In this episode, co-hosts Steve and Virginia welcome back Valerie George and Sonia Sehgal to discuss the GUIDE program (Guiding and Improved Dementia Experience), a groundbreaking care initiative launched by CMS in 2023. The GUIDE program offers comprehensive, long-term support for both people living with dementia and their unpaid caregivers, recognizing the significant burden caregivers face. Over the course of eight years, participants receive structured assessments, caregiver support services, and coordinated care management through a multidisciplinary team. Valerie and Sonia share insights into how GUIDE operates, eligibility requirements, and the vital role of caregiver empowerment.
Listeners will learn how caregivers can access this resource, what makes GUIDE unique, and how it brings essential services directly to those in need.

To learn more: https://www.cms.gov/priorities/innovation/innovation-models/guide

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Steve and Virginia sit down with Andrea Hughes, a dedicated caregiver whose mother was diagnosed with early-onset Alzheimer’s Disease. Featured in the PBS documentary Matter of Mind: My Alzheimer’s, Andrea shares her personal journey navigating the challenges of caregiving at a young age, balancing work and family responsibilities, and finding strength through community and storytelling. To learn more, visit the PBS documentary page, follow Andrea on Instagram @itsandreakrystal, and explore her work at candidcaregiverscollective.com.

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Steve and Virginia explore the vital role that geriatricians play in diagnosing and managing dementia and other cognitive symptoms in older adults. The co-hosts are joined by Valerie George, a certified physician assistant with UCI Health, and Sonia Sehgal, MD, a board-certified geriatrician and internist with UCI Health, who discuss how geriatric care should take a whole-person approach—addressing cognitive impairment, chronic conditions, and social factors while actively involving caregivers. Valerie and Dr. Sehgal explain the difference between geriatricians and gerontologists, share their experiences supporting families, and highlight the benefits of seeking an early diagnosis and team-based care. Together, they emphasize the importance of compassionate, proactive support for both patients and caregivers throughout the aging journey.

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