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Advancing Diagnostic Excellence for Older Adults: Proceedings of a Workshop - in Brief
Pages 1-12

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From page 1...
... The workshop highlighted unique 1 population compared to the previous workshops that challenges faced in achieving diagnostic excellence for explored specific diseases. He described the Foundation's older adults, opportunities and obstacles to improving framework of diagnostic excellence that embraces the diagnosis, and strategies and interventions to promote six domains of health care quality as defined by the diagnostic excellence across the care continuum.
From page 2...
... . Looking at health care outcomes symptoms such as fatigue or apathy, and many older over time, he shared data comparing adults with and adults such as those with cognitive impairments or without hearing loss and found that over 10 years, adults hearing or vision problems may have difficulty in with hearing loss incur $22,000 more in health care articulating symptoms.
From page 3...
... She highlighted the difference between framework as a background, this section discusses shared focusing on the disease itself and focusing on the patient. decision making, assessing cognitive function, improving Patients often report that clinicians are interested in medication use and recognizing adverse drug events, and symptoms and clinical data instead of their story, she the impact of frequent and safe mobility in improving said, but studies have shown that more than 80 percent diagnosis.
From page 4...
... is a that cognitive assessments should be done routinely in chronic progressive deterioration of cognitive function, health care settings, using the many available screening and 11 percent of adults age 65 and older in the United tests, such as the Montreal Cognitive Assessment test, States have dementia, she reported, but 60 percent of the Mini-Cog, and Ultra-Brief Confusion Assessment cases are unrecognized. Mild cognitive impairment is Method.
From page 5...
... Barriers to implementation reviewed various changes associated with aging, such as include the lack of resources to incorporate practices such decreased muscle strength and more fragile skin. Once as mobility assistance and the culture of seeking diagnoses combined with bed rest and low mobility, these age- for individual diseases.
From page 6...
... chronic health conditions such as asthma, diabetes, or depression. He said that two-thirds of LGBTQ adults Sarah Szanton, dean of the Johns Hopkins School of over age 50 have experienced at least three instances of Nursing, described consideration of aging in communitydiscrimination and victimization (Fredrikson-Goldsen based settings to improve health equity and diagnosis et al., 2011)
From page 7...
... She discussed and variation in functional status. High-quality data also a framework for clinical decision support, which sends do not exist for older adults who are routinely excluded health and fall alerts to the clinical staff at a senior from randomized clinical trials and observational studies, housing facility when certain changes have been he said.
From page 8...
... FakhrHosseini's work at the AgeLab is focused on disease focused system." She emphasized the need to building a common language for researchers within the change how care is delivered by listening to patients domain of smart homes. Although there are questions and their stories, improving education and training in about whether older adults will want to engage with that geriatric care, and improving evidence for new models type of technology, one study in Boston found that many of care and implementation strategies.
From page 9...
... . • Employ shared decision making, assess cognitive function, monitor medication use to reduce harm and burden, and assess mobility and function routinely to improve diagnostic excellence for older adults (Brown, Inouye, Rosen, Steinman, Tinetti)
From page 10...
... . • Provide more culturally relevant education on dementia symptoms and diagnosis to diverse communities, and train clinicians on how to best integrate cultural factors in the diagnostic process (Dilworth-Anderson)
From page 11...
... P Hoy-Ellis, and hearing loss over 10 years.
From page 12...
... STAFF JENNIFER LALITHA FLAUBERT, TRACY LUSTIG, RUTH COOPER, ANESIA WILKS, ADRIENNE FORMENTOS, and SHARYL NASS, Board on Health Care Services, Health and Medicine Division, National Academies of Sciences, Engineering, and Medicine SPONSORS This workshop was supported by the Gordon and Betty Moore Foundation and The John A Hartford Foundation.


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