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GEMS State Tool

From: $39.50

The GEMS State Tool is a first aid kit for assisting those living with brain change. This in the moment tool helps families, professional care partners, first responders, and medical providers understand WHAT their person living with dementia is experiencing and can still do. This will help users choose a supportive response to de-escalate crises and facilitate communication.

The tool includes dementia scale comparisons, an overview of the GEMS® State Model and abilities, supportive responses, a 4-Step Crisis Safety plan, visuals of interaction techniques, and care planning tools.

Durable and easy to carry, this reference tool has eight, full-color, 8” x 6” laminated cardstock pages. Scroll down to the Description tab for more details on each page and how this resource can help you.

To get the most out of the GEMS State Tool, grow your GEMS awareness and knowledge!  Do it at a discount with with these optional add-ons-  the Dementia Caregiver Guide with its foundational GEMS knowledge for just $20, five GEMS Posters for just $12 each, and three of our most popular GEMS-focused Webinars for just $5 each.

GEMS State Tool

Get single units for $39.50 or save with a multipack!

Dementia Caregiver Guide – optional

This easy to read, 100-page guidebook helps care partners better understand the changes in thinking, reasoning and processing information that come with the progression of dementia, as seen through the lens of the GEMS State Model. Add one or more below!

GEMS Poster - Five (5) Pack – optional

This 22" x 28" poster shares the characteristics of the GEMS® State Model and is thought provoking visual to grow GEMS awareness. This 5-pack has a $7.75 shipping fee.

In stock

GEMS: Approaching Various GEMS States to Assess Abilities (Recorded Webinar) – optional

This webinar focuses on enhancing assessment skills, appreciating the many changes that the person living with dementia is likely to be experiencing, and help you quickly determine the person’s ability to take in information and respond to cues.

GEMS: Connecting with Various GEMS States – Using Cues That Match Ability (Recorded Webinar) – optional

This webinar focuses on the five techniques of getting quickly connected to a person living with dementia, and how these five techniques may be applied to each of the GEMS states.

GEMS: Getting the Task Started with Various GEMS States (Recorded Webinar) – optional

This webinar focuses on enhancing your interaction skills using the five ways to get a person living with dementia to do what you need them to do in that moment, without MAKING them do anything. We explore this approach for each of the GEMS states.


The GEMS State Tool is a valuable resource for a variety of audiences:

For family or professional care partners familiar with Positive Approach to Care techniques: The GEMS State Tool is a valuable extension of existing knowledge, and will be a vital tool for helping support those living with brain change and communicating with medical professionals and others about retained abilities.  It is a quick reference and resource guide with space for recording and highlighting current state, future plans, and important personal information for the team.

For care partners without previous knowledge of Positive Approach to Care methods: The GEMS State Tool provides a basic awareness of terminology and techniques that, when combined with the other PAC resources, is a beneficial tool to offer support, guidance and help communication with medical professionals and the individual living with dementia.

For law enforcement, firefighters, EMTs, Emergency Department staff, and mental health professionals: The GEMS State Tool is an incredibly effective resource when paired with some training in the basics of Positive Approach to Care techniques.  The ultimate goal of first responders and mental health professionals is to get the individual the care they require as quickly and safely as possible, and GEMS State Tool can help do just that.  By recognizing the abilities and limitations of the individual and using effective responses and modified environments, interactions can be more efficient and effective.  There is a reduced risk of emotionally or physically risky or dangerous situations when awareness is improved and skills are employed.

GEMS State Tool pages include:

Dementia Scale Comparison: This helpful chart compares the Allen, FAST, GDS, and GEMS scales of dementia progression, and is an essential resource for helping various medical professionals communicate about the level of brain change that an individual is experiencing.

GEMS State Model Overview:  On this page, the GEMS State Model is detailed, including simple descriptions of common traits of each state.

GEMS State Abilities: This essential chart focuses on using the observed abilities present at each GEMS state across a variety of categories, such as vision changes, body skills, and time awareness to help assess the GEMS state of the individual and estimate their abilities based on these observed characteristics.

Tips for Supportive Responses: This invaluable chart offers appropriate supportive responses to assist individuals in the different GEMS states, including the most effective ways to touch a person, communicate with them, or help them to move.

4 Step Crisis Safety Approach:  On this page, four clear steps are outlined for de-escalating a crisis when it involves an individual living with brain change, along with tips to decipher unmet needs that may be precipitating the crisis.

Me in the Moment Assessment Tool (for longer-term relationships):  This page contains important information to be completed about an individual living with brain change to improve our understanding of the person and who they are so that we can deliver more effective care, since knowing about the person can help guide interactions and expectations.

Person-Centered Approach to Care Planning:  In this chart, person-centered care planning is defined  and described with structured spaces, and an example is provided.

Hand-under-Hand® Examples:  This page contains color photographs of different uses of the Hand-under-Hand technique, as well as detailed explanations of each of the four main dementia progression scales.

Save big and provide a valuable, economical resource for your staff or department with our 5, 10, 25, and 50 unit multi-packs!

Single Unit Price- $39.50

Pack of 5- $187 ($37.40 each)

Pack of 10- $359 ($35.90 each)

Pack of 25- $799 ($31.96 each)

Pack of 50- $1,489 ($29.78 each)

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