
Money management skills focus of new dementia research
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June is Alzheimer's and Brain Awareness Month and new research examined the connection between dementia and awareness about money management skills.
Some 17,000 South Dakotans aged 65 and older have Alzheimer's disease, and another 17 percent of residents age 45 and older have what's known as subjective cognitive decline.

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Ian McDonough, associate professor of psychology at Binghamton University in New York and the study's co-author, said people with dementia are unaware if they are making errors in handling their bank accounts and other financial tasks. For those without cognitive decline, awareness improved over time.
"When you're aware of those declines, you can adapt," McDonough pointed out. "You can ask for help, you can use calculators. If you're not aware, you might be going on your daily business, doing some mental arithmetic and then that's when those errors might be introduced."
McDonough noted it increases their vulnerability to fraud at a time when Americans, including older adults, are losing more money to scammers. He stressed preventive efforts by caregivers are important so people with dementia can avoid being taken advantage of and still have some autonomy over their finances.
If this type of conversation is needed between a person with dementia and a loved one, McDonough advised it is best to take a measured approach in adding safeguards instead of completely taking control of the person's finances right away. He added a person's relationship with the money they have earned is part of their identity, and making any moves requires preserving their sense of dignity.
"They're not gone (and) we shouldn't treat them like they don't live in society anymore," McDonough explained.
He noted diving in too fast could also be trouble for the relative taking charge if they are unfamiliar with things like investment portfolios. Added precautions could include signing up for extra alerts from a bank or imposing certain withdrawal limits. Next up for researchers is learning how e-banking complicates matters, with tasks like remembering complex login passwords.