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. Author manuscript; available in PMC: 2018 Dec 1.
Published in final edited form as: Int J Care Coord. 2017 Dec 14;20(4):123–134. doi: 10.1177/2053434517744071
Domain No. items Item examples
Cognitive Symptom Management 3

  • Undiagnosed symptoms

  • Complex presentation
Neuropsychiatric Symptoms Management 5

  • Agitation or aggression

  • Sleep disturbances
General Health Care 10

  • Comorbidity management

  • Medication management (e.g. polypharmacy)
Home and Personal Safety 10

  • Driving safety

  • Fall risk management
Daily living 7

  • Functional loss-instrumental activities (e.g. managing finances)

  • Lacks meaningful, engaging activities
Legal Concerns and Advance Care Planning 4

  • Questionable decision-making capacity
Care Financing 4

  • Prescription plan needed
Caregiver Education 8

  • Education and information about dementia/Alzheimer’s disease

  • Caregiver skills-behavior management
Caregiver Mental Health Care 3

  • Undiagnosed psychiatric symptoms

  • Emotional distress
General Health Care 2

  • Lacks primary medical care
Informal Support 1

  • Backup caregiver availability
Daily Living 3

  • Physical inactivity
Legal Concerns 1

  • Lacks substitute decision-making documents