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Western cultures are notoriously death denying and this applies equally to people in later life who are often living with
multiple chronic illnesses, dementia being one. Dementia, though known to be a terminal illness is rarely discussed
as such and the grief a person and their family experience on receipt of a diagnosis of dementia is often under explored by
health professionals. Health professionals often feel ill-equipped to undertake â??difficult conversationsâ? with patients and their
families and so their grief goes unaddressed and end of life issues remain unexplored until the person enters the active dying
or imminent death phase, at which time both the person and their family are ill-prepared for the palliative nature of the
care that is now appropriate. In order to provide the best level of care and quality of life for people living with dementia it is
essential for Health Professionals to assist them to explore their values, their fears and apprehensions and to understand what
a â??good deathâ? and high level of â??quality of lifeâ? looks like for each individual diagnosed with dementia. This presentation will
explore the importance of Advance Care Planning, holistic care and exemplary end of life care (including exploring the issues
of grief and loss) for people and their families living with dementia and the â??road blocksâ?? that currently exit that prevent these
conversations from happening early in the illness trajectory.