BOX S-2Opportunities for Action

Many of the following actions require multiple efforts involving a number of agencies, organizations, and sectors as well as individuals and families. These efforts will be greatly strengthened by joint and collaborative efforts.

Individuals and families:

  • Be physically active and intellectually and socially engaged, monitor medications, and engage in healthy lifestyles and behavior;
  • Talk with health care professionals about cognitive aging concerns;
  • Be aware of the potential for financial fraud and abuse, impaired driving skills, and poor consumer decision making;
  • Make health, finance, and consumer decisions based on reliable evidence from trusted sources.

Communities, community organizations, senior centers, residential facilities, housing and transportation planners, local governments:

  • Provide opportunities for physical activity, social and intellectual engagement, lifelong learning, and education on cognitive aging; expand relevant programs and facilities;
  • Improve walkability and public transportation options in neighborhoods, communities, and cities.

Health care professionals and professional associations and health care systems:

  • Learn about cognitive aging and engage patients and families in discussions;
  • Pay attention to cognition during wellness visits, prescribing and reviews of medications, and during hospital stays and post-surgery;
  • Identify useful and evidence-based community and patient resources and make sure patients and families know about them;
  • Develop core professional competencies in cognitive aging as distinct from dementia and other neurodegenerative diseases in treatment and in counseling patients and families;
  • Address factors that lead to delirium in hospitalized patients.

Public health agencies at the federal, state, and local levels; aging organizations; media; professional associations; and consumer groups:

  • Strengthen efforts to collect and disseminate population-based data on cognitive aging as separate from dementia and other neurodegenerative diseases;
  • Develop and widely disseminate independent authoritative information resources on cognitive aging and criteria for consumer evaluation of products and medications that claim to enhance cognition;
  • Develop, test, and disseminate key messages regarding cognitive aging through social marketing campaigns, media awareness efforts, and other approaches to increase public understanding about cognitive aging; and promote activities that help maintain cognitive health.

Research funders and researchers:

  • Explore cognitive aging as separate from dementia and other neurodegenerative diseases in basic, applied, and clinical research;
  • Expand research on the trajectories of cognitive aging and improve assessments of cognitive changes and impacts on daily function;
  • Focus research on risk and protective factors for cognitive aging and on developing and improving the implementation of interventions aimed at preventing or reducing cognitive decline and maintaining cognitive health.

Policy makers, regulators, and consumer advocacy and support organizations:

  • Support the resources needed to understand and address cognitive aging;
  • Determine (or provide input into the appropriate regulatory review) policies and guidelines for products, medications, and other interventions that claim to enhance cognitive function or that have a negative impact on cognition;
  • Develop, validate, and disseminate policies, products, services, and informational materials focused on cognitive aging and addressing potential financial, health, and safety impacts, harms, and vulnerabilities.

Private-sector businesses, including the financial, transportation, and technology industries:

  • Develop, validate, and disseminate policies, products, services, and informational materials focused on cognitive aging and addressing potential financial, health, and safety impacts, harms, and vulnerabilities.

From: Summary

Cover of Cognitive Aging
Cognitive Aging: Progress in Understanding and Opportunities for Action.
Committee on the Public Health Dimensions of Cognitive Aging; Board on Health Sciences Policy; Institute of Medicine; Blazer DG, Yaffe K, Liverman CT, editors.
Washington (DC): National Academies Press (US); 2015 Jul 21.
Copyright 2015 by the National Academy of Sciences. All rights reserved.

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