Opportunities for Resident Choice are Almost Everywhere

There are so many opportunities for resident choice. It goes way beyond “the red shirt or the blue one?” Choice is not just “Which one do you want?” It is also “How would you like this to happen?” When we talk about choice in dementia care, the examples are often very small, like “Would you like the red shirt…

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Important Point About Dementia Care

Dr. Steven Sabat * has made an important point about dementia care: That is – just because we do not know the reason a person with dementia is doing something does not mean that person does not have a reason. That idea sounds simple. But it asks us to reconsider something very important. When a person without dementia does…

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Caregiver Documentation Really Matters

Caregiver Documentation: Write What Happened, Not What You Think It Means – In dementia care, caregiver documentation is more than a record of the past. It is a communication tool for the next caregiver, the next shift, the care team, and sometimes the family or leadership team. Done well, documentation helps everyone understand what happened, what may have contributed…

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Memory Loss – What Actually Replaces It?

When Memory Fails, What Replaces It? When people think about dementia, they often think first about memory loss. That is understandable. Memory changes are among the most visible and recognizable signs of dementia. A person may forget names, dates, instructions, appointments, conversations, or what just happened a few moments ago. But there is a dangerous assumption hidden inside the…

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Every Caregiver Needs a Bigger Toolbox

Caregiver Stress Is Real: Why PSWs and Frontline Staff Need a Bigger Toolbox…a Growing Toolbox Personal Support Workers, care aides, and other frontline caregivers carry much of the emotional and physical weight of dementia care. They are the ones helping people wake up, wash, dress, eat, move, settle, participate, and feel safe throughout the day. They are also the…

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Responsive Behavior Is a Late-Stage Indicator

In long-term care, the phrase “responsive behavior” is everywhere. It appears in documentation, care plans, shift reports, and team discussions. It has helped move the sector away from blaming language like “aggressive” or “difficult,” and toward a more person-centered understanding. But there’s a deeper issue we need to confront: By the time something is labeled a responsive behavior, we are…

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