Cultural Environment: Exogenous factors

Migration

Cultural Environment:
Family (Endogenous)

SOC NET: Social

organization; network,
neighbors, friends
relatives, community
organizations e.g church,
senior citizens association,
civic organizations

FER: Family
Economic
Resources

Caregiver
characteristics:
Age, gender,
education,
marital status,
relationship to pt

Physical
environment;
Residence or
place of care

Indigenous
knowledge,
beliefs, values

Social
organization;
Kinship
structure;

Access to care
Cost of care:
Services;
Technology and
Medicines,
infrastructure,
health policy,
care healthcare

Caregiver

POL: Political
conditions; Laws
on Population,
Health, and
Elderly

Economic
conditions

Biotic Environment: Disease

pathology, presumed
cause/s
Dementia:
Symptom and
severity of
dementia

DEMENTIA
CARE = AS

Individual dementia
patient

Behavioral and
Psychological
Symptoms of
Dementia (BPSD)

Level of
dependence LOD

Dementia population

Fig 1: Conceptual Framework: Cultural ecology. Potential variables and actors identified from literature and clinical
experience in dementia care.