Balance of honesty and positivity about prognosis

We talked to people who have been recently diagnosed with dementia and their loved ones about the need for doctors to be honest about the condition and what it might mean for their lives but also positive about the future and people’s ability to live well with dementia post-diagnosis. People told us they wanted clinicians to:

  • Be knowledgeable and honest about the possible progression of their dementia where possible.
  • Give hope that support was available to help them live well with the condition.
  • Avoid the sense of “handing down a death sentence”.
  • Give the opportunity to speak privately with the consultant about the diagnosis.

Be knowledgeable and honest about the possible progression of their dementia where possible.

A&S explain how getting a full and frank explanation about what the future might hold left them feeling less frightened.

P&M wanted the professional to draw on their experience to give them an idea of the “timetable” for the likely progression of the dementia

Give hope that support was available to help them live well with the condition.

Being diagnosed with dementia is easier to deal with, people told us, when they are given hope that there is support available to help them maintain a good quality of life.

M&T explain how a professional helped them feel “more confident to cope with things”

After getting the diagnosis from a doctor at a dementia support facility, L&N were greeted by a support worker with tea and cake and were reassured that they would always be able to get support there.

Avoid the sense of “handing down a death sentence”.

Talking about their experience of being diagnosed with dementia, some people suggested that professionals should avoid making the diagnosis sound like a “death sentence”. Providing information about the disease progression, medical research and breakthroughs, and the support available, could all help with this.

M&T wanted reassurance that the outlook for the future wasn’t “totally bleak”

People told us that when being diagnosed with dementia, they would have appreciated the chance to meet with the consultant one to one.

M&T would have appreciated the chance to speak to a consultant about the diagnosis and treatment.

Some people didn’t get to meet their consultant at all.

P&M never got to meet their consultant.

 

The delivery of the dementia diagnosis

We talked to people with dementia and their family members about receiving the news of their dementia diagnosis from their clinician. People told us that...