Healthy People 2030_S ODonoghue

docx

School

Chamberlain College of Nursing *

*We aren’t endorsed by this school

Course

503

Subject

Health Science

Date

Oct 30, 2023

Type

docx

Pages

7

Uploaded by JusticeElephant2301

Report
Healthy People 2030 Impact Paper: Dementias Sarah O'Donoghue Chamberlain University Population Health, Epidemiology, & Statistical Principles Dr. Mundy 03/18/2023 Dementia is on the rise in the United States creating significant burden on our healthcare system as well as our communities. Dementia is
characterized by a loss of cognitive function. Alzheimer’s disease is the most common cause of Dementia, accounting for 60-80% of cases. (Centers for Disease Control and Prevention, 2020) While mortality rates for many other diseases are going down, the opposite is true for Alzheimer’s. With no cure for Dementia or Alzheimer’s disease in site, mortality rates are on the rise, and the implications are far reaching. “ Alzheimer’s is the most expensive disease in America, with costs exceeding a quarter of a trillion dollars annually.” (CDC, 2020) Health People 2030 has included Dementia as a major public health concern and has identified three major objectives related to screening, early detection, and treatment. Alzheimer’s disease is the sixth leading cause of death in the U.S., and the fifth leading cause of death for those aged 65 and older. (CDC, 2020) In the state of New Jersey, there are more than 190,000 people living with a diagnosis of Dementia, there are 6,929 people on hospice with a primary diagnosis of Dementia and it was the 6 th leading cause of death in 2015. (Alzheimer’s Association, 2018) Alzheimer’s is a debilitating disease that can last decades and ultimately ends in death. The care of people with Alzheimer’s disease is involved and expensive. Not only are hospitals and healthcare facilities overwhelmed with the care of these patients, but many family members will also assume the burden of this care with little to no help. “Caregivers for people with Alzheimer’s and other dementias are two and a half times more likely than caregivers for people with other conditions to help with emotional or mental challenges and nearly four times as likely to
assist with behavioral issues.” (CDC 2020) People with dementia are also likely to have multiple comorbidities, making their care more complicated, they are also far more likely to be hospitalized. “People with other chronic conditions in addition to dementia are significantly more likely to have a preventable hospitalization.” (Alzheimer’s Association, n.d.) Descriptive epidemiology requires that we look at person, place, and time, racial and biological risk factors are a part of that. According to Health People 2030, Dementia is most likely to effect people over the age of 65 and women are at slightly higher risk of having dementia. (Office of Disease Prevention and Health Promotion, n.d.) “African Americans are about two times more likely than white Americans to have Alzheimer’s and other dementias.” while “Hispanics are about one and one-half times more likely than Alzheimer’s Association, n.d.) Research about incidence and prevalence over time shows that “Nearly six million Americans are living with Alzheimer’s dementia and by 2050, this number is projected to reach nearly 14 million.” (CDC, 2020) Health People 2030 has identified three major problems in the care of patients with Dementia, and ways to improve those areas. The first issue is that many people with Dementia go undiagnosed, and when they are found to have Dementia, it is not disclosed to them. “ Quality care for people with Alzheimer’s disease and other dementias starts with an early, documented diagnosis, including disclosure of the diagnosis.” and among those diagnosed with Alzheimer’s dementia, only 33% know they have the disease. (Alzheimer’s Association, 2017) Early diagnosis can allow the person to take
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
  • Access to all documents
  • Unlimited textbook solutions
  • 24/7 expert homework help
advantage of available treatments and discuss advanced directives before they lose the ability to participate in decision making discussions. To address these issues, Healthy People 2030’s first objective to improve dementia care is to “increase diagnosis and diagnosis disclosure of Alzheimer’s and other dementias.” (Office of Disease Prevention and Health Promotion, n.d.) Another problem identified is the high number of preventable hospitalizations of people with dementia. Due to the cognitive decline that occurs as a result of a dementia diagnosis, patient may find it difficult to manage their own health. Family members, when they are acting as caretakers, may also find it difficult to manage the health of the person suffering from dementia. Depression, agitation, behavioral disturbances, and resistance to care are all characteristics of the disease. This lack of health management results in millions of dollars being spent on avoidable hospital admissions and overuse of the emergency departments. “ Hospitalizations for people with Alzheimer’s and other dementias are also associated with adverse health events such as delirium, falls, pressure ulcers, untreated pain, and functional decline7,8 – as well as a higher risk of death.” (Alzheimer’s Association, 2017) To address these issues, the second objective is to “reduce preventable hospitalizations among people living with dementia.” (Office of Disease Prevention and Health Promotion, n.d.) The third objective is to “enhance communication between health care providers and people experiencing memory issues.” (Office of Disease Prevention and Health Promotion, n.d.) This last objective can not only increase diagnosis
disclosure but also teach people to look out for early signs of cognitive decline. Many screening tools are available, particularly for the primary care setting, to screen for cognitive decline. While there is no current recommendation for one in particular, all organizations agree that they need to be proven effective, take little time, and be easy to administer. The Alzheimer’s Association has many resources on their website including a screening tool from the Gerontological Society of America (GSA). “ The GSA KAER Toolkit is intended to support primary care teams in implementing a comprehensive approach to initiating conversations about brain health, detecting and diagnosing dementia, and providing individuals with community-based supports.” (The Gerontological Society of America, 2020) This tool was designed for the primary care office but can also be applied in different settings. The main idea is to kickstart the conversation about brain health, assess for cognitive decline, evaluate for dementia, and refer to community resources when appropriate. (GSA, 2020) As with so many things, much can be accomplished through communication and education. The Centers for Disease Control and Prevention partnered with the Alzheimer’s Association to develop a roadmap to brain health called the health brain initiative. The first of its kind was released in 2007 and the most recent one is the third in the series. The most recent one focuses on ways improve the care of dementia patients on a state and local level. “This action agenda provides 25 ways that state and local public health agencies and their partners can pursue goals of the Healthy Brain Initiative.” (CDC, 2020) The 25 interventions included in this document are separated into four categories. The categories are educate and empower, develop policies and mobilize partnerships, assure a competent workforce, and monitor and evaluate. The document is particularly helpful because it offers many options, allowing the reader to choose which initiatives would be most easily integrated into their
community and local organizations. One intervention states that we need to “promote the use of effective interventions and best practices to protect brain health, address cognitive impairment, and help meet the needs of caregivers for people with dementia.” (CDC, 2020) while another states that we need to “educate healthcare professionals about the importance of treating co-morbidities, addressing injury risks, and attending to behavioral health needs among people at all stages of dementia.” (CDC, 2020) The monitor and evaluate portion of this agenda states several ways that we can improve information sharing across the nation. Providing databases with more information will improve the care of dementia patients by promoting research and informing which resources are needed. References Alheimer's Association (n.d) Healthy People 2030. Retrieved from: https://www.alz.org/professionals/public-health/models-frameworks/healthy- people-2030 Alzheimer's Association (2018) Alzheimer's statistics: New Jersey. Retrieved from: https://www.alz.org/media/documents/newjersey-alzheimers-facts-figures- 2018.pdf
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
  • Access to all documents
  • Unlimited textbook solutions
  • 24/7 expert homework help
Alzheimer's Association (2017) Reducing Potentially Preventable Hospitalizations for People Living with Alzheimer’s and Other Dementias. Retrieved from: https://www.alz.org/media/Documents/policy-brief- preventable-hospital-alzheimers.pdf Centers for Disease Control and Prevention (2020). Road map for state and local public health: Healthy brain initiative. National Center for Chronic Disease Prevention and Health Promotion, Division of Population Health. Retrieved from https://www.cdc.gov/aging/healthybrain/roadmap.htm The Gerontological Society of America (2020) KAER Toolkit. Retrieved from: https://www.geron.org/publications/kaer-toolkit Office of Disease Prevention and Health Promotion. (n.d.) Healthy People 2030 . U.S. Department of Health and Human Services. https://health.gov/healthypeople/objectives-and-data/browse- objectives/dementias

Browse Popular Homework Q&A

Q: A physics major is cooking breakfast when he notices that the frictional force between the steel…
Q: Develop a POQ solution and calculate total relevant  costs for the data in the preceding table.
Q: Please answer the ques in python with showing the answer
Q: P(0.74<Z<2.11)
Q: You wish to test the following at a significance level of α=0.05α=0.05.       H0:p=0.64H0:p=0.64…
Q: For the given​ data, (a) find the test​ statistic, (b) find the standardized test​ statistic, (c)…
Q: Based on the interactional framework for analyzing leadership, CEO Barra has to understand the…
Q: Find the number of outcomes in The Complement of the given event 310 books in a bookcase 158 are…
Q: Set up, but do not evaluate, an integral for the length of the curve, L. (Use pi for π.)y = cos(x)…
Q: Analysis Analysis Bal Sheet Inc Stmt Prepare a vertical analysis of the balance sheets for Year 4…
Q: table death They are SHOWH raph to he right, where HBP is High Blood Pressure, TU is Tobacco se, HBG…
Q: Peak A has a height of 136 mm and a width at half height of 8.8 mm. Peak B has a height of 113 mm…
Q: The length of a rectangle is increasing at a rate of 8 cm/s and its width is increasing at a rate of…
Q: Using the data in the table, determine the rate constant of the reaction and select the appropriate…
Q: Which one of the following shaded-regions in the plane consists of all points whose polar…
Q: The table shows the lengths (in miles) of major rivers in North America. Length (in miles) 2635 3710…
Q: A homozygous fly with two recessive mutations causing purple body and short wings (ppss) is mated…
Q: Determine whether the infinite geometric series converges or diverges. If it converges, find its…
Q: ​Melinda's athletic trainer told her to follow a beginning exercise training schedule on day 1 in…
Q: appropriate. H3C H₂CH₂C NC H NaOH NaOCH3