A Message From Dr. Helen C. Kales

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I am often asked, "How did you come up with The DICE Approach?"

The answer is: "Out of frustration with the status quo of sedating people with dementia for any type of 'behavior' that is deemed unacceptable."

I knew we could do better for people with dementia and their caregivers. Behavior is a form of communication for all human beings whether they have dementia or not. 


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When we sedate a person without examining the causes of a change in behavior, we are most often merely covering it over and missing an opportunity to actually "treat" the underlying cause which could be so many different things:

  • Pain.
  • An infection.
  • Difficulty in communication between the person with dementia and the caregiver.
  • A chaotic environment. 


It's complicated! But we found a way to create an approach to teach caregivers how to become "behavior detectives."


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Past participants are talking....

"DICE is a clear, consistent approach that I can share with other caregivers, friends and family. It provides guidance on safety issues and an understanding of what my mom might go through next."
A family caregiver -- Grand Rapids, MI
"The DICE Approach incorporates front-line staff to help describe and investigate and be included on the process."
A staff caregiver -- Appleton, WI
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