Maximizing Quality of Life
105 - Maximizing Quality of Life: Brain Health and Cognitive Function
Monday, July 16
2:45 PM - 4:00 PM
Location: Diplomat Room-Lobby Level
Marla Berg-Weger, Phd
Professor, Executive Director, Geriatric Education Center
Saint Louis University School of Social Work
John Morley, MB, BCh
Professor, Chair, Division of Geriatric Medicine
Saint Louis University School of Medicine
Lisa McGuire, PhD, MA
Lead, Alzheimer's Disease + Healthy Aging Program
Centers for Disease Control and Prevention
Marla Berg-Weger, Phd and John Morley, MB, BCh-Cognitive Stimulation Therapy
Marla Berg-Weger, Phd and John Morley, MB, BCh-Promoting Healthy Aging Through Rapid Geriatric Assessment
Kathryn Jedrziewski, PhD-React Study an RTC about African Dance on Cognitive Function and Risk of Dementia
Molly French, MS-The Dementia Journey in Indian Country: A Public Health Road Map
As of 2018, 5.7 million Americans were projected to have Alzheimer’s disease, on the basis of 2010 estimates. Recent national and international surveys suggest that preventing Alzheimer’s disease and related dementias and preserving cognitive health are among the top concerns of those in the aging public, many of whom list dementia as their most feared disease, ahead of cancer or stroke.
This session explores maximizing quality of life through brain health and cognitive function. First, a four-scale, Rapid Geriatric Assessment (RGA) tool that can be completed in approximately 5 minutes by any member of the health care team will be described along with simple treatment algorithms provide early intervention and patient hand-outs provide patients with lifestyle interventions. Building on the RGA, a Medicare Annual Visit protocols for out-patient and nursing home settings has been created, doubling the number of visits in the past year.
Second, given limited pharmacological interventions for dementia, non-pharmacological alternatives, such as Cognitive Stimulation Therapy (CST) are needed. CST is an effective form of treatment among older adults with mild to moderate dementia, enhances quality of life, and provides participants a voice in selection of stimulation activities which is known to decrease
behavioral issues and decrease medication use.
Third, Rhythm Experience and Africana Culture Trial (REACT!), was designed for African Americans, age 65 and older, to examine if cognitive function could be improved by engaging in African Dance as an aerobic exercise. Preliminary results indicated that delayed memory and global cognitive function were improved following both the African Dance and African/African American education interventions combined. In addition loneliness was reduced for the African Dance group but not for the education group.
Fourth, American Indians/Alaska Natives are particularly at risk for developing dementia. Thus, the experience of tribal elders living with dementia is relatively “new” in recent decades, and tribal health and aging groups are cutting new paths to respond. The CDC, Alzheimer’s Association, and tribal heath leaders are developing the first-ever Healthy Brain Initiative (HBI) Road Map for Indian Country as a companion to the new HBI Road Map for State and Local Public Health, 2018-2023. Tribal leaders helped shape the Indian Country Road Map by describing how dementia and cognitive impairment affects their communities. Participants will learn about actions in the Indian Country HBI Road Map, implementation resources created with CDC support, and examples of tribal communities’ population-health approaches.
- Understand current research and best practices for integrating Rapid Geriatric Assessments (RGAs) into interprofessional geriatric care
- Identify and discuss the potential benefit of aerobic exercise on cognitive function
- Describe the need for the Healthy Brain Initiative Road Map for Indian Country