Table 1.

Actors and patterns of core content in the three levels in the model (Figure 1) of resources for the identification process of signs among people with an ID and suspected dementia.

Level: Themes	Actors and Patterns of Core Content
First level: A close caring relationship provides reflection and understanding	Actors in this part of the caring process consist of the person with an ID and staff.
	Time and continuity in the care relationship are crucial to identify and respond to signs of a change in cognitive ability and thus indicate dementia.
	Staff must strive to understand the person’s changed expression and observed behaviors.
	Internal reflection, seeking to understand what the changes lead to, and how treatment and care can best be adapted.
Second level: A team relationship provides a basis for knowledge, support and continued action	Actors in this second part of the caring process consist of staff and managers in their own workplace.
	Necessary to obtain support from colleagues.
	Transfer experiences and reflections from the long-standing and ongoing process together with the person with an ID to colleagues and managers in recurring meetings.
	Staff express how managers have a responsibility and an opportunity to provide support based on their knowledge and experience.
Third level: External relations support examination and more adapted care	Actors on this third level consist of, beside the staff and managers in the ID-service, external staff from other municipal units, primary health care, and specialist care.
	Managers pave the way for contact with external resources and initiate an investigation for suspected dementia.
	Staff who know the older person with an ID accompany them to the office of the physician.
	In cases when the staff needs more knowledge about dementia and specialist support, dementia nurses are consulted.