ABSTRACT

Objective : The purpose of this study was to evaluate the problem of performing occupational and activities that are currently participating items, according to whether the cognitive level reported by the elderly with dementia Methods : This study analyzed the occupational performance evaluation results of 30 elderly people with dementia who participated in practice targets during the 7th process to training elderly dementia occupational therapist. The occupational performance evaluation used the Dementia Care Assessment Package (DCAP), Canadian Occupational Performance Measure (COPM), Interest Checklist (IC), and Allen Cognitive Level Screening (ACLS), and the collected materials were analyzed using a frequency analysis and descriptive statistics. Results : The number of occupational performance items for dementia patients reported through the COPM was 122 in total, with 52 self-management areas (42.6%), 46 leisure areas (37.7%), and 24 productivity areas (19.7%). The elderly with dementia reported a difficulty in performing individual management in the selfmanagement area, and a difficulty in performing household management in the productivity area according to the level of their ACLS performance. As for the leisure area, as the group which is more than ACLS 5.0 reported the difficulties of static and dynamic recreation and the other two groups did the difficulties to carry out social activities, it showed the different results from those of the previous two areas. Evaluation of leisure activities could be found that there are no great changes in the leisure activities that have frequently been carried out in the past and now in the group which is more than ACLS 5.0, while those in the cognitive and social activities were reduced in the other two groups. Conclusion : The result of the study has found that there are differences between the matter area of working performance that the aged and patients with dementia realize and the leisure activity item that they now participate in according to cognitive levels. Therefore, it is suggested that appropriate therapeutic activities and an occupational therapy arbitration should be provided according to the evaluation results.