Experts Identify Three Barriers to Timely Alzheimer’s Diagnosis


The closer scientists come to developing a cure for Alzheimer's, the more they tout the necessity of being able to identify the disease earlier in its course.

Catching Alzheimer's in its earlier stages can offer a host of benefits to both a caregiver and their loved one.

According to the Alzheimer's Association, earlier detection of the disease can give seniors and their families the time to process a diagnosis and make plans for the future. Also, the only available therapies to address the symptoms of Alzheimer's are only effective for people in the mild to moderate stages.

Unfortunately, 48 percent of doctors say the Alzheimer's is often diagnosed too late for existing therapies to be effective, according to an international study conducted by Eli Lilly and Company.

The pharmaceutical developer interviewed almost 1,000 physicians from the United States, France, Japan, Italy and the United Kingdom to figure out just what is that keeps interfering with timely diagnoses.

They came up with three main stumbling blocks:

  1. Inefficient screening methods: It's difficult to find what you're looking for if you don't know where to start. Sixty-five percent of physicians identified inefficient testing methods as the primary impediment to Alzheimer's diagnosis. No one test has been developed that can definitively diagnose Alzheimer's in a living person. Most physicians use a combination of: patient history, physical screenings (brain imaging and blood tests) and mental functioning assessments to determine whether they believe a senior is suffering from the disease.
  2. Communication breakdown: Too many doctors are waiting for elderly patients or their caregivers to make the first move when it comes to discussing Alzheimer's. The vast majority of physicians (75 percent) said that caregivers and seniors were the ones who first brought up the issue of the memory-robbing illness. Even more alarming, nearly half of those who voiced their concerns only did so only after they had suspected Alzheimer's for some time.
  3. Stigma and denial: Patient denial and social stigma were cited as the top two issues that made discussing Alzheimer's difficult for doctors. People in France and the UK appeared to attach the greatest amount of stigma to the disease. Physicians listed the common Alzheimer's stigmas voiced by seniors and their caregivers: shame, isolation, and loss of personal freedom.

While caregivers and their loved ones can't do much to speed up the process of finding an effective diagnostic test, there is a lot they can do to improve communication with doctors and remove the stigma associated with Alzheimer's disease.

Educate yourself on the warning signs of Alzheimer's . Don't be afraid to voice your concerns to a senior's physician—remember, the sooner the disease is identified, the better chance your loved one has at maintain their quality of life for longer.

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Hospice has just stopped at home services for my Mom stating no significant decline in status. We now have care for her 24/7, paying out of her pocket. Her oncologist is amazed that she has survived this long. My appeal was denied even after I stated that the reporting nurse is relatively new to our case & only sees Mom for 20 min. twice a week, so how can she know about the need to use a wheelchair often to get her around the house. Mother is usually alert while the RN is there as she likes the company. We tried having home health aides come in, but they were scheduled at odd, irregular times & rarely was it the same person which upset Mom, so we stopped that service long ago. Mom is 92 & needs assistance not only with her physical needs, but also her cognitive functions when she's "off". I am so disappointed in this particular Hospice group which was taken over by a big corporation out of the area. If she's still alive in a month, I think I can apply to the other Hospice group to "come on board". I don't understand why cognitive decline doesn't qualify as a decline in her health. (outside of the fact that her multiple myeloma cancer came back last year after 5 years). Any advice? This has been a long road.
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