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Supporting Cognitive Health: A Chronic Care Management Guide to Understanding Memory Loss, Dementia Risks, and Care Strategies

Tanya Flores-OlneyArticles, Care Coordination, Chronic Care Management

As people age, occasional forgetfulness is common—but persistent memory issues can signal more serious concerns. For older adults and their caregivers, understanding the difference between normal aging and the early signs of dementia is crucial to improving quality of life, enhancing early detection, and ensuring the right support is in place.

At TimeDoc Health, we believe that proactive chronic care management and care coordination play a critical role in supporting patients with cognitive concerns and helping caregivers navigate the complexities of dementia care. Our chronic care management guide provides essential resources for healthcare providers and families alike.

This article provides insights into memory and dementia concerns, while emphasizing the vital role of Chronic Care Management and Care Coordination in supporting both patients and caregivers.

Memory Loss or Something More?

Slower recall and occasional forgetfulness—like misplacing keys or forgetting an appointment—are normal parts of aging. However, signs that may point to something more serious include:

  • Getting lost in familiar places
  • Struggling with everyday tasks like managing finances or using the phone
  • Repeating questions or losing track of time
  • Difficulty understanding visual or spatial relationships

If these symptoms begin to interfere with daily life, it’s important for patients to speak with a healthcare provider. Cognitive challenges may be due to a variety of causes—including medical conditions, medication interactions, or early-stage dementia—and require proper evaluation.

Understanding the Risk of Dementia

There is currently no cure for Alzheimer’s disease or related dementias. However, the Centers for Disease Control and Prevention (CDC) has identified eight key modifiable risk factors linked to an increased risk of cognitive decline:

  • High blood pressure (hypertension)
  • Diabetes
  • Obesity
  • Depression
  • Lack of physical activity
  • Smoking
  • Hearing loss
  • Excessive alcohol use (binge drinking)

The presence of these factors has been closely associated with Subjective Cognitive Decline (SCD)—a self-reported experience of worsening or more frequent memory issues. SCD can be an early indicator of dementia and should not be ignored.

The Link Between Chronic Conditions and Cognitive Decline

Recent research shows that chronic conditions such as hypertension and diabetes are significantly associated with increased reports of memory problems:

  • Nearly 50% of individuals with hypertension report symptoms of SCD
  • Over 18% of those with diabetes experience similar cognitive concerns

These findings highlight the importance of managing chronic illnesses not only to improve general health—but also to reduce the risk of cognitive decline.

How Chronic Care Management (CCM) Helps

CCM offers a structured approach to support patients living with multiple chronic conditions—many of which are linked to cognitive decline. With TimeDoc Health’s CCM solution, providers can help patients:

  • Adhere to personalized care plans
  • Stay engaged with their health between visits
  • Reduce hospitalizations through early intervention
  • Monitor symptoms and side effects in real-time

Consistent, coordinated care plan also provides a sense of stability and continuity, which is especially beneficial for patients at risk of or living with dementia.

Dementia Care Requires a Specialized Approach

As dementia progresses, patients may become less able to advocate for themselves or follow through on care plans. Caregivers—often family members—become the central figures in managing their loved one’s care. That’s why care coordination is essential.

At TimeDoc Health, our Care Coordinators:

  • Work closely with caregivers to ensure they understand the care plan and are empowered to act on it
  • Keep provider teams updated on health changes between visits
  • Help navigate logistical needs like prescriptions, referrals, and medical equipment
  • Connect families to local resources, education, and emotional support services
  • Reduce stress for caregivers by offering consistent communication and guidance

Supporting the Whole Family

Caregivers play a vital role, but they often carry a heavy emotional and physical burden. Studies show that:

  • 40% of caregivers experience depression
  • 30% report feeling overwhelmed by their responsibilities

TimeDoc Health’s Care Coordination services are designed to ease that burden, providing wraparound support that extends beyond the clinical setting.

Empowering Healthier Aging with TimeDoc Health

The best defense against cognitive decline starts with understanding and managing chronic conditions early. With Chronic Care Management and Care Coordination from TimeDoc Health, patients receive ongoing support tailored to their physical, emotional, and cognitive needs.

And caregivers? They gain a trusted partner to help them manage the journey—every step of the way.

Contact us today to learn how TimeDoc Health can support your practice in delivering comprehensive, connected care for patients with memory and cognitive challenges.

 

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1. https://www.nia.nih.gov/health/cognitive-health-and-older-adults
2. https://www.cdc.gov/mmwr/volumes/71/wr/mm7120a2.htm
3. https://www.ajmc.com/view/chronic-disease-management-why-dementia-care-is-different