The increasing incidence of aging adults with cognitive-communication impairments and demand for services that enhance the quality of life of this population necessitates examination of the evidence-based srategies that hold the mos promise in producing desired quality-of-life outcomes. The adoption of person-centered care approaches in health care (Kitwood, 1997) allows for a better undersanding of how to include the person with cognitive-communication impairment in the process of identifying communication needs, developing intervention approaches, and modifying srategies as needs change. The continuum of dementia severity and the cognitive-communication characterisics at each sage are outlined as a guide for selecting compensatory communication supports to fit changing needs. Environmental features and the training of caregivers are important components of a person-centered care model that aims to ensure that individuals with dementia are respected and can live fulflling lives.