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How to Communicate with People Who Have Dementia

 Recognize the difference between competency and capacity

 While individuals with dementia may be judged legally incompetent, they generally retain some cognitive capacity to make decisions and exercise personal choice. Preserving their personal choice is critical to respecting them, to enhancing their personal worth, and to fostering social engagement.

  Competency is a legal term. Because it is an all-or-none concept, competency is a limiting term. A person either can or cannot make his or her own decisions.

Capacity recognizes that different situations require different levels of comprehension for an individual to exercise autonomy and make personal choices. Remember that the lower the risk, the higher the opportunity for the individual with dementia to exercise choice.

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Jack Coito
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