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Senior board hears Dementia Friends presentation on local resources, training and Medicare respite benefit

3589716 · May 2, 2025
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Summary

Presenters from Dementia Friends Nevada and Lumina described how communities can support people living with dementia, outlined local training opportunities and noted a new Medicare respite benefit. Board members and public speakers raised concerns about early detection, first-responder training and caregiver burden.

Nicole Graham, executive director of Lumina and a Dementia Friends Nevada champion, and Stacy Dubowicz, community relations liaison and Dementia Friends champion, presented to the Senior Citizens Advisory Board on May 1, 2025, about community resources, training and strategies to support people living with dementia and Alzheimer’s disease.

The presentation opened with a definition and overview: dementia is an umbrella term for symptoms caused by multiple conditions and Alzheimer’s disease accounts for about 60–70% of those cases, the presenters said. They said nearly 7,000,000 Americans were living with Alzheimer’s in 2024 and more than 11,000,000 people provide unpaid care; the national cost of caring for people with Alzheimer’s and other dementias was described as about $360 billion in 2024 and projected to rise toward $1 trillion by midcentury. Presenters said Nevada had about 55,000 people with diagnosed Alzheimer’s and roughly 84,000 unpaid caregivers, and estimated unpaid caregiving hours and an associated informal-care value cited during the presentation.

The presenters described Dementia Friends as a global movement that trains community members to “change the way people think, act and talk about dementia.” They said the program aims to destigmatize dementia, keep people engaged in community life and give practical tips for brief, respectful interactions in stores, libraries, restaurants and on transit—such as using yes/no questions, making eye contact, pausing to allow extra time for responses, and checking for emergency identification such as an Alzheimer’s Association Safe Return bracelet.

Chuck McClatchy, a Dementia Friends volunteer and national advocate who said he lives with the disease, read a short “bookcase” analogy describing how different types of memories and skills can be affected as dementia progresses and urged patience and validation of lived experience.

Presenters outlined training opportunities: an in-person session at Lieberman Senior Center on May 12, and two Zoom champion trainings later in May (one English and one Spanish session), which they said would equip local volunteers and staff to deliver the 90‑minute Dementia Friends presentation at senior centers. They said both presenters are available to lead trainings and to certify local “champions” who can then teach others.

On policy and benefits, Stacy Dubowicz described proposed and pending state-level measures discussed in Carson City, and identified a federal Medicare benefit referenced in the presentation as the Guiding Improved Dementia Experience (a CMS benefit). Presenters said the CMS benefit pilot offers up to $2,500 annually for respite services for eligible Medicare beneficiaries with dementia (with exclusions such as hospice enrollees and residents of skilled nursing facilities; Medicare Advantage plans were described as not included at this time). They also described an initiative referred to in the presentation as the Nevada Memory Network, intended to expand memory assessment clinics and primary-care screening capacity under Health and Human Services oversight and with the UNR and UNLV schools of medicine.

Board members and public speakers emphasized early detection, the need for more geriatric providers in Nevada, and the role of first responders. Members asked whether law enforcement and dispatchers would be included in training required by legislation; presenters said they are encouraging inclusion of police but that some bills discussed in Carson City had removed peace officers from certain amendments and that advocacy for broad first-responder training continues. Nicole Graham and Dubowicz encouraged board members to host or become champions to provide training at senior centers.

Public comment before the presentation included a speaker who referenced agenda item 5 and urged attention to dementia and Alzheimer’s; a separate public comment later in the meeting raised unrelated complaints about conditions at a homeless services site.

The presentation did not produce a formal board motion or vote. Presenters and board members agreed to continue outreach and training efforts and to coordinate future sessions for senior centers.

The board’s next meeting was announced for June 5, 2025, at 1 p.m. in Chambers.