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

Author:

Fernandez Cajavilca Moroni1ORCID,Squires Allison1,Wu Bei1,Sadarangani Tina1

Affiliation:

1. New York University Rory Meyers College of Nursing, New York City, USA

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.

Publisher

SAGE Publications

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