For CNAs, home care aides, assisted-living staff and families: understand dementia, spot urgent changes, communicate with compassion and give safe, person-centered care within your role.
For: Certified nursing assistants (CNAs), home care and personal care aides, assisted-living and memory care staff, adult day staff, customer-facing staff who serve older adults, and family caregivers
2 contact hours
8 modules
12 interactives
4 job aids
Updated October 7, 2026
What you will be able to do
Explain what dementia is, distinguish its main types (Alzheimer's, vascular, Lewy body, frontotemporal and mixed) and stages, and describe at an awareness level how it is diagnosed and treated.
Distinguish sudden changes such as delirium from the gradual course of dementia, and escalate them correctly using stop-and-watch, an SBAR report or a 911 call.
Communicate with people living with dementia and their families using person-centered, life-story-informed techniques, while staying within your scope of practice.
Interpret responsive behaviors as communication of unmet needs, choose non-drug approaches, and explain why federal rules limit antipsychotic use and prohibit chemical restraint.
Apply safety and daily-care practices for wandering and elopement, the care environment, eating and drinking, and continence, and report concerns that need clinical assessment.
Uphold the rights, choices and dignity of people living with dementia, report suspected abuse or neglect, support family caregivers, and identify federal and state dementia training rules that apply to your role.
Learn what dementia is and is not, how the main types differ, and how to tell a sudden change such as delirium from the slow course of dementia. You will practice the skills that make the biggest difference on a shift: communicating so a person living with dementia can understand you, reading responsive behaviors as messages, and reporting a change in condition clearly with SBAR. Hands-on exercises include a branching bathing scenario, a change-in-condition decision tool, an SBAR builder and three spot-the-issue activities.
Built for CNAs, home care aides, assisted-living and memory care staff, adult day staff and family caregivers. Every module follows a different US care setting, from a Tulsa home visit to a Milwaukee nursing home, and keeps a clear line between what aides do (observe, support, report, document) and what nurses and physicians do (assess, diagnose, prescribe).
Dementia care is closely regulated. Federal rules for nursing homes require yearly nurse aide in-service that includes dementia management and abuse prevention (42 CFR 483.95(g)) and push care teams toward non-drug approaches before antipsychotics (42 CFR 483.45). Many states add their own training rules. This awareness course explains those rules honestly, includes verified examples from Illinois, California and Texas, and gives you four job aids, including a stop-and-watch SBAR form and an in-service sign-off record.
What you’ll be able to do Monday morning
Learn each person's usual baseline so you can spot a sudden change and report it to the nurse the same shift using SBAR.
Approach from the front, give one short step at a time, and respond to the feeling behind what the person says.
Write behavior notes that describe what happened and what came before, instead of labels like "combative."
Try one non-drug approach (warmth, toileting, quiet, a familiar task) before assuming a behavior needs medication.
Check every door alarm, offer a drink each time you enter a room, and report coughing with meals.
Know who the legal decision-maker is, keep offering everyday choices, and report any abuse concern immediately.
Curriculum
8 modules · 25 lessons · about 2 contact hours
01What is dementia, and what is it not?Free preview13 min
What does the word "dementia" actually mean?
How is normal aging different from dementia?
What are the main types of dementia?
Matching activity: Match the type of dementia to its typical early pattern
Diagram · In practice checklist · 2-question knowledge check
02How does dementia change over time, and how is it diagnosed and treated?13 min
What are the early warning signs?
How does dementia usually progress?
How is dementia diagnosed, and what treatments exist?
Where does your role begin and end?
Sort activity: Report today, or share at the next care plan update?
Diagram · In practice checklist · 2-question knowledge check
03Is it dementia, or is it delirium? Spotting urgent changes13 min
What is delirium, and why is it an emergency?
What other sudden changes must you report?
How do you report a change so the nurse acts on it?
Decision tree: Change in condition: what level of response?
SBAR builder: Build an SBAR report: sudden agitation at bedtime
Diagram · In practice checklist · 2-question knowledge check
04How do you communicate with a person living with dementia?12 min
How does dementia change communication?
What techniques actually work?
How do you include families and keep conversations respectful?
Self-assessment: My communication habits
Diagram · In practice checklist · 2-question knowledge check
05What does person-centered care look like on a real shift?12 min
What does "person-centered" mean?
How does a life story change care?
How do you support daily activities without taking over?
Spot the issue: Spot the issues: a care plan note that misses the person
Diagram · In practice checklist · 2-question knowledge check
06What is a responsive behavior trying to tell you?14 min
Why call it a "responsive" behavior?
How do you work out what the behavior means?
Why are antipsychotic medications a last resort?
Branching scenario: The bath that keeps going wrong
Spot the issue: Spot the issues: a behavior log entry
Diagram · In practice checklist · 2-question knowledge check
07How do you keep people safe and comfortable day to day?13 min
Why do people living with dementia walk and leave, and how do you respond?
What makes an environment safe and supportive?
How do you support eating, drinking and continence?
Spot the issue: Spot the issues: a resident room walk-through
Sort activity: Handle and record, or report to the nurse now?
Diagram · In practice checklist · 2-question knowledge check
08How do you protect rights, prevent abuse and support caregivers?14 min
What rights does a person living with dementia keep?
Why is abuse a higher risk, and what must you do?
How can you support family caregivers, and yourself?
State rules selector: Dementia training rules: check your state
Ethics dilemma: Safety or freedom?
Diagram · In practice checklist · 2-question knowledge check
Final assessment: 23 questions, 80% to pass, then your certificate
Try it now, no account needed
The bath that keeps going wrong
A branching scenario from this course. Your choices are not saved.
Free sample activity
The bath that keeps going wrong
You are a CNA at a nursing home in Dayton, Ohio. Raymond Pruitt, 79, has moderate Alzheimer's disease and resists bathing. The care plan says only "resists showers." Your goal: help Raymond get clean safely, with dignity, and leave the next shift a better plan.
Inside the course
Practice activities
Matching activity1
Sort activity2
Decision tree1
SBAR builder1
Self-assessment1
Spot the issue3
Branching scenario1
State rules selector1
Ethics dilemma1
Job aids you keep
Dementia Care Shift ChecklistChecklist
Stop-and-Watch and SBAR Change-in-Condition ReportTemplate
Dementia Care Reflection WorksheetWorksheet
Dementia Care In-Service Sign-Off RecordLog
Credit and approval status
Certificate of completion
This course awards a certificate of completion for 2 contact hours of instruction. It has not been approved or accredited by any state nurse aide registry, state health or aging agency, board of nursing, the American Nurses Credentialing Center (ANCC), the National Association of Long Term Care Administrator Boards (NAB) or any other accreditor. It is general awareness training: it does not certify competence in hands-on dementia care, and it does not replace the site-specific, supervised training your employer provides. Federal rules require nursing homes to give nurse aides at least 12 hours of in-service each year that includes dementia management, and many states set their own dementia training hours, topics and approved curricula. Check with your employer or state agency whether this course can count toward your specific requirement.
Pathways we are pursuing or may pursue include acceptance as part of employer nurse aide in-service programs, nursing continuing education through a provider accredited by ANCC, NAB approval for long-term care administrators, and state-specific editions where states review dementia training curricula. No approval exists today; any approval will be shown on this page only after it is granted.
Dementia training rules differ by state, by care setting (nursing home, assisted living, memory care, home care, adult day, hospice) and by role. The federal floor applies only to nursing homes that participate in Medicare or Medicaid: nurse aides need at least 12 hours of in-service each year, including dementia management and resident abuse prevention training (42 CFR 483.95(g)).
Illinois: staff with direct access to clients with Alzheimer's disease or a related dementia must receive at least 6 hours of initial training within the first 60 days of employment and 3 hours of advanced training each year (410 ILCS 406, as amended by Public Act 100-1074).
California: direct care staff in residential care facilities for the elderly need 12 hours of dementia care training (6 before working independently, 6 within the first four weeks) and 8 hours of dementia in-service each year (Health and Safety Code 1569.626).
Texas: in assisted living facilities that are not Alzheimer's certified, staff providing personal care to a resident with Alzheimer's disease or a related disorder must complete 4 hours of training and a competency-based evaluation before providing that care, plus 2 hours of continuing education each year (26 Texas Administrative Code 553.254).
Many other states have their own rules, and some require training to use an approved curriculum or trainer, include in-person skills practice, or be documented in a particular way. What to check locally: the rule for your setting and role, required hours and deadlines, whether online training is accepted, whether the curriculum or trainer must be approved, and how completion must be recorded.
Questions about this course
Does this course give me CE or meet my state's dementia training rule?
It gives you a certificate of completion for 2 contact hours of instruction. It is not currently approved or accredited by any state agency, board or accreditor. Dementia training rules vary by state, setting and role, and some require approved curricula or in-person skills practice. Ask your employer or state agency whether they accept this course toward your specific requirement before you rely on it.
Who is this course for?
It is written for certified nursing assistants, home care and personal care aides, assisted-living and memory care staff, adult day staff, and customer-facing staff who serve older adults. Family caregivers will also find it practical. It is foundational awareness training and assumes no clinical background. Nurses and other licensed staff may use it as a refresher, but it does not teach clinical assessment or treatment.
Can a nursing home use this course for nurse aide in-service hours?
Federal rules require nursing homes to provide nurse aides at least 12 hours of in-service each year, including dementia management and abuse prevention training, chosen to address performance reviews and the facility assessment. Each facility decides what training it uses to meet that rule. A facility may choose to include this course, alongside its own site-specific training, and record it on the sign-off log provided.
How long does the course take?
The course is designed for about 2 hours of learning time. That includes eight short modules with real-world care scenarios, interactive exercises such as a branching bathing scenario and an SBAR builder, knowledge checks after each module, and a final assessment of 23 questions with a pass mark of 80 percent. You can pause and return to where you left off.
Does this course teach me to diagnose or treat dementia?
No. It explains dementia, its types and new treatments at an awareness level so you can understand the people you care for and answer families appropriately. Diagnosis, medication and treatment decisions belong to physicians and other licensed clinicians. The course focuses on what care staff do: observe, support, communicate, report changes and document.
What do I get when I finish?
When you pass the final assessment you receive a certificate of completion showing the course title, 2 contact hours and the completion date. You also get four downloadable job aids: a dementia care shift checklist, a stop-and-watch SBAR change-in-condition form, a reflection worksheet and an in-service sign-off record for your employer's files.
This course is general education and dementia care awareness training from CE Courses Hub. It is not legal, medical or professional advice and does not replace your employer's policies, your licensing board's rules, your care plans, or advice from a qualified professional. Completing it earns a certificate of completion for the stated contact hours; it is not approved or accredited by any licensing board, state agency or accreditor unless an approval is shown on the course page. Check with your board, employer or state agency whether this course meets your specific requirement.
Part of a bundle
Get this course with the others your role needs
CNA Annual In-Service Pack
Certified nurse aides and the facilities that train them
Core in-service topics for nurse aides in one purchase: infection prevention, dementia care, residents' rights and abuse reporting, safe handling, skin and nutrition.