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Vision: Dementia is more common among African American and Hispanic elders as compared with Caucasian Americans elders. Most of the care of ethnic elders with dementia is conducted by family and informal caregivers. But due to a variety of psychosocial and cultural factors, ethnic elders are less likely than Caucasian elders to have access to formal comprehensive diagnostic, treatment and management resources for dementia care. The primary vision of Ethnic Elders Care is to increase public awareness of about dementia among ethnic elders and optimize the quality of life of family caregivers and ethnic elders with Alzheimer’s disease and related disorders. Our goal is to improve access to culturally sensitive and effective care for ethnic elders with Alzheimer’s and related disorders by promoting awareness and education among caregivers and health professionals We want to increase public awareness among health care providers and the general public about Alzheimer’s disease and related disorders among ethnic elders in the United States and position the Ethnic Elders Care as the leading clearinghouse for dementia, ethnicity and caregiving.

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We want to position Ethnic Elders Care as the leading clearinghouse for information on Alzheimer’s and related disorders among ethnic elders in the United States We can help with dementia and alzheimers .We want to provide 4 lecture/ presentations per year concerning ethnic elder patients with dementia and their caregivers at national geriatric medicine, gerontology, psychiatry or psychology meetings. The primary vision of Ethnic Elders Care is to increase public awareness of about dementia among ethnic elders and optimize the quality of life of family caregivers and ethnic elders with Alzheimer’s disease and related disorders. Memory loss is a growing problem in the United States among elders. Most of the care of ethnic elders with dementia is conducted by family and informal caregivers. But due to a variety of psychosocial and cultural factors, ethnic elders are less likely than Caucasian elders to have access to formal comprehensive diagnostic, treatment and management resources for dementia care.Check reference link on amyloid.



 
 

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Exercise plus behavioral management in patients with Alzheimer disease: a randomized controlled trial.
 

Teri L, Gibbons LE, McCurry SM, Logsdon RG, Buchner DM, Barlow WE, Kukull WA, LaCroix AZ, McCormick W, Larson EB.  JAMA. 2003 Oct 15; 290(15): 2015-22.

CONTEXT: Exercise training for patients with Alzheimer disease combined with teaching caregivers how to manage behavioral problems may help decrease the frailty and behavioral impairment that are often prevalent in patients with Alzheimer disease.

OBJECTIVE: To determine whether a home-based exercise program combined with caregiver training in behavioral management techniques would reduce functional dependence and delay institutionalization among patients with Alzheimer disease.

 DESIGN, SETTING, AND PATIENTS: Randomized controlled trial of 153 community-dwelling patients meeting National Institute of Neurological and Communicative Diseases and Stroke/Alzheimer Disease and Related Disorders Association criteria for Alzheimer disease, conducted between June 1994 and April 1999.

 INTERVENTIONS: Patient-caregiver dyads were randomly assigned to the combined exercise and caregiver training program, Reducing Disability in Alzheimer Disease (RDAD), or to routine medical care (RMC). The RDAD program was conducted in the patients' home over 3 months. MAIN OUTCOME MEASURES: Physical health and function (36-item Short-Form Health Survey's [SF-36] physical functioning and physical role functioning subscales and Sickness Impact Profile's Mobility subscale), and affective status (Hamilton Depression Rating Scale and Cornell Depression Scale for Depression in Dementia).

RESULTS: At 3 months, in comparison with the routine care patients, more patients in the RDAD group exercised at least 60 min/wk (odds ratio [OR], 2.82; 95% confidence interval [CI], 1.25-6.39; P =.01) and had fewer days of restricted activity (OR, 3.10; 95% CI, 1.08-8.95; P<.001). Patients in the RDAD group also had improved scores for physical role functioning compared with worse scores for patients in the RMC group (mean difference, 19.29; 95% CI, 8.75-29.83; P<.001). Patients in the RDAD group had improved Cornell Depression Scale for Depression in Dementia scores while the patients in the RMC group had worse scores (mean difference, -1.03; 95% CI, -0.17 to -1.91; P =.02). At 2 years, the RDAD patients continued to have better physical role functioning scores than the RMC patients (mean difference, 10.89; 95% CI, 3.62-18.16; P =.003) and showed a trend (19% vs 50%) for less institutionalization due to behavioral disturbance. For patients with higher depression scores at baseline, those in the RDAD group improved significantly more at 3 months on the Hamilton Depression Rating Scale (mean difference, 2.21; 95% CI, 0.22-4.20; P =.04) and maintained that improvement at 24 months (mean difference, 2.14; 95% CI, 0.14-4.17; P =.04).

CONCLUSION: Exercise training combined with teaching caregivers behavioral management techniques improved physical health and depression in patients with Alzheimer disease.

 


PMID: 14559955 [PubMed - indexed for MEDLINE]

 

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