Isn’t it something to think about—how many people living with dementia may never even know it? Dementia is a growing global public health issue, yet it’s estimated that 75% of individuals with the condition are never diagnosed. Timely diagnosis doesn’t just help with early access to care—it can also support optimal management and potentially slow further cognitive decline. Most importantly, it opens the door to thoughtful planning for the future. Still, getting that early diagnosis isn’t always easy. It takes careful clinical judgment, from taking a detailed history and cognitive testing to ruling out other medical or psychiatric causes.

A recent study in the Journal of Clinical Nursing took a closer look at what might flag early cognitive changes. Researchers assessed around 6,800 senior home care recipients using a geriatric tool covering 280 demographic, clinical, and psychosocial elements. What stood out most? Increased age and difficulty understanding others were leading indicators of cognitive decline. These inputs contributed to a cognitive performance score (CPS), which can be used to spot the need for early intervention.

The takeaway is clear: geriatric assessments can guide clinicians to offer timely support, from further evaluation to cognitive therapy or even just initiating important conversations. As the researchers put it, “Early identification of cognitive decline in the presence of other life-limiting conditions may create an opportunity for advance care planning.” And that opportunity matters. There’s strong evidence that dementia and advanced care planning go hand in hand—leading to fewer hospitalizations and better alignment with the resident’s values and wishes.

Isn’t that the heart of what we do? When we understand what a resident would want before they lose the ability to share it, we’re giving them a voice. So, take a moment to review your community’s process. Don’t shy away from the conversation—it can make all the difference in the quality of life for your residents and their families.

Stay well and stay informed!