Advanced dementia presents complex clinical, ethical, and emotional challenges for family physicians. Many primary care clinicians feel unprepared to guide families through shared decision-making, end-of-life planning, and symptom management. This workshop, developed by geriatric and family medicine experts from Clalit Health Services (Tel Aviv district), provides practical tools for approaching patients and families with compassion, clarity, and confidenceIdentify the main medical, ethical, and communication challenges in managing advanced dementia in the community. Apply structured approaches to align expectations and define care goals (“life-prolonging,” “comfort-focused,” or “middle path”). Practice communication techniques for discussing prognosis, swallowing difficulties, aspiration, pain, and feeding options. Integrate legal and ethical frameworks, for examle the Israeli Dying Patient Law and advance directives.The 60-minute session combines a brief clinical case presentation, group discussion, and interactive polls (via Padlet) exploring participants’ experiences and dilemmas. Facilitators (geriatricians and family physicians) lead guided reflections and provide practical decision-support tools for real-world primary care settings. 10 min: Introduction and case presentation 20 min: Group discussion of clinical and ethical dilemmas 15 min: Practical framework for communication and medical decision-making 10 min: Application of tools to participants’ own cases 5 min: Summary and take-home messagesParticipants will leave with enhanced confidence in conducting family meetings, balancing comfort and longevity, and managing advanced dementia complications in the community. They will gain a practical algorithm for “starting points” (knowledge gaps, family alignment, legal considerations) and tools to discuss aspiration, pain, and nutrition with empathy and evidence.This workshop bridges geriatric expertise and primary care realities, promoting humanistic, evidence-based, and ethically sound dementia care within the community.