Dementia Care Throughout the Trajectory and Across Settings: Results from the DEVELOP AD Research Study

Sunday, November 6, 2022

8:00 AM – 9:30 AM ET

Location: 201 CC

CE: 1.5

Chair(s)

Lauren Hunt, PhD, RN, FNP

Assistant Professor
Department of Physiological Nursing
University of California, San Francisco
San Francisco, California, United States

Slides

Co-Chair(s)

KO

Katherine Ornstein, PhD

Professor
Geriatrics and Palliative Medicine
Johns Hopkins
Baltimore, Maryland, United States

Discussant(s)

Lauren Massimo, NP,PhD

Assistant Professor
School of Nursing
University of Pennsylvania
Philadelphia, Pennsylvania, United States

Individual Symposium Abstract First Author(s)

Raj Kumar, PhD MPH

Instructor
Rehabilitation and Human Performance
Icahn School of Medicine at Mount Sinai
New York City, New York, United States
WD

W. James Deardorff, MD

T32 Aging Research Fellow
Division of Geriatrics
University of California San Francisco
San Francisco, California, United States
Maggie Salinger, MD, MPP (she/her/hers)

Fellow
Harvard Medical School/Massachusetts General Hospital
Boston, Massachusetts, United States
Lauren Hunt, PhD, RN, FNP

Assistant Professor
Department of Physiological Nursing
University of California, San Francisco
San Francisco, California, United States

Slides

About 1 in 8 older adults in the United States has dementia, making it one of the biggest public health issues facing society today. The impact of dementia ranges across health and social systems, yet consideration of these contexts--which are of great relevance to patients and families--has been underexplored in prior research. In this symposium, we will present findings from the Deploying High-Value Longitudinal Population-Based data in Dementia Research (DEVELOP AD Research) study. This multicenter collaboration leverages existing population-based data sources to examine the health and social impacts of dementia throughout the trajectory of decline and across acute, long-term, and community-based settings. Session one will describe how acute care utilization increases in the years before the onset of incident dementia. Session two will examine the association between dementia and increased mortality risk after disruptive medical events, including hip fracture and pneumonia. Session three will report on the prevalence and patterns of medication overuse and misuse in community-dwelling people with dementia. Session 4 will estimate how many community-dwelling individuals, including those with dementia, could benefit from home-based medical care. Session 5 will focus on hospice use patterns and hospice care quality rating in people admitted to hospice for dementia versus other conditions. Together, these presentations provide a wide lens on the health and social experiences and needs of people with dementia at the national level, leading to a better understanding of how society can better address the challenges of caring for this growing population.

Learning Objectives:

After attending this session, participants will be able to describe common experiences of people with dementia throughout the disease trajectory and across health and social systems in the United States at the population-level.
After attending this session, participants will be able to identify critical gaps in current health and social systems for addressing the needs of the dementia population across the disease trajectory.
After attending this session, participants will be able to discuss alternative approaches to addressing health and social system gaps for the dementia population, with a focus on support to people with dementia residing in the community setting.

Presentations:

8:00 AM – 9:30 AM ET

Emergency Department and Inpatient Hospital Healthcare Utilization in the Years Preceding Incident Dementia
Individual Symposium Abstract First Author: Raj G. Kumar, PhD MPH – Icahn School of Medicine at Mount Sinai
8:00 AM – 9:30 AM ET

The Effect of Disruptive Medical Events on Mortality in People With and Without Dementia
Individual Symposium Abstract First Author: Lauren Hunt, PhD, RN, FNP – University of California, San Francisco
8:00 AM – 9:30 AM ET

Unnecessary and Harmful Medication Use in Community Dwelling Persons With Dementia
Individual Symposium Abstract First Author: W. James Deardorff, MD – University of California San Francisco
8:00 AM – 9:30 AM ET

Who Can Benefit From Home-Based Medical Care?
Individual Symposium Abstract First Author: Maggie R. Salinger, MD, MPP (she/her/hers) – Harvard Medical School/Massachusetts General Hospital
8:00 AM – 9:30 AM ET

Spectrum of Dementia in Older Hospice Recipients
Individual Symposium Abstract First Author: Lauren Hunt, PhD, RN, FNP – University of California, San Francisco