Facing reality: The cost of Alzheimer dementia—Who will pay?

Jankowiak, Janet; Knopman, David S.

doi:10.1212/01.wnl.0000240882.63507.d7

Cited by 5 publications

(5 citation statements)

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“…Information adapted from previous Patient Pages. 3,4 AD is a neurologic disease that affects the brain. A gradual loss of memory is one of the main symptoms that a person would experience.…”

Section: About Alzheimer Diseasementioning

confidence: 99%

Preventing Alzheimer disease with exercise?

Karceski¹

2012

Neurology

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Section: About Alzheimer Diseasementioning

confidence: 99%

Preventing Alzheimer disease with exercise?

Karceski¹

2012

Neurology

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“…See how 'reality' is constructed in the title of Janet Jankowiak and David Knopman''s article; 'Facing Reality: The Cost of Alzheimer Dementia -Who Will Pay?' (Jankowiak and Knopman 2006). towards discrete disciplines, especially if the disciplinary work constructs binaries between normal and abnormal, citizens and vagrants, sane and mad people, dis(en)abled and able bodies.…”

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confidence: 99%

Disorientation: An Introduction

Martin

Rosello

2016

Culture, Theory and Critique

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This collection of essays analyses the concept of disorientation. It does so by questioning orientation as norm and disorientation as resistance. This exploration of disorientation does not interpret the disoriented subject as the privileged site of new knowledge, dissident pleasure or social critique. Nor does it propose to embrace disorientation as the invisible norm revealed by the study of supposedly exceptional subjects. Contemplating the concept of disorientation does not mean becoming disoriented, nor does it mean adopting a position of condescending mastery or blind admiration vis-à-vis the disoriented other. We argue that only when it becomes possible to imagine, simultaneously, many incompatible or at least discrepant possible forms of powerful, powerless, desirable and undesirable forms of disorientation, does disorientation become a political tool. We can then imagine disorientation as the name of the constantly evolving relationality between a subject and a conscious or unconscious cultural and political grid. Disorientation is the moment during which a world is produced by the acknowledgment of its dependency on the grid. It is also the moment when some subjects are enab led or disenabled by their relationship to the grid and the world in the absence of others who function as the guardians of the norm. What matters here is the subject's positioning vis-à-vis his or her awareness of dis-reorientation. The question is not who is lost or who is foreign, who is comfortable or who has colonised, who decides where maps stop and start, but rather what kind of relationality explains who feels dis-or reoriented. This introduction to a collection of essays on 'disorientation' is already struggling with the kind of disorientation with which it wishes to engage. Should an introduction to a volume on disorientation at least try to disorient? But then could it still be an introduction? We seem faced with an uncomfortable alternative: either give up on the ambition to perform at least some disorienting effect in this text, or accept that there is something paradoxical about our gesture. Like programme coordinators who organise 'orientation weeks', the writers of an introduction are expected to provide a map: the cognitive grid that will allow readers to have a sense of direction and purpose, itself readable because we assume that they have acquired the method or practice necessary to find their way towards their objective or destination. A successful

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“…A s the average age of the population increases and as age is one of the most important risk factors for dementia, the prevalence of dementing illnesses is also increasing. The cost of care for patients with dementia is estimated to be in the billions of dollars 1 and is expected to increase fourfold over the next 40 years. 1 Dementia caregiving costs arise from multiple sources but are based in part on the need to provide protective care for cognitively impaired patients.…”

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“…The cost of care for patients with dementia is estimated to be in the billions of dollars 1 and is expected to increase fourfold over the next 40 years. 1 Dementia caregiving costs arise from multiple sources but are based in part on the need to provide protective care for cognitively impaired patients. A large portion of the costs associated with dementing illnesses arises from patient behavior problems that include agitation, depression, and sleep disturbance.…”

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confidence: 99%

“…A large portion of the costs associated with dementing illnesses arises from patient behavior problems that include agitation, depression, and sleep disturbance. [1][2][3] Sleep disturbances are common in these patients and may be related to disturbances in circadian rhythms seen in these patients. Especially in patients with Alzheimer disease (AD), patients display worsening confusion in the evening, frequent nocturnal awakenings, and increased daytime sleepiness.…”

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confidence: 99%

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Caregiver Reports of Sleep Problems in Non-Hispanic White, Hispanic, and African American Patients with Alzheimer Dementia

Ownby

Saeed

Wohlgemuth

et al. 2010

Journal of Clinical Sleep Medicine

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Study Objectives: Sleep problems are common in persons with dementing illnesses and among the most stressful patient behaviors for caregivers. Although studies have shown differences in sleep across ethnic groups, little information is available on ethnic differences among persons with dementia. The purpose of this study was to investigate possible ethnic differences in sleep problems among patients with Alzheimer dementia. Method: Caregiver reports of 5 sleep-or circadian rhythm-related behavioral problems (behavior disturbance worse in the evening, difficulties falling asleep, frequent awakenings, early awakenings, and excessive daytime sleep) were evaluated in 395 patients who had received a diagnosis of Alzheimer disease after diagnostic evaluation. The average cognitive score of the groups suggested that they could be characterized as having moderately severe impairment. The frequency of sleep problems was then evaluated across subgroups defined by self-reported ethnicity (African American, Hispanic, and non-Hispanic white). As patient and caregiver characteristics may affect caregivers' reports of patients' behaviors, mixed effects regression models were used to adjust for patient and care-giver variables that might affect caregiver reports. Results: Analyses revealed ethnic differences in sleep or circadian rhythm disturbances. African American and Hispanic patients were reported to have more severe sleep disturbances than non-Hispanic whites. After correction for patient and caregiver variables that might have affected caregiver reports, differences between African Americans and others remained. Conclusions: Sleep problems in patients with dementing illnesses are reported by caregivers with differing frequencies across groups of African Americans, Hispanics, and non-Hispanic whites. Clinicians should be aware of these differences in assessing sleep disturbance in patients with dementia as well as the potential effects of patient and caregiver variables on reports of these problems.

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Facing reality: The cost of Alzheimer dementia—Who will pay?

Cited by 5 publications

References 0 publications

Preventing Alzheimer disease with exercise?

Preventing Alzheimer disease with exercise?

Disorientation: An Introduction

Caregiver Reports of Sleep Problems in Non-Hispanic White, Hispanic, and African American Patients with Alzheimer Dementia

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