Deteriorating abilities to maintain independence are hallmarks of dementia, but they need not lead to helplessness. With simple changes to the environment, facility staff can maximize functional independence and minimize excess disabilities for older adults with dementia. Here is a step-by-step process for identifying barriers and finding respectful, supportive solutions. Through individual profiles of residents, viewers learn to apply this sensible problem-solving method to some of the common challenges presented by toileting, dressing, and mealtime activities in long-term care facilities.