Rural Dementia Care:  Lessons From the Care Ecosystem

A conversation becomes harder to follow. A familiar routine begins to unravel. Someone you love responds in ways you do not recognize.

The Program of All-Inclusive Care for the Elderly (PACE) was designed to serve individuals with complex medical, functional, and social needs. As dementia prevalence continues to rise, PACE programs are increasingly caring for participants whose cognitive impairment impacts nearly every aspect of care delivery. 
 
As we approach 2026, PACE organizations face a convergence of challenges: 

The newly released Caregiving in the U.S. 2025 report from AARP and the National Alliance for Caregiving paints a clear and sobering picture: 63 million Americans—nearly 1 in 4 adults—are now providing care to someone with a serious health condition or disability. This represents a 45% increase since 2015 and reflects a caregiving landscape that is larger, more diverse, and more complex than at any time in our nation’s history.