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Dementia, Vol. 5, No. 3, 339-352 (2006)
DOI: 10.1177/1471301206067108
© 2006 SAGE Publications

An integrated model of comprehensive care for people with Alzheimer's disease and their caregivers in a primary care setting

Mary Guerriero Austrom

Indiana University,USA

Cora Hartwell

IU-Center for Aging Research,USA

Patricia Moore

Roudebush Veterans Administration Medical Center,USA

Anthony J. Perkins

Teresa Damush

IU-Center for Aging Research,USA

Frederick W. Unverzagt

Indiana University,USA

Malaz Boustani

Hugh C. Hendrie

Christopher M. Callahan

IU-Center for Aging Research,USA

Most people with Alzheimer's disease and their families receive care in primary care. This article describes an integrated model of Alzheimer's disease care in a primary care setting serving a predominantly ethnic minority population. This model included: a comprehensive screening and diagnosis process; a multidisciplinary team approach to care, coordinated by a geriatric advanced practice nurse; and a proactive, longitudinal tracking system. The psychosocial intervention included specific responses to the treatment and management of behavioral and psychological symptoms of dementia, including caregiver directed interventions and pharmacological treatment if needed. Results suggest that this type of model can be implemented in primary care, particularly with the involvement of geriatric advanced practice nurses who can effectively manage the complex nature of Alzheimer's disease.

Key Words: behavioral and psychological symptoms • caregiverdirected interventions • dementia • ethnic minorities • general practice


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