Monday, December 9, 2013

World Alzheimer Report

I found the following report from Alzheimer's Disease International quite interesting:

  • The prevalence and incidence of dementia double with every 5-year increase in age.
  • The patient's family is the primary caregiving source and is aided by professionals who provide care at home or at specialized residential centers (care homes).
  • Quality of life in patients with dementia — the ultimate treatment goal — is similar for those cared for at home and those in specialized centers.
  • Dementia costs US$604 billion annually worldwide. Costs are projected to double to $1,117 billion by 2030.
  • The total cost per person with dementia is 38 times higher in high-income countries than in low-income countries.
  • Standard and Poor considers global aging a threat to world economic stability.
  • The proportion of dependent persons aged 60 and older will increase between 2000 and 2050 from 29% to 45%.
  • Promoting healthy aging and healthy lifestyles may postpone dementia-related dependence.
  • Among older American adults, those with dementia are much more likely than those without dementia to live in specialized centers (about 30% to 40% vs. 2%). Only about 6% of dementia patients in low- and middle-income countries live in centers.
  • Approximately 15 million American adults give unpaid care to someone with dementia.
  • In Latin America, India, and China, those who live with an older person with dementia have a twofold increased risk for psychological morbidity.
  • Dementia is incurable and life-limiting and therefore confers the right to palliative care.
  • At the end of life, the most common symptoms in dementia patients are pain, pressure sores, shortness of breath, eating and swallowing problems, infections, and psychological symptoms, including agitation. Both under- and over-treatment should be avoided.
  • Advance decisions to refuse treatment should be made with supervision from an expert in the process and by a patient with mental competence at the time of the decision.          

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