People with dementia and those who care for them can experience difficulties communicating and interacting with each other. For people with dementia their ability to communicate usually worsens as the disease progresses. The hospital experience can be especially distressing because the noisy, busy and confusing environment may make the person with dementia’s symptoms worse and hinder communication. However, it is important that we do everything we can to communicate effectively with people with dementia and include them in decision making.