Tuesday, March 3, 2015

Brain Health for the Older Employee

The Dilemma of Older Workers and Cognitive Decline

There has been some discussion lately about older workers who might have dementia.  This scenario is not unusual.  The boomers are staying in the workplace longer these days.  This poses a dilemma for employers.  Normal aging changes in the brain can have an effect on older worker’s productivity.  Distraction, focus issues, and speed of processing can slow an older worker down.  Outside caregiving duties for frail, older parents and relatives can cause stress and lack of focus on the job.  These problems can undercut productivity.  And, then there are aging employees who might have Mild Cognitive Impairment.  Although functional individuals with MCI struggle to maintain the appearance of being cognitively intact, they are high risk to make costly mistakes on the job.  They can be masters at disguising their cognitive problems.  This makes it difficult to pinpoint what may be the problem with their work performance.
Then there is the ultimate problem of Alzheimer’s disease in the workplace.  According to the Alzheimer’s Association’s Facts and Figures 2014 there are 5.2 million Americans with Alzheimer’s disease.  An estimated 5 million people with Alzheimer’s disease are 65 and over.  The other 200,000 people are under age 65 with younger-onset Alzheimer’s disease.  Unfortunately, about half of the people who meet diagnostic criteria for Alzheimer’s disease, have been diagnosed by a doctor.  The reality is half of the estimated 5.2 million Americans may not know they have it.
There is the group of individuals who are in the early stages of Alzheimer’s disease and deny problems.  They won’t go to a doctor because they fear what they might hear.  The stress of keeping this façade intact can escalate their cognitive problems.  Chronic stress has an impact on the hippocampus (center for learning and memory), amygdala (an emotional center), and the prefrontal cortex (executive function).
How does that impact the workplace?  How does a company address this situation?  These are real concerns and policies for addressing cognitive issues must be in place.  Referrals to professionals for assessment and diagnosis must be available.  It is not the company’s place to make a diagnostic decision about a person’s cognitive ability based solely on observation.  Additional steps must be in place to address assessment outcomes.

Incorporating brain health programs within the context of wellness programming can benefit all employees regardless of age.  Our brains are remarkably resilient if given the appropriate resources.  Aging processes (e.g. speed of processing) can be recovered.  New neuronal cell growth can occur when the brain is given the right stimulation.  Through physical exercise, mental stimulation, nutrition, socialization, stress management, and spirituality our brains can develop cognitive resilience.  We can function at a higher cognitive level and ultimately delay the onset of dementia.  This brain health culture changes the dynamic of the workplace.  It is definitely a win for all.

Pat Faust, Gerontologist
Director Corporate Wellness
Brain Health Center
www.brainhealthctr.com

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