Nation & World

Kentucky expert sees 'health care crisis' in Alzheimer's care as baby boomers age

Lingering stigma and a lack of resources will compound the growing impact of Alzheimer's disease as baby boomers enter retirement. And Linda J. Van Eldik, director of Lexington's Sanders-Brown Center on Aging, is calling it a health care crisis.

According to the national Alzheimer's Association, the number of new cases of Alzheimer's will have increased by 50 percent between 2000 and 2050. In Kentucky, the number of patients is expected to grow by at least 31 percent.

The Alzheimer's Association projects that the cost of caring for those patients will increase from $183 billion in 2011 to $1.1 trillion in 2050.

"I am very concerned that the economy isn't going to be able to handle this massive health care crisis," said Van Eldik.

While Alzheimer's is not a normal part of aging, increased age is a risk factor for the disease, said Van Eldik. Roughly five percent of those who become 65 will be diagnosed with Alzheimer's, she said. By the time people are in their 80s, 40 to 50 percent will be impacted by the disease.

The current health care system isn't set up to deal with the large number of Alzheimer's patients on the horizon, she said.

According to the Alzheimer's Association, unpaid caregivers tend to 60 percent of the current patients. Most of those caregivers also have full-time jobs and other responsibilities, such as children under the age of 18. That "sandwich" generation will continue to carry much of the burden for care, Van Eldik said.

While Alzheimer's research, including the work done at Sanders-Brown, has made great strides in the last decade, there is still little that can be done to help patients once memory troubles begin.

According to the Alzheimer's Association, no treatment is available to slow or stop the deterioration of brain cells in Alzheimer's disease.

The U.S. Food and Drug Administration has approved five drugs that temporarily slow worsening of symptoms for about six to 12 months. They are effective in only about half of the patients. Approximately 75 to 100 experimental therapies aimed at slowing or stopping the progression of Alzheimer's are being tested around the world, including some trials at Sanders-Brown.

The lack of effective treatment can reinforce the stigma of the disease, Van Eldik said. But there is hope, she said, if the public mobilizes behind finding a cure and makes it a national health priority.

"What we really need is a very effective lobbying effort, kind of like the Komen group for breast cancer," she said. "We need that for Alzheimer's disease."

Van Eldik, who has been at Sanders-Brown for three years, said that despite the daunting predictions for the future she's a "glass half-full kind of person." She sees hope in the research progress that has been made.

People are becoming more aware of the disease and more willing to seek help, she said. And, there are things individuals can do to contribute to a healthy brain in the same way they take care of their body.

"You can age successfully," she said. "You can reduce your risk."

In fact, she said, much of what contributes to a healthy body, contributes to a healthy brain. Not smoking, exercising and maintaining a healthy weight are all good first steps, she said.

"There has been research that shows it's not just luck of the draw" as to who gets Alzheimer's, she said. "There are lifestyle and environmental things that have an impact."

It is also important to stay socially and mentally active, she said. If a loved one appears to be suffering from memory loss, it's important to get a diagnosis from a memory specialist or a neurologist. There are some physical ailments that can lead to memory loss that can be treated.

If there is an Alzheimer's diagnosis, she said, it's important that people seek out experts that can help them cope. For example, Sanders-Brown has counselors and family specialist available to answer questions.

Having the correct information can go a long way in coping, she said.

"It's almost like people are embarrassed to talk about it," she said, "but it is a true disease."