Comprehensive Dementia Care
Compassionate, individualized care for patients experiencing memory loss and cognitive change, with attention to the medical, medication-related and environmental factors behind it.

Overview
Dementia care at this practice begins from the position that a diagnosis is a starting point rather than a conclusion. Memory loss, cognitive decline, Alzheimer’s disease and other forms of dementia are approached by looking not only at the diagnosis but at the medical, medication-related, nutritional, behavioral and environmental factors that may be contributing to changes in cognition, function, mood, sleep and behavior.
That distinction matters practically. Some of what looks like decline is decline. Some of it is a medication interaction, an untreated infection, poor sleep, pain that nobody has asked about, or a home that has become difficult to move around safely. Those are worth finding.
The work involves checking memory, cognition and daily living skills; reviewing and managing medications; looking at behavioral and emotional issues; educating caregivers; assessing safety and fall risks; and managing the other ongoing health problems that rarely pause because a diagnosis has arrived. Non-pharmacological approaches are emphasized whenever appropriate, and families are helped to understand and manage challenging symptoms such as agitation, anxiety, wandering, sleep disturbances, hallucinations and changes in communication.
The goal is to preserve function and quality of life, to promote safety and comfort, to reduce caregiver burden, and to help patients and families navigate each stage with dignity and support.
What this care covers
A dementia visit is broader than a memory test. These are the areas looked at, and returned to as things change.
- Memory, cognition and day-to-day living skills
- Reviewing and managing medications
- Behavioral and emotional changes
- Caregiver education and support
- Safety and fall risk in the home
- Other ongoing health conditions in the picture
- Changes in mood, sleep and communication
Symptoms such as agitation, anxiety, wandering, sleep disturbance and hallucinations are part of what this care is for. They are not a reason to wait until things are worse.
How the care works
Look beyond the diagnosis
Identifying the medical, medication-related, nutritional, behavioral and environmental factors that may be contributing to changes in cognition, function, mood, sleep and behavior — some of which are treatable.
Review every medication
Medications accumulate over years and interact in ways that can look like decline. A full review is part of the assessment rather than an afterthought.
Try the non-medication approach first
Non-pharmacological approaches are emphasized whenever they are appropriate, particularly for behavioral symptoms.
Bring the family in
Helping families understand and manage difficult symptoms, so that the person doing the daily caring knows what they are looking at and what to do about it.
This may be the right fit if
Families make the first call as often as patients do. Either is welcome.
- You or someone you love is becoming forgetful in a way that feels different from ordinary aging
- A diagnosis has been made and nobody has explained what happens next
- Behavior or sleep has changed and the current plan is not working
- You are caring for a parent or partner and need someone to look at the whole medication list
- Safety at home has started to worry you
- You want care that treats the person as a person at every stage
What a visit looks like
Bring what you have
The medication bottles, any records or imaging, and — if you can — the person who sees them day to day. Someone who notices the small changes adds more than any questionnaire.
The appointment
An unhurried conversation and assessment covering memory, function, mood, sleep, safety and the other conditions being managed.
Afterwards
A plan for the person and a plan for the household, with a clear account of what to watch for and when to call.
- 30+years in healthcareTessy Kadavil, DNP, FNP
- 5.0from 23 Google reviewsVerified on the practice’s Google Business Profile
- CertifiedDementia Person-Centered Care ProviderAlongside certification for buprenorphine therapy
- Mon–Fri8:00am – 5:00pmMedical Center district, San Antonio
Questions about comprehensive dementia care
What happens in a dementia care visit?
A dementia visit looks at memory, thinking and day-to-day function; reviews the medications being taken; considers behavioral and emotional changes; assesses safety and fall risk; and manages the other health conditions in the picture. Caregiver education is part of the visit, not an afterthought.
I am caring for a parent with memory loss. Can I make the appointment?
Yes. Families frequently make the first call. Call 210-699-6993 and explain the situation to the office, and bring the medication bottles and any recent records to the visit.
Is medication always the answer for behavior changes?
No. Non-pharmacological approaches are emphasized wherever they are appropriate, and part of the work is identifying medical, medication-related, nutritional and environmental factors that may be driving a change in mood, sleep or behavior.
Talk it through first
Call the office, describe what is going on, and find out whether comprehensive dementia care is the right place to start.
Monday – Friday, 8:00am – 5:00pm · Medical Center district, San Antonio