Barriers to Timely Dementia Diagnosis in Older Latinos With Limited English Proficiency: An Integrative Review.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-08-23 DOI:10.1177/10436596241268456

Moroni Fernandez Cajavilca, Allison Squires, Bei Wu, Tina Sadarangani

{"title":"Barriers to Timely Dementia Diagnosis in Older Latinos With Limited English Proficiency: An Integrative Review.","authors":"Moroni Fernandez Cajavilca, Allison Squires, Bei Wu, Tina Sadarangani","doi":"10.1177/10436596241268456","DOIUrl":null,"url":null,"abstract":"Introduction: Timely diagnosis is critical for persons with Alzheimer's disease and related dementias (ADRD) to ensure they receive adequate services; however, timely diagnosis may be prevented by a person's English language skills. The purpose of this integrative review was to understand how limited English proficiency (LEP) impacts older Latino's ability to access a timely ADRD diagnosis.Methods: Whittemore and Knafl's methodological approach guided the review. Searches in five databases yielded 12 articles for inclusion.Results: Lack of culturally congruent health care systems, health care providers, and knowledge of ADRD resulted in delays in obtaining a timely ADRD diagnosis among older Latinos with LEP.Discussion: Latinos with LEP and risk for ADRD benefit from language assistance and support in navigating the health care system. Nurses must be advocates, even when a language barrier is present, and recognize that interpreters are not a single source solution.","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10436596241268456","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Timely diagnosis is critical for persons with Alzheimer's disease and related dementias (ADRD) to ensure they receive adequate services; however, timely diagnosis may be prevented by a person's English language skills. The purpose of this integrative review was to understand how limited English proficiency (LEP) impacts older Latino's ability to access a timely ADRD diagnosis.

Methods: Whittemore and Knafl's methodological approach guided the review. Searches in five databases yielded 12 articles for inclusion.

Results: Lack of culturally congruent health care systems, health care providers, and knowledge of ADRD resulted in delays in obtaining a timely ADRD diagnosis among older Latinos with LEP.

Discussion: Latinos with LEP and risk for ADRD benefit from language assistance and support in navigating the health care system. Nurses must be advocates, even when a language barrier is present, and recognize that interpreters are not a single source solution.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

英语水平有限的拉美老年人及时诊断痴呆症的障碍：综合评论》。

导言：及时诊断对阿尔茨海默病及相关痴呆症（ADRD）患者至关重要，可确保他们获得充分的服务；然而，患者的英语语言技能可能会妨碍及时诊断。本综合综述旨在了解英语水平有限（LEP）如何影响拉丁裔老年人及时获得 ADRD 诊断的能力：方法：Whittemore 和 Knafl 的方法论指导了本次综述。在五个数据库中进行了搜索，共收录了 12 篇文章：结果：由于缺乏与文化相一致的医疗保健系统、医疗保健提供者以及对 ADRD 的了解，导致患有 LEP 的拉美老年人无法及时获得 ADRD 诊断：讨论：有语言障碍和 ADRD 风险的拉美人在浏览医疗保健系统时可从语言协助和支持中获益。即使在存在语言障碍的情况下，护士也必须成为倡导者，并认识到口译员并不是唯一的解决方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.