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Examples for today. Based on the combination 
of various needs of a person with Dementia.

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The physical needs. Pian, Hunger and thurst

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You have to understand that if a patient 
is irritated physical need might be their 
priority.

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This creates a lot of confusion. Sometimes 
the caregivers think that the patient is 
doing this on purpose.

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Enviornmental Needs. Heat, cold, noice, silence

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Let me tell you an incident, two months back 
before the second wave.

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Everyday between 2-3 pm that 76 years old 
patient would create a commotion. So big 
that all the house members would require 
to have to leave their work and concentrate 
over him.

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Everything was fine sometime before, so when 
we started discussing it I asked him

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What was his favourite movie on which he 
replied Sholey.

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As soon as he said that it struck me, that 
he goes out for a walk in the noontime

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As everyone takes an afternoon nap after 
lunch their house had 8 rooms each person 
would sleep in their own room. He would sit 
in the drawing

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There would be silence in the house, even 
after everyone is in the house. Now, the 
patient thinks that the villain of the movie 
has killed all his family members.

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And he would create a commotion to take a 
revenge. I advised the members to be with 
him and talk to him at the hour

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His Dementia started around September, the 
whole family would be together due to covid. 
That is why all this was happening

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Silence is a sign of Dementia. Colours, Contours/ 
Surface textures etc can also disturb the 
patient.

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Emotional needs. Past memories of a lost 
person. Crying about past memories all the 
time. Sympathy & reassurance,

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They will call people and tell them it's 
fine don't be worried I am here for no reason 
at all. They would call the family and ask 
them to hand over to a person who is dead.

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Safety and Comfort. whenever they would feel 
unsafe or uncomfortable, they would get scared. 
This is very common in Dementia

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Therefore the family members contact us. 
Cognitive needs. Some people like to read, 
draw or give a speech. Watching movies.

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Understanding. They would watch a movie, 
and they won't understand the dialogue. And 
they would be clueless about rewind as they 
are used to their old technology

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Perception of objects change. They wouldn't 
like things in the showcase and would try 
to change their positions

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Now that would be an antique and they would 
think of it as real and schold it for being 
there.

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Recollection and reflection. If you would 
talk to them about covid or its guidelines 
they would think it's been going on for ages.

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Even after being on a route they had never 
been, they would say that they recall it. 
On my first visit, they would say that we 
have met quite a few times.

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They try to recall the memories with me even 
though we never met. They get similar reflections.

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They feel the need for warmth in Social needs. 
They would go into their daughter-in-law's 
room from time to time. Which would be taken 
in the wrong way.

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Association. Interuppting in others buisness. 
Would fight with their children over handeling 
the buisness.

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Principals and values. There are a lot of 
conflicts over this one. In-laws would trouble 
the homemaker they would question her principles.

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They want things according to their time. 
Wanting to be a part of all ceremonial activities.

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Spiritual needs. Discovering the meaning 
of life. Account of good and bad. What have 
I achieved in my life?

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Self-praising by just accounting all good. 
Getting depression due to just counting all 
the bad.

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We need to understand that they are depressed 
or are crying due to such analyzations

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The outcome of life. They would feel that 
their end is near. I have two experiences 
related to this,

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A person would see the satan every nigh and 
tell his about his end over which the person 
would get super scared.

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That was the start of his dementia. He would 
see satan and then wonder all day about the 
bad things they have done.

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They would calculate the outcome of their 
good doings. All this happens due to Dementia 
and old age.

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Identity needs. Sense of being someone. An 
identity in their own house. A lot of time 
this is presented in the face of fights

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A lot of times these needs are heard through 
others. They do this on purpose.

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They listen properly to things that are in 
their interest. When we talk about our interests 
they can make sense of it.

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They tell me that all that is just drama 
and not an illness. Can we understand their 
unmet needs from their deviated behavioural 
patterns? Yes, we can.