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date: 18 July 2019

Abstract and Keywords

The aim of this chapter is to examine the disability (or functional impairment) associated with changes in cognition in later life. In so doing, we examine the ways in which the terms ‘functional impairment’ and ‘disability’ are used in the context of cognitive decline and how they relate to everyday competence. We explore the ways in which everyday functioning has been conceptualized and measured in the extant literature. We then examine the influence age-related cognitive changes may exert on everyday functioning. Finally, we examine the measurement of cognitive functions relevant to everyday behaviours. In this context, we address intervention to maintain or improve daily functioning in both healthy older adults as well as those with cognitive impairment.

Keywords: functional impairment, activities of daily living, everyday competence, cognitive decline, assessment, cognitive intervention, cognitive rehabilitation and ecologically valid assessment

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