This handout is designed to be used to keep track of recommendations for nonpharmacologic interventions for individuals suffering mild to moderate dementia and living in the community.

The handout contains a brief descriptions of the categories of intervention, along with the ABC assessment model, and has room for caregiver comments. The patient's information can be typed into the form and which can then be printed out and kept with the person's records.

Disclaimer: Always seek the advice of a physician or other health care provider when considering an intervention. Many of these interventions can only be done by trained professionals.