Page 3 - Dementia-Care-Specialist-Toolkit

TABLE OF CONTENTS

I. How to Use the Dementia Care Specialist Toolkit for
Dementia Care Management ........................................................................................ 5
a. Overview
b. Cognitive Assessment
c. Identifying a Family/Friend Caregiver
d. Care Needs and Caregiver Assessment Tools
e. Best Practice Care Plans
f. Managing Challenging Behaviors: IDEA!
g. A Family-Centered Approach
h. Other Considerations

II. Criteria for Referring a Person with Alzheimer’s Disease or a
Related Dementia to a Dementia Care Specialist ......................................................... 8

III. Cognitive Assessment
a. Algorithm for Medicare Annual Wellness Visit ....................................................... 9
b. AD8 Screening Tool – English ................................................................................ 10
c. AD8 Screening Tool – Spanish ............................................................................... 13

IV. Alzheimer’s Clinical Care Guideline .......................................................................... 14

V. Caregiver Identification
a. Tool for Identifying an Informal or Family Caregiver .............................................. 16

VI. Care Needs Assessments
a. Care Needs Assessment Tool ................................................................................ 17
b. Benjamin Rose Institute Caregiver Strain Instrument ................................................ 18
c. Reach II Risk Appraisal .................................................................................................. 20

VII. Care Plans: Challenging Behaviors
a. IDEA! Strategy ...................................................................................................... 23
b. Sleep Disturbances ........................................................................................................ 25
c. Repetition ............................................................................................................. 29
d. Sadness and/or Depression ................................................................................... 33
e. Combativeness ..................................................................................................... 37
f. Hallucinations ....................................................................................................... 41
g. Sundowning .......................................................................................................... 45
h. Suspiciousness and Paranoia ................................................................................. 49
i. Screaming and Making Noises .............................................................................. 53
j. Disinhibition .......................................................................................................... 57

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