Understand the feared loss
The person may imagine a stranger taking over the kitchen, moving possessions, controlling money or speaking to them like a child.
Introduce help through what matters to them
Care may begin with companionship, shopping, cooking or a familiar routine rather than immediately focusing on intimate personal care.
Keep the person in the conversation
The person should hear what is being proposed, what will not change and how they can raise concerns or request a different carer.
Begin with a conversation
Start with what you have noticed.
Tell us what has changed, what the person wants and what the family is worried may happen next.