Dementia and Diversity in Primary Care: A Primer - Guidelines, Ethnic Differences, and Assessments

Internet Enduring Material Sponsored by the Stanford University School of Medicine. Presented by the Department of Psychiatry and Behavioral Sciences at Stanford University School of Medicine

Although dementia is the most common diagnosis in older adulthood it is under-recognized in primary care. This gap in recognition is even greater for patients, their caregivers and families who belong to various ethnic and racial minority populations.

As U.S. residents are aging, and becoming more racially and ethnically diverse, physicians and other healthcare providers will increasingly need to tailor their care to specific populations. This series of continuing education activities is designed to help healthcare providers recognize dementia, select culturally appropriate assessment tools, and communicate effectively about dementia care in ethnically and racially diverse populations.

This initial course, Dementia and Diversity in Primary Care: A Primer - Guidelines, Ethnic Differences, and Assessment, will introduce primary care physicians and members of their care teams to the “ethnogeriatric imperative” and its impact on dementia. Future courses will provide information on assessing and caring for diverse racial and ethnic groups.

  Release Date: November 25, 2015
  Latest Review Date: November 20, 2017
  Expiration Date: June 30, 2021
  Estimated Time to Complete: 1.5 hours
  Registration Fee: FREE

1. Compare the risk of developing Alzheimer’s disease in racial and ethnic minorities to the general population
2. Identify the barriers faced by ethnic/racial minorities in obtaining diagnosis and services after onset of dementia
3. Identify dementia in older adults from diverse race/ethnic backgrounds

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Credit Designation 
American Medical Association (AMA) 
Stanford Medicine designates this Enduring Material for a maximum of 1.50 AMA PRA Category 1 Credits^TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Cultural and Linguistic Competency

The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws. You are encouraged to visit the Multicultural Health Portal: http://lane.stanford.edu/portals/cultural.html

Bibliography

Braun KL, Takamura JC, Mougeot T. Perceptions of dementia, caregiving and help-seeking among Vietnamese immigrants. J Cross Cult Gerontol. 1996;11(3):213-28.

CALD Dementia Strategic Model. (2008). Australia.

DiGregorio M, Salemink O. Living with the dead: The politics of ritual and remembrance in contemporary Vietnam. Journal of Southeast Asian Studies. 2007;38(3):433-440.

Hinton L. Improving care for ethnic minority elderly and their family caregivers across the spectrum of dementia severity. Alzheimer Disease and Associated Disorders. 2002;16(Suppl 2):S50-S55.

Hinton L, Franz C, Yeo G, Levkoff S. Conceptions of dementia in a multi-ethnic sample of family caregivers. J Am Geriatr Soc. 2005;53(8):1405-10.

Hinton L, Levkoff SA, Fox K. Introduction: exploring the relationships among aging, ethnicity, and family dementia caregiving. Cult Med Psychiatry. 1999;23(4):403-13.

For a complete list please see the References/Resources section of the course.

Disclosures

The following planners, speakers, reviewer, and authors have indicated that they have no relationships with industry to disclose relative to the content of this activity:

Nancy Morioka-Douglas, MD, MPH
Clinical Professor, General Medicine Disciplines
Stanford University School of Medicine
Medical Director for Patient Centered Care in Primary Care, Stanford Health Care
Co-Director, Stanford Geriatric Education Center 
Course Director
Speaker

Dolores Gallagher-Thompson, PhD 
Professor of Research, Department of Psychiatry and Behavioral Sciences
Director, Stanford Geriatric Education Center 
Stanford University School of Medicine
Co-Course Director
Speaker

Alan Louie, MD
Professor of Teaching
Director of Education
Associate Chair, Department of Psychiatry and Behavioral Sciences 
Stanford University School of Medicine
Course Reviewer

Nusha Askari, PhD 
Program Manager
Department of Psychiatry/Public Mental Health & Population Sciences 
Stanford University School of Medicine
Planner

Kala Mehta, DSC, MPH
Associate Professor
Department of Epidemiology and Biostatistics, University of California, San Francisco
Program Evaluation Consultant, Stanford Geriatric Education Center 
Stanford University School of Medicine
Planner

 
Yuan Marian Tzuang, MSW 
Program Coordinator, Stanford Geriatric Education Center 
Stanford University School of Medicine 
Planner

Annecy Majoros, BA
Research Assistant
Department of Psychiatry/Public Mental Health & Population Sciences
Program Assistant
Department of Medicine/General Internal Medicine
Stanford University School of Medicine
Planner

Gwen Yeo, PhD, AGSF 
Director Emerita, Stanford Geriatric Education Center
Stanford University School of Medicine 
Speaker

Michael D. Greicius, MD, MPH 
Associate Professor, Department of Neurology & Neurological Science 
Associate Professor (by courtesy), Department of Psychiatry and Behavioral Science
Stanford University School of Medicine 
Speaker

This activity received no commercial support.