ABSTRACT
This chapter discusses a care situation which fails to meet the needs of one family is examined using an ethics of care. It focuses on the moral achievement in practice with people with dementia through discussion of the contributing factors and conflicts in good care. The chapter considers whether the moral acheivement has been accomplished; that is to show in practice, that others do matter. It draws on research with 50 people with dementia and their families, who were working with community psychiatric nurses and social workers, in a large UK city. One complicating factor in achieving care is when people are unable to determine care for themselves, as in the context of care for people with dementia who are vulnerable or marginalised because their voice may be lost in the practice of caring. Self-determination is an aspect of social inclusion, and participation in care promotes citizenship.
