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pandora earrings AbstractObjective To identify common difficult decisions made by family carers on behalf of people with dementia pandora bracelets, and facilitators of and barriers to such decisions, in order to produce information for family carers about overcoming barriers.Results Family carers identified five core problematic areas of decision making: accessing dementia related health and social services; care homes; legal financial matters; non dementia related health care; and making plans for the person with dementia if the carer became too ill to care for them. They highlighted the difficulties in making proxy decisions, especially against active resistance, and their altered role of patient manager while still a family member. Families devised strategies to gain agreement in order to ensure that the person with dementia retained dignity.Conclusions The following strategies helped with implementation of decisions: introducing change slowly; organising legal changes for the carer as well as the patient; involving a professional to persuade the patient to accept services; and emphasising that services optimised, not impeded, independence. pandora earrings

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