Dementia Friendly Cities. Nicole Paddock, NP- C Adult Geriatric Nurse Practitioner Center for Healthy Aging
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1 Dementia Friendly Cities Nicole Paddock, NP- C Adult Geriatric Nurse Practitioner Center for Healthy Aging
2 Disclosures This speaker has indicated there are no relevant financial relationships to be disclosed. 2
3 Bio Nicole completed a Master of Science in Nursing with a concentration in Adult-Geriatric primary care at the University of Indianapolis. She now works for The Center for Healthy Aging caring for patients in long term care and assisted living. Nicole obtained a Bachelor of Science in Nursing at Indiana State University and spent most of her nursing career with St Vincent Hospital as a medical/surgical nurse. In her spare time Nicole enjoys taking road trips, reading, practicing yoga, and spending time with friends and family. 3
4 Objectives 1. Understand the need for dementia friendly cities 2. Describe characteristics of dementia friendly cities 3. Identify dementia friendly cities across the United States 4. Offer resources for creating dementia friendly cities 4
5 Why do we need dementia friendly cities? Dementia is characterized by a decline in memory, language, problem solving, and other cognitive skills that affect a person s ability to perform every day activities in 9 over age 65 has Alzheimer s disease 5.4 million Americans living with Alzheimer s ~70% live within their local community ~40% of these live alone 110, 000 Indiana residents living with Alzheimer s million Americans living with Alzheimer s 130,000 Indiana residents living with Alzheimer s Alzheimer s Association. (2016). Alzheimer s Disease Facts and Figures. Alzheimer s & Dementia, 12(4). Alzheimer s Association. (2014). Alzheimer s Disease Facts and Figures. Alzheimer s & Dementia, 10(2).
6 What is a dementia friendly city? Dementia Friendly America ( Multi-sector collaborative to foster dementia friendly communities Memory loss supports and services Banks and financial services Neighbors and community members Legal and advance planning services Transportation/Housing/Public spaces Healthcare throughout the continuum Faith communities Businesses Dementia Friends USA ( villages, towns, and cities where more people understand dementia, there is less fear and avoidance, and people living with dementia are included and supported to live independently for longer 6
7 What is a dementia friendly city? 2 7
8 What is a dementia friendly city? Dementia friendly cities Are also age friendly cities Promote awareness and acceptance dementia within the community Identify the needs of those living with dementia within the community Identify, connect, and integrate community services Train community members to recognize and assist residents with dementia first responders banks pharmacy postal workers restaurants transportation Identify of local businesses that are dementia friendly 8
9 Creating a dementia friendly city Dementia Friendly America Toolkit ( 1. Convene key community leaders and members to understand dementia and its implications for your community 2. Assess current community strengths and gaps concerning dementia within your community 3. Analyze the community assessment findings and determine action priorities for your community 4. Create a community action and sustainability plan and take action community-wide to become dementia friendly 9
10 Dementia friendly cities across the US pages 10
11 Dementia friendly cities across the US Alabama (Montgomery County) Arkansas California (San Diego County) California (Ventura County) Arizona (Tempe) California (Riverside) California (Santa Clara County) Colorado (Denver) Connecticut (Southington) Florida (Citrus County) Florida (Tallahassee area) Hawaii Illinois Indiana (Bloomington) Community Lead: Amanda Mosier Maryland (Montgomery County) Maryland (Prince George's County) Massachusetts Michigan (Grand Rapids) Minnesota (43 communities in 4 years) Montana (Billings) Maine Nebraska Nevada New York North Carolina North Carolina (Wake Forest) North Carolina (Western) Ohio (Hancock County) Oklahoma Pennsylvania Texas Utah Washington (Seattle) West Virginia Wisconsin (Fox Cities Area) Wisconsin (Middleton) Wyoming (Sheridan) 11
12 Resources for creating a dementia friendly city Act on Alzheimer s ( ) Minnesota has created an evaluation report and is now set to establish the entire state as Alzheimer s prepared Alzheimer s Association ( Dementia Friendly America ( Dementia Friends ( Wisconsin Department of Human Services ( 12
13 Summary Why have dementia friendly cities? Increasing numbers of older adults with dementia, many of whom live in the community alone or with caregivers What are dementia friendly cities? Cities with awareness, acceptance, education, and training to identify, assist, and support those with dementia Where are dementia friendly cities? More than 80 cities nationwide are now considered dementia friendly, and more to come Resources for building dementia friendly cities? Use the Tool Kits and local Alzheimer s association as a starting point. Learn from other dementia friendly cities. 13
14 Closing thoughts Having dementia is very tough but having a city who excludes dementia that is really tough. -- Bart Deltour, Foton Dementia Charity, Bruges In creating your dementia friendly society, always remember the answers to these two questions: If your mother developed dementia how would you like her to be treated by society? If you yourself develop dementia at some time in the future, how would you like to be treated by society? -- James McKillop, Scotland 14
15 References ACT on Alzheimer s. (2015). ACT on Alzheimer s Evaluation Report Available at %2Paone%20October%2031,% pdf ACT on Alzheimer s. (2017). Minnesotans working together in the impacts of Alzheimer s. Available at Alzheimer s Association. (2016). Alzheimer s disease facts and figures. Alzheimer s & Dementia, 12(4). Available at Alzheimer s Association. (2014). Alzheimer s Disease Facts and Figures. Alzheimer s & Dementia, 10(2). Available at Alzheimer s Association. (2016) Impact report greater Indiana chapter. Available at 15
16 References Alzheimer s Disease International. (2016). Dementia friendly communities: Key principles. Available at Alzheimer s Disease International. (2016). Dementia friendly communities: Global developments. Available at Alzheimer s Disease International. (2013). Policy brief for heads of government: The global impact of dementia Available at Burton, E., Mitchell, L., & Raman, S. (2006). Neighbourhoods for life: Designing dementia friendly outdoor environments. Quality in Ageing and Older Adults, 7(1), DOI Dementia Friendly America Initiative. (2015). Available at Dementia Friends USA: A Dementia Friendly America initiative. (2017). Available at 16
17 References Innovations in Dementia (2011). Dementia capable communities: The views of people with dementia and their supporters. Available at pdf Lin, S-Y & Lewis, FM. (2015). Dementia friendly, dementia capable, and dementia positive: Concepts to prepare for the future. The Gerontologist 2015; 55(2): Cary, NC, Oxford University Press. Available at Mitchell, L. (2012). Breaking new ground: The quest for dementia friendly communities. London, Housing Learning & Improvement. Available at point25_dementia_friendly_communities.pdf Tilly, J., Wiener, J.M. & Gould, E. (2014). Dementia-capable states and communities: the basics. Washington, DC, Administration for Community Living. Available at Basics.pdf 17
18 References Wisconsin Healthy Brain Initiative (2015). A toolkit for building dementia-friendly communities. Madison, WI, Wisconsin Department of Health Services. Available at World Health Organization. (2007). Global age-friendly cities: a guide. Geneva, World Health Organization. Available at Wimo A. & Prince M. (2010). World Alzheimer report 2010: The global economic impact of dementia. Available at World Health Organization and Alzheimer s Disease International. (2012). Dementia: A public health priority. Available at 18
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DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 16 (15 Apr 21 Apr 2018) In NORTHCOM during week 16 Influenza activity continued to be minimal for the majority
EMG Laws by State. needle EMGs and NCSs can be found in its position statement Who is Qualified to Practice EDX Medicine.
EMG Laws by State Disclaimer: These laws are up-to-date as of 5/30/14. State medical boards may have published opinions on who is authorized to perform Needle EMGs; however, oftentimes the state board
DEPARTMENT OF DEFENSE (AFHSB)
DEPARTMENT OF DEFENSE (AFHSB) Seasonal Influenza Surveillance Summary Northern Command -- Week 45 (03 November 10 November 2018) In NORTHCOM during week 45 Influenza activity was minimal to low for most
B&T Format. New Measures. 2 CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
TO: Interested Organizations FROM: Patrick Dahill, Assistant Vice President, Policy DATE: February 4, 2018 RE: 2018 Accreditation Benchmarks and Thresholds This document reports national benchmarks and