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Cognitive impairment: Policy implications for service design

National Board of Directors Alzheimer's Association, Chicago, Illinois

A large proportion of persons needing long term care services at home or in institutions are cognitively impaired, including a majority of severely functionally impaired elderly. The estimate arrived at for this paper is that over six million Americans are cognitively impaired enough to negatively affect their functioning including over four million with Alzheimer's disease and other dementias. Thus, it is essential that long term care legislation and programs be designed to assure appropriate services for the cognitively impaired.

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