Facilitated Case Conferencing for People with Advanced Dementia

Family case conferences support shared person-centred decision making and advance care planning for individuals living in the community or in residential aged care with advanced dementia who are no longer able to decide care for themselves.

In these situations, health professionals will need to work with a family member or other person with authority to make decisions on behalf of the person with dementia. In New South Wales, an individual with authority of this kind is called the person responsible (37kb pdf), but this varies in other states and territories.

The following pages outline an approach that aims to improve case conference uptake, relevance and quality by coordination, facilitation and communication (termed facilitated case conferencing).

These pages outline how to use ‘triggers’ to identify when someone with advanced dementia could benefit from a case conference. You will also learn how to assess and address current needs and come to a shared agreement on the goals of care.

Resources are provided to ensure optimal involvement from the family and person with dementia (in whatever capacity possible) and the multi-disciplinary team (such as residential aged care staff, general practitioners, allied health staff and pastoral care) with the aim of creating person-centred palliative care plans.

Skills and staff competencies can be gained using the palliAGED Nurse Practice Tip Sheets which will provide a useful foundation for facilitated case conferencing and effective advance care planning.


Building Blocks Advance Care Planning to Facilitated Case Conferencing to Palliative Approach Toolkit
Building Block Approach to create person centred palliative care
for persons with advanced dementia.


This website was developed as part of the IDEAL project (Improving Dementia End of life Care At Local Aged Care) funded by the Department of Health and Ageing from 2012 to 2015 under the Aged Care Service Improvement and Healthy Ageing Grants Flexible Fund.

Last updated 08 December 2015