This free course has highlighted the way that a sense of spatial disorientation is not confined to people with dementia, but is a feature of everyday life. When spatial orientation is impaired, it becomes something that can severely affect quality of life for people trying to adapt to an environment that is designed for ‘normal’ living. In this course. you studied how the society in which people with dementia live can itself be disabling, and how there are ways to overcome this that do not rely on clinical solutions. The design of space for people with dementia also needs to take into account the ways in which their needs change over time. Indeed, as with all dying people, being near the end of their life carers’ needs also need to be included so that they can provide regular physical care. This will include such things as aids for lifting, incontinence aids and more space for people to visit and stay with them as they approach the end of life.