{
  "schema_version": "uw.editorial_geo.v1",
  "route_id": "AGE-028",
  "article_index": "AGE-028",
  "catalog_id": "AGE-028",
  "material_id": "UW:AGE-028:en",
  "language": "en",
  "revision": 1,
  "master_revision": 1,
  "expected_revision": 0,
  "master_filename": "ARTICLE_EN.md",
  "master_sha256": "bb5b2659550adff35e325b49199de6a0423755776b2570874aced9b2b915a80d",
  "headline": "After a dementia diagnosis: what to discuss first",
  "description": "After a professional diagnosis, clarify the explanation and nearest need, find an accessible contact, agree information sharing and prepare personal future questions. Help requires no correct emotional response. This article determines no stage, treatment, prognosis, consent or family authority; sudden confusion needs a separate immediate-help route.",
  "short_answer": "After a professional diagnosis, clarify the explanation and nearest need, find an accessible contact, agree information sharing and prepare personal future questions. Help requires no correct emotional response. This article determines no stage, treatment, prognosis, consent or family authority; sudden confusion needs a separate immediate-help route.",
  "claims": [
    {
      "id": "C01",
      "type": "bounded_clarification",
      "text": "A term, written conclusion and understanding differ. Clarify uncertainty with the appropriate professional while retaining the person's question; a family vote does not settle medical meaning.",
      "article_sections": [
        "I. Find out what was actually explained"
      ],
      "source_ids": [
        "S3"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Lara/Dmitry/Anna are fictional after a professionally established diagnosis, without a current acute event.",
        "No self-selected type/stage, medicines, exercise, diet, memory test or prognosis.",
        "No prescribed acceptance, calm, faith or gratitude as a condition of help/outcome.",
        "No certification of activity safety, consent, capacity, document form, driving or family authority.",
        "Serious risk, essential unmet help and a particular decision need professional/local routes; no permission for coercion or abandonment.",
        "No imported British benefits, free services, LPA, deadlines, driving rules or foreign numbers.",
        "The forgetful-hearer metaphor is not applied to dementia; reciprocity replaces no person's answer.",
        "Past NHS next-review dates retained; independent clinical/legal/native acceptance NOT_RUN."
      ]
    },
    {
      "id": "C02",
      "type": "bounded_feelings",
      "text": "Time to adjust and individual reactions are neither compulsory acceptance stages nor a prognosis. Necessary help does not wait for perfect calm.",
      "article_sections": [
        "II. Prescribe no correct emotional response"
      ],
      "source_ids": [
        "S1",
        "S2"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Lara/Dmitry/Anna are fictional after a professionally established diagnosis, without a current acute event.",
        "No self-selected type/stage, medicines, exercise, diet, memory test or prognosis.",
        "No prescribed acceptance, calm, faith or gratitude as a condition of help/outcome.",
        "No certification of activity safety, consent, capacity, document form, driving or family authority.",
        "Serious risk, essential unmet help and a particular decision need professional/local routes; no permission for coercion or abandonment.",
        "No imported British benefits, free services, LPA, deadlines, driving rules or foreign numbers.",
        "The forgetful-hearer metaphor is not applied to dementia; reciprocity replaces no person's answer.",
        "Past NHS next-review dates retained; independent clinical/legal/native acceptance NOT_RUN."
      ]
    },
    {
      "id": "C03",
      "type": "editorial_priority",
      "text": "Separate the nearest essential need from a large list. A useful step has a particular outcome but replaces neither complete care nor an individual medical recommendation.",
      "article_sections": [
        "III. Choose a nearby need rather than reorganize everything"
      ],
      "source_ids": [],
      "attribution": "United Wisdom editorial reasoning",
      "limitations": [
        "Lara/Dmitry/Anna are fictional after a professionally established diagnosis, without a current acute event.",
        "No self-selected type/stage, medicines, exercise, diet, memory test or prognosis.",
        "No prescribed acceptance, calm, faith or gratitude as a condition of help/outcome.",
        "No certification of activity safety, consent, capacity, document form, driving or family authority.",
        "Serious risk, essential unmet help and a particular decision need professional/local routes; no permission for coercion or abandonment.",
        "No imported British benefits, free services, LPA, deadlines, driving rules or foreign numbers.",
        "The forgetful-hearer metaphor is not applied to dementia; reciprocity replaces no person's answer.",
        "Past NHS next-review dates retained; independent clinical/legal/native acceptance NOT_RUN."
      ]
    },
    {
      "id": "C04",
      "type": "bounded_access",
      "text": "A service name, website or waiting list establishes no support received. Check the appropriate contact and actual language, cost, access and next response.",
      "article_sections": [
        "IV. Find a contact that is actually accessible"
      ],
      "source_ids": [
        "S1"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Lara/Dmitry/Anna are fictional after a professionally established diagnosis, without a current acute event.",
        "No self-selected type/stage, medicines, exercise, diet, memory test or prognosis.",
        "No prescribed acceptance, calm, faith or gratitude as a condition of help/outcome.",
        "No certification of activity safety, consent, capacity, document form, driving or family authority.",
        "Serious risk, essential unmet help and a particular decision need professional/local routes; no permission for coercion or abandonment.",
        "No imported British benefits, free services, LPA, deadlines, driving rules or foreign numbers.",
        "The forgetful-hearer metaphor is not applied to dementia; reciprocity replaces no person's answer.",
        "Past NHS next-review dates retained; independent clinical/legal/native acceptance NOT_RUN."
      ]
    },
    {
      "id": "C05",
      "type": "bounded_disclosure",
      "text": "Discuss recipients and scope with the person. Information for one task establishes neither unrestricted onward sharing nor a permanent helper role. General privacy language must not conceal relevant information from necessary help.",
      "article_sections": [
        "V. Decide who needs to know and why"
      ],
      "source_ids": [
        "S2"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Lara/Dmitry/Anna are fictional after a professionally established diagnosis, without a current acute event.",
        "No self-selected type/stage, medicines, exercise, diet, memory test or prognosis.",
        "No prescribed acceptance, calm, faith or gratitude as a condition of help/outcome.",
        "No certification of activity safety, consent, capacity, document form, driving or family authority.",
        "Serious risk, essential unmet help and a particular decision need professional/local routes; no permission for coercion or abandonment.",
        "No imported British benefits, free services, LPA, deadlines, driving rules or foreign numbers.",
        "The forgetful-hearer metaphor is not applied to dementia; reciprocity replaces no person's answer.",
        "Past NHS next-review dates retained; independent clinical/legal/native acceptance NOT_RUN."
      ]
    },
    {
      "id": "C06",
      "type": "editorial_daily_life",
      "text": "Retain ordinary interests and participation according to actual circumstances; no activity is certified safe here. A purchased calendar differs from accepted, used support and promises no treatment.",
      "article_sections": [
        "VI. Retain an ordinary activity without promising treatment"
      ],
      "source_ids": [],
      "attribution": "United Wisdom editorial reasoning",
      "limitations": [
        "Lara/Dmitry/Anna are fictional after a professionally established diagnosis, without a current acute event.",
        "No self-selected type/stage, medicines, exercise, diet, memory test or prognosis.",
        "No prescribed acceptance, calm, faith or gratitude as a condition of help/outcome.",
        "No certification of activity safety, consent, capacity, document form, driving or family authority.",
        "Serious risk, essential unmet help and a particular decision need professional/local routes; no permission for coercion or abandonment.",
        "No imported British benefits, free services, LPA, deadlines, driving rules or foreign numbers.",
        "The forgetful-hearer metaphor is not applied to dementia; reciprocity replaces no person's answer.",
        "Past NHS next-review dates retained; independent clinical/legal/native acceptance NOT_RUN."
      ]
    },
    {
      "id": "C07",
      "type": "bounded_planning",
      "text": "Discuss wishes, money and documents with suitable local professionals. A foreign list makes no form valid; preference, advice and formal decision are different results. This article certifies neither consent nor transferred control.",
      "article_sections": [
        "VII. Begin planning with the person's wishes and a specific question"
      ],
      "source_ids": [
        "S1"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Lara/Dmitry/Anna are fictional after a professionally established diagnosis, without a current acute event.",
        "No self-selected type/stage, medicines, exercise, diet, memory test or prognosis.",
        "No prescribed acceptance, calm, faith or gratitude as a condition of help/outcome.",
        "No certification of activity safety, consent, capacity, document form, driving or family authority.",
        "Serious risk, essential unmet help and a particular decision need professional/local routes; no permission for coercion or abandonment.",
        "No imported British benefits, free services, LPA, deadlines, driving rules or foreign numbers.",
        "The forgetful-hearer metaphor is not applied to dementia; reciprocity replaces no person's answer.",
        "Past NHS next-review dates retained; independent clinical/legal/native acceptance NOT_RUN."
      ]
    },
    {
      "id": "C08",
      "type": "editorial_resources",
      "text": "Closeness creates no unlimited resource. Name actual roles/gaps, continue organizing essential unmet needs and appoint no child responsible for medicines, observation or medical interpreting.",
      "article_sections": [
        "VIII. Closeness does not create unlimited resources"
      ],
      "source_ids": [],
      "attribution": "United Wisdom editorial reasoning",
      "limitations": [
        "Lara/Dmitry/Anna are fictional after a professionally established diagnosis, without a current acute event.",
        "No self-selected type/stage, medicines, exercise, diet, memory test or prognosis.",
        "No prescribed acceptance, calm, faith or gratitude as a condition of help/outcome.",
        "No certification of activity safety, consent, capacity, document form, driving or family authority.",
        "Serious risk, essential unmet help and a particular decision need professional/local routes; no permission for coercion or abandonment.",
        "No imported British benefits, free services, LPA, deadlines, driving rules or foreign numbers.",
        "The forgetful-hearer metaphor is not applied to dementia; reciprocity replaces no person's answer.",
        "Past NHS next-review dates retained; independent clinical/legal/native acceptance NOT_RUN."
      ]
    },
    {
      "id": "C09",
      "type": "bounded_comparison",
      "text": "James addresses hearing/doing the word, Confucius reciprocity, in different contexts. These question helpers rather than measure a patient's virtue, guess another's wishes or treat memory.",
      "article_sections": [
        "IX. Hearing and reciprocity address the helper"
      ],
      "source_ids": [
        "S5",
        "S6"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Lara/Dmitry/Anna are fictional after a professionally established diagnosis, without a current acute event.",
        "No self-selected type/stage, medicines, exercise, diet, memory test or prognosis.",
        "No prescribed acceptance, calm, faith or gratitude as a condition of help/outcome.",
        "No certification of activity safety, consent, capacity, document form, driving or family authority.",
        "Serious risk, essential unmet help and a particular decision need professional/local routes; no permission for coercion or abandonment.",
        "No imported British benefits, free services, LPA, deadlines, driving rules or foreign numbers.",
        "The forgetful-hearer metaphor is not applied to dementia; reciprocity replaces no person's answer.",
        "Past NHS next-review dates retained; independent clinical/legal/native acceptance NOT_RUN."
      ]
    },
    {
      "id": "C10",
      "type": "bounded_outcome_and_urgency",
      "text": "Check the actual next step rather than examine memory for gratitude. New sudden confusion requires immediate local emergency medical contact, not waiting for routine discussion.",
      "article_sections": [
        "X. Check the nearest result and retain the next question"
      ],
      "source_ids": [
        "S4"
      ],
      "attribution": "Bounded source use plus editorial reasoning; RESEARCH.md",
      "limitations": [
        "Lara/Dmitry/Anna are fictional after a professionally established diagnosis, without a current acute event.",
        "No self-selected type/stage, medicines, exercise, diet, memory test or prognosis.",
        "No prescribed acceptance, calm, faith or gratitude as a condition of help/outcome.",
        "No certification of activity safety, consent, capacity, document form, driving or family authority.",
        "Serious risk, essential unmet help and a particular decision need professional/local routes; no permission for coercion or abandonment.",
        "No imported British benefits, free services, LPA, deadlines, driving rules or foreign numbers.",
        "The forgetful-hearer metaphor is not applied to dementia; reciprocity replaces no person's answer.",
        "Past NHS next-review dates retained; independent clinical/legal/native acceptance NOT_RUN."
      ]
    }
  ],
  "questions": [
    {
      "id": "Q01",
      "q": "Must the whole family's future be decided immediately?",
      "a": "Begin with explanation and the nearest essential need, retaining separate questions and actual providers. Establish a particular question's urgency professionally.",
      "claim_ids": [
        "C01",
        "C03",
        "C07"
      ],
      "source_ids": [
        "S1",
        "S3"
      ],
      "article_sections": [
        "I. Find out what was actually explained",
        "III. Choose a nearby need rather than reorganize everything",
        "VII. Begin planning with the person's wishes and a specific question"
      ]
    },
    {
      "id": "Q02",
      "q": "Is there a correct feeling after diagnosis?",
      "a": "No compulsory response is set. Feelings can differ; necessary help must not wait for everyone's calm.",
      "claim_ids": [
        "C02"
      ],
      "source_ids": [
        "S1",
        "S2"
      ],
      "article_sections": [
        "II. Prescribe no correct emotional response"
      ]
    },
    {
      "id": "Q03",
      "q": "Does finding a website already provide follow-up?",
      "a": "No. Establish actual access and the appropriate service's response; a queue and consultation differ.",
      "claim_ids": [
        "C04"
      ],
      "source_ids": [
        "S1"
      ],
      "article_sections": [
        "IV. Find a contact that is actually accessible"
      ]
    },
    {
      "id": "Q04",
      "q": "Can the family decide everything after the diagnosis?",
      "a": "This article grants no such authority. Particular understanding, risk, pressure and formal arrangements need appropriate professional/local legal routes.",
      "claim_ids": [
        "C07"
      ],
      "source_ids": [
        "S1"
      ],
      "article_sections": [
        "VII. Begin planning with the person's wishes and a specific question"
      ]
    },
    {
      "id": "Q05",
      "q": "Must every relative be told at once?",
      "a": "Discuss recipients, scope and purpose; an announcement appoints no helpers. Relevant information for necessary help still matters.",
      "claim_ids": [
        "C05"
      ],
      "source_ids": [
        "S2"
      ],
      "article_sections": [
        "V. Decide who needs to know and why"
      ]
    },
    {
      "id": "Q06",
      "q": "Does a new calendar treat dementia or establish success?",
      "a": "No such promise is made. Check usefulness for a particular agreement, actual use and remaining needs.",
      "claim_ids": [
        "C06"
      ],
      "source_ids": [],
      "article_sections": [
        "VI. Retain an ordinary activity without promising treatment"
      ]
    },
    {
      "id": "Q07",
      "q": "When is the routine postdiagnosis plan insufficient?",
      "a": "New sudden confusion needs immediate local emergency medical contact, not a family council or routine appointment.",
      "claim_ids": [
        "C10"
      ],
      "source_ids": [
        "S4"
      ],
      "article_sections": [
        "X. Check the nearest result and retain the next question"
      ]
    }
  ],
  "sources": [
    {
      "id": "S1",
      "title": "NHS What to do if you've just been diagnosed with dementia; reviewed2023-07-24, next2026-07-24 past",
      "url": "https://www.nhs.uk/conditions/dementia/symptoms-and-diagnosis/just-been-diagnosed/",
      "read_scope": "Complete main material/dates; adjustment, support and personal planning areas. No British benefits/forms/driving rules or guaranteed entitlements imported"
    },
    {
      "id": "S2",
      "title": "Alzheimer's Society Telling people about your dementia diagnosis",
      "url": "https://www.alzheimers.org.uk/get-support/living-with-dementia/telling-people-about-your-dementia-diagnosis",
      "read_scope": "Complete main disclosure/reactions/support text; editorial review date not established, related cards not treated as main review"
    },
    {
      "id": "S3",
      "title": "NHS How to get a dementia diagnosis; reviewed2023-07-17, next2026-07-17 past",
      "url": "https://www.nhs.uk/conditions/dementia/symptoms-and-diagnosis/diagnosis/",
      "read_scope": "Complete main text actually read underAGE-026 in this task; professional clarification/follow-up reused, no repeated new reading claim"
    },
    {
      "id": "S4",
      "title": "NHS Sudden confusion; reviewed2024-05-28",
      "url": "https://www.nhs.uk/symptoms/confusion/",
      "read_scope": "Complete main text read underAGE-027 in same task; immediate-help boundary reused without home test or foreign number"
    },
    {
      "id": "S5",
      "title": "James1:19–27 KJV",
      "url": "https://www.biblegateway.com/passage/?search=James%201%3A19-27&version=KJV",
      "read_scope": "Complete selected passage and PublicDomain label read; not whole epistle; forgetful-hearer metaphor not applied to clinical memory"
    },
    {
      "id": "S6",
      "title": "Confucius AnalectsBookXV, Zigong's reciprocity question; English derived from James Legge1891",
      "url": "https://www.yellowbridge.com/onlinelit/analects15.php",
      "read_scope": "Complete selected question/reply with nearby context and visible number23; book/episode cited without asserting alternate numbering; edition provenance already checked"
    }
  ],
  "retrieval_limits": [
    "Lara/Dmitry/Anna are fictional after a professionally established diagnosis, without a current acute event.",
    "No self-selected type/stage, medicines, exercise, diet, memory test or prognosis.",
    "No prescribed acceptance, calm, faith or gratitude as a condition of help/outcome.",
    "No certification of activity safety, consent, capacity, document form, driving or family authority.",
    "Serious risk, essential unmet help and a particular decision need professional/local routes; no permission for coercion or abandonment.",
    "No imported British benefits, free services, LPA, deadlines, driving rules or foreign numbers.",
    "The forgetful-hearer metaphor is not applied to dementia; reciprocity replaces no person's answer.",
    "Past NHS next-review dates retained; independent clinical/legal/native acceptance NOT_RUN."
  ],
  "production_contract_status": "NOT_RUN; editorial representation, not validated Machine Publisher payload",
  "production_acceptance": "NOT_RUN",
  "schema_org": {
    "@context": "https://schema.org",
    "@type": "Article",
    "identifier": "UW:AGE-028:en",
    "headline": "After a dementia diagnosis: what to discuss first",
    "inLanguage": "en",
    "author": [
      {
        "@type": "Person",
        "name": "Andrey Zarinsh"
      },
      {
        "@type": "Person",
        "name": "Maria Evilkut"
      }
    ]
  }
}