This article provides an overview of relevant factors in dementia care. The number of people experiencing dementia is increasing and dementia is at the forefront of health policy. The evidence base for person-centred approaches and interventions in dementia is expanding and nurses are central to implementing these across care settings. This is a challenging time for dementia care and nursing has a major role in leading and developing these changes in practice. The article discusses the Positive Approaches to Care (PAC) philosophy as a training approach in caring for people with dementia.