Caring for the elderly highlights many special and difficult issues for nurses and carers, such as separation, illness, loneliness, death and how to provide ongoing care (Morrissey et al, 1997) . This essay discusses the care strategies provided to an older person with dementia during my recent clinical placement. Discussions will focus on the normal aging process taking into account relevant biological, sociological and physiological perspectives and the impact this has had on this individual's life experience. The Ropers model is used as the framework in which CAE is delivered. Other related issues to consider include the role of informal carers and the impact this has had on him. Confidentiality is maintained in conjunction with the NMC Code of Practice 2010. Therefore a pseudonym (Scot) is adopted where the client's name is mentioned. Scot is a 70-year-old man with a long history of psychosis. He had recently been diagnosed with dementia. He had been well managed on quiatiapine until he stopped taking the drug and his psychosis worsened. And due to his worsening mental state, he also refused access to his caregiver (his wife) and was at risk of self-neglect. Dementia is a disorder manifested by multiple cognitive defects, such as impaired memory, aphasia, apraxia, and a disturbance in occupational or social functioning, Howcroft (2004). Executive functioning disorders also manifest themselves in the loss of the ability to think abstractly, difficulty performing tasks and avoiding situations, which involves processing information. Scot suffers from Alzheimer's disease, a type of dementia that affects brain cells and brain nerve transmitters, which carry instructions in the brain. The b...... in the middle of the paper ...... is about the conditions and how it can reduce the feelings of anxiety, tension and loss of control that have resulted from the impact of the deterioration of the Scots. By the end of my placement, assessments showed that although there were no significant changes in the Scotsman's mental and physical state, it is also imperative to note that he was adequately supported and maintained to carry out some of the daily activities of life. While Scots' care plan continues to be reviewed, support and educational programs for his wife are also underway, which will allow her to care for Scot effectively. Having gained experience working with elderly people, I understood that whenever you take care of a person, especially an elderly person, it is necessary to adopt a holistic view of the person's physiological, psychological and social situation to provide care effective and continuous..