cultural diversity in dementia diagnosis · •cultural diversity in epidemiology, diagnosis,...
TRANSCRIPT
Cultural diversity in dementia
diagnosis
Dr. Naaheed Mukadam
UCLH NIHR BRC Senior Research Fellow
University College London
Talk outline
• Definitions
• Cultural diversity in epidemiology, diagnosis,
treatment and care
• Questions
Dementia
• Acquired impairment in cognitive function with
impact on daily function
• Affects 850,000 people with dementia in the UK,
with numbers set to rise to over 1 million by
2025. This will soar to 2 million by 2051
• Numbers increasing worldwide due to ageing
population but reduced age-specific incidence
and prevalence in many countries
Cultural diversity
• “the existence of a variety of cultural or ethnic
groups within a society”
• Minority ethnic groups
• 87% White or White British
• 13% minority overall
• Main groups are South Asians and Black
population
Epidemiology
• Risk factors
• Prevalence
• Incidence
Prevalence and incidence
Getting a diagnosis
Symptom recognition
Help-seeking
Assessment
Help-seeking
Detect symptoms
Assume aetiology
Seek help
Stigma
Beliefs
about
healthcare
system
Diagnosis
• Late in BAME groups
• In crisis
• Many don’t get a diagnosis
• Worse outcomes
Differences in diagnosis
• CRIS data – secondary mental health care
electronic records, younger age and lower MMSE
at first diagnosis
• Accuracy of diagnosis in primary care
• Dementia severity at death
How to help
• Greater awareness
among healthcare
professionals
• Community centres
• Religious
organisations
Diagnostic tools
• MMSE – modifications to take cultural and
educational differences into account
• Structured diagnostic tools
Treatments
Medication
CST
Risk assessment
START
Care
• Residential and nursing home
• End of life
Any questions?
