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Home Health Care Management & Practice
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Managing Transitions and Placement of Caring for a Relative With Alzheimer’s Disease

Michelle A. Liken, PhD, RN, CS

College of Nursing at the University of South Carolina

Alzheimer’s disease (AD) is hallmarked by progressive cognitive impairment. As memory loss worsens and functional abilities decline, family caregivers may need additional communitybased support. In later stages of the disease, families must often consider institutional placement. Home care nurses are frequently put in the difficult position of approaching family caregivers about the need for supportive services and placement in a care facility. A better understanding of phase-based interventions will help home care nurses more effectively assist family caregivers of a relative with AD manage transitions and possible facility placement.

Key Words: Alzheimer’s disease • dementia • assisted living facility placement • skilled nursing facility placement • Liken Placement-Transition Algorithm (LPTA) • institutionalization • community services • family caregivers • care management • decision making

Home Health Care Management & Practice, Vol. 14, No. 1, 31-39 (2001)
DOI: 10.1177/108482230101400105


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