title: Functional status assessment for community long-term care: preliminary observations.
abstract: The Community Long-Term Care (CLTC) program in South Carolina offers services to nursing home eligible persons that allow them to remain at home and receive help with activities of daily living. Variation in the ways potential clients are evaluated often produces inconsistent eligibility determinations. We developed a simple, objective assessment tool to complement CLTC evaluations. A conceptual framework, based on Nagi's model of disablement, was tested on community-dwelling healthy older adults and CLTC clients. Three simple physiologic tasks assessing mobility, functional leg strength, and manual dexterity discriminated between community-dwelling older adults and CLTC clients, classifying them with 80% to 90% accuracy.
authors.affiliation: University of South Carolina, Columbia, South Carolina, USA. hwilliam@mailbox.sc.edu
authors.forename: Harriet G
authors.initials: HG
authors.lastname: Williams
authors.forename: Gerhild
authors.initials: G
authors.lastname: Ullmann
authors.forename: Joyce L
authors.initials: JL
authors.lastname: Gossard
authors.forename: James R
authors.initials: JR
authors.lastname: Hussey
authors.forename: Sandra S
authors.initials: SS
authors.lastname: Brotherton
authors.forename: James
authors.initials: J
authors.lastname: Laditka
authors.forename: Carol
authors.initials: C
authors.lastname: Cornman
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D004608:Eligibility Determination / Q000379:methods*; D005260:Female; D006304:Health Status; D006699:Home Care Services / Q000458:organization & administration; D006801:Humans; D008124:Locomotion; D008134:Long-Term Care / Q000458:organization & administration; D008297:Male; D051346:Mobility Limitation; D009048:Motor Skills; D053580:Muscle Strength; D013022:South Carolina