Abstract
The UCLA Alzheimer’s and Dementia Care (UCLA ADC) program uses a co-management model (nurse practitioner Dementia Care Manager) and consists of six key components:
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Patient recruitment and a dementia registry
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Structured needs assessments of patients in the registry and their caregivers
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Creation and implementation of individualized dementia care plans based on needs assessments
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Monitoring and revising care plans, as needed
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Facilitating transitions of care
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Access 24/7, 365 days a year for assistance and advice
The program is based in a health care system, but reaches out to community-based organizations and views the patient-caregiver as the dyad that will go through the course of the patient’s dementia. Hence, a major focus of the program is training and supporting caregivers.
The goals of the UCLA ADC program are to provide comprehensive, coordinated, patient-centered care spanning between the health care system and community to maximize patient function, independence, and dignity; minimize caregiver strain and burnout; and reduce unnecessary costs through improved care.
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Reuben, D.B. et al. (2015). The UCLA Dementia Care Program for Comprehensive, Coordinated, and Patient-Centered Care. In: Malone, M., Capezuti, E., Palmer, R. (eds) Geriatrics Models of Care. Springer, Cham. https://doi.org/10.1007/978-3-319-16068-9_20
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DOI: https://doi.org/10.1007/978-3-319-16068-9_20
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