scholarly journals “Let him speak:” a descriptive qualitative study of the roles and behaviors of family companions in primary care visits among older adults with cognitive impairment

2017 ◽  
Vol 33 (1) ◽  
pp. e103-e112 ◽  
Author(s):  
Judith B. Vick ◽  
Halima Amjad ◽  
Katherine C. Smith ◽  
Cynthia M. Boyd ◽  
Laura N. Gitlin ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Cognitive Impairment ◽  
Qualitative Study ◽  
And Behaviors ◽  
Descriptive Qualitative

scholarly journals Are symptoms of anxiety and depression associated with colorectal screening perceptions and behaviors among older adults in primary care?

2014 ◽  
Vol 04 (02) ◽  
pp. 78-89 ◽  
Author(s):  
Hind A. Beydoun ◽  
Suraj Khanal ◽  
May A. Beydoun ◽  
Alan B. Zonderman ◽  
Ravinder Mohan ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Anxiety And Depression ◽  
And Behaviors ◽  
Colorectal Screening

scholarly journals INVOLVING FAMILY TO IMPROVE COMMUNICATION IN PRIMARY CARE FOR OLDER ADULTS WITH COGNITIVE IMPAIRMENT

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1368-1368
Author(s):  
J.L. Wolff ◽  
H. Amjad ◽  
C. Boyd ◽  
D. Echavarria ◽  
L.N. Gitlin ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Cognitive Impairment

Normative Data for the ELSA-Brasil Neuropsychological Assessment and Operationalized Criterion for Cognitive Impairment for Middle-Aged and Older Adults

2020 ◽  
pp. 1-11
Author(s):  
Laiss Bertola ◽  
Isabela M. Benseñor ◽  
Alessandra C. Goulart ◽  
Andre R. Brunoni ◽  
Paulo Caramelli ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Cognitive Impairment ◽  
Cognitive Performance ◽  
Depressive Episode ◽  
Normative Data ◽  
Accurate Diagnosis ◽  
Adult Health ◽  
Middle Aged ◽  
Primary Care Settings

Abstract Objectives: Normative data should consider sociodemographic diversity for the accurate diagnosis of cognitive impairment. This study aims to provide normative data for a brief neuropsychological battery and present diagnostic criteria for cognitive impairment that could be used in primary care settings. Methods: We selected 9618 Brazilian middle-aged and older adults after detailed exclusion criteria to avoid subtle cognitive impairment. We analyzed age, sex, and education influence on cognitive performance. To verify the evidence of criterion validity, we compared the cognitive performance of subjects with and without a depressive episode. Additionally, we verified the percentage of spurious scores under three different cutoffs. Results: Age and education had the greatest impact on cognition. Normative scores were provided according to age and education groups. Participants with a depressive episode performed poorer than control subjects. The clinical cutoff of at least two scores below the 7th percentile revealed the adequate percentage of spurious and possible clinical performance. Conclusions: The Longitudinal Study on Adult Health (ELSA-Brasil) provided normative data based on a unique selected set of cognitively normal subjects. Normative groups were selected based on age and education, and the battery was sensitive to the presence of a depressive episode. We suggested clinical cutoffs for the tests in this battery that could be used in primary care settings to improve the accurate diagnosis of cognitive impairment.

scholarly journals Geriatric Resource Teams: Equipping Primary Care Practices to Meet the Complex Care Needs of Older Adults

Geriatrics ◽  
2019 ◽  
Vol 4 (4) ◽  
pp. 59 ◽  
Author(s):  
Gwendolen Buhr ◽  
Carrissa Dixon ◽  
Jan Dillard ◽  
Elissa Nickolopoulos ◽  
Lynn Bowlby ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Cognitive Impairment ◽  
Assessment Process ◽  
Complex Care ◽  
Care Needs ◽  
Care Practices ◽  
Primary Care Practices ◽  
Complex Care Needs ◽  
The Impact

Primary care practices lack the time, expertise, and resources to perform traditional comprehensive geriatric assessment. In particular, they need methods to improve their capacity to identify and care for older adults with complex care needs, such as cognitive impairment. As the US population ages, discovering strategies to address these complex care needs within primary care are urgently needed. This article describes the development of an innovative, team-based model to improve the diagnosis and care of older adults with cognitive impairment in primary care practices. This model was developed through a mentoring process from a team with expertise in geriatrics and quality improvement. Refinement of the existing assessment process performed during routine care allowed patients with cognitive impairment to be identified. The practice team then used a collaborative workflow to connect patients with appropriate community resources. Utilization of these processes led to reduced referrals to the geriatrics specialty clinic, fewer patients presenting in a crisis to the social worker, and greater collaboration and self-efficacy for care of those with cognitive impairment within the practice. Although the model was initially developed to address cognitive impairment, the impact has been applied more broadly to improve the care of older adults with multimorbidity.

scholarly journals How Clinicians Discuss Medications During Primary Care Encounters Among Older Adults with Cognitive Impairment

2019 ◽  
Vol 35 (1) ◽  
pp. 237-246 ◽  
Author(s):  
Ariel R. Green ◽  
Jennifer L. Wolff ◽  
Diane M. Echavarria ◽  
Malcolm Chapman ◽  
Annie Phung ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Cognitive Impairment

scholarly journals Prevalence of dementia and cognitive impairment with no dementia in a primary care setting in southern Brazil

2021 ◽  
Vol 79 (7) ◽  
pp. 565-570
Author(s):  
Sérgio Ferreira de Ferreira-Filho ◽  
Wyllians Vendramini Borelli ◽  
Rodrigo Mantovani Sguario ◽  
Gustavo Fiorentin Biscaia ◽  
Vitória Schneider Müller ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Cognitive Impairment ◽  
Cognitive Decline ◽  
Medical Records ◽  
Care Setting ◽  
Primary Care Setting ◽  
Cognitive Screening ◽  
Southern Brazil ◽  
Symptoms Of Depression

ABSTRACT Background: Cognitive decline is a common condition, but is still underrepresented in studies conducted in developing countries. Objective: To calculate the prevalence of cognitive decline and depression in an elderly community-dwelling population in a city in southern Brazil. Methods: We calculated the prevalences of dementia, cognitive impairment with no dementia (CIND) and symptoms of depression in an elderly population relying on the public healthcare system. This epidemiological study in Pelotas, Brazil, was conducted within the primary care setting. It included 299 older adults (mean age = 69.75 ± 7.6 years) who presented low levels of education (mean = 4.16 ± 3.17 years of education). They underwent cognitive screening and their medical records were analyzed. Results: Among these older adults, 142 (47.5%) presented cognitive decline: 104 (34.8%) matching the cognitive criteria for CIND and 38 (12.7%) matching the cognitive criteria for dementia. Among all the individuals who completed the cognitive screening, 141 (48.4%) were positive for symptoms of depression, of whom 99 (34%) did not have any previous diagnosis in their medical records. Conclusion: There was high prevalence of cognitive impairment among these older adults in a primary care setting. A large number of older adults were found to have symptoms of depression without any diagnosis.

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