Bold Voices - August 2013 - (Page 9)

AT THE BEDSIDE Number of Americans With Dementia, Cost of Care to Double by 2040 T he number of Americans with dementia and the cost of their care will more than double by 2040, cementing dementia’s status as one of the nation’s most expensive ailments, according to “Monetary Costs of Dementia in the United States,” in The New England Journal of Medicine (NEJM). The study examined data collected over a decade until 2010 through the national Health and Retirement Study on 11,000 people older than 70. Those data were used as a benchmark to assess cognitive decline in the other study participants, according to lead author Michael Hurd, director, RAND Center for the Study of Aging, Santa Monica, Calif. Based on the data, the study estimates that 14.7 percent of U.S. residents — or about 3.8 million people — older than 70 had dementia in 2010. In addition, 22 percent of people in that age group had mild cognitive impairment, meaning they did not reach the threshold for dementia. Of that 22 percent, about 12 percent went on to develop dementia. After combining data from the U.S. Census and the Health and Retirement Study, the study finds the cost of medical care for people with dementia reached about $109 billion in 2010. In comparison, the total direct cost that year of treating patients with heart disease was about $102 billion, while the total for treatment of patients with cancer was $77 billion. The overall cost of care for patients with dementia increased even more when informal, unpaid care provided by friends and family is included, according to a related article in The Daily Briefing. The study in NEJM concludes the number of people with dementia will be about 9.1 million by 2040. The cost per capita will be about 80 percent more than the current level and range from $379 billion to $511 billion. Updated HHS Standards Support Improved Cultural and Linguistic Competency National standards help organizations improve quality of care in diverse communities. T he Department of Health and Human Services (HHS) updated the “National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care” to help organizations improve healthcare quality in diverse communities throughout the U.S., notes an HHS press release. The enhanced standards, developed by the HHS Office of Minority Health, are a “comprehensive update of the 2000 National CLAS Standards and include the expertise of federal and non-federal partners nationwide, to ensure an even stronger platform for health equity,” the release notes. The standards provide a framework for care and services that are “culturally respective and linguistically responsive.” “As our nation becomes increasingly diverse, improving cultural and linguistic competency across public health and our health care system can be one of our most powerful levers for advancing health equity,” J. Nadine Gracia, director of the HHS Office of Minority Health, adds in the release. According to a related article in Healthcare IT News, health professionals who adopt the standards “will be better able to meet the needs of all individuals at all points of contact.” 9 AACN BOLD VOICES AUGUST 2013 Cost of caring for patients with dementia is even higher when care by friends and family is included.

Table of Contents for the Digital Edition of Bold Voices - August 2013

Bold Voices - August 2013
Another Angle
Seamless Staff Leadership Transition Is Goal of AACN's CEO Search
A Pool of Exceptional Talent
Progressive Care Nurses: A Conference, Las Vegas and CNEs Just for You
Communication Is Critical to Avoid Readmissions
Hospital Deaths Decrease Slightly Over 10 Years
Leapfrog Rates Hospital Safety Performance
Patient Safety Threatened by Insufficient Nurse Staffing, Fatigue
Number of Americans With Dementia, Cost of Care to Double by 2040
Updated HHS Standards Support Improved Cultural and Linguistic Competency
Decrease Noise Levels to Improve Patient Outcomes
Alarm Management (AACN Practice Alert)
Survey Reports High Levels of Burnout, Job Seeking
New HIPAA Rule Seeks to Balance Patients' Privacy Protection
Pet Ownership May Be Heart-Friendly
Hospitals Better at Preventing CLABSIs
Online Program Helps Military Service Members, Veterans Become Nurses
Clot Busters Safe for Patients With Stroke Who Take Aspirin
Updated Stroke Definition Reflects New Knowledge, Advances
In Our Journals
Antibiotics May Relieve Back Pain in Certain Cases
Certification Capsules
AACN Members, Friends Inducted as AANP Fellows
Empowered ED Case Managers
New CCN Resource Expands Reader Access to Nursing Care Studies
Contribute to the Evidence: Apply for an AACN Research Grant by Nov. 1
Nurse Leaders, Aspiring Nurse Leaders: Get Ready for Las Vegas, Sept. 18-20
AACN Scholarships Support Your Learning Journey
What Is Your Wake? (From the President)

Bold Voices - August 2013