Dementia Care Practice Recommendations
The new Dementia Care Recommendations are meant for “professional care providers who work with individuals living with dementia and their families in residential and community based care settings” and are available online for download.
The published document contains 10 articles that that cover the Alzheimer’s Association 2018 Dementia Care Practice Recommendations. Within the articles are 56 recommendations for providing dementia care with specific details on each recommendation.
Recommendations offered include new guidance to nonphysician residential and community-based care providers on detection, diagnosis and ongoing medical management. Typically these have been topic areas usually reserved for clinicians.
PERSON-CENTERED FOCUS IS THE CORE OF QUALITY CARE
Person-centered care, Detection and diagnosis, Assessment and care planning, are just some of the “Person Centered Focus” points mentioned on the Alzheimer’s Associations webpage announcing the new recommendations. And the Practice Recommendations are published as a February 2018 supplement to The Gerontologist.
On the website with the announcement of the Recommendations you will see a colored chart and bullet points that illustrate how each aspect of care is “focused” and “centered” around the dementia patient. Also on the webpage is a short video giving an overview of the Dementia Care Practice Recommendations.
PERSPECTIVES OF PEOPLE LIVING WITH DEMENTIA
Along with the announcement is a downloadable 20 page guide, “A GUIDE TO QUALITY CARE FROM THE PERSPECTIVES OF PEOPLE LIVING WITH DEMENTIA”
The graphic document Themes in Quality Care and includes many sections titled “PERSPECTIVES OF PEOPLE LIVING WITH DEMENTIA”. These are written in order to give a caregiver a viewpoint of what the patient with dementia may be thinking and how to address an aspect of care to address that point of view.
The announcement and the related downloads and video can be viewed on the Alzheimer’s Association website here:
The guide and the recommendations have the goal of helping a person practicing person-centered care better support individuals with dementia and their families and enhance their overall quality life throughout the course of the
New Alzheimers Test Checks for the Ability to Identify Odors
Are we one step closer to the early detection of memory decline and dementia? Two new important studies have been released this week at the Alzheimer’s Association International Conference (AAIC) 2016 that may provide the answer.
The two new studies ”evaluated changes in odor identification as an early predictor of cognitive decline, or of the transition to dementia”, and could lead to new relatively cheap screening tests revealing the possibility of a patient developing Alzheimer’s disease. Testing of patients may include the ability to identify familiar odors such as smoke, coffee, raspberry and turpentine.
Currently, any tests that are able to spot people in the earliest stages of Alzheimer's are costly and difficult. They include PET scans of the brain, and spinal taps that measure the levels of certain proteins in spinal fluid.
In both new studies, people who were in their 60s and older took a standard odor detection test. And in both cases, those who did poorly on the test were more likely to already have, or go on to develop, problems with memory and thinking.
"The whole idea is to create tests that a general clinician can use in an office setting," says Dr. William Kreisl, a neurologist at Columbia University, where both studies were done. The research was presented at the Alzheimer's Association International Conference in Toronto.
Questions Remain - Are the Results of the New Alzheimer’s Studies Valid?
Finding simple tests for brain disorders has always been elusive and difficult. Existing biomarkers, for Alzheimer's disease for instance, have serious limitations.
And the question remains: Do the tests identify a patient’s inability to sense an odor, or rather remember what the odor is? For example, did one patient forget what turpentine smelled like or instead did they never know what turpentine smelled like? This is important as the area of the brain responsible may differ.
Also the size of the studies leading to the announcement brings into question the validity of the findings. In one, researchers studied 84 people in their 60s and 70s, including 58 with the sort of memory problems that suggest early Alzheimer's. And another study by another team from Columbia followed, for more than four years, 397 people whose average age was 80 at the start. Some may question such optimism concerning results from under 500 patients over the course of many years with some participants already of advanced age. The fact is that millions currently suffer form Alzheimer's disease and related dementia.
Nevertheless, the idea of an odor detection test arose, in part, from something doctors have observed for many years in patients with Alzheimer's disease.
"Patients (with Alzheimers) will tell us that food does not taste as good," says Dr. Kreisl. The reason is often that these patients have lost the ability to smell what they eat. “That's not surprising, given that odor signals from the nose have to be processed in areas of the brain that are among the first to be affected by Alzheimer's disease.”
The point remains however, that odor tests aren't perfect. For one thing, other degenerative brain diseases, including Parkinson's, can also affect odor detection. Also, the ability to smell can be diminished by smoking, certain head injuries and even normal aging.
Continued Funding for Alzheimer’s Research Encouraged
While the results of these newly released studies are encouraging and raise hope, the need for continuing and increased funding for new Alzheimers research is imperative. To this day there is still no drug that can slow or halt the disease.
Currently more than 5 million Americans are living with Alzheimers disease. Also, nearly 1 in 3 seniors will die from Alzheimers or another form of dementia. And in 2015 more than 15 million caregivers provided an estimated 18.1 billion house of unpaid care.
For more startling facts about the cost of Alzheimers in America, visit the Alzheimers Association web page - 2016 ALZHEIMER’S DISEASE FACTS AND FIGURES
About the Alzheimer’s Association International Conference (AAIC)
The Alzheimer’s Association International Conference (AAIC) is the world’s largest gathering of researchers from around the world focused on Alzheimer’s and other dementias. As a part of the Alzheimer’s Association’s research program, AAIC serves as a catalyst for generating new knowledge about dementia and fostering a vital, collegial research community.
New study gives us the strongest evidence yet for the power of brain training to reduce the risk of dementia and even Alzheimer’s disease.
Much has been said about the potential of brain training, such as computer based games to exercise the mind, to reduce the risk of dementia related illness in seniors. Brain training can be related to things such as education, social engagement and new learning, and can be a great help to older people.
There has been a lot of talk lately about the role that brain training can play in lowering the risk of cognitive decline and Alzheimer’s disease. Studies have looked at factors like education, social engagement, and the amount of new learning that older people do as possible things that may help.
Now with research led by Jerri Edwards, from the University of South Florida, we see new evidence that a “speed-processing-based” training program can indeed lower rates of cognitive decline and dementia.
New study on preventing Alzheimer’s disease is most rigorous to date
This latest study involved nearly 3,000 healthy older people who were randomly assigned to take a five week classroom-based training that involved improving their processing speed, improving their memory skills, or improving their reasoning skills. The study participants were followed over 10 years. The purpose of the computer-based “speed-processing” training was to help people take in and process information on the screen faster. The researchers manipulated how much time the people had to process the material.
Speed-processing may be the key
At the end of the study, only those assigned to the speed-processing training showed a 33% reduction in the amount of dementia or cognitive impairment after 10 years compared to those who received the memory or reasoning training.
“I think everyone over 50 should start doing it,” says Edwards. “There’s a preponderance of evidence that this type of training has multiple benefits and the risk is minimal, and it’s not even expensive.”
The type of training used is available online in a commercial program by Brain HQ called the Double Decision Exercise (which licensed the training from the researchers who created it).
Edwards hopes to continue to the benefits of brain training in future trials, to learn more about how often people should be taking advantage of the training and how durable and lasting the effects can be. Many people agree that we should all work to keep our brains sharp and fit through use. Like any muscle, our brains can only benefit from regular training and exercise.
Results of this Brain Training study were presented at the Alzheimer’s Association annual meeting.