Changing needs in advanced dementia

Margaret Brown*, Debbie Tolson, Louise Ritchie

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)
445 Downloads (Pure)


This is the first article in a six-part series in Nursing Older People exploring the nursing care of people living with advanced dementia. This article discusses the changes that may occur as dementia progresses, from the perspective of the individual, their family and other carers.

A person living with advanced dementia is likely to experience physical, cognitive and social changes that can be profound and debilitating. Healthcare needs intensify as new and co-existing issues result in increasing dependency on others for support with activities of daily living. These activities can include eating, drinking, mobility and personal care.

Consequently, family carers may find their role has to develop and change to provide increasing support in response to these complex needs. These increasing needs can result in care transitions to hospitals or care homes. Careful and collaborative management of care is crucial to maintain quality of life for the person with dementia and family carers.
Original languageEnglish
Article numbere1204
JournalNursing Older People
Issue number4
Early online date20 May 2020
Publication statusPublished - 28 Jul 2020


  • Advanced dementia
  • Carers
  • Clinical
  • Dementia
  • Families
  • Frailty
  • Neurology
  • Older people
  • Patients
  • Professional


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