasks, such as managing bills and finances, or simply maintaining a household. Good functional performance is fundamental for elderly people to maintain independency and avoid institutionalization. The purpose of this review is to describe functional changes in demented patients, evaluating the variability in subgroups of dementias.

Demência é caracterizada por declínio na memória, linguagem, resolução de problemas e de outros domínios cognitivos que afetam a capacidade de realização de atividades cotidianas e atividades sociais. É consensual que o comprometimento cognitivo é um importante fator de risco para o desenvolvimento de incapacidades funcionais em pacientes com demência. O status funcional pode ser conceituado como a capacidade de realizar autocuidado, automanutenção e atividade física. Uma pessoa com demência geralmente requer ajuda para tarefas mais complexas, como gerenciar contas e finanças, ou simplesmente realizar atividades domésticas. Um bom desempenho funcional é fundamental para que os idosos mantenham a independência e evitem a institucionalização. O objetivo desta revisão é delinear alterações funcionais em pacientes com demência, valorizando os subgrupos variados de demências.

Keywords: activities of daily living (ADLs); dementia; functional abilities; instrumental activities of daily living (IADLs).

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Conflict of interest statement

Disclosure: The authors report no conflicts of interest.

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