Abstract Dementia is a serious public health concern requiring effective interventions to address older adults’ unmet needs. Photovoice, an underutilized and effective communication method for persons with waning abilities, provides insight into lived experiences and diverse needs. The purpose of this study is to understand current methodologies, analysis, and participant insights from photovoice literature in persons with dementia. A narrative review was conducted through PubMed, CINAHL Plus, and PsycINFO. From eleven eligible studies, insights were categorized via the 5-level Hierarchy Model of Needs in Dementia incorporating the 3-level Blackfoot Native American belief. Synthesized findings suggest providing dyadic opportunities to: (1) spend time in the natural world, (2) link activities for healthy aging with a need for hard work, and (3) recognize the importance of social determinants of health/disease when focusing on brain health. This review fills the knowledge gap regarding the lived experience of persons with dementia using relevant photovoice methodology.