Interacting only with staff and members of the care team

Teaching a skill they have to others

Telling stories about their life to other older adults or to children

Sticking to familiar and comfortable activities

Joining talent shows with other older people

If they enjoy cooking, preparing meals for them rather than getting them involved in the process.

If they enjoy walking outside and looking at plants, try to do that with them every day.

If they enjoy watching sports, let them watch sports with other people.

If they enjoy social contact, focusing on independent, individual games that they might like to play alone.

If helping others makes them proud, give them options for volunteer activities.

Spending more time indoors and alone.

Activities for daily living – shaving, showering, grooming, dressing, etc.

Doing what people ask and following instructions.

Focuses on giving more control to the care team and families

Supports the person at the ‘centre of the service’ to be involved in making decisions about their life

Requires flexible services and support to suit the person’s wishes and priorities

Considers the person's goals but ultimately prioritises activities which are affordable

Takes into account each person’s life experience, age, gender, culture, heritage, language, beliefs, and identity

The changes in behaviour

The person's goals

When you observed these changes

The person's relationship with their family

How these changes affect the person and others

Factors that may have caused these changes

Steps taken to address the factors that caused the changes