This article explores the spiritual and pastoral dimensions of accompanying people who are living with dementia. It is estimated that 40 per cent of people living with dementia will experience ‘prolonged dwindling’. The article develops the understanding of the face-to-face attentive presence of one person ministering to another and supporting the sick person in a breadth of life experience. It argues that insight from the thought of Jean Vanier and the community of L’Arche can be used to reflect on care for people with dementia who share in the Passion of Christ and who are accompanied by others standing in solidarity with them.