The staff in nursing homes is often severely burdened by their work with demented people who shout. A pilot project shows that intervention in the care of demented people who shout clearly reduces the staff’s work load and minimizes demented people’s shouting behavior. The pilot study is a prospective intervention study consisting of pre-investigation, intervention and after study. In line with cognitive approaches, a project nurse gave the patient care staff five to eight lessons focused on the patient’s brain damage, somatic diseases, life history/personality (personal/family information) and interaction patient/staff. Through these focus areas, a holistic understanding of dementia patients with negative behavior could be disseminated to the staff. The staff was subsequently more capable of supporting the patient’s personal identity and residual cognitive function and to compensate for loss of function through daily contact with the demented person.