1.3 People with disabilities are more prone to developing dementia at an earlier age that people who have no disability, although the symptoms may be similar and they may not get the correct diagnosis or be able to understand the diagnosis. Different Ethnic Groups may have a lower awareness of dementias and they are more prone to having more than one type of dementia linked in with medical problems and this can delay diagnosis, so they are not getting the support they need early on, There is also a stigma in some cultures, thinking they are possessed they are locked up with no treatment and sometimes even killed, so it can be difficult to breach this barrier making their experiences more harrowing.
It can also make it difficult to present their needs culturally as their history may not be in this country so person centred approaches can be difficult for them.
End of life can mean that they have been diagnosed with dementia for some time and if there is no plan in place for palliative care, or they have not already detailed their needs then the support they get at end of life might not be what they want, they will lack understanding of what is happening and this can distress the family members. Having a good plan in place reduces this, so people with dementia at end of life still have their needs, wishes and preferences respected and reduce the distress caused. 1.4 A carer may become distressed, frustrated, lack