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Older Americans Have Dementia Without Knowing—Experts Reveal Signs to Watch

Older Americans Have Dementia Without Knowing—Experts Reveal Signs to Watch

Summary

A study by Yale University shows many older Americans with dementia do not know they have the condition or do not report it. Experts say early signs of dementia are often missed, and better detection and awareness are needed to help patients and families manage the disease.

Key Facts

  • 67% of older Americans underreported having a dementia diagnosis.
  • Underreporting of dementia is higher compared to arthritis (17%), diabetes (39%), and depression (46%) in the same study.
  • Only 19% of patients with confirmed dementia had it recorded in their medical records, according to a 2005 Indiana University study.
  • A 2023 study found just 8% of expected mild cognitive impairment cases in older Medicare patients were diagnosed.
  • Early signs of dementia include trouble remembering recent events, finding words, managing tasks, and changes in walking or behavior.
  • Early dementia symptoms can be confused with normal aging, causing patients and families to miss or ignore signs.
  • Clinicians face challenges due to limited time and competing priorities, which may lead to missed diagnosis opportunities.
  • Patients may not accept or understand their diagnosis because of stigma or unclear communication by doctors.
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