Make dementia a public health priority in India

Sinha, Rabindra Nath

doi:10.4103/0019-557x.85234

Cited by 13 publications

(13 citation statements)

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“…The overall findings of the present study emphasize the urgent need to improve knowledge about dementia in India. This need is supported by Sinha et al [7], who argue that nursing staff should be trained to be knowledgeable and competent in providing institutional care, and undergraduate medical and nursing students' curricula should address geriatric health issues, including dementia.…”

Section: Discussionmentioning

confidence: 99%

“…Despite this, dementia as a disease is still not widely recognized in India unless it is fairly advanced [7, 8, 9], and it is seldom recognized as an organic brain syndrome or a real medical condition [1, 10]. Family members often interpret early signs of dementia as signs of normal ageing or as depressive symptoms, often leading to the disease being neglected by both the family and health policy makers [7, 8, 9]. Even though it is currently still considered shameful to place parents or relatives in long-term care facilities [11], the Indian family structure is poised to change.…”

Section: Introductionmentioning

confidence: 99%

“…Even though it is currently still considered shameful to place parents or relatives in long-term care facilities [11], the Indian family structure is poised to change. More and more older people with dementia in need of care around the clock are being cared for by health care professionals in residential care facilities [1, 7]. However, there is a lack of statistics indicating how many people with dementia are living in long-term care facilities [12].…”

Section: Introductionmentioning

confidence: 99%

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Nursing Staff’s Knowledge and Attitudes toward Dementia: A Pilot Study from an Indian Perspective

Strøm

Engedal

Andreassen

2019

Dement Geriatr Cogn Disord Extra

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Background: Despite the increased prevalence of dementia in India, reports indicate little awareness of the disease. Symptoms are often misinterpreted or neglected, which could lead to late diagnosis, reducing the choices available regarding future care. Considering that most nurses caring for the elderly will work with people with dementia in the future, there is concern surrounding their ability to meet the needs of these patients, requiring them to obtain the necessary knowledge and positive attitudes for treatment. Aims: To describe the knowledge of and attitudes toward dementia among nursing staff working in residential care facilities for elderly populations in India. Methods: A cross-sectional survey was conducted in 3 nursing homes in India in which 15 nursing staff conducted self-assessments of their knowledge and attitudes toward dementia using the Alzheimer's Disease Knowledge Scale (ADKS) and the Attitude toward Alzheimer's Disease and Related Dementias Scale (DAS) for each respective assessment. Descriptive statistics were used to describe staffs' attitudes and knowledge concerning dementia. Continuous variables were presented as means ± SD, while the categorical variables were presented as percentages. Results: Although the majority of the participants answered that Alzheimer's disease cannot be cured, about half reported that people with dementia, in rare cases, can recover from the disease. While all participants agreed that people with dementia can feel when others are kind to them, almost half disagreed that people living with dementia can enjoy life. Conclusion: These findings reveal that nursing staff have limited knowledge of dementia, but their attitudes toward people living with dementia tend to be positive.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nursing Staff’s Knowledge and Attitudes toward Dementia: A Pilot Study from an Indian Perspective

Strøm

Engedal

Andreassen

2019

Dement Geriatr Cogn Disord Extra

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“…The number of people at risk of dementia in the developing world will increase rapidly during the next 50 years, because the population and proportion will grow faster for the elderly (≥60 years) than for other age groups [16]. In India, for example, the population of individuals ≥80 years will increase from 5.4 million in 2001 to 32 million in 2051 [17]. In addition to aging populations, gradual improvements in health care in developing countries are probably increasing the time that affected individuals survive with dementia [18].…”

Section: Prevalence Of Dementia In the Developing Worldmentioning

confidence: 99%

Assessing Dementia in Resource-Poor Regions

Maestre

2012

Curr Neurol Neurosci Rep

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The numbers and proportions of elderly are increasing rapidly in developing countries, where prevalence of dementia is often high. Providing cost-effective services for dementia sufferers and their caregivers in these resource-poor regions poses numerous challenges; developing resources for diagnosis must be the first step. Capacity building for diagnosis involves training and education of healthcare providers, as well as the general public, development of infrastructure, and resolution of economic and ethical issues. Recent progress in some low-to-middle-income countries (LMICs) provides evidence that partnerships between wealthy and resource-poor countries, and between developing countries, can improve diagnostic capabilities. Without the involvement of the mental health community of developed countries in such capacity-building programs, dementia in the developing world is a disaster waiting to happen.

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“…This number is expected to increase to 131.5 million by 2050 due to increasing life expectancy in many populations (Alzheimer’s, 2015; Martin Prince, 2015). Caring for individuals with dementia and the huge costs that this involves represent enormous challenges to societies (Sinha, 2011). The characteristic symptoms of AD are behavioral abnormalities, progressive cognitive and memory impairments, and language impairments (Hardy and Selkoe, 2002; Selkoe, 2002, 2013).…”

Section: Introductionmentioning

confidence: 99%

Genome instability in Alzheimer disease

Song

Croteau

et al. 2017

Mechanisms of Ageing and Development

101

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Alzheimer’s disease (AD) is a progressive neurodegenerative disorder and the most common form of dementia. Autosomal dominant, familial AD (fAD) is very rare and caused by mutations in amyloid precursor protein (APP), presenilin-1 (PSEN-1), and presenilin-2 (PSEN-2) genes. The pathogenesis of sporadic AD (sAD) is more complex and variants of several genes are associated with an increased lifetime risk of AD. Nuclear and mitochondrial DNA integrity is pivotal during neuronal development, maintenance and function. DNA damage and alterations in cellular DNA repair capacity have been implicated in the aging process and in age-associated neurodegenerative diseases, including AD. These findings are supported by research using animal models of AD and in DNA repair deficient animal models. In recent years, novel mechanisms linking DNA damage to neuronal dysfunction have been identified and have led to the development of noninvasive treatment strategies. Further investigations into the molecular mechanisms connecting DNA damage to AD pathology may help to develop novel treatment strategies for this debilitating disease. Here we provide an overview of the role of genome instability and DNA repair deficiency in AD pathology and discuss research strategies that include genome instability as a component

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Make dementia a public health priority in India

Cited by 13 publications

References 0 publications

Nursing Staff’s Knowledge and Attitudes toward Dementia: A Pilot Study from an Indian Perspective

Nursing Staff’s Knowledge and Attitudes toward Dementia: A Pilot Study from an Indian Perspective

Assessing Dementia in Resource-Poor Regions

Genome instability in Alzheimer disease

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