Zawisa et al reported a number of scales for identifying self-neglect in an older adult. The Self-Reported Self-Neglect Scale (SNSRS) lists how often a patient engages in certain behaviors. The authors are from Jagiellonian University Medical College in Krakow, Poland.
Patient selection: >= 65 years or older
Parameters - how often does the person refrain from an activity because it is not worth doing?
(1) refrain from eating
(2) refrain from taking care about personal appearance
(3) refrain from cleaning home and washing dishes
(4) refrain from taking treatment despite having symptoms of a disease
(5) refrain from taking a prescribed medication
(6) change the dose or stop taking a medicine without asking prescriber
Parameter
Response
Points
eating
never
0
hardly ever
8
sometimes
9
often
12
very often
13
personal appearance
never
0
hardly ever
35
sometimes
48
often
67
very often
68
cleaning and washing
never
0
hardly ever
10
sometimes
11
often
18
very often
19
taking a treatment
never
0
hardly ever
18
sometimes
19
often
20
very often
21
taking a prescription
never
0
hardly ever
37
sometimes
38
often
41
very often
42
stop taking or change dose
never
0
hardly ever
28
sometimes
29
often
36
very often
37
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 200
• The higher the score the greater the risk of self-neglect
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