This article explores the effect of dementia on individuals with dementia, their families and nursing staff. It explores the diagnostic issues that are important for individuals, the effect of symptoms and avenues of support. The need to adapt to different roles and the importance of communication are discussed for families and informal carers. Lastly, the culture of nursing care and the need for education, training, professional development and clinical supervision is discussed. The literature emphasises the need for close collaborative working between those involved in dementia care, with individuals with dementia at the centre of decision making. It highlights how everyone involved can contribute to positive care experiences for those with the condition.