Screens are not currently available in other languages. Many factors are thought to contribute to the increased prevalence of dementia in communities of color, including socioeconomic status and lack of access to quality housing, good nutrition, and health insurance. The latter reduces access to regular preventive care and management of chronic conditions, including those that increase the risk of dementia.
Not only do people of color have twice the risk of developing dementia, people with Latino heritage develop dementia an average of seven years earlier than their white counterparts. Communities of color also continue to face disparities in access to and appropriate care from the health care system.
From preventive care to surgical procedures, people of color are less likely to receive treatment, or receive treatment later in the disease than Caucasians would experience.
A lack of access to appropriate medical care and a lack of trust of the medical system make outreach and community-based access to screening and information about dementia important in these communities. Offering memory screening in agencies that serve communities of color can allow individuals and families that may be concerned about dementia to access culturally tailored information and make connections to support within the community.
The prevalence of dementia in the Native American population is currently unknown. Some of the same health disparities that impact African Americans and people with Latino heritage also affect tribal members, which may increase their risk of dementia. In providing memory screening to tribal members, the screening tools used in this manual do not need modification.
Cultural considerations when providing screening for Hmong families include the significant value placed on family involvement in the process. Hmong elders may wish to be accompanied specifically by their eldest son or daughter, if not several family members, when meeting with the screener.
Many first generation Hmong elders may not speak English, and the screener will either need to be fluent in the Hmong language, or use a professional interpreter. Best practice guidance for screening and assessment state that family members should not be used for interpretation during the screening process. The Animal Naming screen and the AD8 do not need modification for use.
Use of the Mini-cog is appropriate as long as the individual being screened is comfortable with the use of analog clocks. For Hmong speakers, the three words used in the recall section are difficult to translate. When providing memory screens, screeners should keep in mind the screening tools are primarily conversation tools.
If none of the screening tools in this manual work for an individual or a family, but the screener can still have meaningful conversation about cognitive concerns and provide education and referral, the intended outcome of the memory screening program has been achieved. Agencies approved by DHS can use this manual to train staff to provide memory screens using the following protocol. Agency Requirements All agencies providing memory screening through this program must receive approval from DHS and provide a program manager to oversee the memory screening program at the agency level.
The program manager will oversee the training of screeners and ensure ongoing fidelity in use of the screens. Agencies interested in offering the memory screening program may contact dhsdltcaging dhs. Webcasts To become an agency-certified screener, the staff member must watch two training webcasts that accompany this screening program. They were developed as a product of the successful pilot study of the screening program and include the original researchers and program staff.
They are approximately one hour each. However, they do not provide an opportunity for trainees to ask questions or learn more about dementia.
It is important for staff members who provide memory screens to be able to answer questions about dementia that will come from the person being screened and their family. Screeners should feel confident and comfortable talking about memory loss and dementia with their customers. Fear or anxiety about dementia on the part of the screener can be a barrier to acceptance of the screen. Additional training on dementia is widely available, and a list of training resources can be found in the following resources section.
Practice Before performance of the screens, new screeners must practice the conversation that leads up to the offer of a memory screen, and the conversation that happens afterwards. The screens are the tools used to have the conversation, with the conversation having more importance in the interaction. Finding words or an approach to the subject that is comfortable for the screener can make the difference in acceptance of the screen.
Describing the results in a calm and reassuring way to someone who should speak with their physician can help the individual understand what can be done, and how to take action to address the symptoms they are experiencing. Ongoing Fidelity Prior to working with customers, screeners also need to demonstrate proper administration of the screens witnessed by the agency-designated memory screening program manager. It can be provided to screeners and should be kept in the employee record as evidence of training.
Annually, all agency-certified screeners must demonstrate fidelity with the screens. The memory screening program manager must observe screeners providing the screens with fidelity once a year to maintain certification status. Documentation of ongoing fidelity to the screening protocols can simply be a note from the memory screening program manager added to the employee file.
A current list of all agency certified screeners must be kept on file by the agency and provided to DHS upon request. Data Collection Agencies providing the screen must collect data on the use of the memory screening program.
At a minimum, the number of screens performed must be collected and made available to DHS upon request. Additional data will also be collected regarding the number of screens indicating a referral is recommended, number of individuals who agreed to have the screening results shared with their physician, and number of individuals who received a diagnosis of dementia. A data collection tool will be provided to collect this additional information.
Personally identifiable data regarding the use of memory screens is not requested by DHS. Dementia support agencies are an important resource and can provide in-person training on a variety of topics specific to dementia and family caregiving. The University of Wisconsin Oshkosh has a series of online training opportunities for a variety of audiences.
DHS has created a catalog of online trainings that are regularly available. Information on the clinics and how to contact them can be found on the Wisconsin Alzheimer's Institute website. The Wisconsin Guardianship Support Center GSC provides information and assistance on issues related to guardianship, protective placement, advance directives, and more.
Operated by the Greater Wisconsin Agency on Aging Resources, the GSC is staffed by an attorney who responds to requests for information through a toll-free helpline or by email. Calls are returned in the order in which they were received. Guardianship Support Center guardian gwaar. DHS has information about dementia and caregiving programs and resources available in the community across the state. ADRCs provide information on a broad range of programs and services, help people understand the various long term care options available to them, help people apply for programs and benefits, and serve as the access point for publicly funded long term care.
Topics A-Z. Responsive Menu. Dementia: Memory Screening in the Community In , Wisconsin has approximately , people living with dementia. Purpose of Community-Based Memory Screening Unlike screening for other diseases such as cancer, screening for dementia is only recommended if there are reasons to suspect the person has cognitive impairment.
What is Dementia? Changes in Perception of the Environment People with dementia experience changes in their perception of the environment as the parts of the brain that interpret external information become damaged.
Benefits of Memory Screening Screening for dementia, much like screening for other diseases or chronic conditions, is a good way to detect the changes that can be signs of the onset of disease or other change in cognition.
Memory screening and early detection provide: The ability to make lifestyle and other beneficial changes earlier in the disease process when they have the greatest potential for positive effect.
The opportunity for the individual with dementia to participate in making future health care and financial decisions. Time to connect with community-based information and supportive services prior to a potential crisis situation related to the needs of the person with dementia or the caregiver.
How to Screen Conversation Tools The primary intent of this memory screening protocol is to enable and enhance conversations about memory concerns. Materials include: A paper copy of the Animal Naming screen and Mini-cog screen A writing utensil for yourself and one for the participant A time keeping device that shows minutes and seconds; and A location that is comfortable, quiet, well-lit, and includes a writing surface.
After the Screens Once the screens have been completed and scored, the results should be shared with the person being screened and any caregiver present.
The person who was screened then has three options: The person can accept the offer. The person may choose to take the results to a physician on their own.
The person can choose to do nothing with the results. Introduction The screening tools in this manual are not universally accessible and have some limitations. Accessibility Blind and Visually Impaired It can be challenging for people who are blind or have low vision to find transportation to appointments. Digits: 2 1 8 5 4 Backward Digit Span: Give the following instruction.
Digits: 7 4 2 Scoring: Allocate one point for each sequence correctly repeated. The correct response for the backwards trial is 2 4 7. Staff Training Agencies approved by DHS can use this manual to train staff to provide memory screens using the following protocol.
In-Person Dementia Training Dementia support agencies are an important resource and can provide in-person training on a variety of topics specific to dementia and family caregiving. Have a question?
Meanwhile, the identification of older adults with MCI from the general population for 14 clinical research purposes can be done e. For research purposes, such a population 20 could be useful e. Our two-step population screening was able to detect a 3 considerable number of MCI-subjects in the general population.
Moreover, because telephone 4 screening is fast, easy to apply and inexpensive, it should be considered as a valuable tool to 5 be used in future cognitive aging studies in which large groups of subjects at risk for cognitive 6 decline have to be detected at an early stage.
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Neuropsychological assessment. Oxford University Press, Inc. Telephone screening for amnestic mild cognitive impairment. Neurology 60 2 : Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Alzheimer's Association. Albert Einstein College of Medicine. Memory Impairment Screen. Screening for dementia with the memory impairment screen. Related Articles. What Is the Tinetti Test? What Does Oriented x1, x2, x3 and x4 Mean in Dementia? How Is Alzheimer's Disease Diagnosed? Communication and Language Difficulties in Alzheimer's Disease. Your Privacy Rights. To change or withdraw your consent choices for VerywellHealth.
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