Author name: Alison Watson-Shields

Alison Watson-Shields is a dementia care specialist, trainer, and community leader with over two decades of experience supporting people living with dementia and those who care for them. She is the founder of Young At Heart ULO CIC and Hand in Hand Activities CIC, where she develops and delivers inclusive, meaningful activities, peer support, and wellbeing programmes within the community. Alison is an Independent Positive Approach to Care (PAC) Trainer and Consultant, using Teepa Snow’s evidence-based approach to deliver training for families, carers, and professionals. She holds a BSc in Health and Social Care and an MSc in Dementia Studies, bringing together academic knowledge and extensive real-world experience. She is passionate about creating opportunities for connection, purpose, and joy, ensuring that people living with dementia can continue to live well, stay active, and feel valued within their communities. Her work is shaped by lived experience, co-production, and a deep belief in seeing the person beyond the diagnosis.

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If the Brain Is Shrinking, Where Does the Extra Fluid Come From?

Brain scans taken during the assessment and progression of dementia often show increasing amounts of fluid around and within the brain. If the brain is shrinking, where is all that fluid coming from? This article explains what cerebrospinal fluid is, why it becomes more visible as dementia progresses, and what different types of brain scan can tell us — including why no scan can ever tell the whole story of a person living with dementia.

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Why Do Professionals Use Different Dementia Assessment Tools — and What Happens When They Meet?

When supporting someone living with dementia, you may hear different professionals use different tools and different language to describe the same person. A doctor might refer to the Global Deterioration Scale. An occupational therapist might discuss Allen Cognitive Levels. A dementia specialist might talk about GEMS States. This article explains what each tool measures, why they exist alongside one another, and what happens when professionals from different disciplines meet to discuss a person’s care.

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Understanding Hearing Changes in Dementia: Hearing, Brain Processing and Why It Matters

Dementia doesn’t affect the ears — it affects the brain. But when someone living with dementia struggles to follow conversation or doesn’t respond to sounds, it can look exactly like hearing loss. This article explores why, what the research tells us about auditory processing and dementia, and why standard hearing tests may not tell the whole story for someone living with moderate to advanced dementia.

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Following the Clues: How the Environment Guides Us Every Day

Why do people living with dementia put on the wrong clothes, eat food that isn’t theirs, or reach for the wrong object? Before we can answer that, it helps to notice something about ourselves. We follow environmental cues every single day — automatically, without thinking. Understanding what changes when dementia affects the brain can shift the way we see, and the way we respond.

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