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The demographic change leads to a growing aging population in Austria. With an aging population the probability of individuals, suffering from various diseases rises and the number of people diagnosed with dementia is increasing. As dementia progresses, cognitive abilities decrease more and more, and the possibilities of a self-determined life are becoming less. This leads to a loss of autonomy by people with dementia. This bachelor’s thesis shows the current state of research and describes the possibilities of promoting autonomy after the diagnosis of dementia. The purpose of this research is to answer the following question: How can self-determination be promoted after the diagnosis of dementia? And what should be considered from an ethical point of few? Research shows that, people with dementia, have in every stage of dementia the ability to self-determination, but the range of independent decision making becomes less and less. An adapted environment, a clear communication, and an observation of the verbal and physically expressions support the self-determination of people with dementia.