Losing a million minds: confronting the tragedy of Alzheimer's disease and other dementias : Congressional summary

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DIANE Publishing, 1987 - Alzheimer's disease - 79 pages
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Page 519 - Different indicators can be used to monitor disability, including limitations in activities of daily living (ADLs) and instrumental activities of daily living (lADLs) and measures of physical, cognitive, and social functioning.
Page 432 - Notwithstanding any other provisions of this title, no payment may be made under part A or part B for any expenses incurred for items or services — (1) which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member...
Page 293 - Dependent: does not dress self or remains partly undressed. GOING TO TOILET Independent: gets to toilet; gets on and off toilet; arranges clothes, cleans organs of excretion; (may manage own bedpan used at night only and may or may not be using mechanical supports). Dependent: uses bedpan or commode or receives assistance in getting to and using toilet. TRANSFER Independent: moves in and out of bed independently and moves in and out of chair independently (may or may not be using mechanical supports)....
Page 419 - You are considered permanently and totally disabled if you are unable to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment that can be expected to result in death or that has lasted or can be expected to last for a continuous period of not less than 12 months.
Page 126 - McKhann G, Drachman D, Folstein M, et al: Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology 34:939-944, 1984 Porte P: Severity of illness, long term care, and cost control: Maryland's approach.
Page 293 - Receives assistance in feeding or is fed partly or completely by using tubes or intravenous fluids...
Page 281 - No ifs, ands, or buts." (1 point) Follow a 3-stage command: "Take a paper in your right hand, fold it in half, and put it on the floor...
Page 170 - Under a free government, at least, the free citizen's first and greatest right, which underlies all others — the right to the inviolability of his person; in other words, the right to himself — is the subject of universal acquiescence...
Page 433 - In situations of this type, the complications, and the skilled services they require, must be documented by physicians' orders and nursing or therapy notes. (c) The restoration potential of a patient is not the deciding factor in determining whether skilled services are needed. Even if full recovery or medical improvement is not possible, a patient may need skilled services to prevent further deterioration or preserve current capabilities. For example, a terminal cancer patient may need some of the...
Page 178 - (incapacitated person" as one "who is impaired by reason of mental illness, mental deficiency, physical illness or disability, advanced age, chronic use of drugs, chronic intoxication, or other cause (except minority) to the extent that he lacks sufficient understanding or capacity to make or communicate responsible decisions concerning his person

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