Working Together:
Improving Early Diagnosis and Management
of Alzheimer’s Disease in Primary Care
Education and Resources for Primary Care Physicians
Overview
First reported in the early 20th Century, Alzheimer’s disease (AD) is a progressive and fatal disorder characterized by hallmark protein changes and neuronal degeneration in the brain. Although individuals with early-stage AD may carry out daily activities with minimal assistance, the disease ultimately affects multiple areas of the brain, necessitating caregivers to help the patient sustain basic functions. AD accounts for 60% to 80% of cases of dementia, as represented by difficulties with memory, language, problem-solving, and thinking.1 The neuronal damage of AD eventually affects brain regions that support walking and swallowing, rendering the patient in need of constant care.
Alzheimer’s dementia currently affects an estimated 6.5 million (10.7%) US adults ages 65 and older, a number that is projected to rise to 12.7 million by 2050 due to the aging of the US population.2 Although incidence increases with age,1 AD can manifest at any time, and the physiologic changes that underpin AD likely begin several decades before the patient notices symptoms.3,4 Women account for approximately two-thirds of AD cases diagnosed in the US,12 and analysis of Framingham Heart Study data suggest that women have a 1 in 5-lifetime risk for Alzheimer’s dementia at age 45, compared to 1 in 10 for men.5 Older non-Hispanic Blacks and Hispanic Americans are disproportionately more likely than older White Americans to have Alzheimer’s or other dementias,1 most likely reflecting health and socioeconomic disparities than genetic distinctions.6
Learning Objectives
Participants who utilize the enduring education provided on this website will be able to:
1. Explain the importance of early diagnosis of AD.
2. Apply office-based cognitive assessment tools to aid in early diagnosis of AD.
3. Employ an inter-disciplinary team in the management of behavioral issues in patients with AD.
4. Engage in dialogue with patients and caregivers in a subsequent treatment plan.
5. Outline a plan to connect patients with AD to community-based resources for long-term management.
Register to Enroll
This program is provided FREE of charge. We do ask that you register for this site and complete a simple evaluation at the end of each module.
If you wish to claim CME, you MUST be logged in.
Click the button below to register or log in to enroll in this program.
Enduring Program Content
Accreditation
The enduring material provided on this website has been reviewed by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The New Jersey Academy of Family Physicians is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Disclosures of Relevant Financial Relationships
In accordance with the ACCME Standards for Commercial Support and with the policies of the AAFP, NJAFP policy requires that all persons that affect the content of these CME activities disclose financial relationships they or their significant others have with either the commercial supporter of this activity or with the manufacturers of any products they are referencing in this enduring material.
Expert Faculty
Sara Leonard, MD
Family Medicine and Geriatric Medicine
Centrastate Medical Center
Holmdel, NJ
Robert J. Varipapa, MD
Neurology Bay Health Hospital
Kent Campus
Dover, DE