Generations

Articles from Vol. 33, No. 1, Spring

Are Clinicians Ever Biased in Their Judgments of the Capacity of Older Adults to Make Medical Decisions?
Asessment of medical decision-making capacity in older adults with cognitive ment is an important ethical issue in geriatrics. It is receiving increasing attention in light of the growing older population and projected increases in Alzheimer's disease...
Caregiving as a Process of Changing Identity: Implications for Caregiver Support
How to assess caregivers' various and individual sources of distress in order to fully support them in their journey.Informal caregivers serve as the primary instrument of long-term care for people with dementia and other chronic conditions in American...
Controversy and Caring: An Update on Current Issues in Dementia
Over the past decade, Americans have become increasingly familiar with the terms Alzheimer's disease and dementia. Although not fully understanding them, most Americans are aware and fearful of such conditions and frustrated by the slow progress in,...
Cost and Caring: Policy Challenges of Alzheimer's Disease
A surprising analysis with varying implications for society, caregivers, and the person with dementia.Old age is a period of the human life cycle that is generally devalued in American society, and the image of Alzheimer's disease contributes to the...
Differences in Rates of Dementia and Quality of Education among Diverse Older Adults
Exploration of health and educational disparities among racial/ethnic groups also yields clues about the workings of cognition in later life.This article addresses differences in rates of dementia and levels of education across ethnic/racial groups....
Disparities in the Diagnosis and Treatment of Alzheimer's Disease in African American and Hispanic Patients: A Call to Action
A growing body of literature suggests that the incidence and the prevalence of Alzheimer's disease in the United States are higher among African Americans and Hispanics than among non-Hispanic whites (Demirovic et al., 2003; Gurland et al, 1999; Tang...
Doing More with Less: The Michigan Dementia Coalition
Alzheimer's disease and other forms of dementia have lagged behind other major public health threats in garnering the national attention and public resources necessary to contain the burden they impose on the nation. What can concerned organizations...
Don't Forget about Me! Decision Making by People with Dementia
Research shows they are able to provide consistent responses to questions about a variety of preferences, even in advanced stages.People with memory loss or dementia are a growing and increasingly visible segment of our national fabric. According to...
Early Diagnosis of Alzheimer's Disease and Mild Cognitive Impairment: Imaging, Biomarkers, and Technology
The importance, and the challenge, of early diagnosis.The pathway to Alzheimer's disease may be viewed along a continuum in which cognition slowly declines over time from normal cognition to dementia (see Figure 1). Mild cognitive impairment (MCI) may...
Helping People with Dementia Approach the End of Life: Issues for Families
Finding, reinforcing, and preserving identity.As dementia progresses and the end of life draws near, two issues dominate the attention of families: a desire to maintain a sense of the person they have known and a desire to provide care consistent with...
Losing Function, Staying Connected: Family Dynamics in Provision of Care for People with Dementia
The considerable progress that has been made over the past decade toward understanding and advancing diagnostic tools and treatment regimens for Alzheimer's disease and other forms of dementia has undoubtedly shaped the experience of dementia not only...
The CDC Healthy Brain Initiative: Public Health and Cognitive Impairment
Progress in maintaining cognitive health and preventing cognitive impairment.Alzheimer's disease is the sixth leading cause of death among adults age 18 years or older in the United States, and among those age 65 years or older, it is the fifth leading...
The Retirement Research Foundation-Institute of Gerontology Continuing Education Series in Dementia: Filling a Gap for Healthcare Providers
A successful training program for healthcare providers shows one way of addressing the lack of knowledge about crucial topics in aging.Training programs in medicine and nursing require pediatric and psychiatric training but not geriatric training, even...
Uncertainties in Dementia: What Do People with Dementia Experience?
What do people with dementia experience? Despite impressive advances in the scientific study of dementia and frequent calls to place greater emphasis on the person with dementia, we know little about the experience of dementia, partly because we are...
'You Have Alzheimer's Disease.' How to Reveal a Diagnosis AND HOW TO DEAL WITH THE REACTIONS
You have Alzheimer's disease." That's the diagnosis approximately 450,000 Americans will hear from their doctors this year (Alzheimer's Association, 2008). From the moment those words are spoken, the trajectory of an individual's life veers in a new...