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Background: With advancing age, there is an increased susceptibility to various functional limitations, cognitive declines, and self-care disabilities, which often results in compromised physical and psychological well-being. Objective: The study was conducted to identify the relationship between cognitive function, self-esteem, self-care capabilities, and activities of daily living of institutionalized older adults. Subjects and Methods: 100 elders of both sexes aged 60 years andabove were included in the study. Mini-Mental State Examination (MMSE), The Katz Activities of Daily Living (ADL) Scale, The Exercise of Self-Care Agency (ESCA) Scale and The Rosenberg SelfEsteem Scale (RSES) were used. Results: Findings revealed the presence of significant relationships between cognitive function and both self-care capabilities and activities of daily living, whereas no significant relationships were found between self-esteem of the studied elders, and their cognitive function, self-care capabilities, and activities of daily living. Conclusion and Recommendations: The findings suggest that, specific emphasis should be placed on the ongoing assessment of cognitive function which is important to predict the self-care of older adults, and to institute the appropriate intervention, and further researches are needed to examine and evaluate the effectiveness of rehabilitation programs to improve elders' cognitive function and self-care capabilities. INTRODUCTION Different physical and psychological factors play a key role in the elder's willingness and ability to participate in selfcare activities. These factors include: physical and cognitive functioning, selfcare capabilities and self-esteem of the older adult. (1) Proper cognitive functioning, self-esteem and self-care capabilities are the important components of independence functioning of the elderly 134 Bull High Inst Public Health Vol.41 No.1 [2011] individual. (2) They are also highly individualized and are based on personal resources, physical and/or psychological health status of older adults. (3) In later life, cognitive function, self-esteem and selfcare capabilities are closely connected to successful performance of activities of daily living. (4) A growing body of research suggests that there is an association between cognitive and physical functioning, and self-esteem among the elderly. (5-7) It was argued that cognitive status is likely to be related to physical functioning, particularly the ability to perform self-care activities and activities of daily living, which may influence both physical and psychological well-being. (8) In this respect, Elovainio et al. (2009) (9) noted that poor cognitive function may play a role in the initiation and the progression of poor physical function and low self-esteem. Another study demonstrated a positive correlation between low cognitive function and later declines in physical functioning. (10) Moreover, it was reported that disability and cognitive impairment show similar patterns of increasing frequency with aging; elders with low cognitive performance are at higher risk of functional impairment. (11) Fairly strong evidence indicated that maintenance of self-care capabilities is the most cost-effective method to ensure enhanced quality of life in old age. It can promote overall health status, encourage independence, maintain physical and psychological well-being, improve cognitive function, and preserve self-esteem in later life. (12,13) However, many factors such as normal physical, cognitive and psychosocial changes which are experienced by the older adults, and chronic illnesses may profoundly influence independent functioning of the elderly, especially in performing activities such as visiting friends or family member, shopping, worshipping outside the home, and vacationing.

Relationship between Cognitive Function, Self-esteem, Self-care Capabilities, and Activities of Daily Living of Institutionalized Older Adults