The belief that human beings are rational, autonomous creatures, whose well-being is largely defined by their ability to make personal choices, dominates much of Western culture. Human dignity and the quality of life are largely seen in terms of individual rights and personal choice, valuing people's independence and freedom to act for their own welfare. This model negatively impacts those suffering from dementia. This paradigm is challenged by the Christian claim of being created in the image of God, defined within a Wesleyan framework of relational and interdependent connections. There is a solid body of evidence that persons flourish best in relationships that embody mutual care. The challenge for the church is to be involved in practical, quality care for all persons.