The functional transitions model: maximizing ability in the context of progressive disability associated with Alzheimer's disease.
The Functional Transitions Model (FTM) integrates the theoretical notions of progressive functional decline associated with Alzheimer's disease (AD), excess disability, and transitions occurring intermittently along the trajectory of functional decline. Application of the Functional Transitions Model to clinical practice encompasses the paradox of attempting to minimize excess disability while anticipating the progressive functional decline associated with AD. It is suggested that times of functional transition are times of decision making and opportunities for interdisciplinary collaboration to identify and minimize excess disability, for revision of goals and expectations, and for provision of support to patients and caregivers. The model also is applicable as a conceptual framework for education and research.
Slaughter
Susan
S
Primary Care Research and Development Group, Department of Family Medicine, University of Calgary, Calgary, AB. sslaught@ucalgary.ca
Bankes
Jane
J
D000368:Aged; D000544:Alzheimer Disease / Q000150:complications* / Q000523:psychology; D003071:Cognition; D003072:Cognition Disorders / Q000150:complications / Q000175:diagnosis*; D003657:Decision Making; D004185:Disability Evaluation; D018450:Disease Progression; D015577:Geriatric Assessment / Q000379:methods; D006801:Humans; D033183:Interdisciplinary Communication; D015233:Models, Statistical; D018434:Sickness Impact Profile