19th Annual Updates on Dementia Conference
May 11, 2017 - South San Francisco Conference Center
May 11, 2017 - South San Francisco Conference Center
2017 Clinical Care Guidelines for Alzheimer's Disease Management
Anna Chodos, MD
Last updated in 2008, the new California Clinical Care Guidelines for Alzheimer’s Disease Management were released March 2017. These guidelines are intended to provide assistance in offering comprehensive care to patients with Alzheimer’s disease and those who care for them over the course of their illness, including psycho-social supports, legal and financial resources, adult day services, respite care, skilled nursing care, as well as helplines and outreach services operated by the Alzheimer’s Association, Area Agencies on Aging, Councils on Aging, and Caregiver Resource Centers. Dr. Anna Chodos, UCSF, helped to develop the guidelines along with a state-wide work group.
Anna Chodos, MD
Last updated in 2008, the new California Clinical Care Guidelines for Alzheimer’s Disease Management were released March 2017. These guidelines are intended to provide assistance in offering comprehensive care to patients with Alzheimer’s disease and those who care for them over the course of their illness, including psycho-social supports, legal and financial resources, adult day services, respite care, skilled nursing care, as well as helplines and outreach services operated by the Alzheimer’s Association, Area Agencies on Aging, Councils on Aging, and Caregiver Resource Centers. Dr. Anna Chodos, UCSF, helped to develop the guidelines along with a state-wide work group.
1._Chodos Slides
2._California Clinical Care Guidelines for AD Management
3._Comparison of Cognitive Tools
2._California Clinical Care Guidelines for AD Management
3._Comparison of Cognitive Tools
Delirium & Dementia, Two Sides of the Same Coin- Recognition & Management
Jose R. Maldonado, MD, FAPM, FACFE
Dr. Maldonado introduced two new tools his team at Stanford developed to predict those at risk of delirium, and to provide a timely and accurate diagnosis.
4._Maldonado Slides
5._Proxy Test for Delirium
6._Proxy Test for Delirium Graded Scoring Sheet
7._S-PTD Background
8._S-PTD Research Poster
5._Proxy Test for Delirium
6._Proxy Test for Delirium Graded Scoring Sheet
7._S-PTD Background
8._S-PTD Research Poster
“Leave Me Alone,” How Do We Address the Approximately 1 Million Americans with Dementia who Live Alone?
Stefanie Bonigut, MSW
The numbers of people who live alone in the community and have Alzheimer's disease and related disorders (ADRD) are growing at staggering rates. Services for this population are scarce and interventions are often unsuccessful. This workshop reports on three projects in California that used unique methods to identify, assess, and connect people living alone with ADRD to programs and services to help them continue to live at home independently and safely. Stefanie Bonigut shared a new algorithm for cognitive assessment, as well as an invaluable, comprehensive resource guide.
Alzheimer’s Prevention & Treatment: Where Are We Headed?
Frank M. Longo, MD, PhD
Award-winning researcher and clinician, Frank M. Longo, MD, PhD, is Professor and Chairman of the Department of Neurology and Neurological Sciences at Stanford University School of Medicine and founder and Chairman of biopharmaceutical firm PharmatrophiX. His team’s pioneering work on Alzheimer’s therapeutics was featured on the cover of Time Magazine in 2016. Dr. Longo was also the inaugural winner of the 2015 Alzheimer’s Drug Discovery Foundation’s (ADDF) Melvin R. Goodes Prize for Excellence in Alzheimer’s Drug Discovery, the first prize to specifically recognize researchers working in novel and promising areas of Alzheimer’s drug discovery. In this presentation, Dr. Longo reviewed advances in Alzheimer’s research related to prevention, diagnostic imaging, biomarkers and treatment.
Disparities in Dementia Among Diverse Racial, Ethnic & Sexual Minorities (Panel)
Gwen Yeo, PhD, AGSF; Elizabeth Rose Mayeda, PhD, MPH; Michelle Alcedo; Dolores Gallagher-Thompson, PhD, ABPP (Moderator)
Dr. Elizabeth Rose Mayeda, UCSF, shared the results of the largest and longest study thus far of ethnic disparities in dementia risk, spanning 14 years of health records, including 274,000 study participants, and representing six ethnic and racial groups, all from Northern California. These results were presented alongside a comprehensive review of 114 studies on the incidence and prevalence of dementia in racial and ethnic populations in the United States, published by Drs. Gwen Yeo and Kala Mehta, Stanford. Michelle Alcedo, Openhouse, highlighted disparities among the LGBT community, and presented best practices to improve LGBT Dementia Care, as well as local resources.
Gwen Yeo, PhD, AGSF; Elizabeth Rose Mayeda, PhD, MPH; Michelle Alcedo; Dolores Gallagher-Thompson, PhD, ABPP (Moderator)
Dr. Elizabeth Rose Mayeda, UCSF, shared the results of the largest and longest study thus far of ethnic disparities in dementia risk, spanning 14 years of health records, including 274,000 study participants, and representing six ethnic and racial groups, all from Northern California. These results were presented alongside a comprehensive review of 114 studies on the incidence and prevalence of dementia in racial and ethnic populations in the United States, published by Drs. Gwen Yeo and Kala Mehta, Stanford. Michelle Alcedo, Openhouse, highlighted disparities among the LGBT community, and presented best practices to improve LGBT Dementia Care, as well as local resources.
Palliative Care & Dementia
Karl Lorenz, MD
Presented by Karl Lorenz, Section Chief, Palliative Care Programs and Professor of Medicine, VA Palo Alto - Stanford University. Awarded with the Deputy Secretary Award for Achievement from the Department of Veterans Affairs in 2010, Dr. Lorenz’ vital expertise spans from policy to family support. In this presentation, Dr. Lorenz provided an overview on when to refer to palliative care, and how palliative care can help those in the later stages of Alzheimer’s.
Karl Lorenz, MD
Presented by Karl Lorenz, Section Chief, Palliative Care Programs and Professor of Medicine, VA Palo Alto - Stanford University. Awarded with the Deputy Secretary Award for Achievement from the Department of Veterans Affairs in 2010, Dr. Lorenz’ vital expertise spans from policy to family support. In this presentation, Dr. Lorenz provided an overview on when to refer to palliative care, and how palliative care can help those in the later stages of Alzheimer’s.
Emerging Technologies to Assess Dementia & Support Caregiving (Panel)
Richard Adler, PhD, MBA; Rajiv Mehta, MBA, MS; Blake Scanlon, PhD (Moderator & Presenter)
Richard Adler, PhD, MBA, Distinguished Fellow, Institute for the Future, presented three scenarios that explore caregiving in the year 2031 and are intended to provoke a wider discussion about current alternatives to improve support for caregivers.
Rajiv Mehta, MBA, MS, CEO of the ‘Atlas of Caregiving Pilot,’ supported by the Robert Wood Johnson Foundation and led in partnership with Family Caregiver Alliance, shared “care maps” — a tool to help family caregivers and professional providers understand and respond to care ecosystems. He also shared about how the use of various sensor technologies, apps and self-tracking tools can help us to understand day-to-day caregiving. Mehta has published two significant documents highlighting opportunities to utilize technology to improve the caregiver experience, ‘Catalyzing Technology to Support Family Caregiving,’ and the 171-page ‘Atlas of Caregiving Study Report.’
Blake Scanlon, PhD, Director of Training and Education at the Stanford/VA California Alzheimer's Disease Center, presented new tools developed in partnership with Stanford and the VA to enhance the early detection and diagnosis of dementia. This includes a new dementia/depression screening tool (mobile app in multiple languages) designed for primary care providers and a home-based dementia care consultation model using video tele-health and tablets.
Richard Adler, PhD, MBA; Rajiv Mehta, MBA, MS; Blake Scanlon, PhD (Moderator & Presenter)
Richard Adler, PhD, MBA, Distinguished Fellow, Institute for the Future, presented three scenarios that explore caregiving in the year 2031 and are intended to provoke a wider discussion about current alternatives to improve support for caregivers.
Rajiv Mehta, MBA, MS, CEO of the ‘Atlas of Caregiving Pilot,’ supported by the Robert Wood Johnson Foundation and led in partnership with Family Caregiver Alliance, shared “care maps” — a tool to help family caregivers and professional providers understand and respond to care ecosystems. He also shared about how the use of various sensor technologies, apps and self-tracking tools can help us to understand day-to-day caregiving. Mehta has published two significant documents highlighting opportunities to utilize technology to improve the caregiver experience, ‘Catalyzing Technology to Support Family Caregiving,’ and the 171-page ‘Atlas of Caregiving Study Report.’
Blake Scanlon, PhD, Director of Training and Education at the Stanford/VA California Alzheimer's Disease Center, presented new tools developed in partnership with Stanford and the VA to enhance the early detection and diagnosis of dementia. This includes a new dementia/depression screening tool (mobile app in multiple languages) designed for primary care providers and a home-based dementia care consultation model using video tele-health and tablets.
Conference Faculty
Richard Adler, PhD, MBA, Distinguished Fellow, Institute for the Future
Michelle Alcedo, Director of Programs, Openhouse
Stefanie Bonigut, MSW, Family Care Specialist, Alzheimer’s Association, Northern California, Northern Nevada Chapter
Anna Chodos, MD, Associate Director, Geriatrics Workforce Enhancement Program, UCSF, Assistant Professor, Division of Geriatrics, UCSF
Elizabeth Edgerly, PhD, Executive Director, Alzheimer’s Association, Northern California, Northern Nevada Chapter
Dolores Gallagher-Thompson, PhD, ABPP, Professor of Psychiatry and Behavioral Science, Emerita, Director of Outreach, Recruitment and Education, Stanford Alzheimer’s Disease Research Center
Frank M. Longo, MD, PhD, Professor and Chair, Department of Neurology and Neurological Sciences, Stanford School of Medicine
Karl Lorenz, MD, MSHS, Section Chief, VA Palo Alto - Stanford Palliative Care Programs, Professor of Medicine, Stanford School of Medicine, Director, VA Palliative Care Quality Improvement Resource Center (QuIRC)
Jose R. Maldonado, MD, FAPM, FACFE, Professor of Psychiatry and Behavioral Sciences and, by courtesy, of Emergency Medicine and of Medicine at the Stanford University Medical Center
Rajiv Mehta, MBA, MS, CEO, Atlas of Caregiving
Elizabeth Rose Mayeda, PhD, MPH, Postdoctoral Fellow in the Department of Epidemiology and Biostatistics at University of California, San Francisco
Blake K Scanlon, PhD, Chair, VA Palo Alto Dementia Committee; Clinical Assistant Professor, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine
Gwen Yeo, PhD, AGSF, Director Emerita, Stanford Geriatric Education Center, Senior Research Scholar Emerita, Stanford University School of Medicine
Michelle Alcedo, Director of Programs, Openhouse
Stefanie Bonigut, MSW, Family Care Specialist, Alzheimer’s Association, Northern California, Northern Nevada Chapter
Anna Chodos, MD, Associate Director, Geriatrics Workforce Enhancement Program, UCSF, Assistant Professor, Division of Geriatrics, UCSF
Elizabeth Edgerly, PhD, Executive Director, Alzheimer’s Association, Northern California, Northern Nevada Chapter
Dolores Gallagher-Thompson, PhD, ABPP, Professor of Psychiatry and Behavioral Science, Emerita, Director of Outreach, Recruitment and Education, Stanford Alzheimer’s Disease Research Center
Frank M. Longo, MD, PhD, Professor and Chair, Department of Neurology and Neurological Sciences, Stanford School of Medicine
Karl Lorenz, MD, MSHS, Section Chief, VA Palo Alto - Stanford Palliative Care Programs, Professor of Medicine, Stanford School of Medicine, Director, VA Palliative Care Quality Improvement Resource Center (QuIRC)
Jose R. Maldonado, MD, FAPM, FACFE, Professor of Psychiatry and Behavioral Sciences and, by courtesy, of Emergency Medicine and of Medicine at the Stanford University Medical Center
Rajiv Mehta, MBA, MS, CEO, Atlas of Caregiving
Elizabeth Rose Mayeda, PhD, MPH, Postdoctoral Fellow in the Department of Epidemiology and Biostatistics at University of California, San Francisco
Blake K Scanlon, PhD, Chair, VA Palo Alto Dementia Committee; Clinical Assistant Professor, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine
Gwen Yeo, PhD, AGSF, Director Emerita, Stanford Geriatric Education Center, Senior Research Scholar Emerita, Stanford University School of Medicine
Conference Objectives
1. Apply current clinical guidelines and best practices for Alzheimer’s disease management
2. Learn two new tools to identify those at risk for, and diagnose delirium
3. Identify, assess, and connect people living alone with dementia to programs and services to help them continue to live at home independently and safely
4. Review advances in Alzheimer’s research related to prevention, diagnostic imaging, biomarkers and treatment
5. Identify and address healthcare disparities among diverse racial and ethnic groups
6. Implement best practices to improve LGBT dementia care
7. Learn when to refer to palliative care, and how palliative care can help those in the later stages of Alzheimer’s
8. Implement new technology to increase early detection and diagnosis of dementia and increase access to care coordination through telehealth
9. Identify new technological resources to share with family caregivers and professional providers
10. Discuss how technology might impact dementia care in the future
2. Learn two new tools to identify those at risk for, and diagnose delirium
3. Identify, assess, and connect people living alone with dementia to programs and services to help them continue to live at home independently and safely
4. Review advances in Alzheimer’s research related to prevention, diagnostic imaging, biomarkers and treatment
5. Identify and address healthcare disparities among diverse racial and ethnic groups
6. Implement best practices to improve LGBT dementia care
7. Learn when to refer to palliative care, and how palliative care can help those in the later stages of Alzheimer’s
8. Implement new technology to increase early detection and diagnosis of dementia and increase access to care coordination through telehealth
9. Identify new technological resources to share with family caregivers and professional providers
10. Discuss how technology might impact dementia care in the future
Presenting Sponsors
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