The six P-ADL items, used to classify residents’ physical functional status, definitely are: washing (personal hygiene), dressing, mobility, toilet use, incontinence and feeding. The mental items include disorientation in time and place. A score (1 to 5) was given for each item and those were summarised. The adapted Katz scale allows the classification of each person distinguishing four main categories of ability. Residents of Katz category O do not need assistance with any ADL; category A need assistance in two ADLs (washing and dressing); Inhibitors,Modulators,Libraries category B require assistance in three and category C in more than three ADLs. This classification, assessed by a physician, a social worker or a nurse, is comparable with the international criteria [20].

We used this classification to define good functioning (category O or A: needing assistance from another person in no more than two ADLs) and ill functioning (category B or C: needing assistance in minimum three ADLs). To categorise I-ADL needs, we used a simplified version of five out of the original 18 items from a ‘General List of Household Inhibitors,Modulators,Libraries Activities’. These five activities, considered to be relevant by the social services, are: housecleaning, cooking, mobility outside, laundry/ironing and administration. Data collection of the dependent variable We asked the social workers to introduce the variable ‘time span’. This is the time span between the onset of dependency and the request for institutionalisation (Figure (Figure11). Figure 1 Time span between the onset of dependency and the request for institutionalisation.

Onset of dependency is defined as the moment a person first mentions not being able to function alone without help from another person. The degree of urgency of a request can indirectly be objectified by measuring the time span between this onset of dependency and the request for institutionalisation. Nursing home carers have classified Inhibitors,Modulators,Libraries this time span in three periods: less Inhibitors,Modulators,Libraries than three months, from three to twelve months and more than twelve months. These categories reflect the possibility and availability for initiating (3-12 months) or not initiating (< 3 months), or for maintaining (> 12 months) home care. It is an indication of the ‘resilience’ period of home care and depends among others on the living conditions, relationships and social support, the availability of sufficient and timely home help services.

Inhibitors,Modulators,Libraries In this paper Anacetrapib we do not focus on the “waiting time” which is the amount of time between the application for admission and the institutionalisation (Figure (Figure11). Data analysis Searching the profile of those requesting an urgent or late request, we tested the significance of the different variables. The scores for P-ADL and I-ADL were ’0′ for independency, ’1′ for a low level and ’2′ for a high level of dependency, which leads to possible maximum scores of 12 for P-ADL and 10 for I-ADL.