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Undiagnosed PWH Dementia & Cognitive Impairment Older PWH & Higher Rates
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The 15th Aging Workshop was held Oct 24 & 25 with a program that included key topics very relevant to PWH who are aging & older and also a focus on those contracting HIV through perinatal transmission, including as well presentations & discussions around frailty, cognitive impairment, loneliness & social isolation, resilience, socio adversity, comorbidities & cognitive impairment, an NIH workshop on cognitive impairment, epigenetic clocks measuring premature aging in PWH, metal heath, aging clinics models of care, sleep & HIV, a portable low-field MRI machine that can detect brain structural changes (a potentially major breakthrough to evaluate PWH), exercise gt a lot of attention - exercise & diet the best we have right now to curb inflammation, aging, comorbidities, cgitive decline, polypharmacy & deprescribing!, inflammation, and a Patient Panel including me discussing our personal experiences aging with HIV. Overall, the Workshop was an excellent discussion around the key science & clinical issues & comorbidities facing aging & older, & young, 'Long-Term Survivors' aging PWH; and a good discussion around policy needs & barriers, and the need to integrate geriatric elements of care, to do aging screenings into Ryan White Clinics. There was discussion & concern around undiagnosed cognitive impairment, due to the lack of screening in the clinic. Jennifer Lam presented data below on the rates of undiagnosed cognitive impairment in Kaiser Permanante, which I am sure is common across all our HIV clinics because despite several Guidelines including the IDSA Guidelines just published last week saying aging PWH should receive screening for Bone Mineral Density, cognitive impairment & frailty - despite these, these screenings are uncommon in HIV clinics due to doctors & clinic administration either not be aware of this, being uneducated about this need and clinic business administrators who run HIV clinics today not thinking these are relevant or 'cost-effective'. There is a lack of leadership by govt officials at every level in not integrating these key elements in care for PWH into clinics. There is a lack of leadership at every level including at the clinic level. Funding is required, there is NO funding, education to providers is required - there is inadequate education, and again there is no strong policy leadership. Jules Levin, NATAP
Link to session
https://www.youtube.com/watch?v=zNFv6Er-FvQ&list=PPSV
24-25 October 2024
https://academicmedicaleducation.com/meeting/international-workshop-aging-hiv-2024
https://www.youtube.com/watch?v=zNFv6Er-FvQ&list=PPSV
11:10 AM
International Perspective on Cognitive Impairment
Noeline Nakasujja, MBChB, MMed. Psych, PhD Makerere University College of Health Sciences, Uganda
11:25 AM
#4 - Disrupting the Path Between Depressive to Loneliness: Multilevel Resilience among Older Sexual Minority Men Living with HIV Deanna Ware, United States
11:35 AM
#5 - Social Adversity as a Determinants of Change in Self-Reported Cognitive Difficulties Among Older Adults with HIV Marie-Josée Brouillette, Canada
11:45 AM
#6 - Co-occurring Conditions May Interact with Age to Affect Cognition in Virologically-Suppressed Persons with HIV Sarah Cooley, United States
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