In this episode of Matters of Consequence, host Michael Hanf speaks with Joanna LaFleur about responsibility, care, and the weight of decisions that don’t fully resolve. Joanna spent more than a decade running dementia care communities, where the choices she made shaped people’s daily lives, their safety, and their dignity. She reflects on what it means to work in situations where there are no clear right answers, only options that feel less harmful than others. They talk about the realities of caring for people with dementia, the constant balancing between safety and autonomy, and the emotional impact of making decisions that stay with you long after the moment has passed. Joanna also shares what it took to step away from that work after years of burnout, and how she now supports families navigating care in their own homes. A conversation about responsibility, limits, and what it costs to keep showing up.
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