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We provide comprehensive dementia care for Veterans with a loss of cognitive functions.

Dementia health care

Our mission is to improve the lives of Veterans and their families with diagnosis, medication management and connection to social supports. We partner with the Geriatric Research Education and Clinical Center (GRECC) to integrate care, outreach, research and education. Treatment plans are developed in partnership with patients and families to meet patient goals.

Health care services

Medical and support team

Your care team may include:

  • Primary care provider: Screens for and does initial assessment of cognitive concerns, may order diagnostic work up and/or place referrals for assessment by a specialist, may manage dementia treatment.
  • Geriatrician: Primary care provider that specializes in the care of older adults.
  • Neurologist: Doctor that specializes in the diagnosis and management of diseases affecting the brain and nervous system, including dementia.
  • Geriatric psychiatrist: Psychiatrist with additional specialized training in mental health issues affecting older adults, including dementia.
  • Neuropsychologist: Psychologist with specialty training in assessing cognitive/thinking abilities like memory, attention, language and problem-solving skills to assist with diagnosis and treatment recommendations.
  • Social worker: Helps patients and caregivers find supportive services and navigate long-term care planning.
  • Pharmacist: Assesses for medications that could be affecting thinking abilities.
  • Occupational therapy/physical therapy/speech therapy/nursing: Assess impacts of dementia on daily functioning and help develop non-medication interventions to support patients and caregivers.
  • VA Caregiver Support Program: For caregivers of eligible and covered Veterans enrolled in the VA healthcare system. The program’s mission is to promote the health and well-being of family caregivers through education, resources, support, and services. Learn more about the Minneapolis VA Caregiver Support Program.

Diagnostic services

Your evaluation will start with a provider visit and the following care services may be considered:

  • Specialist referral (e.g., geriatrician, neurologist, geriatric psychiatrist): For more challenging diagnostic or management questions.
  • Cognitive screening: Brief screening tools that detect possible cognitive impairment and need for further assessment.
  • Neuropsychological testing: More in-depth evaluation of a person’s thinking abilities performed and analyzed by specially trained neuropsychologists.
  • Occupational therapy: Evaluation of how thinking problems are impacting a person’s daily functioning (e.g., ability to safely drive, manage finances and medications, etc.).
  • Brain imaging (MRI or CT): Primarily used to rule out conditions such as tumors or strokes. They do NOT confirm diagnoses such as Alzheimer’s disease, though sometimes can provide clues (e.g., if certain brain structures look more shrunken than normal).
  • Lab tests: To rule out certain medical problems that could be contributing to cognitive/thinking problems.
  • Sleep medicine specialist referral: To evaluate for sleep disorders (e.g., sleep apnea) that may be contributing to cognitive/thinking problems.

Preparing for your clinic appointment

Prepare for your appointment

  • Please bring a family member, friend or caregiver with you, preferably someone that knows you well. Make a list of your concerns and prioritize them.
  • Bring a list of your medications and the dosage you are taking.
  • Bring a list of medications you have tried and the reasons you were taken off them.
  • Don’t be afraid to ask questions or for clarification. 
  • Bring any prior outside records with you:
    • Head or brain imaging (disc with images and report)
    • Cognitive assessments (e.g., neuropsych testing reports)
    • Neurology records
    • Any other records that apply to your memory symptoms

Additional resources to help you prepare

Visiting Your Doctor - Alzheimer's Association

Effective communication with your doctor is important when you are seeking a diagnosis for memory loss.

Working With the Doctor - Alzheimer's Association

Good health care requires a partnership between the patient, family and physician.

When to contact your primary care provider

If you or someone you know has concerns about memory, contact your primary care provider to request a cognitive screening test.

Warning signs

  • Difficulty completing familiar tasks
  • Difficulty problem-solving
  • Confusion about time or place
  • Getting lost
  • Misplacing items
  • Personality or mood changes
  • New problems with writing, words or speaking

Review the Alzheimer's Association page "10 Early Signs and Symptoms of Alzheimer's and Dementia"

See the doctor right away if a person with dementia...

  • Is suddenly more confused
  • Has a major change in memory or mood
  • Faints or falls
  • Is suddenly unable to speak or move part of the body
  • Has a fever
  • Is suddenly incontinent ("having accidents" or wetting the bed)

Education: dementia, Alzheimer’s and neurocognitive disorders

What is mild cognitive impairment?

“Some people have more memory problems than other people their age. This condition is called mild cognitive impairment, or MCI. People with MCI can take care of themselves and do their normal activities." From the National Library of Medicine – Mild Cognitive Impairment

MCI may also be referred to as “mild neurocognitive disorder”.

MCI is important to identify because some causes (e.g., sleep disorders, certain medications) can be managed or reversed. MCI can also be an early sign of Alzheimer’s disease or other causes of dementia.

What is Dementia?

“Dementia is a loss of mental functions that is severe enough to affect your daily life and activities. These functions include:

  • Memory
  • Language skills
  • Visual perception (your ability to make sense of what you see)
  • Problem solving
  • Trouble with everyday tasks
  • The ability to focus and pay attention”

From the National Library of Medicine – Dementia

Dementia may also be referred to as “major neurocognitive disorder”.

Dementia is an umbrella term used to describe a range of neurological conditions affecting the brain that get worse over time. Most types of dementia are neurodegenerative disorders which result in a progressive and irreversible loss of neurons and brain functioning. Currently, there are no cures for these diseases.

Learn more about the different types of dementia

Alzheimer’s disease

The most common dementia diagnosis among older adults. It is caused by changes in the brain, including abnormal buildups of proteins known as amyloid plaques and tau tangles.

Frontotemporal dementia

A rare form of dementia that tends to occur in people younger than 60. It is associated with abnormal amounts or forms of the proteins tau and TDP-43.

Lewy body dementia

A form of dementia caused by abnormal deposits of the protein alpha-synuclein, called Lewy bodies.

Vascular dementia

A form of dementia caused by conditions that damage blood vessels in the brain or interrupt the flow of blood and oxygen to the brain.

Mixed dementia

A combination of two or more types of dementia. For example, through autopsy studies involving older adults who had dementia, researchers have identified that many people had a combination of brain changes associated with different forms of dementia.

From the National Institute on Aging - What is Dementia?

Behavioral and psychological symptoms

A person diagnosed with dementia may experience a range of behavioral and psychiatric symptoms. These symptoms can occur across at all stages of dementia are often a normal response to stress or unmet needs.

Behavioral symptoms may have significant impact on a person’s independence in daily life and their relationships. These symptoms are also associated with greater morbidity and mortality, increased caregiver burden, and early nursing home placement.

Taking care of a person who experiences these symptoms both in the home and in a care facility requires a patient- and caregiver-centered approach during the development of an appropriate treatment plan.

Education resource: Treatments for Behavior - Alzheimer's Association

Physically non-aggressive behaviors

  • Inappropriate dressing or disrobing
  • Inappropriate eating or drinking
  • Strange handling of objects
  • Hiding things
  • Wandering

Physically aggressive behaviors

  • Biting
  • Hitting
  • Grabbing
  • Hitting
  • Kicking
  • Spitting
  • Tearing things
  • Throwing things

Verbally non-aggressive behaviors

  • Complaining
  • Repetitive sentences and questions, fixating on certain topics

Verbally aggressive behaviors

  • Yelling
  • Cursing
  • Verbal threats

Other symptoms

  • Inappropriate social or sexual behaviors including verbal or physical advances, exhibitionism and public masturbation
  • Psychosis, delusions and hallucinations
  • Increased activity
  • Changes in mood including apathy, anxiety and depression

Dementia resources

Alzheimer’s Association

The Alzheimer's Association is the leading voluntary health organization in Alzheimer's care, support and research.

Caregiver Resources - VA Caregiver Support Program

Resources on various Veteran Caregiver topics.

The Association for Frontotemporal Degeneration

Frontotemporal degeneration is the most common form of dementia for people under age 60.

Lewy Body Dementia Association

Through outreach, education and research, we support those affected by Lewy body dementias, their families and caregivers.

Resources - VHA Office of Rural Health

Rural Veterans have distinct challenges compared to their urban counterparts. This is a list of resources to connect you to the support and services required to support your long-term health and well-being.

Dementia safety

Safety resources

Driving safety

Driving and other safety concerns - VA Geriatrics and Extended Care

Driving ability is a complex task that may be impaired by certain health conditions.


Firearm safety

Lethal Means Safety & Suicide Prevention - VA REACH

Though it may seem like a small barrier, securing your guns with a simple lock puts space between the thought and the trigger.

Reducing Firearm & Other Household Safety Risks for Veterans and Their Families - VA Office of Mental Health and Suicide Prevention

If you own a firearm, or live in a household where there are firearms, the following information can help keep you and those around you safe.

Advanced planning resources


Starting the Conversation about Health, Legal, Financial and End-of-Life Issues - Eldercare Locator

For older adults, families and  close friends these conversations may be tough to initiate,  but they are valuable and necessary for all involved.

Making Decisions: Advance Care Planning - VA Geriatrics and Extended Care

Advance care planning is a process of clarifying your values and health care choices for use at a future time if you are no longer able to make decisions for yourself.


Money Matters - Alzheimer’s Association

The sooner planning begins, the more the person with dementia may be able to participate in decision-making.

Honoring patient's wishes

POLST (Physician’s Orders for Life-Sustaining Treatment)

National POLST form and guide.