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Research ArticleCurrent Practice

Ethnic elderly with dementia

Overcoming the cultural barriers to their care

Kannayiram Alagiakrishnan
Canadian Family Physician April 2008; 54 (4) 521-522;
Kannayiram Alagiakrishnan
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Dementia is common among the elderly, regardless of their ethnic background.1 Ethnic elderly, however, are less likely than non-ethnic elderly to have access to formal comprehensive diagnostic and treatment-and-management resources for dementia care, owing to a variety of social and cultural factors.

Practitioners and health care workers face several barriers when giving ethnic elderly cognitive assessments. Tables 1 and 2 explain these barriers and provide steps to overcome them.

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Table 1

Cultural issues related to diagnosis

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Table 2

Cultural issues related to management

Literature search

The MEDLINE, CINAHL, Scopus, and PsycINFO databases were searched from 1985 to 2006. The following key words were used: ethnic elderly, dementia, perceptions, service needs, and caregiving. Articles were limited to English-language literature.

Conclusion

Ethnic elderly with dementia have unique issues with regards to diagnosis and management. Health care professionals should be aware of these patients’ needs and use the mentioned suggestions for the care of their demented ethnic elderly patients.

Footnotes

  • Competing interests

    None declared

  • Copyright© the College of Family Physicians of Canada

References

  1. ↵
    FerriCPPrinceMBrayneCBrodatyHFratiglioniLGanguliMGlobal prevalence of dementia: a Delphi consensus studyLancet2005366950321127
    OpenUrlCrossRefPubMed
  2. ↵
    EscobarJIBurnamPKarnoMForsytheALandsverkJGoldingJMUse of the Mini-Mental State Examination (MMSE) in a community population of mixed ethnicity: cultural and linguistic artifactsJ Nerv Ment Dis19861741060714
    OpenUrlCrossRefPubMed
  3. ↵
    PutschRWIIICross-cultural communication. The special case of interpreters in health careJAMA19852542333448
    OpenUrlCrossRefPubMed
  4. ↵
    BohnstedtMFoxPJKohatsuNDCorrelates of Mini-Mental Status Examination scores among elderly demented patients: the influence of race–ethnicityJ Clin Epidemiol1994471213817
    OpenUrlCrossRefPubMed
  5. ↵
    BraunKLBrowneCVPerceptions of dementia, caregiving, and help seeking among Asian and Pacific Islander AmericansHealth Soc Work199823426274
    OpenUrlAbstract/FREE Full Text
  6. ↵
    ElliotKSDi MinnoMLamDMei TuAYeoGGallagher-ThompsonDWorking with Chinese families in the context of dementiaEthnicity and the dementiasWashington, DCTaylor & Francis199689108
  7. ↵
    HornungCAEleazerGPStrothersHSIIIWielandGDEngCMcCannREthnicity and decision-makers in a group of frail older peopleJ Am Geriatr Soc19984632806
    OpenUrlPubMed
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Canadian Family Physician: 54 (4)
Canadian Family Physician
Vol. 54, Issue 4
1 Apr 2008
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Ethnic elderly with dementia
Kannayiram Alagiakrishnan
Canadian Family Physician Apr 2008, 54 (4) 521-522;

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Canadian Family Physician Apr 2008, 54 (4) 521-522;
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