The QCS Pool Activity Level (PAL) Instrument is widely used as the framework for providing activity-based care for people with cognitive impairments, including dementia.The Instrument was recommended for daily living skills training and activity planning in the National Institute for Clinical Excellence Clinical Guidelines for Dementia (NICE 2006).It is an essential resource for any practitioner or carer wanting to provide fulfilling occupation for clients with cognitive impairments. This fifth edition of The QCS Pool Activity Level (PAL) Instrument for Occupational Profiling retains the checklists and plans helpful in matching user's abilities with personal care and leisure activities and includes a new chapter co-written by Professor Lesley Collier on the revised 'PAL Engagement Measure' describing its use and validity.Including access to a digital version of the PAL instrument, it is an essential resource for any practitioner or carer wanting to provide fulfilling and meaningful occupation for clients with cognitive impairments.