Literature Review

ChatGPT analyzes speech patterns to identify Alzheimer’s 87 percent of the time, researchers showMcKnight's Senior Living, by Aaron Dorman; 2/9/24Since ChatGPT went live roughly 15 months ago, researchers have been studying whether artificial intelligence tools can be used to treat or predict Alzheimer’s... One of the main symptoms of dementia, even at earlier stages, is confusion or speech difficulties... ChatGPT was able to correctly identify Alzheimer’s 87% of the time, a new study shows.

Study highlights financial burden of dementia on older adults, familiesGeorgia State University - School of Public Health, by Sam Fahmy; 2/7/24A team of researchers from the Georgia State University School of Public Health, the University of Washington School of Pharmacy and the University of California San Francisco analyzed data from a national sample of more than 4,500 adults aged 70 and older to arrive at what are thought to be the first comparisons of out-of-pocket expenses by dementia status and care setting. The researchers found that the median adult with dementia in residential facilities such as assisted living centers spent 97% of their monthly income on long-term care. People with dementia in nursing homes spent nearly 83% of their monthly income on long-term care.

Transforming value-based dementia care—Implications for the GUIDE ModelJAMA Intern. Med; by Tarun Ramesh; Kushal Kadakia, MS; Lidia Moura, MD, MPH, PhD; 2/5/24Dementia disproportionately affects older adults and represents an increasingly difficult population health and financial challenge for Medicare. Annual spending for Medicare beneficiaries with dementia is approximately 3 times higher than that for patients without dementia, with excess costs attributable to substantial fragmentation across the care journey. Patients with dementia experience polypharmacy and frequent hospitalizations and require careful coordination across multiple specialty health care professionals with support from unpaid caregivers. However, traditional fee-for-service (FFS) payment models may not adequately support costly medical and social needs for patients with dementia and their unpaid caregivers.Editor's Note: Full access requires subscription or other online library access to JAMA.

Study testing new strategy for spotting, managing pain in dementia patients McKnights Long-Term Care News, by Kimberly Marselas; 2/1/24Up to 80% of dementia patients living in nursing homes also experience pain, but many struggle to communicate their symptoms. A new, $2.1 million study aims to test recently revised guidelines for staff members tasked with detecting and managing that pain. ... Barbara Resnick, PhD, RN, professor and associate dean for research at the University of Maryland School of Nursing, will lead the project at 12 nursing homes over the next five years.

These sisters help families donate brains to scienceBrain&Life; 2/2/24Tish Hevel, 65, talks about the Brain Donor Project, a nonprofit group she and her sister, Annie McManis, 54, established after their father died of Lewy body dementia. ... "Our father was diagnosed with Lewy body dementia in 2014. In researching the disease, we kept reading about brain donation. Our father had always wanted to donate his body, so we knew he would want to donate his brain as well. And we knew scientists needed tissue. But the process of donating was complicated."

Timely dementia diagnosis, specialized long-term care limited for members of minority groups: studyMcKnights Senior Living, by Kimberly Bonvissuto; 2/1/24Researchers from University of California-Davis Health and Oregon Health & Science University said that members of minority groups fall victim to systemic oppression that leads to a higher risk of hospitalization and more aggressive life-sustaining treatment in end-of-life care. Their research, published in Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association, analyzed 71 studies between 2000 and 2022 that examined healthcare access and quality for people living with dementia and their caregivers.

Breakthroughs in Alzheimer's research give cause for optimismKiplinger, by Elaine Silvestrini; 1/29/24... Finding a cure or even an effective treatment has been difficult. Now, after billions of dollars in research and more than 100 drug failures, advocates are celebrating breakthroughs, including drugs that for the first time treat the underlying causes of the disease. Experts are optimistic that we may be on the precipice of significant changes in how the disease is treated and potentially even prevented. 

Despite need, adequate dementia care severely lacking among adult day service providersMcKnights Home Care, by Adam Healy; 1/29/24... More than a quarter of adult day service patients have been diagnosed with dementia, including Alzheimer’s, according to a recent National Health Statistics Report by the HHS and CDC. ... Roughly 23% of adult day service center (ADSC) patients with dementia are enrolled in a center that lacks the capabilities to adequately care for their condition.

Haven Hospice receives $25k for dementia careThe Ponte Vedra Recorder, by Anthony Richards; 1/25/24Haven Hospice recently received a $25,000 grant from the Thomas A. Plein Foundation that will go toward supporting its dementia care program. The program is all about promoting education of dementia and what it entails for members of the Haven staff, patient caregivers and community partners. ... The grant will help in the creation of memory cafes and caregiver support groups, as well as helping fund additional tools designed to help dementia patients.

A psychologist offers advice on 'being there' for aging parentsForbes, by Mark Travers; 1/22/24As our parents age, we find ourselves on a challenging emotional journey, one that often remains unspoken but deeply felt. It’s the journey of anticipatory grief, a complex mix of emotions and thoughts that arise as we witness our parents becoming older, weaker and more frail. This concept, often overshadowed by post-loss grief, is equally devastating.

Increasing longevity, decreasing health quality: A close look at American health trendsBNN, by Ayesha Mumtaz; 1/16/24Recent data paints a concerning picture of Americans’ health despite an increase in longevity. While people are living longer, the quality of their health during these extended years is deteriorating. 

Hospital study on AI identifies undiagnosed dementia patients coming from LTCMcKnights Senior Living, by Aaron Dorman; 1/16/24A high number of senior living and care residents have dementia on admission, or develop it during their stay, despite never receiving a formal diagnosis. When these “secret” dementia patients, however, have an emergency – say, a fall – and are hospitalized, they can catch the new care team unaware and struggling to make appropriate clinical decisions. To avoid this pitfall, new research is looking at electronic health records to flag individuals who might have dementia, possibly undiagnosed, so that when they arrive at a hospital, the care team is ready.