The PIECES approach in action enables Persons and their Care Partners to meaningfully engage and actively collaborate with their health care Team. Rather than asking the question, “What is the matter?” the focus is on, “What matters in your life?” Authentic engagement is essential, focusing on the quality of relationships among all members of the Team, ensuring their contributions, wisdom and experiences are valued and heard.

The PIECES 3-Question Template

Using the PIECES 3-Question Template guides evidence informed shared assessment, collaborative engagement and supportive care with older adults at risk or living with complex chronic conditions and changes in behavioural expression associated with;

  • Neurocognitive disorders (including but not limited to the dementias)
  • Mental health and substance use disorders
  • Other neurological conditions
  • Physical health complexities.

Always building on the Person’s unique strengths, promoting optimum health, early detection, and preventing unnecessary disability; always considering the Person’s; Physical, Intellectual and Emotional health, strategies to support their Capabilities, their social and physical Environment, and Social self (life story, social network, cultural, spiritual, sexuality, gender identity).

To learn more about PIECES preview Chapter 1 of the PIECES Resource Guide; Guiding collaborative Engagement, Shared Assessment and Supportive Care, 7th Edition.