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The Gerontologist 41:406-409 (2001)
© 2001 The Gerontological Society of America

In-Home Assessment of Dementia by Nurses

Experience Using the CERAD Evaluations

Barbara Trapp-Moen, RN, MSN, GNPa, Mary Tyrey, RN, BAb, Gail Cook, RN-C, BSN, MEdb, Albert Heyman, MDc and Gerda G. Fillenbaum, PhDb

a School of Nursing, Duke University, Durham, NC
b Center for the Study of Aging and Human Development, Division of Neurology, Duke University Medical Center, Durham, NC
c Department of Medicine, Division of Neurology, Duke University Medical Center, Durham, NC

Correspondence: Gerda G. Fillenbaum, PhD, Box 3003, Duke University Medical Center, Durham, NC 27710. E-mail: ggf{at}geri.duke.edu.

Decision Editor: Eleanor S. McConnell, RN, PhD

Purpose of Study: To maximize respondent participation in a study of the prevalence, incidence, and natural history of dementia. Design and Methods: Clinical research nurses were trained to carry out evaluations for dementia in the home. We describe the assessment and training procedures used and note the advantages and drawbacks of this approach. Results: Nurse identification of the presence of dementia agreed well with that of medical specialists (kappa = 0.84), but was slightly poorer regarding type of dementia (kappa = 0.71). Implications: Use of nurses for such activity need not be limited to epidemiological studies, but is relevant also in clinical practice.

Key Words: Diagnosis • Dementia • In-home evaluation






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Copyright © 2001 by The Gerontological Society of America.