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Maryland Alzheimer's
Report Makes Policy Suggestions
 
by Foster Klug, the Associated Press

January 27, 2004

BALTIMORE - The state attorney general published an Alzheimer's report Monday that he hopes will help improve the lives of the 85,000 people suffering from the disease in Maryland .

Attorney General J. Joseph Curran said helping people with Alzheimer's negotiate an often confusing system is crucial because thousands more will get the disease as the baby boom generation ages.

"We're urging people to plan for the huge costs, both human and financial, that are associated with Alzheimer's, and to focus on what the state can do," Curran said.

The study, which Curran said is believed to be the first of its kind from a state attorney general, also examines the regulation of nursing homes, long-term care insurance and Medicaid. Policy goals include protecting patients against abuse, neglect, and financial exploitation and improving state-regulated facilities.

Curran said it's important to make sure the elderly know they should plan for the possibility of getting Alzheimer's.

"People must understand that they should designate a loved one ... to make decisions for them if they suffer from this disease and can't give their consent on important issues," he said.

The 115-page "Policy Study on Alzheimer's Disease Care" also covers health care decision making, including guardianship and participation in medical research.

Donna DeLeno, advocacy representative for the AARP in Maryland , said people with Alzheimer's are sometimes exploited financially by their caregivers. She said bank tellers, for instance, should be aware when a customer is handling financial transactions for an Alzheimer's patient and report suspicious activity.

"Trying to protect this very vulnerable population should be a priority," DeLeno said.

The report also talks about the need to support disease research while protecting vulnerable research participants.

"We have people who can't give informed consent about whether they want to be the subject of research," Curran said. "What can we do about that?"

Curran said other questions concerning the disease beg for policy guidance. There's a clear difference, for example, in the driving ability of someone who's just been diagnosed with the disease and of someone with advanced Alzheimer's.

"You'd like to be able to give someone with early Alzheimer's a driver's license," Curran said. "But where do we draw the line for when a person is able to drive?"

The report's recommendations for the Legislature include putting a warning notice on preprinted, durable power of attorney forms.

Ruth Fahrmeier, an attorney and board member of the Maryland Alzheimer's Association whose mother had Alzheimer's, said the report would help both the sick person and their loved ones better navigate an often baffling system.

"So much of the legal and the public policy system doesn't really make it easy for families and caretakers who are working with a family member with dementia to get all the things done they need to get done," Fahrmeier said.

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