Carer providing palliative care for dementia patients while she enjoys a joyful moment playing with her husband in a peaceful home setting.

What Is Palliative Care for Dementia Patients? A Simple Guide for Families

Caring for someone with dementia can be really tough. As the condition progresses, individuals often experience increased agitation, discomfort, and a decline in overall quality of life—leaving loved ones unsure of how best to support them.

While regular medical care is important, there’s another type of support that many people don’t know much about – palliative care.

Palliative care for dementia is designed to support not only the person living with dementia but also their family, offering a more holistic approach that addresses physical, emotional, and practical needs.

In this guide, we’ll explore what palliative care for dementia involves, the key benefits it offers, and how it can be introduced at home or in a care facility to ensure compassionate and personalised support throughout the journey.

What Palliative Care For Dementia?

Palliative care for dementia isn’t about giving up hope or waiting for the end. It’s quite the opposite.

Palliative care is a specialised approach focused on improving quality of life for people facing serious illness like dementia. It addresses the whole person like managing physical symptoms while also supporting emotional, social, and spiritual needs.

The key difference between palliative care and hospice care (which many people confuse) is timing and scope:

  • Palliative care can begin at any stage of dementia even early on and can be provided alongside other treatments
  • Hospice care typically begins in the final months of life when curative treatments have stopped

Many families mistakenly believe they have to choose between active treatment and comfort care. That’s simply not true with palliative care at home or in other settings.

Benefits of Palliative Care for Dementia Patients and Their Families

Benefits for the Person with Dementia

People with dementia often can’t express discomfort in typical ways, which means pain and other symptoms may go untreated. Palliative care specialists are trained to:

  • Recognise non-verbal signs of pain or distress
  • Use assessment tools specifically designed for people who can’t communicate
  • Implement comfort measures beyond medication
  • Address symptoms like anxiety, sleep problems, and eating difficulties

Beyond physical comfort, palliative care for dementia helps maintain dignity and quality of life. This might include continuing meaningful activities adapted to current abilities. It helps create environments that reduce confusion and stress. Palliative care at home limits unnecessary medical interventions that cause distress and preserve rituals and routines that bring comfort.

Benefits for Family Caregivers

Caring for someone with dementia takes a tremendous toll. Home care palliative care offers support not just for the person with dementia but for you as well.

Family caregiver benefits include:

  • Guidance for making difficult care decisions
  • Training in practical caregiving skills
  • Emotional support and validation
  • Help coordinating various services
  • Respite care opportunities
  • Assurance that you’re providing the best possible care

Research shows that family caregivers who receive support from palliative care teams report less depression, anxiety, and burnout. They also feel more confident in their caregiving abilities.

When to Consider Palliative Care for Dementia

One of the most common questions families ask is: “When should we start palliative care?” The simple answer might surprise you – there’s no need to wait for a crisis.

Signs that it might be time to explore palliative care for dementia include:

  • Increased physical symptoms like pain, breathlessness, or swallowing problems
  • Frequent trips to the emergency room
  • Difficulties managing behavioural symptoms like agitation or anxiety
  • Weight loss or decreased appetite
  • Your own feelings of being overwhelmed as a caregiver
  • Wanting more guidance about what to expect and how to plan

Some doctors might not be familiar with palliative care for dementia specifically, as it’s sometimes associated more with cancer care. Don’t hesitate to ask for a referral to a palliative specialist if your regular provider seems uncertain.

Palliative Care at Home for Dementia Patients

Setting Up Home-Based Palliative Care

Many families prefer to keep their loved ones at home as long as possible. Palliative care at home makes this option more manageable.

The first step is typically an assessment of both the home environment and your loved one’s needs. This might include:

  • Safety evaluations to prevent falls and wandering
  • Recommendations for equipment like hospital beds or shower chairs
  • Identifying modifications that might improve comfort and function
  • Assessing caregiver support needs

Finding the right home care provider with palliative expertise takes research. Questions to ask potential home care providers include:

  • What specific training do your staff have in dementia care?
  • How do you assess and manage pain in people who can’t communicate well?
  • What’s your approach to behavioural symptoms like agitation?
  • How will you involve our family in care planning?
  • Can you coordinate with other healthcare providers?

Day-to-Day Management

The daily rhythm of home care palliative care typically revolves around comfort, familiarity, and meaningful engagement rather than rigid medical schedules.

A day might include:

  • Personal care routines adapted to preferences (perhaps a lifelong early riser can continue that pattern)
  • Pain and symptom assessment using specialized tools
  • Meaningful activities matched to current abilities
  • Rest periods when fatigue or “sundowning” symptoms occur
  • Comfort-focused evening routines that promote sleep

Technology increasingly supports palliative care at home. Options include medication reminder systems, motion sensors that alert caregivers to potential falls, telehealth consultations with specialists, and apps that help coordinate care among family members.

Private Home Care Options

For many families, combining private palliative care at home with NHS services provides the most comprehensive support.

Private care options might include skilled nurses who can manage complex symptoms, care assistants trained in dementia support, specialised companions who engage in meaningful activities, and night carers who allow family caregivers to sleep

Costs vary widely based on level of care needed, hours per week, geographic location, and specific services required.

While private care represents an investment, many families find creative ways to manage costs:

  • Sharing care duties among family members and using professional care strategically
  • Exploring benefits like Attendance Allowance or Personal Independence Payment
  • Investigating charitable grants for respite care
  • Using direct payments if your loved one qualifies for social care support

Choice Care 4U can guide you through funding options and help develop a home care plan that works within your budget. Our flexible packages allow for a combination of regular visits, overnight stays, or full-time care, depending on your needs.

Understand the Costs of Palliative Care

Navigating the financial aspects of palliative care in West Sussex including areas like Chichester, Selsey, and Bognor Regis can indeed be complex. Here’s a localised breakdown of NHS and social care coverage, along with guidance on accessing support:

NHS and Social Care Coverage

Understanding what care is covered through public funding can be confusing. In West Sussex, the NHS provides several palliative care services:

  • Community Nursing: District nurses offer home visits to assist with symptom management, medication administration, and wound care.
  • General Practitioner (GP) Services: Your GP coordinates care, prescribes medications, and can refer you to specialist services.
  • Specialist Palliative Care Teams: Hospitals in Chichester have dedicated teams that provide pain management, psychological support, and discharge planning.
  • Hospice Care: Facilities in Chichester offer inpatient and community-based services. However, due to funding challenges, availability may vary.
  • Equipment Provision: Essential medical equipment, like hospital beds and mobility aids, may be supplied through NHS services or local authorities.
  • Respite Care: Short-term care to relieve primary caregivers is available, though access depends on individual assessments and availability.

Social Care Coverage via West Sussex County Council

Social care services, managed by the local council, are typically means-tested and may include:

  • Home Care Support: Assistance with daily activities such as bathing, dressing, and meal preparation.
  • Day Centre Access: Opportunities for social interaction and activities in a supportive environment.
  • Residential and Nursing Care: Long-term care options for those unable to remain at home. Financial contributions are determined based on assessments. 
  • Disabled Facilities Grants: Funding for home modifications to improve accessibility and safety.

How to Access Care Services

To initiate support:

  1. Needs Assessment: Contact West Sussex County Council to evaluate your care requirements.
  2. Financial Assessment: Determine eligibility for funded services and any personal contributions.
  3. Care Planning: Develop a tailored care plan outlining the services you will receive.

For assistance, visit West Sussex Connect to Support or call 01243 642121.

Palliative Care Costs (2025)

Home Care (Hourly/Domiciliary)

In Chichester and Selsey, hourly care rates typically range between £31 and £40, depending on the level of support required. In Bognor Regis, the average hourly rate is around £30, with costs varying based on individual care needs.

Live-in Care (24/7 Support)

For live-in care, weekly rates generally start from £1,200, with the final cost depending on the complexity and frequency of care required.

Care Homes with Nursing

Nursing home fees in Selsey & Surrounding Areas typically range from £1,200 to £1,600 per week, with specialist care (e.g., dementia) potentially costing up to £1,700 per week. 

Recommended Home Care Provider

Choice Care 4U is a reputable home care provider offering comprehensive palliative care services in Chichester, Selsey, Bognor Regis, and surrounding areas. We are known for:

  • Personalised Care Plans: Tailored to meet individual needs and preferences.
  • Experienced Staff: Qualified professionals trained in palliative and end-of-life care.
  • Flexible Services: Offering both hourly and live-in care options.
  • Community Engagement: Active involvement in local community initiatives and support groups.

For more information or to arrange a consultation, you can contact us directly.

Creating a Personalised Palliative Care Plan: Free Guide for Families in Chichester, Selsey, Bognor Regis, Surrounding Areas

When a loved one requires palliative care, knowing where to start can be overwhelming. That’s why we’ve created a practical, step-by-step palliative care plan guide designed to help families in Chichester, Selsey, and Bognor Regis organise care with confidence and compassion.

Whether you’re arranging daily support at home or planning ahead for future needs, this downloadable guide will help you:

  • Document care routines and symptom management
  • Identify emotional, social, and spiritual needs
  • Plan for crisis situations
  • Coordinate care with professionals and family
  • Make clear, values-based care decisions

This resource is provided by Choice Care 4U, your local provider of compassionate home and palliative care services across West Sussex.

Finding Your Way Forward

The journey through dementia with a loved one challenges us in ways we never imagined. Palliative care for dementia offers a path focused on comfort, dignity, and quality of life for both the person with dementia and those who love them.

Remember, good palliative care:

  • Can begin at any stage of dementia
  • Addresses physical, emotional, social, and spiritual needs
  • Can be provided at home or in care facilities
  • Supports family caregivers as well as patients
  • Evolves as needs change

Whether you’re just beginning to explore options or looking to enhance current care arrangements, reaching out to palliative specialists with dementia expertise is a positive step forward.

Share:

More Posts

Carer assisting an elderly man to stand up from bed, providing professional home care Bognor Regis to ensure comfort and support for seniors.

10 Early Signs Your Elderly Parent May Need Home Care in Bognor Regis

Noticing subtle changes in your elderly parent’s daily routine, like missed meals or forgotten medications, could be early signs they need extra support at home. If you’re concerned about their safety or wellbeing, contact our compassionate home care team in Bognor Regis today for a free assessment.

Send Us A Message