Training Q&A

Understanding Who Can Influence Care

Decision-making in dementia care can involve medical teams, social services, care providers, families, and legal processes, each with a different role depending on the situation. This article explains how these responsibilities fit together under the Mental Capacity Act 2005 and the Care Act 2014, and how best interests, Lasting Power of Attorney, clinical judgement, safeguarding and advocacy shape decisions when the person cannot decide for themselves.

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The Dementia Diagnosis

Families often wonder whether they should tell the person about their dementia diagnosis. This section explores the person’s right to know, how to match the explanation to their emotional needs, and why repeating the diagnosis isn’t always helpful. It offers practical guidance, examples and links to supportive resources.

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The Diagnostic Pathway

This guide explains what usually happens after a dementia diagnosis, from memory clinic assessments and GP reviews to social care support, dementia advisers, carer services and social prescribers. It outlines how families can access help as needs change and how to understand when further support or a review of home safety may be needed.

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Typical Dementia Progression

Understanding how dementia progresses can help families feel more prepared and confident. This guide explains the main dementia types, typical patterns of change, and why progression varies from person to person, with a clear comparison table to support carers, professionals, and anyone wanting to learn more.

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Sensory Changes in Dementia

Dementia affects much more than memory. Changes in vision, hearing, touch, and reaction times can make everyday life feel confusing or overwhelming. This article explains how these sensory shifts happen and why they eventually make driving unsafe, offering practical guidance for families and carers.

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The GEMS States:

GEM States are not a diagnostic tool and cannot identify the type or stage of dementia. This article explains why the framework still matters for health and care professionals, and how it supports calmer, clearer and more compassionate communication during brief, pressured encounters.

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Unmet Needs in Dementia:

Behaviour that challenges often reflects unmet needs that the person with dementia can no longer express through words. This article explores what distress-based communication really means, including phrases like “I want to go home”, elopement and wandering, emotional logic, and how the Herbert Protocol can support safety. Practical suggestions help carers respond with curiosity, compassion, and confidence.

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Carer Resentment

Resentment is one of the least spoken about but most common experiences in dementia caring. It often builds quietly as responsibilities increase, roles become entangled, and personal identity begins to fade. This article explores how resentment and co-dependent patterns develop, why they matter, and the practical steps that can help prevent exhaustion, burnout, and relationship strain.

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Sorry Seems to be the Hardest Word!

In everyday British life, apologising is almost automatic, yet in a caring relationship it can feel confusing, unfair, or emotionally uncomfortable — especially when nothing appears to be the carer’s fault. This article explores why apologising can be so difficult, the difference between factual and emotional logic, and how gentle, well-chosen apologies can help soothe distress, reduce conflict, and strengthen connection. It offers practical guidance to help carers reframe “I’m sorry” as a compassionate tool rather than a sign of blame.

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