8 A's
Assessment/Tools
Know your Dementia's
Resources/Services
Policies/Legislation
100

Challenges remembering what an object is used for.

Agnosia

100

This observational tool records behaviours at 30-minute intervals over 24 hours to identify patterns, triggers, and changes in responsive behaviours.

What is a DOS

100

This type of dementia commonly begins with difficulties forming new memories

Alzheimer's disease

100

This program connects people diagnosed with dementia and their families to education and community supports.

First Link

100

This principle requires healthcare providers to consider less restrictive interventions before using physical restraints to manage responsive behaviours

Least-restraint principle

200

Struggles to find words or understand what others are saying.

Expressive/Receptive Aphasia

200

This person-centred tool documents an individual's life history, preferences, routines, relationships, and sources of comfort to help care providers understand the person beyond their dementia diagnosis.

My Personhood Summary

200

Early personality changes, disinhibition, and socially inappropriate behaviour may indicate this type of dementia.

Frontotemporal Dementia.

200

This Ontario initiative supports older adults experiencing responsive behaviours associated with dementia and other complex conditions.

Behavioural Supports Ontario.

200

This Ontario legislation protects an individual's right to make decisions about their medical treatment, including the right to refuse treatment, provided they have the capacity to make that decision, regardless of a dementia diagnosis.

Health Care Consent Act, 1996

300

Struggles to carry out sequences of a task.

Apraxia

300

This individualized care plan communicates effective approaches, identified triggers, unmet needs, and supportive interventions to promote consistent, person-centred care during transitions between care settings

My Transition Care Plan

300

Recurrent visual hallucinations, fluctuating cognition, and Parkinson-like symptoms are characteristic of this dementia.

Lewy Body Dementia.

300

This specialist provides education and consultation to healthcare teams caring for older adults with complex cognitive and behavioural needs.

Psychogeriatric Resource Consultant (PRC)

300

Under Ontario's long-term care regulations, care teams must assess these underlying factors rather than simply reacting to responsive behaviours.

Behavioural triggers and unmet needs

400

 Insists nothing is wrong despite significant cognitive changes; unaware of cognitive changes.

Anosognosia

400

This observational tool documents what happens before, during, and after a responsive behaviour to identify potential triggers, patterns, and factors that may reinforce the behaviour.

ABC Behaviour Tracking Chart (Antecedent–Behaviour–Consequence

400

This dementia is associated with cerebrovascular disease and may involve changes in planning, attention, and processing speed

Vascular Dementia

400

A person with dementia remains in hospital because no single service can safely meet their complex needs. This cross-sector process brings agencies together to resolve barriers.

What is a Complex Resolution Table

400

This Ontario legislation includes a Residents' Bill of Rights protecting dignity, individuality, choice, and freedom from inappropriate restraint.

Fixing Long-Term Care Act, 2021

500

Becomes frightened by a dark floor because they perceive it as a hole.

Altered Perception

500

This holistic assessment framework examines Physical, Intellectual, Emotional, Capabilities, Environmental, and Social factors to better understand responsive behaviours in people living with dementia.

PIECES Assessment 

500

Rapid symptom progression is one of the most important clues that a person may have this type of dementia.

Creutzfeldt-Jakob Disease.

500

This service provides virtual neuropsychiatric consultation to healthcare professionals managing complex behavioural symptoms

Virtual Behavioural Medicine (VBM)

500

A resident with dementia repeatedly attempts to leave their room. Staff restrain the resident because supervision is inconvenient. This violates what legal protection?

What is the prohibition against restraints for staff convenience