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Ten Reflections on Cognitive Health and Assessments

Let me sum­ma­rize ten high­lights and reflec­tions from stim­u­lat­ing dis­cus­sions on cog­ni­tive health and assess­ments I have had this month so far.

Jan­u­ary 8-9th: Sym­po­sium on Co-Adaptive Learn­ing: Adap­tive Tech­nol­ogy for the Aging (details Here), orga­nized by the Ari­zona State University’s Cen­ter for Adap­tive Neural Systems:

1. Cog­ni­tive health is a crit­i­cal fac­tor in over­all health­care, but is often approached in a frag­mented, non-systematic way. Most speak­ers in the sym­po­sium did men­tion how cog­ni­tive health issues inter­act with their spe­cific areas of focus (aging, Parkinson’s Dis­ease, trau­matic brain injury, Alzheimer’s…) but there was a lack of a com­mon frame­work and tax­on­omy to define the prob­lem and iden­tify solu­tions and inter­ven­tions to mea­sure and help main­tain cog­ni­tive health across the lifespan.

2. For exam­ple, Parkinson’s Dis­ease. Did you know (I didn’t) that a sig­nif­i­cant per­cent­age of Parkinson’s patients have well-identified cog­ni­tive impair­ments, mostly in their exec­u­tive func­tions but also per­cep­tual problems?

3. We truly need a Cul­ture of Cog­ni­tive Health, as Ran­dal Koene pointed out.

4. May online cog­ni­tive games serve as ongo­ing, real-time assess­ment of cog­ni­tive func­tion? Misha Pavel thought so. He also added we may well see “cog­ni­tive exer­cise coaches” some­time in the horizon.

5. Skip Rizzo pre­sented how vir­tual real­ity can help address Post Trau­matic Stress Dis­or­der (PTSD) and even to admin­is­ter inno­v­a­tive cog­ni­tive assessments.

6. My pre­sen­ta­tion, titled The Emerg­ing Cog­ni­tive Fit­ness Mar­ket: Sta­tus, Trends and Chal­lenges, is avail­able Here

7. Jan­u­ary 22nd: Con­sumer Reports orga­nized a health sum­mit titled Blog­ging, Rat­ing & Build­ing Com­mu­nity, gath­er­ing some of their staff with sev­eral health reporters and blog­gers (some of them blogged the event — such as Dr. Val, Orga­nized­Wis­dom, eDrugSearch, ZRec­om­mends, Mus­ings of a Dis­tractible Mind, Dia­betes Mine). A strong debate: do rat­ings of hos­pi­tals and doc­tors help at all?

8. Now, did you know that Con­sumer Reports has pub­lished a very impres­sive review on Safe and effec­tive drug rec­om­men­da­tions from Best Buy Drugs?. You can search by con­di­tion or by drug.

9. Jan­u­ary 16th: Vet­eran Affairs in Palo Alto orga­nized the event Mild Trau­matic Brain Injury:  Def­i­n­i­tion, Diag­no­sis and Man­age­ment. A great pro­fes­sional devel­op­ment event, try­ing to inform health pro­fes­sion­als on emerg­ing brain research. A key point that was men­tioned in sev­eral ses­sion: there is a dif­fer­ent between education/ aware­ness and train­ing. This is, when patients have given cog­ni­tive chal­lenges, sim­ply orga­niz­ing work­shops to talk about prob­lems and solu­tions will do lit­tle help. What is key is sys­tem­atic train­ing, struc­tured rehab — (which is why we like the word “fit­ness” so much).

10. Finally, I have just joined a new Alzheimer’s/ Demen­tia Expert Panel orga­nized by the San Fran­cisco Depart­ment of Aging and Adult Ser­vices to help “develop a plan to address the demand for ser­vices related to Alzheimer’s/dementia care for San Fran­cis­cans through the year 2020, and an eco­nomic analy­sis of that care.” My spe­cific focus will be Prevention/ Edu­ca­tion. It is remark­able that a city like San Fran­cisco decides to address these issues in such a proac­tive way.

OK, time to breathe now. Will need to fully focus on our upcom­ing annual mar­ket report… for­tu­nately have to travel lit­tle in February.

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