Building upon a care model they developed and extensively tested over the past 7 years, the focus of second generation memory care is on two groups -- patients with cognitive disorders such as Alzheimer's disease and their caregivers. Results of the clinical trial of the IU-Regenstrief care model were published in the Journal of the American Medical Association in 2006.
The initial second generation memory center -- the Healthy Aging Brain Center opens at the IU Center for Senior Health at Wishard Health Services this month.
"When we make the lab from which we develop treatments and the clinic into one entity, we are constantly learning from our patients -- what works for them and what does not. Our approach to memory care is on the fast track because by eliminating the distinction between the lab and the clinic, we compress the long timeline traditionally needed to go from discovery to treatment. For us and for those we treat, who are both those with memory problems and their caregivers, this means that they will be receiving the support and care they need now," said Malaz Boustani, M.D., M.P.H., an assistant professor of medicine at Indiana University School of Medicine, an Indiana University Center for Aging Research investigator and a Regenstrief Institute research scientist.
Dr. Boustani is also the chief research officer of the Indianapolis Discovery Network for Dementia, an expanding group of researchers, clinicians, caregivers and community advocates who are working to enhance dementia care in the nation's twelfth largest city. IDND is a national model for how members of the community, caregivers, clinicians and researchers can work together to improve the delivery of dementia care. Second generation memory care has benefited from IDND's panoramic approach to the issue.
Caregivers have not been a primary focus in first generation memory care in spite of the fact that caregivers are hospitalized at a very high rate and that they provide millions of unpaid care hours per year (180 million hours valued at $1.7 billion in 2005 in Indiana alone). "Passively handing out brochures and web links to caregivers isn't enough. We need to recognize that they have significant issues and address them," said Dr. Boustani.
"The new Healthy Aging Brain Center is putting cutting edge research into the hands of patients and caregivers as well as their primary care physicians, from whom most older adults receive their health care," said Greg Sachs, M.D., professor of medicine at IU School of Medicine, an IU Center for Aging Research investigator and a Regenstrief Institute research scientist. Dr. Sachs directs the medical school's Division of General Internal Medicine and Geriatrics.
He and Dr. Boustani, along with a team which includes social workers, psychologists, nurses and others will see patients and caregivers in the new outpatient facility. Dementia is a growing burden for society, propelling patients and caregivers to increasingly use the health-care system. Dr. Boustani and Dr. Sachs, who are both geriatricians, say second generation memory care is key to decreasing overutilization of emergency rooms and inpatient services.
"Nationwide, the health-care system is not delivering good dementia care because we have not presented a comprehensive assessment of the biopsychosocial needs of a person with dementia and have not followed up with solutions that are sensitive to local community needs and resources," said Dr. Boustani, who has been instrumental in the development of IDND.
There are currently an estimated 5 million Americans with Alzheimer's disease. Eight out of 10 individuals with dementia living outside of nursing homes have significant behavioral and/or psychological symptoms that require medical and psychological care.
Cindy Fox Aisen | EurekAlert!
Researchers release the brakes on the immune system
18.10.2017 | Rheinische Friedrich-Wilhelms-Universität Bonn
Norovirus evades immune system by hiding out in rare gut cells
12.10.2017 | University of Pennsylvania School of Medicine
University of Maryland researchers contribute to historic detection of gravitational waves and light created by event
On August 17, 2017, at 12:41:04 UTC, scientists made the first direct observation of a merger between two neutron stars--the dense, collapsed cores that remain...
Seven new papers describe the first-ever detection of light from a gravitational wave source. The event, caused by two neutron stars colliding and merging together, was dubbed GW170817 because it sent ripples through space-time that reached Earth on 2017 August 17. Around the world, hundreds of excited astronomers mobilized quickly and were able to observe the event using numerous telescopes, providing a wealth of new data.
Previous detections of gravitational waves have all involved the merger of two black holes, a feat that won the 2017 Nobel Prize in Physics earlier this month....
Material defects in end products can quickly result in failures in many areas of industry, and have a massive impact on the safe use of their products. This is why, in the field of quality assurance, intelligent, nondestructive sensor systems play a key role. They allow testing components and parts in a rapid and cost-efficient manner without destroying the actual product or changing its surface. Experts from the Fraunhofer IZFP in Saarbrücken will be presenting two exhibits at the Blechexpo in Stuttgart from 7–10 November 2017 that allow fast, reliable, and automated characterization of materials and detection of defects (Hall 5, Booth 5306).
When quality testing uses time-consuming destructive test methods, it can result in enormous costs due to damaging or destroying the products. And given that...
Using a new cooling technique MPQ scientists succeed at observing collisions in a dense beam of cold and slow dipolar molecules.
How do chemical reactions proceed at extremely low temperatures? The answer requires the investigation of molecular samples that are cold, dense, and slow at...
Scientists from the Max Planck Institute of Quantum Optics, using high precision laser spectroscopy of atomic hydrogen, confirm the surprisingly small value of the proton radius determined from muonic hydrogen.
It was one of the breakthroughs of the year 2010: Laser spectroscopy of muonic hydrogen resulted in a value for the proton charge radius that was significantly...
17.10.2017 | Event News
10.10.2017 | Event News
10.10.2017 | Event News
18.10.2017 | Materials Sciences
18.10.2017 | Physics and Astronomy
18.10.2017 | Physics and Astronomy