"Dementia consulting" has become a diluted phrase.

We're fixing that.

We help teams create customized approaches to dementia care for their residents, staff & families by planning, designing and executing on day-to-day operations.



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Organizations I've Worked With Include:

home care advocacy network

Dementia care is not black and white.

While working as a Dementia Care Director I realized that the approach to dementia communication we’ve been taught was not only ineffective and outdated, but at times downright cruel to people living with dementia.

I realized that we need to find a way to Embrace Their Reality™, and if we do this, we can thrive in that gray area.

After witnessing countless day-to-day situations in dementia care, it was clear:

Dementia care communication was being framed in a confusing and unlearnable way.

“Validate, but don’t lie to them,” is something I still hear today. “Go to their world…but don’t fully go there.”

Let’s change how we teach dementia care communication.

Embrace Their Reality Illustration

I offer a new approach to dementia care programs for senior care communities and caregivers to embrace the gifts that dementia gives us: the ability to really live in someone else's world without a fear of what "lying" means.

I trademarked phrases like Embracing Their Reality™ and Timeline Confusion™ because what I teach is so different from what you normally hear in dementia care education sessions. We always hear, “Validate, but don’t lie,” or, “Redirect and distract!”.

But I don’t think these approaches work – nor have I found them to be kind. Dementia is a dance. An artform. One that we must be creative and flexible in our approach to. 

We need to change the nomenclature around dementia communication: no more “fiblets,” “white lies,” “therapeutic lying,” or “untruths” – just Embracing Their Reality™.

Let's work together on a better approach.

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I work with senior living providers who want to develop or improve their dementia care operations.

Personally, I’m pretty tired of hearing the phrase “dementia consulting,” but it’s still the simplest way to describe what we do at Dementia By Day. We do much more than provide expert advice, though: we are hands-on, experienced and professional coaches who see ourselves more as fractional operations directors who help your team roll out and run dementia care programs.

We help your organization to create and brand your own dementia care program so you can stand out from the competition and provide top quality dementia care.

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I help families of people living with dementia to give their loved one a better quality of life.

Through my framework ‘Embrace their Reality™’ I teach families and caregivers how to embrace the gifts that dementia gives us. Like forgetting pain and embracing what is true for them.

I’ll show you how to communicate with a loved one who is living with dementia and how to kindly and effectively transition your family member into a dementia care community.

I’ll give you tangible skills and techniques to solve dementia related behavioral challenges.

Hey there, I’m Rachael.

A Dementia Care Consultant with a new approach to dementia care.

I believe dementia gives us gifts. Gifts that we shouldn’t reject. 

Let’s ditch the word “lying” in dementia caregiving (and along with it, “therapeutic lying” and “fiblets”!)

I believe that the kinder way to communicate with people living with dementia is to Embrace Their Reality ™. This is often different to what you normally hear in dementia care.

But, when we Embrace Their Reality, we actually enter their world, no matter where it is.

We stop worrying about “lying” and start worrying about what’s true for the person living with the cognitive impairment—even if it feels totally foreign to us.

What makes me qualified to talk about this?

I have a Master’s in Gerontology.

I'm the author of three books with Johns Hopkins University Press.

I share my content with care partners of all types, all over the world:

We provide four options of badges and Certifications for senior living providers:

What people are saying...

“Thank you so much for 'holding me' through this journey.”

I first started reading and listening to Rachael and Dementia By Day in 2015 when I first noticed my husband’s odd behavior. I think I owe my sanity to you. You taught me that my reality was not his reality. 

For 2 months, we “went home” every night. He would pack up the car, I would drive around for 5-10 minutes and then we would pull into the driveway and he was happy to be home! Your calm way of dealing with a new topic/challenge gave me hope that I would make it through this. I can’t thank you enough. I feel as though you became my friend. 

—Mary Beth Davison, Caregiver

“Our dementia care program has become more than what I ever could've imagined."

With Rachael’s knowledge and guidance, our Dementia Care Program, now called Lavender Hills, has become more than what I could’ve ever imagined.

Our Residents are engaged on a whole new level and our Team Members are too! Rachael truly breathed life into our Dementia Care Communities at Lavender Hills and gave us the tools to provide a higher level of service to our Residents.


“Dementia By Day School™ is so applicable and the team is enjoying and learning from it!”

We actually held-off enrolling in a dementia training because we couldn’t find anything that the care staff could really utilize during an 8-hour shift with our residents. Dementia By Day School, however, is so applicable and the team is enjoying and learning from it! The other day the care staff asked about our new carpet installation—they’d just watched the interior design portion of the course and were wondering if the carpet provided enough contrast for the residents! 

—Lucy Boxrud, President at Elysian Senior Homes

What's happening at Dementia By Day

Dementia By Day a Gold Sponsor for the SHN 2024 BRAIN Conference

Dementia By Day was a Gold Sponsor for the SHN BRAIN Conference in May 2024, for the second year in a row.

Legend Senior Living's entire sales team getting Sales Pro Certified!

Legend Senior Living has their entire sales team going through our new Sales Pro Certification course.

Four new certifications available through Dementia By Day School

Dementia By Day now offers four different types of certifications for students.

16 Things I Would Want If I Got Dementia

Get the FREE “16 Things” poster for your personal use—or better yet—your dementia care community’s staff break room!

I wrote this poem years ago, but to date, it’s the most popular piece I’ve ever created.

When you sign up, you’ll also get access to Rachael’s weekly newsletter so that you can get her top tips, links to new content as soon as it’s released, and special offers directly in your inbox! We’ll never sell your information, and you can unsubscribe at any time.

16 things poster

It’s time to change dementia care with a customized approach.

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