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Caring for people with Alzheimer disease or related dementias can be a challenging task. Anxiety, wandering, agitation, and aggressive behaviors can be frustrating for both resident and care providers. With creative programming, these symptoms can be lessened or even eliminated. Cognitive evaluation can provide a roadmap for successful and creative care planning for these individuals. Knowing the person's abilities and limitations can create a positive environment and enhance his or her quality of life. The program described in this article uses cognitive evaluation in the care delivery process.