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Thank you for your kind and detailed response. I truly appreciate your emphasis on how multifaceted the management of delirium superimposed on dementia (DSD) is. You're absolutely right early recognition, minimizing high-risk medications, and incorporating non-pharmacologic strategies are central to improving outcomes. I agree that caregiver education and environmental familiarity can significantly reduce anxiety and confusion, especially inhypoactive forms of delirium, which are often under-recognized.

Your point about using community resources like Alzheimer's Los Angeles and adopting a multidisciplinary approach really highlights the importance of continuity of care beyond the clinical setting. I'm glad the resources we've explored, including Harringtonet al. (2022), have been useful in strengthening this approach.

Thanks again for your insightful reflection!