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Francisco J. Maldonado-Diaz, M.D., is a primary care physician at Conviva Senior Primary Care in Pembroke Pines focusing on senior health and preventive medicine—a role that has allowed him to care for the aging population with both purpose and compassion. In recognition of Alzheimer’s and Brain Awareness Month this June, Dr. Maldonado-Diaz shares the following message, and encourages us to reflect on, understand and address brain health — not just for patients but also for families and caregivers.
Dementia is more than a neurological condition
One of the most meaningful parts of my work has been developing a specialized memory clinic—a space dedicated to identifying, diagnosing and managing cognitive decline in older adults. Dementia, including Alzheimer’s disease, is more than a neurological condition. It impacts every part of a person’s life and often brings emotional, physical and logistical challenges for loved ones as well.
When evaluating cognitive function, I use the “5 M’s” of geriatric care: mind, mobility, medications, medical conditions, and what matters most to the patient. At our memory clinic, we place special emphasis on the first two—mind and mobility—because they are key to long-term independence. Every Medicare patient receives a yearly Mini-Cog screening—a simple but effective tool for detecting early cognitive changes. We follow up with more detailed assessments, such as the St. Louis University Mental Status (SLUMS) test. Just as importantly, we listen. We gather input from family members, observe behavior and review a full medical history before making any diagnosis.
Why is early detection so important?
Fewer than half of people living with dementia are even aware they have it. Early symptoms can be easy to miss—such as trouble paying bills, forgetting appointments or difficulty following a recipe. And not every memory lapse signals Alzheimer’s. It could be depression, a side effect of medication or even hearing loss.
In one recent case, I evaluated a patient whose screening raised concerns. But after listening to his family and observing his movements, I recognized early signs of Parkinson’s disease. That diagnosis allowed us to tailor his care more effectively—and reminded me that no single test tells the full story.
A thorough, individualized approach is essential
Alzheimer’s accounts for 60% to 75% of dementia cases, we also see other forms, such as vascular dementia, Lewy body dementia and Parkinson’s-related cognitive decline—each with its own progression and symptoms. That’s why a thorough, individualized approach is essential.
As physicians, our goal is always to maximize quality of life. Treatment may include prescribed medications and lifestyle changes. In some cases, music therapy and social engagement have also shown positive effects. At Conviva, our wellness centers promote physical activity and connection—both of which support cognitive health. Seniors can join classes that keep the body moving and the mind working, while also creating opportunities to socialize. We also guide caregivers toward helpful resources—because they, too, need support on this journey.
Alzheimer’s is not rare. As people live longer, dementia is becoming more common—and our awareness must grow with it. Fortunately, we’ve learned that some risk factors are modifiable. Managing blood pressure, staying physically and socially active and following a Mediterranean-style diet can all support healthier aging and better brain function.
If there’s one message I’d share this month, it’s this: Don’t wait. If something feels off—whether it’s forgetfulness, confusion or changes in daily routine—don’t dismiss it as “just getting older.” Talk to your doctor, or encourage your loved one to get evaluated. The sooner we know, the more we can do. When it comes to brain health, knowledge truly is power.
ABOUT CONVIVA
Conviva is part of CenterWell, a leading health care services organization focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality health care that is accessible, comprehensive, and most of all, personalized. As the largest provider of senior-focused primary care, one of the leading providers of home health care, and a leading integrated home delivery, specialty, hospice, and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional, and social wellness of our patients. CenterWell and Conviva are part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com and ConvivaCareCenters.com.
