Dementia Compass Person-Centred Care Basics
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Person-Centred Care Basics

Discover how to provide care that respects individuality, promotes dignity, and enhances wellbeing.

A Framework for Compassionate Care

Person-centred care is widely recognised as the gold standard approach in dementia care. It sees the person first—not the condition—and recognises that each individual brings a unique life history, personality, and set of preferences that should inform their care.

This module introduces the core principles and practical applications of person-centred care, providing you with the foundation to deliver care that truly enhances quality of life for people living with dementia.

"To care for a person with dementia is to know their story, to recognise their preferences, and to honour their dignity—even when they may not be able to express these things themselves."
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Understanding Person-Centred Care

Person-centred care represents a fundamental shift in how we approach dementia care—moving from a task-oriented approach to one that prioritises the individual's unique needs, preferences, history, and relationships.

This approach, pioneered by Professor Tom Kitwood in the 1990s, recognises that the wellbeing of a person with dementia depends not only on their neurological condition but also on their psychology and social environment.

At its core, person-centred care aims to:

  • Preserve personhood and dignity despite cognitive changes
  • Respect individual preferences, life history, and cultural background
  • Foster meaningful relationships and social connections
  • Support autonomy and continued engagement in life
  • Address holistic needs beyond physical care

The evidence for person-centred approaches is compelling—research consistently demonstrates improvements in quality of life, reduced agitation, decreased use of antipsychotic medications, and greater satisfaction for both people with dementia and their carers.

Reflection

Consider a person with dementia whom you care for or know. How might their experience change if every aspect of their care was tailored to their individual preferences, history, and needs?

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Practical Tools

Life Story Template

A comprehensive guide for collecting and organising meaningful information about a person's life, preferences, and routines.

Key Areas to Cover:

  • • Career/work history & achievements
  • • Family relationships & important people
  • • Hobbies, interests & favorite activities
  • • Daily routines & personal preferences
  • • Meaningful objects & memories

Person-Centred Care Plan

A template for developing individualised care plans that incorporate personal preferences, strengths, and support needs.

Plan Components:

  • • Personal goals & aspirations
  • • Communication preferences & methods
  • • Support needs & independence areas
  • • Risk assessment & mitigation strategies
  • • Review schedule & outcome measures

Environmental Assessment Checklist

A tool for evaluating and improving physical environments to better support people living with dementia.

Assessment Areas:

  • • Lighting levels & natural light access
  • • Noise levels & acoustic environment
  • • Navigation aids & clear signage
  • • Safety features & fall prevention
  • • Familiar objects & personal items

Communication Strategies Guide

Practical techniques for effective communication at different stages of dementia.

Effective Techniques:

  • • Short, clear sentences & simple language
  • • Non-verbal cues & body language
  • • Active listening & validation
  • • Offering choices & avoiding questions
  • • Using visual aids & memory prompts

Advanced Person-Centred Care Module

Our advanced module will explore complex person-centred approaches for specific situations, including supporting people with advanced dementia and implementing organisational change. Register to be notified when it's available.

Legal & Ethical Framework

Person-centred care must be grounded in legal principles that protect individual rights and ensure ethical decision-making.

Mental Capacity Act 2005

Five Key Principles:

  • • Assume capacity unless proven otherwise
  • • Support decision-making before determining incapacity
  • • Right to make unwise decisions
  • • Best interests decisions if lacking capacity
  • • Least restrictive option

Capacity Assessment

Can the person:

  • • Understand the information?
  • • Retain the information?
  • • Use/weigh the information?
  • • Communicate their decision?

DoLS & Safeguarding

Key Considerations:

  • • Deprivation of Liberty Safeguards
  • • Least restrictive practice
  • • Regular review of restrictions
  • • Safeguarding concerns reporting

In Practice: Best Interests Decision-Making

Before Making a Best Interests Decision:

  • Involve the person as much as possible
  • Consider their past and present wishes
  • Consult with family and carers
  • Consider their beliefs and values

Documentation Must Include:

  • Evidence of capacity assessment
  • Who was consulted
  • Reasoning for the decision
  • Review date and arrangements
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