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Document Type

Thesis - University Access Only

Award Date


Degree Name

Master of Science (MS)

Department / School

Graduate Nursing

First Advisor

Phyllis Gaspar


functional assessment of older people, rural elderly home care


This study examined the functional status of thirty persons from 75 to 92 years of age following hospitalization. The study was conducted in a rural community. Data were collected on Katz Activities of Daily Living (ADLs), Lawton Instrumental Activities of Daily Living (IADLs), and home help received. Home help received was classified as formal or informal.
The greatest areas of dependence in ADLs were bathing and dressing. Eighty-three percent of subjects were in the two most independent categories of function in ADLs. The mean Lawton IADL score was 4.7 (± 2.1). Areas of greatest dependence in IADLs were transportation, shopping and laundry. The majority of assistance needed for ADLs was for the function of bathing. Most subjects needing bathing assistance received this help from a formal source. AH subjects stated their ADL needs were being met. The majority of home help received for IADL functions came from informal sources. Two subjects identified unmet needs with aspects of IADLs. Using Kendall correlation coefficients, a significant relationship was found between Katz ADL score and the home help received with ADLs. A significant inverse relationship was found between Lawton IADL score and home help received with IADLs. The relationship between Katz ADL score and Lawton IADL score was also significant.

Library of Congress Subject Headings

Older people -- Functional assessment
Rural elderly -- Home care



Number of Pages



South Dakota State University


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