Health Priorities Identification for Individuals Living With Dementia and Their Caregivers

Chair(s)

• JB

  Jack Banks, PhD (he/him/his)

  Postdoctoral Research Fellow
  Management Policy and Community Health
  The University of Texas Health Science Center
  Houston, Texas, United States

Discussant(s)

• CB

  Caroline Blaum, MD, MS (she/her/hers)

  Assistant Vice President
  Quality Measurement and Research
  NCQA
  Ann Arbor, Michigan, United States

Individual Symposium Abstract First Author(s)

• 

  Joan Monin, PhD

  Associate Professor
  Social and Behavioral Sciences
  Yale School of Public Health
  New Haven, Connecticut, United States
• 

  Rafael Samper-Ternent, MD, PhD (he/him/his)

  Associate Professor
  School of Public Health
  The University of Texas Health Houston
  Houston, Texas, United States
• AN

  Aanand Naik, MD (he/him/his)

  Professor and Director, Institute on Aging
  Management, Policy and Community Health
  The University of Texas Health Science Center
  Houston, Texas, United States

“What matters” is the foundation for the Age-Friendly Health System Initiative and yet many clinicians have a difficult time addressing it with their patients. Patient Priorities Care (PPC) is an evidence-based approach that identifies health priorities by first eliciting health values of older adults with multiple chronic conditions, integrating values into health outcome goals, and describing the one-thing to focus on. Clinicians’ then consider patients’ conditions and current treatments to identify care options that align with the identified health priorities. Furthermore, care of persons living with dementia (PlwD) involves care partners, thus identifying what matters most to PlwD is dyadic in nature. Recent studies have examined dyadic decision-making using the PPC approach with PlwD and their care partners. This symposium will present results from three studies that use PPC across diverse cultural and clinical contexts and discuss the role of PPC to achieve better dementia care. The first presentation will describe how clinicians consider health priorities with dyads facing dementia and discuss how health priorities identification can help care partners become better decision makers for their family members with dementia and multimorbidity. The second presentation will describe the cultural adaptation process of the PPC approach for older Hispanics with multimorbidity and dementia. The third presentation will describe how PPC facilitates deprescribing among older adults with multimorbidity and dementia. The panel will provide suggestions on how to better identify health priorities with PlwD and their care partners and share resources to facilitate the adoption and implementation of PPC with these dyads.

Presentations:

• 8:00 AM – 9:30 AM PST

  How Clinicians Involve Care Partners in the Health Priorities Identification Process in Dyads Affected by Dementia
  

  Individual Symposium Abstract First Author: Joan K. Monin, PhD – Yale School of Public Health
• 8:00 AM – 9:30 AM PST

  Patient Priorities Care for Hispanics With Dementia (PPC-HD)
  

  Individual Symposium Abstract First Author: Rafael Samper-Ternent, MD, PhD (he/him/his) – The University of Texas Health Houston
• 8:00 AM – 9:30 AM PST

  Priorities Aligned Deprescribing for Persons Living With Dementia and Their Care Partners
  

  Individual Symposium Abstract First Author: Aanand D. Naik, MD (he/him/his) – The University of Texas Health Science Center